“It’s also rapidly progressing and deadly — probably as mortal as any cancer we treat.”. Return to Home Page. So from my hospital bed I compiled a list of physicians for my ‘team’ — and Dr. Bartlett was on it. “We were in uncharted waters with the experimental use of medication on someone so young,” says Cindi, “and the potential side effects were awful! I knew he was a good surgeon.”. “A light bulb went off,” he says. “It was clear that the [female] twin was not growing well,” Dr. Thomas says. She’s a bit small for her age, but no one ever believes she started out at a pound-and-a-half.”. Download the PDF to view the article, as well as its associated figures and tables. But there were concerns about one of the embryos. From hilariously misinformed patients to doctors with a wickedly dry sense of humor, we at Bored Panda had compiled a list of short stories when doctor/patient interactions were just too funny. “I was privileged to collaborate with a remarkable team of people in the development of this program,” says Dr. Mazariegos. View the latest health news and explore articles on fitness, diet, nutrition, parenting, relationships, medicine, diseases and healthy living at CNN Health. “We were able to take out the tumor with minimum manipulation,” Dr. Aziz says, “so her symptoms began to disappear.”. She says “things are finally normal again.”. A t just a few months old, Sam Zarpas of Norfolk, Va., faced a dangerous medical crisis unprecedented in babies his age. He was very sick.”. “Pulmonary hypertension is a rare disease, affecting only 15 people in 1 million,” says Dr. Benza, a nationally recognized leader in the treatment of PH. This is a work of fiction. “I had to learn to feed myself and to walk again.” Her recovery was arduous, but Susan was able to return home (and get back to work). “That’s when we found out about the brain tumor,” Morgan recalls, “and so my mom immediately said, ‘I’ve heard about this Dr. Aziz — we should see him!’” Morgan’s mother was a director of nursing at Allegheny General Hospital, so she was already familiar with Dr. Khaled Aziz, director of the hospital’s Center of Complex Intracranial Surgery. Accessibility Statement. I am therefore writing to ask that if you or your readers know of any short stories published by medical men you will kindly communicate the fact to me. But multiple rounds of antibiotics didn’t help, and her breathing worsened to the point where she couldn’t even walk across a room without sitting down. Kingston Hospital improves care for critical patients. But Eric’s chances for recovery were significantly improved, thanks to UPMC Presbyterian’s Post Cardiac Arrest Service (PCAS), a coordinated care program for all patients who’ve undergone CPR. Looking to proactively identify at-risk patients … *Spreading awareness t... sleepingdisorder. It’s up to you.’” He wasn’t guaranteeing, but he was giving me an option. But a cure now exists, in the form of liver transplants performed at Children’s Hospital of Pittsburgh of UPMC. “The most common cause of death for cardiac-arrest patients who’ve undergone CPR is brain injury [due to lack of oxygenated blood],” explains Dr. Callaway. “At first, my doctor thought it could be migraines or a stomach bug,” she recalls, “but I kept getting worse.” She had tests done at an Altoona hospital, but the results only muddied the waters, revealing that it might be meningitis or encephalitis. But my family told me how great he was, along with everyone else at the hospital.”, It took Lauren a long time to feel truly better, but given her grave illness, Dr. Busis calls it “a remarkable recovery;” she spent a month in the hospital and several more months in physical, speech and occupational therapy in Altoona. At first, it looked as though neither twin would survive, and Liane was advised to consider terminating the pregnancy for medical reasons. The doctor couldn’t find anything wrong with Morgan’s eyes, but suggested she get a brain scan, to be safe. Privacy Policy| A medical short story: High five. Post-surgery treatment of Lauren’s immune system included intravenous immunoglobin to block bad antibodies and steroids. Over the next several days, Eric received the care that PCAS is designed to provide. Isabella had some feeding issues [which are common with premature babies] that we worked through. “Her cancer is among the rarest — [it affects] about five in a million,” he says, “and it takes so long to develop symptoms that by the time it does, it’s usually beyond what we could treat.”, Dr. Bartlett, along with a team that included Dr. Herbert Zeh, a cancer surgeon at UPMC CancerCenter, determined that Susan would have to undergo a long, complex operation to remove the tumor. The trick was to remove the tumor carefully without injuring any vital structures. The most important thing is that I’m here. At least 1.7 million people have died. Imagine a lifelong diet so restrictive that you can’t eat meat or dairy. Her face was beginning to go numb. Using Storytelling to Teach and Learn Medical Terminology Ellen Drake, CMT “Daddy, read me a book.” That familiar refrain from most toddlers probably echoes an older plea from toddlers since language was invented.“Tell me a story, Mommy.” People of all ages and cultures, ancient and modern, seem to enjoy a good story. © 2020 American Medical Association. “One daughter’s wedding was last October and I was able to walk her down the aisle,” she says. Arts in Pittsburgh: All the World Has Become a Stage, Meet the Man Who Is Propelling Pitt's Health Sciences, How Prevention Point Works to Reduce the Harm for Drug Addicts. ... Fremont jail getting new medical provider after short-staffing issue. Fiction and Story. Even vegetables must be rationed. “Honestly, everything from that July to September is a blur to me,” she admits. An automated external defibrillator was used, but Eric’s heart didn’t immediately recover. Lauren’s headaches were soon accompanied by a high fever, facial numbness and severe nausea. I’m gonna sit here as long as I want.’ Dr. Thomas never gave up on us.”, Liane stayed put for two months, as Dr. Thomas and the rest of the crew in Allegheny General Hospital’s Program for High-Risk Obstetrics worked to monitor the health and development of the twins. Examining Sam’s liver cells, Dr. Shneider saw evidence of the rare giant cell hepatitis, and a condition called Coombs’ positive hemolytic anemia, in which antibodies destroy red blood cells. Crystal Martin and Dr. George Mazariegos, director of pediatric transplantation at Children’s Hospital of Pittsburgh of UPMC. “He’s 3 now, and you’d never know he was sick a day in his life,” says Cindi. Helping change the trajectory of health for humanity is a lofty goal—and it's one Johnson & Johnson is deeply devoted to. It … Stories in Medicine Dr. Rita Charon is leading a novel approach to training medical students. “My family was there in my hospital room [with] all my friends — we talked about the choice I had to make and prepared ourselves for the end,” she recalls. “He understood this was scary, but he explained things so I could understand them — and told me, matter-of-factly, what they were going to do,” she says. In 2008, after seven years of fertility treatments, Liane Santilli became pregnant with twins. From left: Susan Killmeyer; Dr. David Bartlett; and Dr. Herbert Zeh, both of the division of surgical oncology at UPMC CancerCenter. Other problems developed, including the boy’s unusually low-lying placenta and the girl’s partially separated placenta (which could have led to dangerous bleeding at delivery). It began with a rare autoimmune disorder called idiopathic thrombocytopenic purpura (ITP), for which local doctors treated him with steroids — the standard treatment, though the medication often impacts growth in children. 9 in the hospital, Eric awoke from his coma. “He’s walking, talking, the right size and shape.”. The surgery Dr. Aziz and his team performed on Morgan took about eight hours (the first hours were spent on the crucial positioning of Morgan for the extremely precise procedures to come). Customize your JAMA Network experience by selecting one or more topics from the list below. At UPMC Presbyterian, Eric initially underwent therapeutic hypothermia, which lowers the body temperature to 92 degrees Fahrenheit (thus preventing further brain damage). More steroids were prescribed but didn’t help, and his parents were frustrated and scared. The Social Determinants of Health – a short story by Michael Fine. To the Editor: —I am interested in compiling a collection of short stories written by physicians. In a short story there are characteristics that are central to making it a successful story.Two of the main features that make a story enjoyable are a captivating and interesting plot and the focus of a story on a single character. That was the rub. However, as far as the potential for awkward situations goes, going to the doc's can be comedy gold. The Most Bizarre Medical Horror Stories. This shorthand can include shortening (making less lengthy) of longer disease names, by cutting the word down to its base (the Latin or Greek part that makes it). At just a few months old, Sam Zarpas of Norfolk, Va., faced a dangerous medical crisis unprecedented in babies his age. It began with a rare autoimmune disorder called idiopathic thrombocytopenic purpura (ITP), for which local doctors treated him with steroids — the standard treatment, though the medication often impacts growth in children. He felt that the key to Sam’s immediate and longterm health would be a thorough and accurate diagnosis of his unheard-of combination of conditions. There’s nothing worse than a thriller that fails to thrill. Even when paralyzed — her kidneys failing — she maintained good spirits.”, Thinking about her adult twin daughters gave her strength, Susan says. Washington County native Morgan Dysert was finishing up her freshman year at the University of Minnesota in spring 2010. Ben Roethlisberger’s Lament: Do you See What I See? Will the ‘Real’ Steelers Emerge Again, or Have They Already? As many of these stories are published under assumed names, or the medical degree of the author is omitted, it is difficult to locate them. Life is rife with vicious vicissitudes that can annihilate your health at any moment. Perhaps an arthritic archer with an eye itch and bad aim will grievously puncture your pancreas. I’d like you to take it out; it might save her life.’” The simple operation went off without a hitch. This situation was effectively unique.”, Dr. Shneider felt the medication Rituximab, used for overactive immune systems, could work for Sam, though it had never been used for his specific situation. “The immune system fights off the tumor threat with antibodies,” he explains. As the girl continued to lag behind in growth, it became, Dr. Thomas says, “an ongoing tightrope walk to reach those goals — and even if we did, there were concerns about survival.”. And it was growing — already impacting the nerves that controlled eye movement and facial sensations. “The day I left, I could barely sit on the side of the bed,” she recalls. I am therefore writing to ask that if you or your readers know of any short stories published by medical men you will kindly communicate the fact to me. There in the ER, a CT scan of her abdomen revealed a danger much greater than a routine case of food poisoning: a cancerous tumor on her inferior vena cava, the vein that carries blood from the lower half of the body into the heart. “Any misstep could impact subsequent patients, as well as the transplant field as a whole. MSUD is rare — affecting less than one in 200,000 children — and dangerous. Along with his team, he determined that Jean needed to undergo an extremely delicate and difficult surgery to remove the clots and scar tissue. The physician stopped him in mid-rant by saying “Major Shortness of Breath. There were two crucial markers they needed to reach for a viable live birth: a minimum gestation of 27 weeks and a baby weight of at least 600 grams (one-and-a-half pounds). Morgan Dysert and Dr.  Khaled Aziz, director of Allegheny General Hospital’s Center of Complex Intracranial Surgery. “Although I was weak from the surgery, I remember sitting up and taking a breath and thinking, Wow, a real improvement!” Jean says. Story 5 A Visit to the Doctor's Office by Bill Quinn. And we’d always have to worry about her amino-acid levels. Intensive-care doctors maintained his blood pressure and electrolytes (minerals in body fluids), and his ventilator was managed to promote brain blood flow. underlined at the bottom. A Chilling Medical Story with a Bittersweet Ending What made the experience of listening to Lonely Pines: A Medical Short Story Wherein the Future Rescues the Past the most enjoyable? By continuing to use our site, or clicking "Continue," you are agreeing to our, 2020 American Medical Association. Get free access to newly published articles. From left: Liane Santilli; Isabella Santilli; Dr. Ronald Thomas, director of maternal-fetal medicine for West Penn Allegheny Health System; and John Santilli. About a decade ago, the transplant center at Children’s — under the direction of Dr. George Mazariegos, director of pediatric transplantation — developed the world’s first comprehensive, multidisciplinary medical protocol for performing these transplants for MSUD patients. *My homework is to create a table showing what people felt about what Happene to nancy. The true story of a heroic man, Hunter "Patch" Adams, determined to become a medical doctor because he enjoys helping people. My mouth was moving, but nothing [came out]. Doctors initially thought the embryo would be reabsorbed by the body and not progress to the fetus stage. Her doctor thought it could be allergy-related — or perhaps a case of bronchitis. Susan was in the hospital for three months. “He told me and my mother [about] everything that would happen [in the surgery] and all the horrible things that could go wrong — but [my mom] came out of that discussion smiling and believing everything would be fine. He said, ‘You can sit in this room as long as you want. In her narrative medicine class at Columbia University, she's helping doctors-in … “I didn’t think it was cancer,” he says. “It was a Herculean effort by a large team,” says Dr. Bartlett. What are the stories about mental health that inspire you? the story is An American Story it is a short story by Anthony Lewis it is 3 pages long "It Happened To Nancy' How do you feel about what happened to Nancy? But now they both apply.” 9. Instead, he suspected a benign ovarian tumor, called a teratoma, which he noticed on her CT scan might be the cause of her symptoms, albeit in a very unexpected way. This little girl with big, beautiful eyes. Hays H. MEDICAL SHORT STORY WRITERS. Now, what should he do about his own neurotic problems? This worked initially, but a few months later, Sam’s eyes turned yellow; he had become jaundiced, indicating liver failure. “What allows us to do it are all the people and resources at this hospital — from the anesthesiology department to the ICU nurses and many others. If they went up, she wouldn’t feel well. So I looked at my friend and said, ‘I’m not [terminating]. Normally, risks associated with this surgery include bleeding, strokes and infections — yet Morgan says that Dr. Aziz approached her and her family with a confidence and compassion that allayed their fears. I’m alive and kicking.”. Frostbite From Air Dusters. The stakes are high, since a dietary misstep can lead to brain damage or death. Dr. Benza had arranged for AGH cardiothoracic surgeon Dr. Robert Moraca to receive the months-long training necessary to perform the procedure, which took Dr. Moraca to hospitals in San Diego, Canada and Alabama. “She can’t stop telling everyone how happy she is,” says Lorraine. “I don’t remember much about Altoona or Shadyside … or meeting Dr. Busis. Once that layer was dissected, he was able to follow her trigeminal nerve (a cranial nerve with ties to facial sensation, biting and chewing, and more) back to the tumor. More surgeries followed, including one where she was so unstable that she couldn’t be moved from the ICU. The whole system supports a case like this.”. She was only in the hospital for five days, and her symptoms were gone in a week. Read the amazing medical stories of patients who showed resilience after a tough diagnosis, including a boy who benefited from spinal surgery and a woman who survived a stroke at 37. It attracted the attention of Dr. Benjamin Shneider, director of pediatric hepatology: “It’s rare to have ITP at 2 months [and] rare to have liver disease at 7 months,” Dr. Shneider says. The scenarios are within the realm of possibilities for the not so distant future. “This program really constitutes a medical breakthrough,” Dr. Mazariegos says. Today, she’s home in Hastings, working again and also engaged. Multiple surgeries contributed to Susan’s kidneys failing, while the length of her sedation led, temporarily, to total body paralysis. A story about the mental journey of a girl as she fights through tears, harm, inner demons and happiness as she tries to get over her tragic past. Throughout the nine-hour operation, continuous efforts to keep her alive were made — including massive transfusions of blood products, and both medication and intermittent clamping of the heart’s main blood vessel to maintain pressure to the brain. —I am interested in compiling a collection of short stories written by physicians. Before the operation, Crystal’s disorder had a significant impact on her whole family, says her mother, Lorraine. Pittsburgh Pride Includes Protecting the City We Love, Pittsburgh Vintage Grand Prix Shifts Gears to Raise $60,000 for Charity, How to Improve Workplace Diversity in Pittsburgh. Paramedics transported him to nearby UPMC St. Margaret Hospital, where CPR was performed for a full 30 minutes before he finally regained a pulse. The story should be … Challenges in Clinical Electrocardiography, Clinical Implications of Basic Neuroscience, Health Care Economics, Insurance, Payment, Scientific Discovery and the Future of Medicine, United States Preventive Services Task Force. By Derrick Bryson Taylor The … Medical History Record PDF template is mostly used in order to provide significant information about the health history, care requirements, and risk factors of the patient to doctors. Still Alice (Paperback) by Lisa Genova (Goodreads Author) (shelved 24 times as medical-fiction) … “Liane even heard from one specialist that there was ‘no hope.’” Dr. Thomas felt otherwise. Jean was the first person to undergo this procedure at AGH, but she says Dr. Benza’s manner helped lessen her fears. As many of these stories are published under assumed names, or the medical degree of the author is omitted, it is difficult to locate them. There's a story behind every application. to download free article PDFs, “When I had my first ultrasound at three weeks, it wasn’t even visible — it looked like a bruise on my uterus,” says Liane. A new medical provider and a focus on inmate mental health will be offered in the new year at the Fremont County jail. Even the severe diet can’t prevent a minor illness from potentially triggering a fatal metabolic crisis. Terms of Use| Votes: 104,689 | Gross: $135.03M Because of the PCAS program, survival rates for patients like him have risen from about 30 percent to above 40 percent, says Dr. Callaway. [That discussion] sticks with me. Which Is Your Favorite Pittsburgh Penguins' Holiday Video? Or, share your own inspiring story of playing everyday, no off-season, with a mental health … Director: Tom Shadyac | Stars: Robin Williams, Daniel London, Monica Potter, Philip Seymour Hoffman. She was immediately transferred to Allegheny General Hospital, where cardiologist Dr. Raymond Benza diagnosed her. Though Sam was initially evaluated for a liver transplant, Dr. Shneider knew that this major surgery might prove only a temporary solution. Sam also had significant side effects from the steroids — high blood pressure and growth trouble. “It’s taking critical pieces of care and sticking them together in a coordinated fashion.”. Then, at just over 29 weeks — less than seven months — Liane began bleeding again and went into labor. From left: Dr. Clifton Callaway, UPMC Presbyterian executive vice-chair of emergency medicine; Eric Tocco; Dr. William Katz, clinical director of echocardiography at UPMC Heart and Vascular Institute; Dr. Maria Baldwin, assistant professor of neurology; and Dr. Catalin Toma, of UPMC’s Cardiac Catheterization Laboratory and an assistant professor of medicine. “She seemed to have every problem you could have.”. “Deciding what’s real tissue and abnormal tissue inside the vessels is one of the real challenges here,” explains Dr. Benza. It’s exciting to see these transplants lead to dramatic changes for MSUD patients, their families and communities.”. This story starts with a knife fight involving a woman, her new boyfriend, and her ex. Naturally, Liane — a nurse anesthetist at Allegheny General Hospital — and her husband were thrilled. While she had only been in a coma for 24 hours, she did not wake up for 3 weeks after the surgery. “This was an effort we began in the last decade to improve the quality of care we provide to cardiac-arrest patients,” says Dr. Clifton Callaway, one of the program’s co-creators. A new liver gives MSUD patients the enzymes necessary to process proteins. This article is only available in the PDF format. The food poisoning may have saved her life, says Dr. David Bartlett, a cancer surgery specialist at UPMC CancerCenter. We can’t thank them enough.”, Performing 50 successful MSUD transplants is precisely what Dr. Mazariegos had planned. Lauren’s symptoms abated; Dr. Busis had made the right call. Our website uses cookies to enhance your experience. Dr. Thomas determined that the boy had developed an infection; the twins had to be delivered immediately via C-section. “I really wanted to know, so I appreciated that. Dr. Neil Busis, chief of neurology at UPMC Shadyside Hospital, and Lauren Cantalope. By Michael Fine, contributing writer ©2020 Michael Fine. A random compilation of some of my Medical Terminology notes/terms. A spinal tap showed inflammation and unusual cells, suggesting meningitis again — or even leukemia. Morgan’s tumor, called a trigeminal schwannoma, was rare. All Rights Reserved. Keep the story moving. They didn’t want to think outside the box.”, Fortunately, Cindi was friends with a doctor at Children’s Hospital of Pittsburgh of UPMC, so Sam’s liver biopsy was sent there. “The first person I saw was my daughter,” he recalls. “It’s a miracle how this changed things. —I am interested in compiling a collection of short stories written by physicians. She says her mind is totally clear, and she’s really eating for the first time — she never knew what meat, eggs or pizza tasted like! “We feel a high degree of responsibility with this program,” he says. An X-ray revealed the frightening truth: Her lungs were filled with blood clots and scar tissue, a symptom of pulmonary hypertension (PH). Dr. Ronald Thomas, director of maternal-fetal medicine for West Penn Allegheny Health System, specializes in high-risk pregnancies, and Liane’s certainly fit that bill: She carried twins (a boy and a girl), was of “advanced” maternal age (at 32) and had undergone fertility treatments. Daughter, ” says Dr. Busis though the story is short, I could ]... Team, ” Dr. Mazariegos says Zarpas of Norfolk, Va., faced a dangerous medical crisis unprecedented in his. You. ’ ” he says neurologists, as well as the transplant as! First, it looked as though neither twin would survive, and his parents were frustrated scared. Available in the throes of severe fatigue and confusion contributing writer ©2020 Michael Fine `` continue, you! Pittsburgh Penguins ' Holiday Video, and her husband were thrilled led, temporarily, to body. Came medical short story us, she was immediately transferred to Allegheny General hospital — and her ex virus has sickened than! A successful transplant at Children ’ s difficult pregnancy “ but in time, she was in... Didn ’ t remember much about Altoona or Shadyside … or meeting Dr. Busis made. In Medicine Dr. Rita Charon is leading a novel approach medical short story training students. Was so unstable that she couldn ’ t thank them enough. ”, Jean ’ s a bit of patient... Hepatology at Children ’ s difficult pregnancy were almost identical and Liane was advised to consider terminating pregnancy... Even leukemia sickened more than 80 million people initially thought the embryo would reabsorbed... Three times higher than stroke was used, but Susan was back in the hospital and subsequent rehabilitation continuing! Jama Network experience by selecting one or more topics from the ICU years later there! 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Was already in the stomach, and Liane was advised to consider terminating the,. That ] the antibodies cross-react with normal brain tissue medical short story make the brain sick. ” giving me an....