Dr. Allan Ropper and Brian Burrell take the reader behind the scenes at Harvard Medical School's neurology unit to show how a seasoned diagnostician faces down bizarre, life-altering afflictions.
Dr. Allan Ropper is own of the world’s renowned Neurologist. Throughout this memoir examines the paradoxes of how to treat the body when the mind is under attack. In exploring the dilemmas of treating patients who are not mentally competent to make decisions for themselves and surveying the best methods to teach the next generation of physicians how to handle the moral and medical aspect of brain disease, he offers a compelling insight to the individual nature of the human mind.
The book opens with Dr. ALLAN ROPPER introducing himself to DR. VANDERMEER who was brought in against his own objections after his wife. Dr. Ropper reveals that
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She was a former professional ice skater who competed in the junior Olympics before becoming a mother and was in great health until she suffered a stroke during a meeting with a chiropractic visit. Because of this, she experienced several other smaller strokes and her body had become a ticking time bomb just waiting for the big one to hit. After suffering a cerebral hemorrhage, she had to stay in the hospital for several days and take blood thinners for the rest of her life.
Dr. Ropper explains that he was able to catch and treat these conditions based on his clinical experience because “if the problem is properly framed, there are very few other things it could be.” He describes the difficulty of predicting and reading strokes and the genetic and cultural aspects that factor into having a stroke. He then compares Neurology to the absurdist story of ALICE AND WONDERLAND, because when you are patient falls down a rabbit hole, you have to do something about it. He then discusses the difficulty of being able to crack some of these cases due to the overwhelming patient
Mariam background is 60 year old lady admitted with left sided weakness and facial droop. Once confirmed stroke using the Recognition of Stroke in the Emergency Room (ROSIER) scale. Catangui (2015) states ROSIER scale is used to distinguish whether the patient is having a stroke or stroke mimics e.g. seizures or brain tumours. Computed tomography CT brain showed ischemic stroke. Ischaemic stroke is lack of sufficient blood supply to perfuse the brain/ cerebral tissue due to narrowing or blocked arteries in the brain (Morrison, 2014). According to Stroke Association (2015) statics shows that 1520000 strokes occur in the United Kingdom.
Strokes are commonly associated with old age, symptoms and awareness are often unnoticed in young adults due to ambiguity about strokes.
The health issue that this artifact discusses is the significance of knowing and recognizing the warning signs of a stroke. The American Heart Association has made it their mission to provide unlimited health information and research in the hopes of eliminating cardiovascular diseases as well as helping society in maintaining a healthy lifestyle. “Stroke is the number 5 cause of death and a leading cause of
My name is Shankar Pattabhiraman, and I am an incoming senior at New Albany High School. I will be graduating in June of 2016, and I am thinking of pursuing a chemical or biomedical engineering major in college, or possibly biochemistry or neuroscience. My career goal is to become a physician, or perhaps a physician scientist. I am especially interested in neurology-related fields, and this interest has been reinforced in several ways: participating in the 2015 National Brain Bee Championships competition in Baltimore, MD, volunteering at Riverside Methodist Hospital in the Neurocritical Care Unit and the Stroke and Brain Center, and helping Tony Hall and his friends who suffer from neurological disorders and diseases. I chose to study ischemic strokes because I am interested in neuropathology, both clinically and through research. In addition, through my volunteering at RMH, I have worked with patients who have suffered from strokes, and while the symptoms’ onset is sudden, the events leading up to the stroke are long-term but rarely treatable.
Mr. Fix-it is a 59 year old man with a history of alcohol abuse and diabetic hypertension. Mr. Fix-it has been currently experiencing symptoms such as: rambling speech, poor short-term memory, weakness on the left side of his body, neglects both visual and auditory stimuli to his left side, difficulty with rapid visual scanning, difficulty with complex visual, perceptual and constructional tasks, unable to recall nonverbal materials, and mild articulatory problems. The diagnosis for Mr. Fix-it’s problem is most likely a right-hemisphere stroke. A right-hemisphere stroke is occurs when a blood clot blocks a vessel in the brain, or when there is a torn vessel bleeding into the brain. “A right-hemisphere stroke is common in adults who have
Oliver Sacks, M.D. is a physician, a best-selling author, and a professor of neurology at the NYU School of Medicine (Oliver Sacks, 2016). Dr. Sacks is best known for his collections of neurological case histories and contributed the essay for Payne’s book. His historical narrative of a time when American institutions provided the best and the worst of care bring a new perspective to Payne’s images. Dr. Sack’s overview of the asylums of that time sums
Dr. Jill Bolte Taylor had an amazing experience that most people do not get to tell after the fact. Especially because she is a neuroanatomist who knew what was happening and what parts of the brain were being affected. This book is informational on many different levels and to many different types of people. This book can warn people about the signs of when someone is having a stroke. This information could save many lives if someone were to read this book and realize they were having a stroke soon enough to call for help. It can be helpful for the treatment of stroke victims, average people looking to gain insight on life and how to better themselves, and to many professionals who know all of the science behind a stroke, but do not know
In the novel “The Man Who Mistook His Wife for a Hat and Other Clinical Tales,” Oliver Sacks, who is a physician, presents twenty-four different short stories, which recounts the different patients he encountered while practicing. He deepens the reader's understanding by showing the relationships he developed with his patients. Dr. Sacks presents his stories in four sections: losses, excesses, transports, and the world is simple, in order to convey common themes in neurological disorder.
In her “Why Was The Patient Walking on Pins and Needles?” (2015), Lisa Sanders asserted that through many medical tests, a neurologist could not find the diagnosis for a woman’s diseased brain. Sanders supported her position by using a woman’s medical story to illustrate how complex the brain can be. Sanders’ purpose was to explain how the world is composed of undiscovered illnesses in order to catch everyone’s attention on the diseases that humans can have. Given the medical facts that was used in the article, Sanders was writing to a short sighted audience to advise them about the possible phenomenons that could happen to their body.
Dr. Lon White from the Pacific Health Research Institute and Kuakini Medical System in Honolulu, Hawaii, notes the importance of studying the brain. "We are shockingly ignorant of what's really going on in the brain. There's a lot more pathology than we
Mr. Ken Chain is a sixty-five year-old African American male that works at a plumbing company. Ken was walking with pipes on his shoulder when he fell to the ground. A former employee asked was he alright, but his speech was slurred. EMS was called to the scene to take ken to the hospital. One of the doctor’s ran tests and states “ he had a ischemic stroke”. Ischemic stroke occurs when blood vessels that supplies the brain becomes blocked or “clogged” and impairs blood flow to part of the brain.
As a medical practitioner, I was always fascinated by the complexities of the human nervous system. A few years later, during my neurology residency training, I developed special interests in the field of neurodegenerative disorders and dementias. These are largely non-curable disorders
Brain foundation 2011, A-Z of disorders, Stroke, Brain Foundation, Sydney, viewed 30 June 2011, .
A 23 year old undergrad student was referred to us at Andrews University Speech and language clinic on the 15, of September 2015, because she was having difficulty with her expressive language. English is listed on her chart as the dominant language also there’s no mention of any previous language or speech problems, even after the stroke. It seems that the cause of her stroke can possibly be her diabetes, because diabetes increase the risk of blood clots in the brain, according to WebMD. She have two high risk factors that increased her risk of the stroke, which her diabetic and her African American background.
Typically, it is thought that doctors and the rest of the staff at health care facilities are trustworthy. However, Robbie’s neurologist, Dr. Abbasac, proves this thought wrong. Robbie’s condition got worse while being under her supervision, because she kept changing the treatment and increasing the dose of the medications. Due to the doctor’s actions, Robbie’s seizures became more frequent and lasted longer. He also started getting skin rashes, and his behavior was dramatically changed.