19 hours ago Woman who woke up from surgery with hair braided by doctor makes the case for more Black physicians: 'It can save lives'. When India Marshall woke up from a skull operation last month, she noticed ... >> Go To The Portal
So it was a pleasant surprise when Marshall awoke from surgery to find her hair not only undisturbed by a razor, but in neat braids, which made cleaning her wounds easier and, because of that, simplified her recovery. Furthermore, he’d used staples instead of stitches so that she didn’t have to lose hair while removing them.
Turns out Marshall, 29, found her way to him while hunting for a surgeon who could remove benign bone growths on her skull, called osteomas, which had started to grow on her forehead and between her eyes, making it difficult to wear glasses.
Background: Metastases to the bones, lungs, and liver are common in patients with nasopharyngeal carcinoma (NPC) but not to the brain and frontal bone (B + FB). Methods: We describe a patient with NPC with B + FB metastasis.
DETROIT It's been called one of medicine's "open secrets" -- allowing patients to refuse treatment by a doctor or nurse of another race. In the latest example, a white man with a swastika tattoo insisted that black nurses not be allowed to touch his newborn.
left frontal lobeGage didn't die. But the tamping iron destroyed much of his brain's left frontal lobe, and Gage's once even-tempered personality changed dramatically.
On September 13, as he was using a tamping iron to pack explosive powder into a hole, the powder detonated. The tamping iron—43 inches long, 1.25 inches in diameter and weighing 13.25 pounds—shot skyward, penetrated Gage's left cheek, ripped into his brain and exited through his skull, landing several dozen feet away.
Despite the extreme improbability given the state of medical treatment in 1848, Phineas recovers from the incident and goes on to live an additional eleven years. However, the true subject of Fleischman's narrative is not really Phineas Gage as an individual, but rather how he helped inspire the medical community.
Gage suffered a severe brain injury from an iron rod penetrating his skull, of which he miraculously survived. After the accident, Gage's personality was said to have changed as a result of the damage the frontal lobe of his brain.
The Phineas Gage case made an important but indirect contribution to the development of brain surgery. Although there had been operations for abscesses of the brain before 1885, it was in that year that the first brain surgery for the removal of a tumour was carried out.
The frontal lobes are important for voluntary movement, expressive language and for managing higher level executive functions. Executive functions refer to a collection of cognitive skills including the capacity to plan, organise, initiate, self-monitor and control one's responses in order to achieve a goal.
One fateful day, a spark ignited the powder prematurally, propelling the five kilogram iron rod through Gage's left cheek and out the top of his head, landing some distance away. Miraculously he survived, in spite of having lost a significant portion of his brain.
But Gage quickly recovered, and, within a matter of months, he regained his physical strength and was able to return to work. He sustained no motor or speech impairments, and his memory remained intact.
The story about Phineas Gage is so extraordinary because he survived such a traumatic injury and a portion of his Frontal Lobe was removed. His story teaches us that the brain can still function even after a traumatic injury happens.
What happened when Phineas Gage sustained an injury to his frontal lobes when he was shot through the head with an iron bar in a railroad accident? His personality changed. The ____________ is made up of the hypothalamus, the hippocampus, the amygdala, and the cingulate gyrus.
Phineas Gage, (born July 1823, New Hampshire, U.S.—died May 1860, California), American railroad foreman known for having survived a traumatic brain injury caused by an iron rod that shot through his skull and obliterated the greater part of the left frontal lobe of his brain.
One fateful day, a spark ignited the powder prematurally, propelling the five kilogram iron rod through Gage's left cheek and out the top of his head, landing some distance away. Miraculously he survived, in spite of having lost a significant portion of his brain.
Phineas Gage is often referred to as the "man who began neuroscience."1 He experienced a traumatic brain injury when an iron rod was driven through his entire skull, destroying much of his frontal lobe. Gage miraculously survived the accident.
Abstract. In much contemporary literature the Phineas Gage case is described as contributing to the development of lobotomy and leucotomy but the historical evidence shows this to be an almost completely erroneous view. His case was, however, important in the development of brain surgery itself.
The earring scratched the back of the woman's throat, causing her to wheeze more and cough up blood, before it became lodged in her right bronchus (one of the main airways leading from the windpipe to the lungs), according to a report published in the journal BMJ Case Reports in April 2015.
Eggs of the parasite ended up on the wall of the man's bladder, and his body's immune response caused these areas of the bladder wall to become calcified in a pattern known as "eggshell calcification," according to a case report published in The New England Journal of Medicine in February 2016.
He had blood in his urine and pain when he peed for a month before doctors diagnosed him with an infection by the parasite Schistosoma, which is transmitted by freshwater snails. The man's infection was located near his bladder and ureters (the tubes connecting the bladder to the kidneys).
The 52-year-old tourist was swimming in the Red Sea when he collided with a school of fish.
A 16-year-old girl in the U.K. learned this lesson the hard way when, after consuming about three cups of green tea a day for three months , she started to show symptoms of acute hepatitis, or inflammation of the liver. The girl had ordered the suspect tea online (after hearing claims it could help her lose weight).
It typically takes some kind of trauma for brain fluid — a clear liquid that flows between the brain and spinal cord and their outer coverings — to leak. Trauma from car accidents, tumors and botched surgeries are all known to sometimes cause this problem.
An infant in Maryland had teeth form in his brain as a result of a specific type of rare brain tumor. Doctors were able to remove the tumor and the boy made a full recovery, according to a report published in the New England Journal of Medicine in February 2014.
Over a seven-year period , the patient refused colon cancer screening as recommended by his PCP. The PCP breached the standard of care by failing to document any discussions regarding the necessity for screening, or the patient’s refusals.
Confirm a patient’s understanding of recommended cancer screening. If a patient refuses screening, the risks of refusing should be explained to the patient (in the context of the patient’s personal risk factors, if any) and the conversation documented.
A defense expert opined that, if the cancer were diagnosed seven years prior, the patient would have been a surgical candidate and would have had a life expectancy greater than five years with an 80 percent survival rate prognosis.
A 60-year-old, obese male, with a history of smoking, hypothyroidism, and borderline hypertension presented to his primary care provider (PCP) for an evaluation of abdominal discomfort. A ventral hernia was identified, but no other findings were noted. The PCP recommended a digital rectal examination (DRE) and a colonoscopy, however, the patient refused both. This discussion, including the patient’s refusal, was not documented in the patient record.
Once a claim is asserted, poor documentation increases provider risk. Plaintiffs assert that the medical record has unquestioned reliability, and testimony will be based on it. Documentation needs to be specific, timely, objective, and indicative of the provider’s and the patient’s behavior.
The PCP recommended a digital rectal examination (DRE) and a colonoscopy, however, the patient refused both. This discussion, including the patient’s refusal, was not documented in the patient record.
Patients refusing care from nurses of different race one of medicine's "open secrets". DETROIT It's been called one of medicine's "open secrets" -- allowing patients to refuse treatment by a doctor or nurse of another race. In the latest example, a white man with a swastika tattoo insisted that black nurses not be allowed to touch his newborn.
In another federal lawsuit filed in 2005, three black employees of Abington Memorial Hospital near Philadelphia claimed they were prevented from treating a pregnant white woman by her male partner , who was a member of a white supremacist group. The man used a racial slur when forbidding any care by any African-Americans.
Tonya Battle, a 25-year nurse at Flint's Hurley Medical Center, filed the first lawsuit last month against the hospital and a nursing manager, claiming a note posted on an assignment clipboard read, "No African-American nurse to take care of baby.". She says the note was later removed but black nurses weren't assigned to care for ...
It was the source of the "open secrets" phrase. Paul-Emile's research cited a 2007 study at the University of Michigan Health System and others on how physicians respond to patients' requests to be assigned providers of the same gender, race or religion.
In the latest example, a white man with a swastika tattoo insisted that black nurses not be allowed to touch his newborn. That led several black nurses to sue the Michigan hospital, claiming it bowed to his illegal demands, and a rapid settlement in one of their lawsuits. The Michigan cases are among several lawsuits filed in recent years ...
The American Medical Association's ethics code bars doctors from refus ing to treat people based on race, gender and other criteria, but there are no specific policies for handling race-based requests from patients.