Word: cardiac
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Thus, 22 years ago, began my cardiac education, which--with another heart attack in 1993 and with the reappearance last spring of the radioactive symptoms--is well along in its postgraduate phase. I share this with you (as they say in group) because the history of my heart's misadventures happens, luckily for me, to parallel the story of the late 20th century's medical advances in the treatment of heart disease. And because at the American Heart Association's meeting last week in Dallas, still more remarkable new treatments were auditioned. I have enjoyed, so far, an existential scissors...
...questions are endless; the process that engenders them is one of medicine's oldest teaching tools. In this cardiac ICU and all over the hospital, young doctors are presenting cases and being interrogated about their observations, interpretations and plans. Tired residents, stethoscopes slung around their neck, dressed in new white coats (short for interns, knee-length for the more senior residents), are questioned--and questioned some more. They will never know enough, but Ohman hopes they will come to hear these questions, even when no one is asking. "I'm trying to create a mind that is inquisitive," he says...
DIED. JIM MURRAY, 78, irrepressible Los Angeles Times sports columnist whose witty dispatches made him a most valuable player on the sports beat; of cardiac arrest; in Los Angeles. Murray spent 37 years at the Times giving sports junkies a morning fix of his laugh-a-line musings. One of four sports writers to score a Pulitzer Prize for commentary, Murray greeted his award with characteristic humor: "This is going to make it a little easier on the guy who writes my obit...
...good news is that focusing on quality pays off, as heart surgeons at the Dartmouth-Hitchcock Medical Center in Lebanon, N.H., have demonstrated. They started by surveying all their colleagues in the surrounding area and following up with their patients. Then they developed procedural standards that cut mortality from cardiac operations 24% from 1991 to 1996. Moreover, they cut costs 20% and boosted both patient and doctor satisfaction. A home run by anyone's measure...
...Hismanal (an allergy drug) and Nizoral (an anti-fungal medication) in that bag? Together they can trigger fatal cardiac spasms. Taking a little Viagra to boost your love life? Make sure you're not also on nitroglycerin for angina. In the past two months, that combination has killed four men, including one who, the Food and Drug Administration revealed last week, complained of chest pains after having sex and was given nitroglycerin in the ambulance. Now the FDA is trying to figure out if other drugs, like the prostate medication Hytrin, don't mix with Viagra...