Hospice used to be charity work run by religious organizations. Now it's big business, complete with all-too-predictable horrifying corruption unmasked in an expose by Ben Hallman at Huffington Post. Read the rest
From the January 2014 issue of the journal Case Reports in Emergency Medicine: "While report of animal bites contaminating wounds is reported commonly, direct wound contamination with squirrel flesh has never been reported in the literature." Until now.
This is a story that involves a teenage boy, a 12 gauge shotgun, an injury to the right buttock, and (last, but not least) a squirrel.
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According to the patient he was using the butt of his 12 G shotgun to dislodge a dead squirrel from a branch over his head during a hunting trip and shot himself with a load of birdshot in the right buttock. He presented with stable vital signs and reported no pain other than at the wound.
On physical exam the patient appeared in no distress with mild tachycardia with a heart rate of 116. A cm deep wound on the right buttocks was hemostatic (Figure 1). The edges of the wound were black and ragged, while there was circumferential surrounding erythema that extended 4 cm beyond the wound. Rectal exam revealed normal tone without gross blood and no palpable foreign bodies near the rectum. Debris was observed in the margin of the wound. The rural transporting EMS personnel promptly identified the material as “squirrel parts.”
Copious wound irrigation with saline irrigation and debridement occurred in the emergency room, during which more pieces of animal flesh were found grossly contaminating the wound. There was also concern that the trajectory and final positioning of the buckshot in his buttock rested near the anus (Figure 2).
A scientist in Florida who studies simple sea animals known as comb jellies says he has discovered a path to a new form of brain development that may one day lead to treatments for Parkinson's, Alzheimer's and other neurodegenerative diseases. Read the rest
For many years, Stanford University surgeon James Chang has been fascinated by Rodin's hands, sculptures made by the French artist in the 19th century. Chang uses Rodin's hands in what sounds to be a marvelous undergraduate seminar titled "Surgical Anatomy of the Hand: From Rodin to Reconstruction" in which he combines 3D scans of the sculptures, a process seen above, with medical imaging of human bones, nerves, and blood vessels.
Now, Chang has collaborated on an exhibition at Satnford that lies at the intersection of science and art. “Inside Rodin’s Hands: Art, Technology, and Surgery” opens next week at Sanford's Cantor Arts Center. Read the rest
Do you have experience with sleep paralysis? Many scientists believe that sleep paralysis is the biological answer to such mysteries as spirit visitations, alien abductions, incubi/succubi, and out-of-body experiences. My old friend Rodney Ascher, director of the excellent film Room 237 and other movies, is making a documentary about the phenomenon and would love to hear from you. Rodney writes:
I'm working on on a new film - it's about Sleep Paralysis, a surprisingly common phenomenon where people wake-up totally frozen from the eyeballs down, unable even to make a noise, and they frequently see sinister intruders and other disturbing visions. I've been obsessed with it ever since it used to happen with me (in my case, I saw sort of a living, 3D shadow looming over in me in judgement).
The film is going to be largely built on interviews with people who've had vivid, first-person experiences with it (and have given some serious thought to what's really happening to them) - if anyone wants to share their stories, the easiest way is to contact us via the film's Facebook page.
You are Not So Smart is hosted by David McRaney, a journalist and self-described psychology nerd. In each episode, David explores cognitive biases and delusions, and is often joined by a guest expert. David concludes each episode by eating a delicious cookie baked from a recipe sent in by a listener.
Where is the line between medicine and alternative medicine? Are Eastern medicine and Western medicine truly at odds, and if so, who is right and who is wrong? What harm is there in using complementary or integrative treatments in an effort to improve wellness?
In this episode we discuss alternative medicine with Tim Farley, creator and curator of What's The Harm, a website that tracks the harmful effects that result from seeking out alternative treatments and cures before or instead of seeking out science-based medicine. Tim also created the website Skeptical Software Tools, and he tweets at @krelnik.
This episode of You Are Not So Smart is brought to you by Squarespace, the all-in-one platform that makes it fast and easy to create you own professional website or online portfolio. For a free trial and ten percent off go to Squarespace.com and use the offer code PIPE.
With Obama pledging in the latest State of the Union address to finally shutter the prison camp at Guantanamo Bay -- something he's been promising to do since his 2008 election campaign -- it's worth revisiting the people who remain imprisoned there, more than a decade after the GW Bush administration declared its War on Terror.
There are 155 men in Guantanamo. 77 have been cleared for transfer but there is no country to which they can be sent. 45 men are in "indefinite detention" -- unable to be prosecuted, often because of the brutal torture inflicted on them by Guantanamo's jailers, but unable to be released because the US government considers them to be a threat. 31 more are awaiting prosecution.
This month, the American Psychology Association dropped all proceedings against a member who designed, oversaw, and participated in the torture at Guantanamo. They had previously denied a request to censure other members who participated in torture.
The protocol designed by John Leso, the doctor that the APA will not censure, involved intravenously hydrating a victim until he urinated on himself; sleep deprivation; forcing the victim to bark like a dog; keeping the victim naked and subjecting him to extreme cold; spinning the victim in a swiveling chair to disorient him; putting the victim into stress positions; depriving the victim of mattresses and other bedding; keeping the victim in isolation from all human contact; and more. Read the rest
A case study in the New England Journal of Medicine details the tragic story of an electrician who received a shock of 14,000V and was blinded as part of his injuries. Accompanying the article is this striking photo of the scars on his eyes, which resemble the plasma ball effects, the sort of thing you'd expect from a science fiction movie. Read the rest
Adermatoglyphia is a very rare genetic condition causing you to be born without fingerprints. In 2011, a small group of researchers pinpointed the genetic mutation behind it. One of them, dermatologist Peter Itin, was drawn to the mystery after he was contacted by a Swiss woman who found trouble at the US border when immigration agents couldn't take her prints… because she doesn't have any. "Adermatoglyphia: The Genetic Disorder Of People Born Without Fingerprints" (Smithsonian) Read the rest
For once, the answer to a question in the headline is, "Well, quite possibly."
It's been 100 years since a well-documented case of penis captivus — i.e., penis-stuck-in-vagina syndrome — appeared in the medical literature. But that doesn't mean it's a total myth. The BBC's Health Check discusses the physiological mechanisms that could lead to such an unpleasant event and explains why there are lots of anecdotal stories surrounding something that's thought to be "vanishingly rare" from a medical perspective. Hint: While very, very, very few people end up needing medical treatment for penis captivus, there may be many more who get temporarily-but-disconcertingly stuck for a few seconds.
Changsha, China resident Xio Wei's hand was severed in an accident so physicians attached it to his ankle. That kept the hand alive for a month until it was reattached to his arm. Read the rest