"Anesthesiologist trashes sedated patient — and it ends up costing her" (Thanks, David Steinberg!)
“After five minutes of talking to you in pre-op,” the anesthesiologist (Tiffany M. Ingham, 42) told the sedated patient, “I wanted to punch you in the face and man you up a little bit,” she was recorded saying.
When a medical assistant noted the man had a rash (on his penis, which he previously mentioned to the Ingham), the anesthesiologist warned her not to touch it, saying she might get “some syphilis on your arm or something,” then added, “It’s probably tuberculosis in the penis, so you’ll be all right.”
When the assistant noted that the man reported getting queasy when watching a needle placed in his arm, the anesthesiologist remarked on the recording, “Well, why are you looking then, retard?”
...The discussion soon turned to the rash on the man’s penis, followed by the comments implying that the man had syphilis or tuberculosis. The doctors then discussed “misleading and avoiding” the man after he awoke, and Shah reportedly told an assistant to convince the man that he had spoken with Shah and “you just don’t remember it.” Ingham suggested Shah receive an urgent “fake page” and said, “I’ve done the fake page before,” the complaint states. “Round and round we go. Wheel of annoying patients we go. Where it’ll land, nobody knows,” Ingham reportedly said.
Ingham then mocked the man for attending Mary Washington College, once an all-women’s school, and wondered aloud whether her patient was gay, the suit states. Then the anesthesiologist said, “I’m going to mark ‘hemorrhoids’ even though we don’t see them and probably won’t,” and did write a diagnosis of hemorrhoids on the man’s chart, which the lawsuit said was a falsification of medical records.
The Australian Red Cross Blood Service is testing a technology to project a vein map on the arms of blood donors during the phlebotomy.
"Vein visualisation technology uses near infrared technology to project an image of the vein onto the skin," says Dr. Dan Waller, a senior researcher with the organization. "Veins have a lot of deoxygenated haemoglobin that absorbs near infrared light and the device is able to use this information to project the image. The machines have settings to manage individual differences.
"World-first vein viewing tech trial is... not in vain!" (Australian Red Cross)
More than 100 Americans die each day from prescription drug overdoses, mostly painkillers. That's more daily deaths than from car accidents, gunshot wounds, or suicides. In California, two county District Attorneys are suing five of the biggest drug companies in the world, and the lawsuits include the same kind of arguments once used against big tobacco industry, demanding "public protection."
Warren Olney's "To the Point" radio show has a segment on the topic today:
The companies are accused of a "campaign of deception" to persuade doctors that narcotic painkillers are safer than they really are. But the narcotic painkillers involved have been approved by the FDA. Is a government agency helping create a "population of addicts?" What's the role of physicians who write the prescriptions? Are they ill-informed, poorly trained or trying to make money?More on the case at advocacy group harmreduction.org, and there's a Los Angeles Times writeup here.
This X-ray shows the chainsaw that was embedded in the neck of James Valentine, 21, of Gibsonia, Pennsylvania, when he arrived at the hospital on Monday. After delicate surgery and just thirty stitches, he's now walking around and talking. Valentine said he was at work cutting trees when the chainsaw "kicked back" into his neck. The chainsaw stopped about 1/4 of an inch from the carotid artery that brings oxygenated blood to the head. His coworkers held the blade in place until medics took over. (CNN)
Utrecht neurosurgeons 3D-printed a large section of a skull and implanted it in a 22-year-old woman with a bone disorder. According to the University Medical Centre Utrecht, this is the first time such a large implant has been successful without rejection, so far anyway. After three months, the patient is back at work and, according to the surgeon, "it is almost impossible to see that she's ever had surgery." (Wired.co.uk, thanks Wes Allen!)
This beautiful object is a corrosion cast of bronchi and trachea, c. 1880-1890, most likely from a rabbit, sheep, or dog. It's part of the new Body of Knowledge exhibition at the Harvard Museums of Science & Culture.
Corrosion casts have been part of anatomical teaching from the 17th century to the present, particularly for creating display specimens. A rapidly hardening substance, often metal or plastic, is injected into blood spaces or other cavities. Then the tissue is dissolved away by strong acids or bases. This cast was created using a mixture of bismuth, lead, tin, and cadmium. After injection, the tissue was dissolved in potassium hydroxide.Body of Knowledge: A History of Anatomy (in 3 Parts)
“We got him into the embalming room and we noticed his legs beginning to move, like kicking,” (coroner Dexter) Howard said. “He also began to do a little breathing.”
One possibility is that Williams's defibrillator fired up his heart after it had stopped. In any case, Williams is currently awake and talking in his hospital bed.
"Police: Man stole brains, sold them on eBay" (Indianapolis Star)
Last night's Frontline documentary about how the National Football League denies and hides overwhelming evidence linking the sport with brain injuries among its players is available for free online. (Trailer above.) The film is based on the book League of Denial: The NFL, Concussions and the Battle for Truth. It was written by Mark Fainaru-Wada and Steve Fainaru, investigative reporters for ESPN. The documentary was initially a collaboration between ESPN and PBS but back in August, ESPN abruptly pulled its affiliation with the project due to pressure from the NFL, according to the New York Times. In other news, go team!
Frontline: League of Denial (PBS.org)
But this week, McNeely, 32, was scratching his back as usual when his fingernail caught on something. His girlfriend took a look."Knife taken from Billy McNeely's back after three years"
"I told Billy: 'There's a knife sticking out of your back.' I was scared. I was ready to pull it out with tweezers," Stephanie Sayine told CBC News.
McNeely is considering whether to file a lawsuit against the local health department.
Bossa Studios created the surgery game "Surgeon Simulator 2013" in a weekend. It's somewhere between Operation, advanced medical training simulations, and splatterpunk films. From the description on Steam Greenlight:
You are Nigel Burke... an ordinary guy, with no outstanding skills. Somehow forced to perform an array of vastly complicated procedures, using any tools available. Your goal will be to complete every operation in the quickest time possible, with minimal blood loss!"Surgeon Simulator 2013"
One of the focal points of the storm emergency in New York City last night was New York University's Langone Medical Center: the hospital's main and backup power generators all failed, and hospital staff had to evacuate patients as power resources faded. All but 50 patients have been evacuated, and the remaining 50 are due to be transferred this morning. Those patients included 20 prematurely-born newborn babies who were in intensive care. This morning, CBS News has a first-person account from Dr. Jonathan LaPook, a CBS News medical correspondent (also a board-certified physician in internal medicine and gastroenterology).
Many patients were too sick to walk down the narrow staircase to the lobby. They were painstakingly carried on plastic sleds - one by one - by teams of four to five people from as high up as the 17th floor. I went to several of the floors with Dr. Mark Pochapin, the director of the Division of Gastroenterology at NYU. He was one of a team of people making sure that communication flowed and that everybody was accounted for. The intensive care unit was already evacuated when I arrived. Lit only by my flashlight, filled with crumpled blankets and other evidence of a hasty retreat, it appeared eerie to me - like a scene in a movie where a cup of still-warm-coffee tells the detective that somebody had been a room only minutes before. But this was undeniably real life and the clock was ticking as the team of workers raced to evacuate the patients.
Read more: "Inside NYC hospital's near disaster during Sandy" (CBS This Morning)
[Video Link] "On July 5th, 2012, my 11-month-old son, Noah, was diagnosed with a malignant brain tumor," writes Mike Masse in the introduction to this YouTube video, a beautiful performance of the Beatles' "Let it Be."
In America, little boys have to start lemonade stands when their fathers get cancer. In America, fathers have to do what Mike is doing here when their sons get cancer.
No parent should have to bare their grief to the world, no matter how beautifully, to beg for money to cover the life-saving medical treatment their baby needs. As you see the beauty, be mindful of the injustice in our health care system this represents.
Cancer is one tragedy. The way our country treats people with cancer, even when they're little babies, is another.
(HT: Joe Sabia)
[Video Link] Canada's Hospital for Sick Children (aka SickKids) and the Cundari creative agency are developing a iPhone app called "Pain Squad" to help monitor and report physical pain and emotional wellness in young cancer patients. Snip from a post on Springwise:
Using the narrative of a police force hunting down pain, users are inducted as a rookie officer working on the case. Patients fill out a daily survey – which asks questions relating to whether they felt pain that day, how intense it was and its location – and can progress through the ranks of the force when they keep their records updated. The concept was created by Toronto-based media agency Cundari, who got stars from Rookie Blue and Flashpoint – two primetime cop shows in Canada – to appear in videos that are unlocked when patients do well and progress the narrative. By gamifying the process, the app gives patients an incentive to keep a daily journal of their pain. The app is still in the testing phase but SickKids hopes to release it later this year.
Read the rest