medical short story

Dr. Aziz confirmed that it was a trigeminal schwannoma — and had more difficult news for Morgan and her family: Although these tumors can sometimes be treated with radiation, hers was too advanced. “So I called an obstetrician/gynecologist here at the hospital,” Dr. Busis says, “and told him, ‘I think the teratoma is the problem. Medical History Record PDF template is mostly used in order to provide significant information about the health history, care requirements, and risk factors of the patient to doctors. As many of these stories are published under assumed names, or the medical degree of the author is omitted, it is difficult to locate them. The true story of a heroic man, Hunter "Patch" Adams, determined to become a medical doctor because he enjoys helping people. The scenarios are within the realm of possibilities for the not so distant future. I give my pros and cons below. Multiple surgeries contributed to Susan’s kidneys failing, while the length of her sedation led, temporarily, to total body paralysis. Five months into the pregnancy, Liane experienced significant bleeding and suddenly became a patient at her workplace. This worked initially, but a few months later, Sam’s eyes turned yellow; he had become jaundiced, indicating liver failure. But her vision continued to worsen for a week, so she consulted an ophthalmologist. More than three years later, there have been only minor complications from Liane’s difficult pregnancy. Eric Tocco was playing racquetball last fall when he suffered a heart attack — yet the 43-year-old had no history of heart disease. Late last year, 15-year-old Crystal Martin of Lancaster County became the 50th MSUD patient whose life was improved by a liver transplant at Children’s. “It’s taking critical pieces of care and sticking them together in a coordinated fashion.”. Allergic to H20. Before the operation, Crystal’s disorder had a significant impact on her whole family, says her mother, Lorraine. The most important thing is that I’m here. ... A paper in medical … Along with his team, he determined that Jean needed to undergo an extremely delicate and difficult surgery to remove the clots and scar tissue. Even vegetables must be rationed. More steroids were prescribed but didn’t help, and his parents were frustrated and scared. The group includes geneticists, gastroenterologists, hepatologists and metabolic specialists from Children’s and the Clinic For Special Children. We also decided to take the dogs along. About a decade ago, the transplant center at Children’s — under the direction of Dr. George Mazariegos, director of pediatric transplantation — developed the world’s first comprehensive, multidisciplinary medical protocol for performing these transplants for MSUD patients. “My husband died 17 years ago, and there was no way in hell I was leaving my kids without a parent.” Susan’s short-term goal was to see her girls get married. His and Dr. Moraca’s confidence really helped.”, Jean’s surgery required a bypass machine to produce total circulatory arrest. Materia Medica: Well-crafted, highly readable and engaging personal narratives, essays or short stories of up to 1500 words and poetry of up to 100 lines. From left: Dr. Clifton Callaway, UPMC Presbyterian executive vice-chair of emergency medicine; Eric Tocco; Dr. William Katz, clinical director of echocardiography at UPMC Heart and Vascular Institute; Dr. Maria Baldwin, assistant professor of neurology; and Dr. Catalin Toma, of UPMC’s Cardiac Catheterization Laboratory and an assistant professor of medicine. Two years ago, Jean Magazzu began having trouble breathing. Return to Home Page. She says her mind is totally clear, and she’s really eating for the first time — she never knew what meat, eggs or pizza tasted like! The Mental-Health Trust Short-Story Writing Competition aims to challenge the youth to express their views, using creative forms such as comics, blurbs, short stories… “That’s when we found out about the brain tumor,” Morgan recalls, “and so my mom immediately said, ‘I’ve heard about this Dr. Aziz — we should see him!’” Morgan’s mother was a director of nursing at Allegheny General Hospital, so she was already familiar with Dr. Khaled Aziz, director of the hospital’s Center of Complex Intracranial Surgery. I knew he was a good surgeon.”. “We were able to take out the tumor with minimum manipulation,” Dr. Aziz says, “so her symptoms began to disappear.”. (shelved 7 times as medical-stories) … Even the severe diet can’t prevent a minor illness from potentially triggering a fatal metabolic crisis. “There’s the potential for serious metabolic and neurological crises during and after surgery if we’re not very careful,” explains Dr. Mazariegos, “so we developed contingency plans for everything.”, On Nov. 27, the Martins were notified via phone that a donor liver was available. “It’s a miracle how this changed things. Shutterstock. A Chilling Medical Story with a Bittersweet Ending What made the experience of listening to Lonely Pines: A Medical Short Story Wherein the Future Rescues the Past the most enjoyable? Through dramatic stories of patients with baffling symptoms, Sanders portrays the absolute necessity and surprising difficulties of getting the patient’s story, the challenges of the physical exam, the pitfalls of doctor-to-doctor communication, the vagaries of tests, and the near calamity of diagnostic errors. From that point on, though, Isabella and her brother John would continue to make forward progress. During the fight she got stabbed in the stomach, and was taken to hospital. Huffing, or inhaling the fumes from aerosols to get high, is a dangerous … Adoptable & Adorable: Pittsburgh Pet of the Week: Rennie, Another Residential Development in the Works for Strip District, There is New Hope for Pittsburgh’s Tree of Lights. “My family was there in my hospital room [with] all my friends — we talked about the choice I had to make and prepared ourselves for the end,” she recalls. Cardiac arrest is brutal, as the risk of death is 10 times higher than physical trauma and three times higher than stroke. Stories in Medicine Dr. Rita Charon is leading a novel approach to training medical students. “He told me and my mother [about] everything that would happen [in the surgery] and all the horrible things that could go wrong — but [my mom] came out of that discussion smiling and believing everything would be fine. Will the ‘Real’ Steelers Emerge Again, or Have They Already? Finally, he used delicate ultrasonic aspirators to break up and suction out the tumor without damaging surrounding nerves and tissue — another example of the high-tech tools that allow today’s brain surgeons to cure what was once inoperable. “And if you make a mistake and puncture a blood vessel, that’s usually fatal.”, The positive results of Jean’s surgery were apparent immediately — the high pressure in her lungs dropped to normal, and her circulation responded in kind. The tumor was benign, but her symptoms would continue to worsen and eventually become unbearable. “About two-thirds of those who survive CPR and make it to an intensive-care unit have brain damage so severe that they don’t survive.” Before Eric awoke from his coma, the extent of his brain damage was not known. “I had to learn to feed myself and to walk again.” Her recovery was arduous, but Susan was able to return home (and get back to work). This shorthand can include shortening (making less lengthy) of longer disease names, by cutting the word down to its base (the Latin or Greek part that makes it). “The psychological aspect of a recovery like Susan’s is huge,” Dr. Bartlett, says, “and she was very strong. Once stabilized, Eric was transported to UPMC Presbyterian Hospital, where he spent more than a week in a coma and on life support. Doctors thought he had autoimmune hepatitis, in which the body’s immune system attacks its liver. Today, she’s home in Hastings, working again and also engaged. It’s up to you.’” He wasn’t guaranteeing, but he was giving me an option. Shaman by Noah Gordon "Shaman is one of three novels composing the Cole family trilogy, which tells the inspiring stories of a family blessed with the gift of … “Starting with the food restrictions — she could hardly eat anything. It attracted the attention of Dr. Benjamin Shneider, director of pediatric hepatology: “It’s rare to have ITP at 2 months [and] rare to have liver disease at 7 months,” Dr. Shneider says. “It’s also rapidly progressing and deadly — probably as mortal as any cancer we treat.”. The speaker had briefly mentioned the very rare paraneoplastic syndrome, in which young women with tumors like Lauren’s suffered from brain disease when the tumors triggered the body’s autoimmune response. Medical abbreviations are a shorthand way of writing and talking by medical professionals (people who work to help sick people) to hurry explanation of diseases (sickness), patients, or medicines (drugs).. He ventured where no doctor had ventured before, using humour and pathos. He felt that the key to Sam’s immediate and longterm health would be a thorough and accurate diagnosis of his unheard-of combination of conditions. What are the stories about mental health that inspire you? The Mental Health Trust is inviting all the youth of today to enter into the United Nations Sustainable Development Goal Challenge Competition. “It wasn’t easy news to hear,” she says, “but I’m a take-charge person — I don’t feel sorry for myself. “But in Sam’s case, antibodies were destroying his [blood’s] platelets,” Dr. Shneider explains. Doctors tapered his steroids to a minimum, ending his high blood pressure and growth problems. From hilariously misinformed patients to doctors with a wickedly dry sense of humor, we at Bored Panda had compiled a list of short stories when doctor/patient interactions were just too funny. retell the story of the Viet Dinh's family experience by turning their story into a poem. This short story was a little disappointing. “He understood this was scary, but he explained things so I could understand them — and told me, matter-of-factly, what they were going to do,” she says. Curing the syndrome called for tumor removal and treatment of the immune system. If they went up, she wouldn’t feel well. “Although I was weak from the surgery, I remember sitting up and taking a breath and thinking, Wow, a real improvement!” Jean says. Paramedics transported him to nearby UPMC St. Margaret Hospital, where CPR was performed for a full 30 minutes before he finally regained a pulse. 8. Her face was beginning to go numb. “So we did the operation there,” Dr. Bartlett says. “I really wanted to know, so I appreciated that. “[The] problem is [that] the antibodies cross-react with normal brain tissue and make the brain sick.”. Mehlani lives in Minnesota, and her mom, Karina Martinez, is … In a short story there are characteristics that are central to making it a successful story.Two of the main features that make a story enjoyable are a captivating and interesting plot and the focus of a story on a single character. The stakes are high, since a dietary misstep can lead to brain damage or death. Challenges in Clinical Electrocardiography, Clinical Implications of Basic Neuroscience, Health Care Economics, Insurance, Payment, Scientific Discovery and the Future of Medicine, United States Preventive Services Task Force. Yet this baby would defy almost everyone’s expectations. There in the ER, a CT scan of her abdomen revealed a danger much greater than a routine case of food poisoning: a cancerous tumor on her inferior vena cava, the vein that carries blood from the lower half of the body into the heart. “Any misstep could impact subsequent patients, as well as the transplant field as a whole. Today, Eric — one of over 200 patients treated by PCAS at UPMC Presbyterian last year — continues his rehab for slight memory problems and a leg injury related to his CPR chest compressions. “We were in uncharted waters with the experimental use of medication on someone so young,” says Cindi, “and the potential side effects were awful! She was immediately transferred to Allegheny General Hospital, where cardiologist Dr. Raymond Benza diagnosed her. Washington County native Morgan Dysert was finishing up her freshman year at the University of Minnesota in spring 2010. ... Fremont jail getting new medical provider after short-staffing issue. —I am interested in compiling a collection of short stories written by physicians. I am therefore writing to ask that if you or your readers know of any short stories published by medical men you will kindly communicate the fact to me. Though Sam was initially evaluated for a liver transplant, Dr. Shneider knew that this major surgery might prove only a temporary solution. At least 1.7 million people have died. He employed microsurgical techniques to ensure accuracy and also utilized a special computerized navigation system — similar to a car’s — as he moved, helping him to quickly target the tumor. “Honestly, everything from that July to September is a blur to me,” she admits. “The first person I saw was my daughter,” he recalls. sign up for alerts, and more, to access your subscriptions, sign up for alerts, and more, to download free article PDFs, sign up for alerts, customize your interests, and more, to make a comment, download free article PDFs, sign up for alerts and more, Archives of Neurology & Psychiatry (1919-1959), JAMAevidence: The Rational Clinical Examination, JAMAevidence: Users' Guides to Medical Literature, FDA Approval and Regulation of Pharmaceuticals, 1983-2018, Global Burden of Skin Diseases, 1990-2017, Health Care Spending in the US and Other High-Income Countries, Life Expectancy and Mortality Rates in the United States, 1959-2017, Medical Marketing in the United States, 1997-2016, Practices to Foster Physician Presence and Connection With Patients in the Clinical Encounter, US Burden of Cardiovascular Disease, 1990-2016, US Burden of Neurological Disease, 1990-2017, Waste in the US Health Care System: Estimated Costs and Potential for Savings, Register for email alerts with links to free full-text articles. MSUD is rare — affecting less than one in 200,000 children — and dangerous. “She can’t stop telling everyone how happy she is,” says Lorraine. There were two crucial markers they needed to reach for a viable live birth: a minimum gestation of 27 weeks and a baby weight of at least 600 grams (one-and-a-half pounds). Whether it’s taking a hot bath, brushing your teeth, cleaning the house, or simply … It … Normally, risks associated with this surgery include bleeding, strokes and infections — yet Morgan says that Dr. Aziz approached her and her family with a confidence and compassion that allayed their fears. But now they both apply.” 9. Rated: Fiction T - English - Words: 1,344 - Favs: 2 - Published: 3/5/2013 - id: 3106243 + - Full 3/4 1/2 Expand Tighten Crystal underwent a successful transplant at Children’s the next day. “You can’t have any blood going through the lungs because that’s where we were operating,” Dr. Benza explains. Even when paralyzed — her kidneys failing — she maintained good spirits.”, Thinking about her adult twin daughters gave her strength, Susan says. Morgan Dysert and Dr.  Khaled Aziz, director of Allegheny General Hospital’s Center of Complex Intracranial Surgery. “Deciding what’s real tissue and abnormal tissue inside the vessels is one of the real challenges here,” explains Dr. Benza. Instead, he suspected a benign ovarian tumor, called a teratoma, which he noticed on her CT scan might be the cause of her symptoms, albeit in a very unexpected way. JAMA. The multidisciplinary program involves cardiologists and neurologists, as well as critical-care, emergency-medicine and rehabilitation specialists. A visit to the doctor's office: when Laurie and I left the house, that was certainly not on our agenda. Eric’s brain had swelled, so doctors gave him fluids and positioned him strategically in his bed to treat the swelling. “I know it’s a bit of a miracle.”. “Her case was unique,” says Dr. Bartlett. This little girl with big, beautiful eyes. The athletic student figured the minor eye problems she was experiencing came from late-night study sessions. The physician stopped him in mid-rant by saying “Major Shortness of Breath. “The day I left, I could barely sit on the side of the bed,” she recalls. The Social Determinants of Health – a short story by Michael Fine. “This was an effort we began in the last decade to improve the quality of care we provide to cardiac-arrest patients,” says Dr. Clifton Callaway, one of the program’s co-creators. This article is only available in the PDF format. Isabella had some feeding issues [which are common with premature babies] that we worked through. Although only 150 cases of the disease had ever been documented, Dr. Busis realized that Lauren’s symptoms were almost identical. An X-ray revealed the frightening truth: Her lungs were filled with blood clots and scar tissue, a symptom of pulmonary hypertension (PH). My mouth was moving, but nothing [came out]. Doctors initially thought the embryo would be reabsorbed by the body and not progress to the fetus stage. © 2020 American Medical Association. Jean was the first person to undergo this procedure at AGH, but she says Dr. Benza’s manner helped lessen her fears. He hates it, even though it's an effective treatment for neurosis. An automated external defibrillator was used, but Eric’s heart didn’t immediately recover. [That discussion] sticks with me. *My homework is to create a table showing what people felt about what Happene to nancy. Lauren’s headaches were soon accompanied by a high fever, facial numbness and severe nausea. Throughout the nine-hour operation, continuous efforts to keep her alive were made — including massive transfusions of blood products, and both medication and intermittent clamping of the heart’s main blood vessel to maintain pressure to the brain. I’m alive and kicking.”. As many of these stories are published under assumed names, or the medical degree of the author is omitted, it is difficult to locate them. A story by Zvi Zaks in Category Short Story and Science Fiction and called A Medical Exam and is about Donald Farber, MD, is a specialist in Mesmor therapy. By this point, Lauren had sunk into a state of severe fatigue and confusion. “The most common cause of death for cardiac-arrest patients who’ve undergone CPR is brain injury [due to lack of oxygenated blood],” explains Dr. Callaway. “Were the two problems connected? A new liver gives MSUD patients the enzymes necessary to process proteins. PCAS is used from the earliest moments of a patient’s treatment through their discharge from the hospital and subsequent rehabilitation. Story 5 A Visit to the Doctor's Office by Bill Quinn. *Spreading awareness t... sleepingdisorder. To the Editor:  She was only in the hospital for five days, and her symptoms were gone in a week. Get free access to newly published articles. That’s been the reality for people with Maple Syrup Urine Disease (MSUD), an inherited genetic disorder that prevents the body from processing certain amino acids found in proteins. Once that layer was dissected, he was able to follow her trigeminal nerve (a cranial nerve with ties to facial sensation, biting and chewing, and more) back to the tumor. A new medical provider and a focus on inmate mental health will be offered in the new year at the Fremont County jail. Including one where she was comatose, on a medical short story and seizing, ” says Bartlett. 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