Word: anesthesiologists
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Hypotensive Anesthesia. By depressing a patient's blood pressure to very low levels, anesthesiologists can lessen the amount of blood lost and give the surgeon an almost clear field in which to work. This is particularly useful in surgery on vessels that carry blood to the brain and in orthopedic operations like hip implants. The anesthesiologist anesthetizes the patient, then infuses a drug, usually nitroprusside, to dilate the blood vessels. This causes the pressure of blood against the vessel walls to drop from a normal reading of, say, 120/80 to as low as 65/50. The anesthesiologist must be careful...
While better equipment and treatments are available for the political elite, they also have problems. Dr. Warren Zapol, an anesthesiologist at Boston's Massachusetts General Hospital, tells of being asked to tend the daughter of Heart Surgeon Burakovsky. The patient, herself a doctor, had entered a general hospital in Moscow with abdominal pain, but then, as can happen in hospitals anywhere, "she got into trouble," says Zapol. She apparently had an infected fallopian tube and then a "misadventure" with anesthesia, followed by cardiac arrest and blood infection. When Zapol arrived in Moscow, she was having difficulty breathing...
Last week the zoo took matters into its own hands. Her bleating and scent marking tipped off officials that the female Ling-Ling was in heat, an event that lasts a scant five days each spring. So a team of 13, including Head Veterinarian Mitchell Bush and Anesthesiologist Michael Abramowitz of the Washington, D.C., Children's Hospital, gathered around the lady. Ling-Ling was anesthetized, then inseminated with approximately 3.2 cc of semen that had been collected from Hsing-Hsing last year and frozen. (Fresh semen had been collected from Hsing-Hsing shortly before the insemination, but the sperm...
...family practitioner who refers him to a nearby cardiologist, who then refers the patient to a tertiary center like Duke. He's evaluated by a clinical cardiologist, then goes to a group of diagnostic laboratory cardiologists and radiologists. If the patient is to be operated on, the surgeons, the anesthesiologist, the pump team, the blood bank in the institution that feeds the pump are involved. The patient goes to a special recovery room with specially trained people to watch him. He's there five days with round-the-clock care. He goes to a rehabilitation unit for the rest...
Nevertheless, the single source of dramatic energy in this crude thriller is Crichton's exploitation of the audience's rational and irrational fear of doctors and hospitals - the always reliable "Let me out of here!" reaction as the anesthesiologist's gas mask clamps down over the face, and the familiar "Yuck" effect as the surgeon's bloody hands dip into the body cavity. This is arrogant moviemaking: its assumption is that the proles will buy their tickets and march unprotestingly through the fun house no matter how evident is the contemptuousness of the barkers...