...EDMONDSON CHRISTINE HARRIS-VAN KEUREN ELIOT SHERMAN Cleveland Clinic Dr. Delos “Toby” Cosgrove, cardiothoracic surgeon and president and CEO of Cleveland Clinic, emerged from the operating room on a January afternoon in 1996 having just changed the way he, and subsequently the world, approached heart surgery. A trip to Stanford University Medical School had convinced him it was possible to operate on the valves of the heart through a three-inch incision instead of the nearly foot long incision that was standard practice before splitting the patient’s breastbone with a saw to reach the heart.1 After refining the technique in the lab, he had successfully performed the first such operation. Eight months later, Cosgrove performed two of these surgeries back-to-back, broadcasting his work live via satellite to 4,000 surgeons in 40 cities around the world. The Cleveland Clinic’s broadcasting capabilities facilitated this demonstration of the substantial benefits of his minimally invasive method of heart surgery, which reduced the risk of infection and involved less bleeding, pain, and trauma, significantly reduced the amount of time needed for recovery, and could be used in about three quarters of the heart valve surgeries performed in the United States.2 So compelling was this exhibition that within a year use of the technique had “exploded” throughout the medical community.3 Such innovation had been the lifeblood of Cleveland Clinic since its founding in 1921. Even as he continued early...
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...construction, the Cleveland Clinic is ready to celebrate the opening of two buildings characterized as monuments to 21st-century thinking in health-care delivery. The Sydell and Arnold Miller Family Pavilion will be home to the Clinic's signature cardiovascular program and a new grand entrance at the corner of East 93rd and Euclid Avenue. Tucked behind Miller on the 166-acre campus is the Glickman Tower, the new 12-story headquarters of the Urological and Kidney Institute, which has bragging rights as the Clinic's largest surgery center and one of it fastest growing programs. Fronted by reflecting pools and rows of tulip trees that stretch to Chester Avenue, the glassy, C-shaped Miller Pavilion gives the Clinic a dramatic new look. But the buildings symbolize more than an investment in capacity and aesthetics. Tracy Boulian/The Plain DealerThe new Sydell and Arnold Miller Family Pavilion at the Cleveland Clinic. Patients first The Clinic promises the buildings represent a new era of patient care. The buzzword these days is "patient-centered care." It encompasses everything from moving doctors closer to hospitalized patients, to piped-in music and patient rooms that are described as "comfortable as a well-appointed hotel room." The emphasis on customer service coincides with a new era of patient expectations. It's also tied to growing demands for accountability of hospital performance. In a first-ever release of patient-satisfaction scores by Medicare, the Clinic this year scored...
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...Most often, myofascial pain affects areas of the spine; lower back, shoulders, and neck. Myofascial pain is identified or diagnosed by a physician upon completion of a physical exam involving questions surrounding the onset of the symptoms. Which include tender muscles, pain that happens with pressure on a trigger point, weakness in the affected area and sometimes limitation to the range-of-motion of the affected area. (Cleveland Clinic, 2013) Causes are suspect related to stress; stress is probably the biggest factor. Poor posture combined with overuse of muscles is also suspected contributors to the cause of myofascial pain and trigger point sensitivities. Conventional treatment for myofascial pain and trigger points include physical therapy, which focusses on strengthening, stretching and posture improvement exercises. Medications can also be used like Non-Steroidal-Anti-Inflammatory (NSAIDs) drugs, analgesics like Tramadol® for mild-to-severe pain and benzodiazepines like Valium, which help relieve anxiety (stress) and muscle spasms. (Cleveland Clinic, 2013) Alternative therapies include acupuncture and trigger point injections. Acupuncture has been shown to be as effective or more effective than conventional treatment, but only more effective if combined with conventional treatment; either one on their own is less effective than the...
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...REVIEW XIAN WEN JIN, MD, PhD Department of General Internal Medicine, The Cleveland Clinic JACQUELYN SLOMKA, PhD, RN Department of Bioethics, The Cleveland Clinic CAROL E. BLIXEN, PhD, RN Department of General Internal Medicine, The Cleveland Clinic Cultural and clinical issues in the care of Asian patients s A B S T R AC T Special problems of Asian patients have considerable impact on diagnosis and treatment, and the number of persons of Asian ancestry seen in primary care in the United States is increasing. Knowledge of how to provide optimal care despite language barriers, low socioeconomic status, different health beliefs and practices, and medical issues unique to this heterogeneous group is crucial to competent health care. with Asian patients include language barriers, low socioeconomic status, traditional health beliefs and practices, and epidemiologic issues. This article presents three case studies that illustrate how these problems can affect the health care of Asian patients, and describes ways to deal with them constructively. We also discuss what diseases are more common and what conditions have unique clinical aspects in this population. Asians: The fastest-growing minority Asians and Pacific Islanders are the fastest growing ethnic minorities in the United States, and are predicted to number more than 17 million by 2010.1 This heterogeneous population is from many cultures and speaks many languages—the 1990 US Census identified 25 distinct Asian...
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...University of the People HS 2211-01 | AY2024-T3 | AY2024-T Learning Journal Unit 4 Instructor: Irum Yaqoob Ma'am. February 29, 2024 Introduction Motor accidents can cause severe physiological consequences, mainly when they result in injuries to the nervous system (Smith, 2018). In this essay, I will focus on a case study of a motorcycle accident victim who is experiencing a loss of sensation and control in the lower half of their body. My essay aims to provide insights into this debilitating condition through a detailed physiological analysis, assessment, and recommended corrective measures. Dissecting the Physiology of Motor Sensation Impairment & Assessment to Identify the Problem. According to Mayo Clinic (2021), In the unfortunate...
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...University of the People HS 2211-01 | AY2024-T3 | AY2024-T Learning Journal Unit 4 Instructor: Irum Yaqoob Ma'am. February 29, 2024 Introduction Motor accidents can cause severe physiological consequences, mainly when they result in injuries to the nervous system (Smith, 2018). In this essay, I will focus on a case study of a motorcycle accident victim who is experiencing a loss of sensation and control in the lower half of their body. My essay aims to provide insights into this debilitating condition through a detailed physiological analysis, assessment, and recommended corrective measures. Dissecting the Physiology of Motor Sensation Impairment & Assessment to Identify the Problem. According to Mayo Clinic (2021), In the unfortunate...
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...In the case study, we referred to the systems being developed and used as decision support systems. However, we also identified various artificial intelligence (AI) technologies. How can a decision support system incorporate and use AI technologies such as pattern recognition? - Artificial Intelligence (AI) tools and techniques can aid in the diagnosis of disease states and assessment of treatment outcomes, so AI can be used by a decision support system as pattern recognition to analyze healthcare data and generate a representation of knowledge and make a decision support. One of this AI technologies tools is the Artificial Neural Networks which work much like the human brain and have the ability to learn from training data and store knowledge in the network. It maps relationship between inputs and the corresponding expected outputs. Neural networks have found the majority of their application in time series prediction, signal processing, and financial forecasting and especially in health care as pattern recognition. 2. At the Mayo Clinic, patients are given opt-in and opt-out rights concerning whether or not their information is used in the system that determines the most appropriate therapies given the specific patient profile. So far, 95 percent of the patients have opted to have their information included in the system. (This is the notion of opting in.) Why do you believe that 5 percent of the patients have opted out? Would you opt in or opt out in this case? Please...
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...thyroid gland is found in the neck, just below the voice box. It controls how quickly the body uses energy, makes proteins, and controls how sensitive the body is to other hormones. The thyroid plays an important role in regulating the body's metabolism and calcium balance. The T4 and T3 hormones stimulate every tissue in the body to produce proteins and increase the amount of oxygen used by cells. These hormones are essential for life and have many effects on body metabolism, growth, and development. Several different types of thyroid problems may develop including an underactive thyroid (hypothyroidism), overactive thyroid (hyperthyroidism), and growths on the thyroid that may be nodules or cancer. As mentioned in an article from Cleveland clinic, to control metabolism, the thyroid produces hormones, T4 and T3, which tell the body's cells how much energy to use. A properly functioning thyroid will maintain the right amount of hormones needed to keep the body's metabolism functioning at a satisfactory rate. As the hormones are used, the thyroid creates replacements. The quantity of thyroid hormones in the bloodstream is monitored and controlled by the pituitary gland. When the pituitary gland, which is located in the center of the skull below the brain, senses either a lack of thyroid hormones or a high level of thyroid hormones, it will adjust Thyroid- stimulating hormones (TSH) and send it to the thyroid to tell it what to do. Thyroid disease is quite common. When the thyroid...
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...preventable as well as curable by can also be deadly if not treated. When a patient presents with TB they may have complaints of having a bad. cough that lasts for three or more weeks, pain in the chest, or may cough up blood or sputum (CDC, 2014). They may also present with symptoms such as weakness or fatigue, weight loss, loss of appetite, fever, or chills (CDC, 2014). The transmission of TB occurs from person to person and is spread by airborne droplet nuclei (Cleveland Clinic, 2014). An example of how this is spread would be through the air by coughing, sneezing, singing, laughing, or talking. These droplets remain suspended in the air for many hours and are inhaled and trapped in the airway or alveoli of the person that was exposed (Cleveland Clinic, 2014). After being exposed to the bacteria that causes TB the person may have mild symptoms and may not seek treatment right away. According to the Cleveland Clinic, this delay in care can result in the patient exposing 10-15 people within a year to TB (Cleveland Clinic, 2014). Having a lowered immune system by diseases such as HIV, diabetes, or by smoking also increases the risk of acquiring this disease. If the patient is infected with TB they may not become sick. There are two conditions that are related to TB: latent...
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...thyroid gland is found in the neck, just below the voice box. It controls how quickly the body uses energy, makes proteins, and controls how sensitive the body is to other hormones. The thyroid plays an important role in regulating the body's metabolism and calcium balance. The T4 and T3 hormones stimulate every tissue in the body to produce proteins and increase the amount of oxygen used by cells. These hormones are essential for life and have many effects on body metabolism, growth, and development. Several different types of thyroid problems may develop including an underactive thyroid (hypothyroidism), overactive thyroid (hyperthyroidism), and growths on the thyroid that may be nodules or cancer. As mentioned in an article from Cleveland clinic, to control metabolism, the thyroid produces hormones, T4 and T3, which tell the body's cells how much energy to use. A properly functioning thyroid will maintain the right amount of hormones needed to keep the body's metabolism functioning at a satisfactory rate. As the hormones are used, the thyroid creates replacements. The quantity of thyroid hormones in the bloodstream is monitored and controlled by the pituitary gland. When the pituitary gland, which is located in the center of the skull below the brain, senses either a lack of thyroid hormones or a high level of thyroid hormones, it will adjust Thyroid- stimulating hormones (TSH) and send it to the thyroid to tell it what to do. Thyroid disease is quite common. When the thyroid...
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...Organization The Cleveland Clinic Foundation often referred to as CCF, is a well-known “non-profit academic medical center that integrates clinical and hospital with research and education” (CCF, 2011, p. 1). CCF is also considered as the leading world class care hospital that is located right here in Cleveland, Ohio. It comes as no surprise that they are consistently voted in as the best hospital, always ranking at the top of the charts with the number one spot in patient care and service in the world. They are also continuously recognized for their excellent service by their patients and organizations that recognize excellence in comparison with other hospitals. My familiarization and experience with the Clinic has enabled me to view and compare its reward systems from both as a volunteer, an employee’s perspective; and now as an observer. My first association with the Clinic began in 1999 as a student volunteer from the John Hay High School Thematics program; who currently still partners with CCF having almost been ten years later. I have not only put in time with volunteering throughout my high school years from 1999 through 2002 in various departments of the Cleveland Clinic, but had the most amazing opportunity to be offered a position as a Biomedical Engineer through the work study program in my sophomore year. Now my relationship with the clinic is just the daughter of an eleven year employee as an outside observer. The Cleveland Clinic is one of many...
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...thyroid gland is found in the neck, just below the voice box. It controls how quickly the body uses energy, makes proteins, and controls how sensitive the body is to other hormones. The thyroid plays an important role in regulating the body's metabolism and calcium balance. The T4 and T3 hormones stimulate every tissue in the body to produce proteins and increase the amount of oxygen used by cells. These hormones are essential for life and have many effects on body metabolism, growth, and development. Several different types of thyroid problems may develop including an underactive thyroid (hypothyroidism), overactive thyroid (hyperthyroidism), and growths on the thyroid that may be nodules or cancer. As mentioned in an article from Cleveland clinic, to control metabolism, the thyroid produces hormones, T4 and T3, which tell the body's cells how much energy to use. A properly functioning thyroid will maintain the right amount of hormones needed to keep the body's metabolism functioning at a satisfactory rate. As the hormones are used, the thyroid creates replacements. The quantity of thyroid hormones in the bloodstream is monitored and controlled by the pituitary gland. When the pituitary gland, which is located in the center of the skull below the brain, senses either a lack of thyroid hormones or a high level of thyroid hormones, it will adjust Thyroid- stimulating hormones (TSH) and send it to the thyroid to tell it what to do. Thyroid disease is quite common. When the thyroid...
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...If there is any friction we talk it out, rather than shouting at each other like we used to do” (Business Insider). Jennifer also mentioned that Emily and Caroline are so young there are no disagreements, they look to Jennifer as a “parent-like figure” (Business Insider). In traumatic cases patients may experience gaps in remembrance of stressful situations, personal facts, and in everyday events. Dissociation can lead to a defensive pattern that endures into adulthood and can result in a developed dissociative disorder. Sometimes the gaps of not being able to recall certain events can be because they are similar to or remind people with DID of a traumatic episode. Patients may forget when they have tried to take their own life, showing violent behavior, or behavior that they normally do not...
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...Cooper and Schindler (2008) provided a comprehensive case study that involves a children’s hospital called Akron Children’s Hospital, which is one of the largest pediatric care provider with 253 beds. This hospital was founded in 1890 and offers close to This hospital was founded in 1890 and offers several areas of practice all geared towards children. Akron Children’s Hospital operates in the shadows several other competitors that are also recognized nearby: Rainbow Babies and Children’s Hospital as well as the Cleveland Clinic. Cooper & Schindler (2008) stated that even though Akron Children’s Hospital is large and well regarded, it is overshadowed by its competitors. The hospital needs a communication strategy in order to distinguish itself and to strengthen its commitment to the children as well as the high-quality advanced care that it provides. The hospital also must find out the criteria that parents use in order to decide which hospital to use for their children if acute care services are needed. Expanding its market beyond Cleveland should also be something that the hospital should explore. The issue that Akron Children’s Hospital is experiencing is the fact that it does not know which strategies to use in order to expand and overshadow its competitors. While Akron Children’s Hospital is one of the largest pediatric care providers with 253beds, it lacks the strategies in which to compete in its market. The hospital is over shadowed by two other competitors and...
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...Chief Complaint: “My vagina has been dry and it is burns sometimes” History of Present Illness: This is a 49-year old Caucasian female who recently has been diagnosed as having menopause and complaining of vagina dryness and burning. This problem started about 2 months ago about 3 months after being confirmed as being in menopause. Per patient it has been difficult to have sex due to the fact that her “vagina is so dry that it hurts me and my husband as well”. Patient is not sure about what is going and is arriving in clinic to find help. Review of systems: • Constitutional: no acute distress and denies fever, chills, night sweats, weight loss fatigue or change in appetite. • Neuro: denies headache, muscle weakness, seizure, dizziness or...
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