Selasa, 13 Maret 2012

Spanish doctors announce world first in fetal surgery

Spanish doctors said Tuesday they have carried out the world's first successful operation on a fetus to unclog a blocked bronchial tube.
Doctors from two Barcelona hospitals -- Clinic and Joan de Deu -- introduced an endoscopy through the mouth of the fetus to clear the right bronchi, the air tube leading from the trachea to the lungs, and reconnect it with the central airways.
"It is the first time in the world that this has been achieved. It is the first time that it has been tried and it turned out well," said the head of the maternal-fetal medicine department at Hospital Clinic, Eduard

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Vaginal birth after C-section carries more risks: study

Women who had a Cesarean section for their first child's birth face more health risks if they attempt a vaginal birth with their second, Australian researchers said Tuesday.
The study included more than 2,300 women at 14 hospitals in Australia who were preparing for their second child. About half signed up for a vaginal birth after C-section, or VBAC, and the other half chose to repeat the surgery.
Women who planned a repeat C-section had a significantly lower rate of complications than women who chose to deliver vaginally the second time -- 2.4 percent risk of death or serious complication

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Senin, 12 Maret 2012

With Small-Picture Approach, A.C.O.’s Gain in Health Care

Steve Kagan for The New York Times
CHICAGO Gwlie Lloyd, a nurse and care manager, and Dr. Steven Wolf at an Advocate Health clinic. Advocate is one of the nation’s first accountable care organizations.

CHICAGO — Even as she struggled to manage her Type 2 diabetes, Fannie Cline’s condition spiraled downward. It was not uncommon for Mrs. Cline, a 69-year-old retiree, to have dizzy spells, some so bad that they landed her in a hospital emergency room near her home here on the South Side.
But last May, she began to receive extra attention from Gwlie Lloyd, a registered nurse and care

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Books: ‘Blue Water, White Water’ Review - Sleepless and in Pain, a Patient Watched

Just when it seems long past time for the age of memoir to be over — just when it seems impossible that any ailing person with literary inclinations could find anything new to say about illness, and the list of not-to-be-missed “patients are people too” books should be closed and locked — yet another book comes along.

And despite all the above, no one with even a passing interest in the experience of illness should miss Robert C. Samuels’s “Blue Water, White Water,” a memoir drafted about 30 years ago and published without fanfare a few months ago; it stands head and shoulders

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Minggu, 11 Maret 2012

The Mystery of 18 Twitching Teenagers in Le Roy

Gillian Laub for The New York Times
Lydia Parker, foreground, at home with her sister. She got one of the bruises on her face when an uncontrollable tic caused her to hit herself with her cellphone.

Before the media vans took over Main Street, before the environmental testers came to dig at the soil, before the doctor came to take blood, before strangers started knocking on doors and asking question after question, Katie Krautwurst, a high-school cheerleader from Le Roy, N.Y., woke up from a nap. Instantly, she knew something was wrong. Her chin was jutting forward uncontrollably and her

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America Is Stealing the World’s Doctors

It was not an unusual death. Kunj Desai, a young doctor in training at University Teaching Hospital in Lusaka, Zambia, had seen many that were not so different and were equally needless. Still, this was the one that altered all his plans. “A guy came in, and he had a stab wound,” Desai recalled, “and his intestines got injured.” The operation was delayed, and the wound became infected. “Whatever he was eating would come out of his belly,” Desai said. A carefully managed diet would have helped the man heal, but there were no dietitians at the hospital nor any IV drips of liquid

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Sabtu, 10 Maret 2012

The Bay Citizen: As Uninsured Go Without, California Health Districts Hold Reserves

Lianne Milton for The Bay Citizen
At San Mateo Medical Center, patients face a lengthy wait list in order to receive health care subsidized by the county.

When Roron Chen went to a public clinic to try to see a doctor, she was put on the waiting list at the San Mateo Medical Center. A California state law requires counties to provide health care to people like Ms. Chen who cannot afford health insurance and have no other alternatives.

Ms. Chen, a homemaker from San Mateo whose husband lost his job three years ago, had to wait nearly a year to see a doctor through the program. Like

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