On August 5, 2011,19-year-old Robert Loftus tripped while catching the game-winning touchdown pass in a football game with friends. He broke his leg — both his tibia and fibula — and was rushed to the ER at Hudson Valley Hospital Center. On the morning of the 6th, he was visited by his orthopedist, Dr. Steven Small, and surgery to place a rod in his broken leg was scheduled for 3 pm that day. Just as the operation was beginning, however, the anesthesiologist was alarmed to find that Robert’s lungs were dangerously filling with fluid. The surgery was called off, and while still in the OR, Robert was put on a mechanical ventilator.
Robert had developed a severe case of ARDS, or acute respiratory distress syndrome; his lungs were failing. After four days on the ventilator, Robert’s breathing was not improving; on the contrary, it was rapidly getting worse. Recognizing the severity of his patient’s condition, Read more »
*This blog post was originally published at Columbia University Department of Surgery Blog*
The basic function of the human nose is to warm and humidify the air before it reaches the lungs. Because of the wide variation of human habitats from the polar cold and dry air to the equatorial hot and humid weather, one would expect the nose to accommodate to these climate extremes accordingly through evolutionary pressures.
In essence, logically one would expect the nose to change shape to enhance time that air is in contact with the warm and moist nasal interior in cold and dry climates compared to the opposite environmental extreme.
German scientists evaluated this hypothesis through Read more »
*This blog post was originally published at Fauquier ENT Blog*
My medical student has apparently had a discussion with his classmates regarding which is the most important organ in the body. Is it the heart? The lungs? The kidneys? What do you think?
My medical student thinks it’s the kidney because of the complicated functions it must perform. I think it’s the skin because it holds everything together and keeps our economy going. What do you think? What is the most important organ in the body and why?
*This blog post was originally published at The Happy Hospitalist*