scrubbing out

my patient just died and i am now outside the or and i hear the family crying behind the white walls and moments before my white hands had held her white hands and i kept saying you are going to breathe and you are going to breathe and you are going to breathe and when i was 16 i got into a horrible accident that still stutters my step and the impact i felt then of the glass cutting new words into my mouth and the pavement rouging my skin was less than the pressure i crushed into her failing chest for she was going to breathe and she hugged me before the operation with softness and she said she was nervous like a newborn cloud on a summer ’s day and to calm her down i showed her a picture of my cat who breathed a meow and i transitioned to my dog who breathed a bark and she laughed with all the breath that had ever been breathed in this tiny terrifying place and she asked me if my pets would love to run around like mad in this hosp ital and i am now outside the or where my patient just died and the lights ooze into the night and the mop weeps onto the floor and some torn miscellaneous hairs curl on the cradle of my scrubs and a palm sinks into my shoulder to tell me that i did a good job assisting the code and by the way one o f my patients from the early morning wants to talk about increasing their pain medications and i pass by the family still crying and crying and crying and i stutter back home with my shadow lagging behind only to see a cat and dog there patiently ...
Source: Anesthesiology - Category: Anesthesiology Source Type: research

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CONCLUSION: A prolonged course of spinal cord infarction is relatively uncommon but a stepwise and stuttering course may provide clues. Diffusion restriction in magnetic resonance imaging also may be helpful. The diagnosis of spinal cord infarction should always be kept in mind. PMID: 32996118 [PubMed - in process]
Source: Acta Neurologica Taiwanica - Category: Neurology Tags: Acta Neurol Taiwan Source Type: research
I remember hearing this story many years ago and it has become a powerful teaching tool for my clients who I see in my therapy practice and in classes/presentations I offer. “I’ll never forget the day Marilyn and I were walking around New York City, just having a stroll on a nice day. She loved New York because no one bothered her there like they did in Hollywood, she could put on her plain-Jane clothes and no one would notice her. She loved that. So, as we we’re walking down Broadway, she turns to me and says, ‘Do you want to see me become her?’ I didn’t know what she meant but I just s...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Communication Self-Esteem Achievement Body Language Confidence Impostor Syndrome Self Image Source Type: blogs
Cardiologists are grappling with at least  half a dozen time windows  in the management of STEMI. (It can be combinations of any of the following :Symptom – DAPT Loading – Door – Needle /Balloon-Sheath, wire crossing etc ) Time windows are Important in choosing the right (or no)modality of re-perfusion . Though superiority of  primary PCI  is thought to be established in academic community , it  may not be in real world. Published studies that suggest pPCI is superior to lysis at any time window  still lack good evidence. Why is this long drawn confusion&n...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: cath lab tips and tricks PCI PTCA Hardware Primary -PCI STEMI STEMI -Managment STEMI-Primary PCI Thrombolysis how to estimate the age of thrombus in stemi acs soft vs hard thrombus in stemi thrombus hardening time thrombus organising t Source Type: blogs
This is the 1000th presentation to my bioethics blog since starting on Google Blogspot.com in 2004.There has been many topics covered. Though comments by the visitors has always been encouraged and, since as a " discussion blog " , comments leading to discussions I have felt was the definitive function here. Virtually none of the thread topics have gone unread and most have had some commentary, some with mainly particularly strong and emphatic opinions http://bioethicsdiscussion.blogspot.com/2013/01/should-pathologists-be-physicians.html, some with extensive up to 12 years long continued discussion http://bioethi...
Source: Bioethics Discussion Blog - Category: Medical Ethics Source Type: blogs
It was over two years ago that we started the Life with Multiple Sclerosis Self-Evaluation Scale (LWM3S). In short, it’s a simple 1-10 scale whereby: 1 = The best my symptoms have felt since my diagnosis with MS 10 = The worst my symptoms have felt since my diagnosis with MS This is, obviously, a subjective scale, but you are the subject. You are the only one living inside of your head, your body, and your spirit. You are the only one who can answer this question. I find it interesting to see how I rate my place on the LWM3S scale from month to month. I can also look back at what might have been happening in my life ...
Source: Life with MS - Category: Neurology Authors: Tags: MS multiple sclerosis Everyday Health How's your MS Today? trevis gleason Source Type: blogs
It was over two years ago that we started the Life with Multiple Sclerosis Self-Evaluation Scale (LWM3S). In short, it’s a simple 1-10 scale whereby: 1 = The best my symptoms have felt since my diagnosis with MS 10 = The worst my symptoms have felt since my diagnosis with MS This is, obviously, a subjective scale, but you are the subject. You are the only one living inside of your head, your body, and your spirit. You are the only one who can answer this question. I find it interesting to see how I rate my place on the LWM3S scale from month to month. I can also look back at what might have been happening in my life ...
Source: Life with MS - Category: Neurology Authors: Tags: MS multiple sclerosis Everyday Health How's your MS Today? trevis gleason Source Type: blogs
As part of CBS's "Note to Self" series, Vice President Joe Biden released a letter to his 12 year old self, mentioning his debilitating stutter and the death of his son, Beau. The below section specifically focuses on stuttering and the bullies that he eventually stands up to, and he reads the note aloud in the video: You're only twelve. Your stutter is debilitating. It embarrasses you, and the bullies are vicious. But listen to Mom when she says, "bravery resides in every heart" -- and yours is fierce and clear. Listen to Dad when he says, "we get knocked down, and then we get right back ...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
Let's talk some truth, some difficult truth. Let's talk about something real, about life. This past year has been a challenging one for me. I lost my grandmother and my dog, Milou, last year, my dad this January and then my brother in August. What shocked me the most was losing my brother, he was only almost 41 and left behind two little children. The news kicked me in the gut and I couldn't breathe. I still remember when I got the phone call from my oldest brother and I knew immediately something was wrong because he was stammering, and he never stammers. When he said those words, everything in my body reacted, I felt li...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
In 2015, Behind the Headlines covered more than 500 health stories that made it into the mainstream media. Why not test your knowledge of 2015's health news with our month-by-month quiz?If you've been paying attention, you should find this quiz both easy and fun.Answers are at the bottom of the page – no peeking! QuestionsIn January 2015's health news...1. What activity was said to increase the risk of heart disease?a) playing violent video games b) sexual role playing c) angry tweeting 2. Eating like a what was claimed to reduce obesity risk?a) a Native American b) a Zulu c) a Viki...
Source: NHS News Feed - Category: Consumer Health News Tags: Special reports Source Type: news
A 60 year old male with past medical history of bicuspid aortic valve status post mechanical aortic valve replacement, opioid dependence, chronic back pain, head injury and hypertension presenting with generalized abdomen progressively worsening for last 2 weeks. Patient had generalized tenderness on exam. CT abdomen and pelvis with IV contrast was done in ED didn’t show any abnormality. Urgent CT abdomen and pelvis with contrast was done. It showed new thickening of a segment of mid ileum extending over approximately 30-40 cm with possible pneumatosis.
Source: The American Journal of Medicine - Category: Journals (General) Authors: Source Type: research
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