...Case note on Carmel Collins v Mid-western health Board and O’ Connor This case concerns the death of a man in his early 40’s from a subarachnoid haemorrhage. In the HC the learned trial judge found there to be no action in negligence. The case was appealed to the Supreme Court. The deceased first fell ill on the 20th February 1991 while at work on a building site. He visited the second named defendant in his surgery later that day, after his wife had made an appointment over the phone. She told Dr. O’Connor: “Jim has a very bad headache. He does not usually go to doctors. He must be very bad.” Dr. O’Connor diagnosed the deceased with an upper respiratory tract infection or, in other words, a head cold. On Saturday the 23rd Feb the pf rang Dr. O’Connor to confirm his diagnosis. She told him that she was concerned about her husband who would usually never stay in bed. She asked him to prescribe something for her husband. Dr. O’Connor said the viral flu would just have to take its course. On the 25th February the pf rang the def at 8 am saying ‘Jim is very bad’. The def came around almost immediately and took the view that his headaches were due to sinus congestion. On 5th March, during a conversation regarding another matter, the def was informed the deceased was no better. On 17th March the deceased, still no better, went to see Dr. O’Brien because Dr. O’Connor was not working. Dr O’Brien immediately made an arrangement with the hospital to admit the deceased for a CT scan...
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...When I was 10 years old, I was treated many times for severe headaches. I was examined by various doctors and was prescribed different medicine every time because none worked. Being prescribed many different medications and never getting a true answer to my chronic headaches, I was always in pain. It was roughly 5 years later during my freshman year in High School when I learned the reason for my headaches. The experience of having a brain tumor completely changed the way I saw life and taught me to not take my life for granted.. It all started when I was 10 years old going from doctor to doctor for my headaches, being told the same thing over and over, that I should take a certain medication for my migraines. However, every time I saw a different doctor I was prescribed a new medication, which had no effect on me and didn’t stop my headache problem. This went on for a few years, going back and forth getting no true answer for my headaches. I would tell my mom that I did not want to go to school because I could not focus at all and she would usually respond, “stop crying it is just a little headache. Take some Tylenol like the doctor said.” She was as clueless about my situation as the doctors were, so I had to suffer the unbearable pain in and out of school. It was not until 5 years later, when I started my freshman year in High School that I realized my motor skills were different and I was failing many classes from not being able to focus in class. One Monday morning when...
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...Review of article: “Statin Use and Risk of Cerebral Aneurysm Rupture: A Hospital-based Case-control Study in Japan,” Y. Yoshimura, Y. Murakami, et al. Design and Data Collection The presented study is a case-control study design, meaning it is based on measuring the associations between statin administration and the likely rupture of a cerebral aneurysm in purposefully selected indicator and control populations. The foundation of the study grew from theoretical components tied to animal models used in the past. The underlying conditions of interest are important but not commonly seen in humans, making it difficult to know the best medical measurements and, if possible, prescriptive interventions for unruptured neurological disorders, which generally now can be dealt with by way of surgical interventions. The written assessment of the study indicated limited evidence of human studies showing the effect of statin drugs in reducing the risk of aneurysmal ruptures. The study model used in this investigation (case-control) is readily suitable to study uncommon diseases with low overall prevalence rates. However, given the impact such a condition could have on a population segment thought to have many years of productivity – and because of promising animal studies – the study was deemed beneficial as an initial step toward learning more about the drug’s beneficial indicators. The primary endpoint of focus was the likelihood of the rupture of an aneurism and the protective effect...
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...Presenting Signs and Symptoms DS, a 55-year-old female, arrived by ambulance to the emergency room on Friday afternoon of October 7, 2011. Patient arrived to Sunrise Hospital complaining of a one-day history of headache with severe intensity that started the night before and became increasingly painful, prompting her to call 911. DS was experiencing difficulty breathing at rest, and altered mental status. In the emergency room, CT scan was done and revealed a large amount of subarachnoid hemorrhage (SAH) in the sylvian fissures and blood in the fourth and third ventricles. DS started suffering from rapid deterioration of mental state and emergency room physician elected to intubate. She was immediately evaluated by a neurosurgeon and he successfully placed a right frontal twist drill for external ventricular drain placement due to the subarachnoid hemorrhage. Pulmonologist was also consulted and aided on the ventilated patient after procedure. Her temperature had been as low as 94.8°F, and she was put on a bear hugger. She was given Propofol titrated to sedation and started on antibiotics. DS was transferred to Neuro ICU on mechanical ventilation and, so far, is currently stable. History and Physical DS has past medical history of emphysema, migraine headaches, and osteoporosis. Her past surgical history includes breast augmentation. DS drinks alcohol on occasion, but denies smoking and recreational drug use. Home medications include ProAir HFA Inhalation...
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...June 25, 2012 was the day that changed my life forever. I was awakened around 1:00am by the most horrific noise coming from my husband, Jeff. He was having the most violent seizure I had ever witnessed. I started shaking him and screaming his name in hopes that he would snap out of it, but he remained unresponsive. My hands were shaking so much that I could barely dial 911 for help. It seemed like it took forever for the EMTs to arrive. They immediately began to try and stabilize him but all of their efforts fell short so their focus shifted to getting him to a hospital. It took about forty-five minutes to get him loaded onto a gurney for transport to Trident Regional Medical Center, the closest hospital. Jeff was still seizing when they left in the ambulance. I arrived at the hospital around 2:30am and was informed that the doctor(s) were trying to stabilize Jeff so they could run some tests and scans to try and figure out what was wrong. I decided to call Jeff’s brother, Greg, and let him know what was going on. Greg left work immediately and came to the hospital along with Malinda, their sister. We were summoned to a small, private room where we were greeted not by a doctor, but the hospital chaplain. As he began to talk, my heart sank. Why was he there and not a doctor? He was asking me question after question, but I could not answer him. I finally looked up at him and all I could say was that I wanted to talk to a doctor and that he could leave right then. By this point...
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...Derek and Meredith were getting Zola and Bailey ready for the hospital day care just like any other day, but today was different. They needed to get to the hospital early to start practicing. Meredith and Derek have a special surgery that they are scrubbing in on. This surgery is the first one to be done at Grey Slone Memorial Hospital and Seattle Grace. The head of Neuro at Grey Slone Memorial is Derek Shepherd and in three days he will perform a brain stem Glioma surgery on a six year old. Cancerous Brain Stem Gliomas are nearly impossible to cure with surgery, but the risk is even higher on a child. These type of brain stem surgeries are rarely performed because the brain stem controls your breathing, heart rate, sight, hearing, walking, talking, and eating, so one simple mistake in surgery can paralyze or even kill a person, so this is going to be the start to Derek’s new clinical trial. Derek and Meredith are not the only ones to be in on this surgery, Dr. Avery, Dr. Karev, and Arizona are also scrubbing in along with three interns. So the first two days the seven doctors are practicing on how to reach the tumor and what the best way to take it out is. While they are practicing Dr. Wilson, one of the interns scrubbing in, will be checking on the six year old cancer patient by checking his vitals every 30 minutes making sure the tumor does not erupt. On the second day of practicing, Dr. Wilson notices that the patient's vitals are not very good and goes to tell Dr. Shepherd...
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