Right brain oozings from a left brain dominant physician
1st Block Exam week.
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This is what this week has felt like. Three more tests tomorrow. Unfortunately one of them is the anatomy practical, for which I am not prepared as I should be. One way or another tomorrow night will get here though.
I never gave much thought to the root of the term "stroke" but a recent lecture given by a neurologist enlightened me. It stems from the 1500's when "The stroke of God's hand" referred to what we now call just "stroke." I’ll also refer to it as a CVA, short for "CerebroVascular Accident,” in this article. With continued workup of a stroke, we will then diagnosis either a hemorrhage or infarction. Infarction refers to the process which begins when a blockage in blood flow occurs. The tissue that is fed by the blood will die, provided there are no other routes for the blood -- no other corollaries. Sometimes, like in the heart we can have new blood vessels grow over time in response to decreased rate of flow, due to the growing partial blockage. More specifics diagnosis are made based on the what the blockage is made of; we'll get into that, too. At most 18% of strokes are hemorrhagic. A blood vessel, often an artery in the Circle of...
In 1976, when the NBA season started, the Portland Trail Blazers were not considered contenders at all. The team won the championship, and with a player like Bill Walton on the roster, the future was bright. Then Mr Walton had foot issues. Injuries sidelined him and he was never the same player again. In 1984 Sam Bowie was drafted by the Portland Trail Blazers. Famously, he was drafted at position two, one selection prior to the GOAT, Michael Jordan. Sam Bowie soon had a fractured femur, and never developed into a franchise cornerstone. The draft of 2007 the 'Zers selected Greg Oden, ahead of Kevin Durant. Greg Oden showed us enough flashes of brilliance to know what we missed out on. He had leg injuries too, of various kinds. Three of the most impactful decisions the Portland franchise have made concerning drafting players resulted, ultimately, much too short of success secondary to lower leg injuries. It feels like the franchise has been snakebit, b...
Turned 40 a few weeks ago. Over a month ago, I guess. I mean, basically I may as well be 50. At that point retirement is looming. Golden years. Do you know many 40 year olds who still have two grandparents around? Well, I do. Both of my maternal grandparents are alive, but this past week almost saw that number halved. My grandmother had another small bowel obstruction, and from what I've heard from my Mother, there was a suspicion of volvulus -- a twisting of the bowel on its axis. Imagine a tootsie roll, how the ends are twisted, it's like this. You may think, well, big deal, so what if the guts twist around? The blood supply is cut off when this happens. When blood supply is cut off, death is close behind. Gett'n ahead of ourselves, though. This, the sixth edition of Doctor, Doctor, Give Me The News will address something near and dear to my heart, and that is small bowel obstruction (SBO.) We'll use this for a jumping off point to discuss how to mana...
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