During a total hip replacement, a patient experienced a brisk bleed and a drop in blood pressure that required intervention from the anesthesiologist. There was a discrepancy in the documented estimated blood loss, with the surgeon noting 30 0cc while the anesthesiologist recorded 1100 cc. The patient was hypotensive in the PACU and had a discolored leg with no …
The facelift procedure was first described in 1901 by Eugene Hollander and in 1916 by Erich Lexer. Over the last century, the facelift has become the gold standard for facial rejuvenation and continues to grow in popularity. One of the reasons we can attribute this growth spurt to is the options and advancements in how facelifts are handled. Let’s delve into the fascinating realm of modern facelifts, exploring the incredible …
An excerpt from The Healing Connection: A Partnership for Your Health.
The blood spurt was alarming though because it therefore indicated that the pressure in the venous system had to be sky high in order to shoot a column of blood in such a continuous arc over my right shoulder.
So, I …
An excerpt from One Hundred Prayers: God’s answer to prayer in a COVID ICU.
(August 30, 2021) Susan was 44 years old and previously healthy; an ardent anti-masker. When she caught delta COVID, she took ivermectin, zinc and vitamin C. She arrived at our ER about a week later, requiring immediate …
“If you don’t know how to die, don’t worry; Nature will tell you what to do on the spot, fully and adequately. She will do this job perfectly for you.”
– M. Montaigne (1533-1592)
In 2021, former U.S. President Bill Clinton was rushed to a California hospital suffering from a urinary tract infection that had developed into sepsis, a life-threatening blood infection. According to the National Institute of Health and Care Excellence, …
When I was a child, I discovered I had superpowers. One day my mother left me at home with a list of tasks, chores and invented homework assignments to complete over summer break — the joys of having a mom who is also a teacher. As my eyes wandered down each line of the list, I decided now was the time for my rebellion.
I flipped the paper over, took a …
Still: A Michael J. Fox Movie was recently released by Apple TV+ and provides a ringside seat to the daily, formidable challenges facing the actor since he was diagnosed with Parkinson’s disease more than 30 years ago.
There is, of course, tremendous irony in this movie’s title, given Parkinson’s disease, a non-curable neurodegenerative disease that affects well over six million people around the world, denies those afflicted the ability to keep …
There’s a new viral trend on TikTok, and it’s motivating a lot of people to consider plastic surgery. It’s the platform’s latest facial filter, meant to show one’s older self, and many people are taking it as accurate and predictive. However, while it can be accurate in several ways, it does have its faults. TikTok has many of these filters that use programming and AI to change how a …
In the vast and intricate universe of Star Trek, we often find narratives that reflect our own realities, despite their setting in the distant reaches of space. One such narrative is found in the eighth episode of the second season of Star Trek: Strange New Worlds, “Under the Cloak of War.” This episode offers a profound exploration of the psychological aftermath of war, serving as a mirror to our struggles …
An excerpt from Mirrors and Windows: Reflections on the Journey in Serious Illness Practice. This reflection was written by Chris Onderdonk, one of over 50 contributors.
I’m sitting next to Tony in the surgical intensive care unit doing my best to make out what he’s writing. He’s intubated and I’ve just …
After much outcry, UnitedHealthcare announced that they are no longer moving forward with their controversial prior authorization policy that would require members to get approval from the insurance company to receive a diagnostic colonoscopy to detect cancer. Instead, UnitedHealthcare has discussed implementing an alternative: an advanced notification process that would require physicians to collect and submit patient data before performing non-screening and non-emergent colonoscopies. This latest policy change is …
If you’ve experienced a migraine headache before, the sensation is often very distinct: throbbing pain, sensitivity to light and loud noise, and sometimes nausea and vomiting. Migraine symptoms can be uncomfortable and distressing.
Equally concerning is when a migraine sufferer recognizes these symptoms in their child. Migraines typically emerge during early adolescence, particularly when females reach menarche (their first menstrual period). However, as many as half of the children can experience …
She was oil, and I was vinegar. We didn’t mix. Ever. Even though we wanted the best outcome for our ICU patients, we stood on opposite poles of the earth. Sometimes, there’s only room for one alpha dog, one ultimate bully. And that person wasn’t me.
Mr. Williams, 68 years old, received the tragic news from his physician. He was experiencing strange and unusual symptoms: slurred speech, muscle weakness, lack of …
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My new internist began my annual checkup with a nervous confession: “You are my first patient with cardiac sarcoidosis.” Even during an urgent care visit for potential cellulitis, I was met with raised eyebrows from the treating physician who reviewed my chart: “Very interesting, I’ve never seen a case of this heart disease.” With over 7000 rare diseases affecting more than 25 million people in the United States alone, patients …
An excerpt from My Grief is Not Like Yours.
In March of 2018, I took Momma to a women’s conference in Dallas. We didn’t get great seats, but we were in the middle section, halfway back in a group with about 2,300 other people. I was hoping there would be a …
There has always been a research bias against the case of one. A success story that isn’t part of a research pool is called “anecdotal.” The implication is that no doctor should base treatment on a story of one. Then we devised the term “evidence-based” to reinforce the notion that physician decisions should be based entirely on numbers in research studies. However, the physician’s prerogative has always been to read …
Patient safety, patient experience, workforce health, and cost-effectiveness are critical outcomes that share important common roots. They are all impacted by our ability to communicate effectively and respectfully. This can be challenging, in part, because communication involves underlying emotional intelligence, which is hard to develop and practice, especially in high-stakes, high-stress work environments or toxic cultures.
Furthermore, our ability to communicate affects our capacity to establish healthy professional relationships, collaborate in …
Everyone has phases, stages, and degrees of mental disease throughout their lives, especially children, adolescents, and young adults. It is a part of normal growth and development to go through phases of change. Sometimes, a young person gets stuck in a phase, and it becomes something more—a mental health disorder—and they may receive a diagnosis. Often, if the young person can receive the help and support they need, this phase …
Sitting in class was always a terrifying experience, not knowing if I was going to be the next one called on to read. My mind would race ahead trying to figure out a strategy on how to get out of it. I would excuse myself from the room or blame a sore throat, anything to avoid reading in front of my peers. On the rare occasions that I was called …
An excerpt from Meet Skulle.
This bone goes from the top of my sternum to the top of my shoulder. Can you name it? I have one on each side.
Did you guess the …
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