were any racial prejudice at Baptist, they were being promoted by Karl Krebs and Mary Gibbs, and not by Nickie Moretti.
I told Rundgren that Clorees Davis passed the rotation without leaving home, while Nickie failed it after busting his rear-end for six weeks and never missing a single minute of work. I asked Rundgren if such an incongruity didn't impress him as being a "horse of a different color."
Rundgren never answered my questions but informed me of the tremendous obstacles young black physicians in America had to overcome instead. He told me, in the middle of a life-saving procedure in the Emergency Room, a family member once asked Karl if she could see his medical school diploma before he did any further work on her son.
I told
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Lucci the patient had systemic lupus erythematosis, his silver eyebrows pointed to heaven, and he broke out into a big smile. When he asked me to explain why the patient had lupus, I named the fourteen manifestations of lupus and told Dr. Lucci the diagnosis of lupus was contingent on a patient's having at least four of the fourteen manifestations. His patient did indeed have five of the fourteen manifestations: non-deforming arthritis, Raynaud's phenomenon, in which the hands exhibit a two-phase color change when placed in cold water, alopecia or hair loss, oral ulcerations, and what appeared on the chest X-ray to be a pericardial effusion which suggested pericarditis.
Dr. Lucci asked me how I diagnosed a pericardial effusion from the chest X-ray, and I pointed out the patient had a pear-shaped heart on X-ray which suggested a pericardial effusion.
Lucci looked at me as though he didn't understand, and asked, "Whata you mean - a pear-shaped heart?"
When I reaffirmed my belief the patient's heart looked like a pear, Lucci quipped, "Thatsa no pear-shaped heart - thatsa chianti flasca heart."
As we laughed at Lucci's observation the patient's heart was shaped like a chianti flask, he congratulated me on my diagnosis.
He then proceeded to look at my name tag and said, "Kaminski. Thatsa Polack name, No? But your first name isa Peter. Thatsa my name too. Wella, Peter, me and you are
In the book entitled, “The Making of the 1963 Baptist Faith and Message,” by A. J. Smith he begins to established in the introduction how Herschel H. Hobbs stands out as one of the most prolific writers in Southern Baptist history. (p. 1) He shares that in some sections Hobbs introduced concepts and phrases. (p.1) In others he coordinated the thinking of the committee. Throughout, he was the writer, presenting successive drafts for committee approval. (p.1) His enthusiasm for the document in whole and in part is obvious in his explanation and defense of
Systematic lupus erythematosus (SLE) is a chronic, systemic, autoimmune disease. This condition causes the body to mistaken its own tissues and organs as foreign bodies and begins attacking them causing continuing inflammation and pain. (Huether & McCance, 2012) The cause of SLE still remains unknown, but it is possible that is inherited as a complex trait or caused by environmental stimuli. (S) Anyone is at risk for Lupus, but is more common among women than men and is more prevalent of African Americans and Asians. (National Library of Medicine 2010, para 2) This condition can be difficult to diagnose, as a patient must present a number of the recognizable symptoms. Depending on the location that Lupus presents itself in the body, the symptoms
: This is a 39 y/o woman who presents to the clinic to establish care. She reports a medical history of “skin lupus.” She states this was diagnosed in 9/2014 after a skin biopsy at her dermatologist office. She was started by her previous rheumatologist on 200 mg Plaquenil daily, in October 2014. However, in November 2015, she decided by herself to decrease the Plaquenil dose to 100mg daily, due to nausea. Her rash was well controlled until February this year. She reports that in February she developed a rash on her bilateral upper arms that didn’t go away for about 2 months. Her main concerns at his time are a new rash, body aches throughout the day, and fatigue “all the time.” The new rash is affecting only her lower back, developed 2 days
Signs can also come on suddenly or develop slowly. “SLE most commonly produces inflammation of the skin, joints, nervous system, kidneys, lungs, and other organs. A Charachteristic butterfly rash, or erythema, may be present on the face, spreading from cheek to cheek, across the nose, to the other cheek. SLE may begin acutely with fever, fatigue, joint pain, and malaise, or may develop slowly over a period of years, with intermittent fever, malaise, joint deformities, and weight loss.” (Drzymkowski, 2013, p. 149). Most people with lupus have mild disease characterized by episodes — called flares — when signs and symptoms get worse for a while, then improve or even disappear completely for a time. If you experience these types of symptoms, it is important to visit a doctor to seek treatment. To screen the patient for Lupus, this requires a complete medical evaluation and once diagnosed, seek a referral to a
Pericardial effusion appears as anechoic stripe that is surrounding heart (Fig.26). Smaller effusions appear as a thin stripe in the pericardial space, frequently not spreading fully around the heart and often layering out posteriorly with gravity
According to the Lupus Foundation of America (2015), the history of Lupus as an acknowledged disease can be divided into three time periods: the classical, neoclassical, and the modern periods. The Classical Period has been traced back as early as 1200 A.D and extended through the mid 1800’s. It is largely characterized by the development of physical descriptions of Lupus as it manifested in patients. In the context of the disease, the word “lupus” was first used in the thirteenth century by a doctor by the name of Rogerius as a way to describe the lesions he found on people’s skin (Lahita, 2010). “Lupus” is the latin word for wolf, as wolf bites were the best comparison to the lesions at the time.
After the joke moved on to proof, then denial, then more proof, and finally acceptance over the next two hours, Dr. Chicavonov filled me in on what I was. At least, what he thought I was, which wasn’t much of a scientific certainty, and it sure as hell didn’t put me at ease.
Acute lupus pneumonitis is a rare manifestation of lupus, with an incidence ranging between 1-12%. Patients with acute lupus pneumonitis usually present with fever, dyspnea, cough, tachypnea, and pleu¬ritic chest pain. Physical findings commonly include basal crackles, and, when severe, central cyanosis. Chest radiographs and CT scans show diffuse alveolar infiltrates with a predilection for the bases in all patients (Kamen and Strange, 2010).
“Did you see that? There has some green light from that room.” the nurse asked to the doctor.
“Your answer to my question was remarkably exquisite, it showed me you 're passionate about what you do.” He handed me the lab coat, “So, I would like to be the first to welcome you to Amelia South Hospital’s surgical team. I paged one of the best residents we have to show you around, he’s a pediatric surgeon.” Just then a charmingly pale man walked in, his hair blonde with wavy locks flowing in one fluent motion framing his gorgeous bone structure.
“Good,” he replied. Dr. Korczak looked me up and down and asked, “Is there a problem?” he asked.
I knocked on the big, brown door that had a few snowflakes on it, Doctor Korczak looked out the door. “Well hello there Uri! Why I didn’t expect you here!” He said with a chuckle.
“Did you see that? There has some green light from that room.” the nurse asked to the doctor.
“Carlos? Oh yeah, your scientist, I knew I recognised him, I 'm sorry Cecil this isn 't exactly what I wanted to give you for Christmas”
The peach-haired man watched Luca's little patient happily wander off towards his parents with his treat. In a matter of a few seconds he'd caught up fully with Luca. "Good morning, Doctor Oreshi." Noah wasn't the most sociable of people, but he tried to keep on good terms with the men he worked with. He turned his head enough so that he could look to the man he was speaking with while also keeping half an eye on the path in front of them. "One of your patients, I take it?" He gave a brief, gentle little tilt of his head back in the direction they'd come from to indicate that he was talking about the boy they'd just passed. He was quiet for a second or two, trying to bite back his own critique, but he ended up letting it free. "I can't imagine it's