Word: kidney
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Dates: during 1990-1999
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...spartan at best. There is little modern monitoring equipment at his Curitiba hospital. Instead, his technicians are instructed to look for three things: the patient's feet should be pink, to demonstrate adequate blood pressure; there should be urine output, to indicate that the patient has not lost kidney function; and the surgical drain should be clear, to show no internal bleeding. Surgeons depend on large windows in the operating room to provide adequate light for operations...
While most surgeons are willing to adopt minimally invasive, or noninvasive, procedures to control bleeding during an operation--such as laparoscopy, which requires tiny incisions, or ultrasound to destroy kidney stones--they usually stop short of transfusionless surgery. Some medical fundamentalists view it as a false promise with its own risks, but even doctors who acknowledge its value caution that it is not the panacea some physicians think it is. Certain situations--liver transplants, for example, and instances of trauma--will always require transfusions. Says Dr. Steven Gould, a surgeon at the University of Illinois at Chicago who advocates reduced...
...estranged former husband of Trixie, an old woman, dies in the crash, and she imagines that his ghost visits her; but the hallucination is incidental to what is important in her life: her gradual slide toward senility. Lars, a decent young fellow, and Christine, his friend who needs a kidney transplant, do not fall in love...
...side. They used the lavatories at the local K Mart or at the Denny's by the intersection of Mission and Gabriel, where Jewel washed her hair at the sink and, with suds still on her head, winced when people behind her complained about the homeless. A chronic kidney disease forced her into the hospital at one point--though at first, clinic after clinic turned her away because of her poverty...
...expensive specialists. Dr. Theresa Travis, a Dunn nephrologist who spends about 20% of her time at Bedford Regional, says she often sees patients with traditional insurance months ahead of HMO patients with similar conditions. "Managed-care patients are always referred very late," she says, in some cases making kidney failure more likely...