A Young Boy Spent 47 Days In an ICU and Racked Up $800,000 in Medical Costs Because He Wasn ’t Vaccinated Against Tetanus
A young boy in Oregon spent 47 days in an intensive care unit (ICU), resulting in more than $800,000 in medical costs, because he was not vaccinated against tetanus, according to a case study published by the Centers for Disease Control and Prevention (CDC). Case study co-author Dr. Carl Eriksson, an assistant professor of pediatric critical care at Oregon Health &Science University, who was involved in the boy’s treatment, wrote in an email to TIME that severe tetanus cases are very rare in the U.S., where vaccination effectively prevents such conditions. The boy’s illness was Oregon’s first pediatric tetanus case in more than 30 years, according to the case study. “Because of the effectiveness of vaccines, many people have never seen a severe case of a vaccine-preventable illness,” Eriksson says. While Eriksson’s patient lived, “This case illustrates that tetanus is a terrible disease, and reminds us that missing vaccines can have deadly consequences.” In 2017, the boy — who was then 6 years old and had not received any vaccinations — cut his forehead while playing outdoors on a farm, the case study says. Nearly a week later, he was experiencing symptoms consistent with tetanus, including jaw clenching, muscle spasms, “generalized spasticity” and arching of the back and neck. When the boy began to have trouble breathing, his parents called emergency medical support, who air-lifted him to a pediatr...
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CONCLUSIONS: The screening test showed high diagnostic efficiency in determining the risk of language disorders in children aged between 0 and 5 years.
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Goal: The goal of this study was to determine the relationship of reflux with gastroparesis (Gp), looking both at symptoms and objective testing. Background: Gp patients often experience gastroesophageal reflux symptoms. How the severity of reflux correlates with the severity of Gp is not known. Study: Patients referred to our academic center with symptoms of Gp completed the Patient Assessment of Upper Gastrointestinal Symptoms, Hospital Anxiety and Depression Scale, and Patient Health Questionnaire (PHQ)-15. They underwent 4-hour gastric emptying scintigraphy; and, if indicated, high-resolution esophageal manomet...
BACKGROUND: There is limited evidence on the long-term efficacy of transanal hemorrhoidal dearterialization compared with hemorrhoidectomy. Most studies investigated short-term effects with postoperative pain as the primary outcome. Being a benign disease, the long-term goal of treatment for hemorrhoids is the resolution of symptoms and improvement of quality of life. OBJECTIVE: The purpose of this study was to compare the effect of minimal open hemorrhoidectomy versus transanal hemorrhoidal dearterialization on patient-reported symptoms. DESIGN: This was an open-label randomized controlled trial. SETTINGS: This...
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Publication date: Available online 8 April 2020Source: Journal of Anxiety DisordersAuthor(s): Joseph R. Bardeen, Thomas A. Daniel, Kim L. Gratz, Eric J. Vallender, Michael R. Garrett, Matthew T. Tull
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