...research is Johns Hopkins Hospital. It is one of the most prestigious and prominent hospitals in America. Johns Hopkins is ranked in the top 10 hospitals for over twenty years and doesn’t show any signs of plummeting lower. Since the hospital was opened in 1889 it has experience major growth, from employees to patients and even new medical departments. By the time 1990s to the early 2000s, Johns Hopkins was a powerhouse healthcare institute to be reckon with. The hospital then developed over twelve different smaller hospitals for patient care. The architecture of the hospital of the hospital has grown from one to “37 buildings” occupying 8 or more acers of land. When the hospital started up, it only had a little more than 200 beds, but in the 90s the bed numbers grew significantly to over 1,000 beds for patients to get the special care they need from the hospitals skilled physician and nurses. In 1992, Johns Hopkins hospital built a facility for its patients who aren’t staying twenty four hours. Johns Hopkins hospital outpatient is “one of the largest facilities of its kind on the east coast, the outpatient center has 191 patient exam rooms, 68 procedure rooms, 28 radiology imaging rooms, 12 blood-drawing stations, and eight operating rooms” (Hopkins Medicine). In the late 90s, the hospital dedicated two buildings for the research and treatment for the non-curable disease, cancer. Not only did they grow in size, but it also grew in patients and employees. Johns Hopkins Hospital...
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...MGT 3002 CASE STUDY11, 1, June, 2013 ERP at Johns Hopkins Institutions By Team 11 (20090083 Hyun Min, Shin) Johns Hopkins Hospital is the teaching hospital and biomedical research facility of Johns Hopkins School of Medicine, located in Baltimore, Maryland. It was founded using money from a bequest by philanthropist Johns Hopkins.The Johns Hopkins Hospital and the Johns Hopkins School of Medicine are the founding institutions of modern American medicine and are the birthplace of numerous traditions including rounds, residents and housestaff. Many medical specialties were formed at the Johns Hopkins Hospital, including neurosurgery, by Harvey Cushing; cardiac surgery by Alfred Blalock. pediatrics and child psychiatry, by Leo Kanner. The Johns Hopkins Hospital is widely regarded as one of the world's greatest hospitals. It was ranked by U.S. News & World Report as the best overall hospital in America for 21 consecutive years until supplanted by the massachusetts General Hospital in 2012. It remains the top ranked hospital outside of Boston. Johns Hopkins, a Baltimore merchant and banker, left an estate of $7 million when he died on Christmas Eve 1873 at the age of 78. In his will, he asked that his fortune be used to found two institutions that would bear his name: "Johns Hopkins University" and "The Johns Hopkins Hospital." At the time that it was made, Hopkins's gift was the largest philanthropic bequest in the history of the United States. Toward the end of his...
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...declaring who has legal possession of these cells. The most notable case is that of the HeLa cell line created from the genome of the tumor cells found in Henrietta Lacks in the 1950s. Henrietta Lacks was the unwitting donor of the cells that found significant new information and treatment of cervical cancer. She did not have...
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...Physician Groups: A Changing Landscape Final Report Team Four: Fearless Leaders Leading Healthcare Organizations May 10, 2015 Rachel Gutman Josh Freeman Brad Mountcastle Alicia Spitznagel I. Executive Summary Physician care is the cornerstone of patient health and could possibly be the gateway to comprehensive wellness on a national scale. Research demonstrates that a monumental shift is underway in America’s physician industry as more and more doctors are “voting with their feet” and curtailing their practices by joining larger institutions, retiring early or joining concierge medicine (Rabin, 2014). Studies show that physicians are frustrated with our current ‘value by number’ system; they argue that they are overworked due to discounted insurance payments and increasing oversight. Our research foretells two alarming trends within the US physician landscape. The first concern is that there will be a shortage in primary-care physicians as early as the year 2020 and secondly, most medical practices will be owned by a hospital or affiliated with a large network within the next ten years (Kirchoff, 2013). The former concern places population health at risk and could reduce access to care while the latter has the potential to increase overall costs and reduce competition and innovation in the health care industry. The Affordable Care Act (ACA) marks a milestone in our nation’s history; it requires every U.S. citizen to obtain medical insurance or pay...
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...I arrived for my tour of Johns Hopkins early, leaving time to slowly meander around the quad as I searched for the auditorium. My attention drifted between the architecture and landscape, but was captivated by the assembly of robotic arms enshrined behind a glass window. The DaVinci embodies the cutting edge of medicine and technical achievement, and it captivated me for long after my tour ended. I wanted to be in this environment, and operate these fantastic technologies, but would soon have the experience of them operating on me. At midnight the next week, a persistent pain forms in my abdomen. By sunrise, I had checked into the hospital and was immediately assigned a bed and saturated with painkillers. While the doctors began their preliminary examinations, questioning about diet and taking fluid samples, I was engrossed in the process, observing them as they used a combination of complex technology married with simple techniques to reach a diagnosis: appendicitis. When an ultrasound removed any doubt, I was whisked to the surgery ward. The surgeon explained that the procedure, a laparoscopy, would make three incisions: one to inflate the abdominal cavity, the second to provide space for the camera, and the third for extraction of the...
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...create the first immortal human cell line. Told through the eyes of her daughter, Deborah Lacks, aided by journalist Rebecca Skloot. Deborah wanted to learn about her mother, and to understand how the unauthorized harvesting of Lacks cancerous cells in 1951 led to unprecedented medical breakthroughs, changing countless lives and the face of medicine forever. It is a story of medical arrogance and triumph, race, poverty and deep friendship between the unlikeliest people. There had been many books published about Henrietta’s cells, but nothing about Henrietta’s personality, experiences, feeling, life style etc. This caught Rebecca’s...
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...Henrietta Lacks was a poor black lady that worked in the plantations in the south. Without her knowledge, some cells were taken from her while she was at Johns Hopkins Hospital in 1951. She would become one of the “most important tools in medicine” (Skloot). Henrietta was born Loretta Pleasant on August 1, 1920, in Roanoke, Virginia. At some point she changed her name to Henrietta. When her mother had died in 1924, she was sent to live with her grandfather in a log cabin that had been slave quarters of a white ancestor’s tobacco plantation. While living there, she and her first cousin David “Day” Lacks shared a room. In 1935, they had a son, Lawrence (Skloot). Henrietta would’ve only been 14. In 1939 they had a daughter, Elsie, and married...
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...The Hippocratic Oath and Medical Euthanasia Rick Slaven – Ethical Dilemma Case Study EDLC 702 “They were all doctors.” – Auschwitz survivor “I will prescribe regimens for the good of my patients according to my ability and my judgment and never do harm to anyone.” This is the third line of the Hippocratic Oath in its second English translation. This Oath, commonly attributed to Hippocrates, is the binding document that requires physicians to practice medicine honestly and to uphold a number of professional ethical standards. (Miles, 2005) From early times, the medical profession has had a strong commitment to ethical behavior in professional practice. In modern times, physicians argue that” the Hippocratic Oath is inadequate to address the realities of a medical world that has witnessed huge scientific, economic, political, and social changes, a world of legalized abortion, physician-assisted suicide, and pestilences unheard of in Hippocrates' time.” (Tyson, n.d.) The Declaration of Geneva was adopted by the General Assembly of the World Medical Association at Geneva in 1948. It was felt that the Hippocratic Oath needed some modernization of the humanistic goals of medicine in lieu of the tragedies experienced in World War II. The precepts of the Oath of Geneva include this sentence, I will practice my profession with conscience and dignity; the health of my patient will be my first consideration. Euthanasia, also known as assisted suicide, physician-assisted suicide...
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...Skloot follows the story of the famous HeLa cell line, introducing us to the woman behind these cells, the family she came from, and how her cells swept the field of science. This book tells the story of how race, poverty, and the practices used in the fields of science and medicine in the last 100 years has led to the many of the modern day innovations we have, all thanks to the HeLa cells. In 1951, a young black woman admitted herself into Johns Hopkins Hospital in Baltimore to have doctors look at what she described as a knot on her womb. It turned out Henrietta had an aggressive case of cervical cancer, and almost 9 months after first visiting Hopkins, she died at the age of 31. Before she died, the doctors treating her had taken samples of her tumor and sent them to a man named George Gey who also worked in Hopkins, but was working to create the first “immortal” line of human cells in hopes of helping cancer research. Gey’s lab worked to grow and sustain cells in culture, using cervical cancer tissue samples from numerous women admitted into Hopkins. Although these women’s tissues were being used, it’s very likely that most, if not all, had no idea their tissues and cells were being used. This was the case with Henrietta’s tissue samples. Labeled “HeLa” for the abbreviation of her name, Henrietta’s cells became the first human cells to grow successfully in culture, and soon became known around the world. Gey’s lab sent samples of these HeLa cells all across the globe, eventually...
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...Medical experiments involving human subjects were extremely common throughout the 1900s and in many cases were highly unethical, one of those cases were Henrietta Lacks as well as The Tuskegee Men, also the Nazi Test subjects. Henrietta Lacks was used as a human subject for experiments when her doctors at Johns Hopkins took tissue samples from her cervix without her consent and attempted to grow and keep them alive. After she died of cervical cancer, these cells, known as HeLa cells, became essitenial to scientific research, contributing to developments like vaccines and other medical advancements. However because of her race and socio economic status, Henrietta Lacks was exploited by doctors, researchers and the media and treated as the largest medical experiment. A quote that supports this is “Hela cells were one of the most important things that happened to...
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...NATIONAL CENTER FOR CASE STUDY TEACHING IN SCIENCE Nature or Nurture: The Case of the Boy Who Became a Girl by Keith K. Schillo Biology Department SUNY College at Oneonta Part I – A Tragic Error In 1965, Janet Reimer of Winnepeg gave birth to twin boys named Bruce and Brian (Colapinto, 2004; CBC, 2004). Both infants were normal and healthy, but because they had difficulty urinating doctors recommended that they undergo circumcision (i.e., surgical removal of the foreskin of the penis) at six months of age. Although this is a routine operation, the doctors who performed this procedure used an unconventional method that resulted in the destruction of Bruce’s penis. Mr. and Mrs. Reimer sought the advice of numerous specialists, but all agreed that Bruce would have to live without a penis. At the time that the Reimers were coping with the mutilation of their son’s genitalia, a Johns Hopkins University psychologist was receiving considerable attention for his ideas on the biology of gender and sexuality. He promoted the theory that a child’s gender identity (i.e., the identification of the self as male or female) was determined by environmental variables such as the social conditions in which the child is raised. This idea is a form of the “nurture theory” of development. A competing view is the so-called “nature theory”; that is, the idea that a person’s innate qualities are determined solely by biological mechanisms. The psychologist was essentially advocating...
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...Patient Nine G. K. is a 66-year-old male scheduled for a colonoscopy. Indication is due to the patient having a history of polyps back in 2013. I went over the informed consent with the patient and explained that a colonoscopy procedure usually isn’t a high-risk procedure, but in the case of an emergency, if you were to need any life saving measures of using blood products, then I would inform the client/patient to sign on this dotted line and so on. The patient signed to receive life saving measures. The patient was not on any medications currently. The patient refused to let students place IV’s, so I watched Mikayla place the IV and one thing I learned from her is that she will feel around the vein, if she doesn’t hit the vein straight on, and she will find a way to hook the vein with the needle (fish-hook the vein). She was successful on the first try. Patient’s have the right to refuse care from students, but the patient was still willing to allow me to help in other ways. I don’t...
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...NATIONAL CENTER FOR CASE STUDY TEACHING IN SCIENCE Nature or Nurture: The Case of the Boy Who Became a Girl by Keith K. Schillo Biology Department SUNY College at Oneonta Part I – A Tragic Error In 1965, Janet Reimer of Winnepeg gave birth to twin boys named Bruce and Brian (Colapinto, 2004; CBC, 2004). Both infants were normal and healthy, but because they had difficulty urinating doctors recommended that they undergo circumcision (i.e., surgical removal of the foreskin of the penis) at six months of age. Although this is a routine operation, the doctors who performed this procedure used an unconventional method that resulted in the destruction of Bruce’s penis. Mr. and Mrs. Reimer sought the advice of numerous specialists, but all agreed that Bruce would have to live without a penis. At the time that the Reimers were coping with the mutilation of their son’s genitalia, a Johns Hopkins University psychologist was receiving considerable attention for his ideas on the biology of gender and sexuality. He promoted the theory that a child’s gender identity (i.e., the identification of the self as male or female) was determined by environmental variables such as the social conditions in which the child is raised. This idea is a form of the “nurture theory” of development. A competing view is the so-called “nature theory”; that is, the idea that a person’s innate qualities are determined solely by biological mechanisms. The psychologist was essentially advocating...
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...medical history, how bad your RA is, and your overall health. You can buy an over the counter drug to help reduce the inflammation such as ibuprofen or aspirin. Your doctor can also prescribe an anti-inflammatory drug. These medicines do help with the pain and swelling, but they don’t slow down the damage that is being done to your joints. Sometimes it can be treated, but it will only go away for a little bit, but it usually comes back. Regular exercise is recommended to ease your joint discomfort. If the joint pain does not get better with exercise and gets worse contact your doctor. To help with the pain you can put on a hot or cold compress to ease your joints. “Heat relaxes tense muscle and cold can numb pain.” (Rindfleisch 2014) You can also try to change your diet to help with your joints. The Johns Hopkins Medicine is conducting research to help with rheumatoid arthritis. The Johns Hopkins Arthritis Center has a team of some of the world’s leading experts and they specialize in arthritis. “They specialize in rheumatoid arthritis, psoriatic arthritis, and ankyosing spondylitis, as well as other conditions including osteoarthritis and gout.” (Hopkins 2015) They work with patients to help find out what helps their specific needs in treating their case of RA. An early diagnosis helps with the possibility of going into “remission”. “Our clinical research programs are broad ranging, including studies on exercise and lifestyle interventions, understanding individual patient...
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...that did indeed change the world of science but took decades to surface. This intricate story is described in the award-winning book, “The Immortal of Henrietta Lacks”. Published just three years ago, Rebecca Skloot tells the story of Henrietta Lacks, an African-American woman, who became the source of the first line of immortal cells. Henrietta was born Loretta Pleasant in Roanoke, Virginia in 1920. Henrietta lived a typical life for a poor African American of that time - growing up on her family's tobacco farm until her mother’s death. By 1950, Henrietta had married her first cousin, David “Day” Lacks, birthed five children, and relocated to the Baltimore, Maryland area. In January of 1951, Henrietta went to the “colored” ward of Johns Hopkins Hospital complaining of a “knot” in her lower abdomen. It was found that the knot feeling was due a dangerous and growing tumor in her cervix. After a formal diagnosis of cervical cancer, samples of Henrietta’s cervix were removed unbeknownst to her. The biopsy samples were given to Dr. George Gey, a tissue culture specialist. He was working on creating an immortal cell line to be used for human medical research. He discovered that Henrietta’s cells, later known as “HeLa” cells, were very unique because they grew exponentially faster than standard cell lines and never died. Henrietta Lacks died at the early age of thirty-one due to the her metastasized cancer. Interestingly, her death was just the beginning of her legacy. Knowing...
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