According to Boston News, in early December 2011, a carpenter accidentally discharged a nail gun and embedded a 3.5 inch nail in the bottom of his neck. Based on the CT scan included here, it appears the nail entered the neck dead center given the clear appearance of the windpipe.
Based on the location, the anatomic sequence of nail piercing is as follows:
Skin –> Thyroid Gland –> Trachea –> Esophagus Back Wall –> Cervical Vertebral Body
The damage to skin, thyroid, and trachea is not a big deal… In fact, one can consider this a mini-tracheostomy. Minimal bleeding would be expected.
However, the hole between the trachea and esophagus is another matter which may heal well… or not. The esophagus Read more »
*This blog post was originally published at Fauquier ENT Blog*
I have a new “smartphone.” It’s a Droid from Verizon. Pretty cool. I like what it can do, though it tends to enable me tendency to chronically check my email. I like the features, between ease of texting, voice dialing, etc. But it’s big, compared to me dear departed flipphone, whose corpse lies in state in my pickup truck.
But I noticed one day, as I reached around my side, that the large phone now on my hip felt remarkably like my revolver. Odd feeling that. I was in public and I remember panicking, wondering if I had forgotten to conceal my concealed weapon for some reason.
And as I pondered this, I realized that both represent fundamental differences in the way we view individuality. Maybe it’s a stretch, but I’m a writer so I’m supposed to stretch. Read more »
*This blog post was originally published at edwinleap.com*
With the attention rightly focused on patient safety, what about healthcare workers? It’s somewhat of a hidden phenomenon, but attacks on doctors and nurses are on the rise.
Rahul Parikh writes about this in a recent Slate piece. He cites data from the Bureau of Labor Statistics, which found “healthcare workers are twice as likely as those in other fields to experience an injury from a violent act at work, with nurses being the most common victims.”
In the article, Parikh goes on to detail an attack on a physician who initially refused to give his patient opioid pain medications. Read more »
*This blog post was originally published at KevinMD.com*