Legend Of The Wild Mind Summary Chapter 14

I was just two weeks into my internal medicine rotation at Suez Canal University in Egypt, when I encountered a case that I still remember to this day. Ms. Rafat was an elderly diabetic patient that came into our clinic complaining of a persistent wound on the sole of her foot. Upon removing her boots, her complaint turned out to be a foot ulcer with an infection extending to the first and second metatarsal bones .Unfortunately for her, we had to break the news to her and her family that her foot would need amputation. Ms. Rafat was understandably upset but took the news in stride. Following up on her case, I learned that after the surgery, the blood flow to her leg became increasingly poor and she had to return to have a below the knee amputation. Ms. Rafat ended up dying of pulmonary embolism as a complication of her second surgery. This case stayed with me not only because it

In David Armstrong’s thought-provoking work titled, The Nature of Mind, he explains that the most convincing way to make sense of the mind-body problem is to approach it in a materialistic way. Specifically, Armstrong shows that the science of physico-chemical processes of the brain is the best way to explain the nature of our mind. He goes on to explain traditional and dispositional behaviorism, and states his own materialistic take on behaviorism. His arguments throughout his paper are very logical, and though there have been arguments against his explanations, he effectively justifies the materialistic view of the mind.

You work in a small family practice in rural Virginia, (much better than Texas!). A man in his early 50s comes in with a complaint of intermittent fever (102-103 F) and headache for the past two weeks. The physician examines him and takes a history. The only clinical finding is a wound about the size of a quarter on his right thumb. Axillary lymph nodes are swollen and tender. The man says he cut himself while skinning a rabbit three days ago. On the basis of these observations the physician prescribes streptomycin and asks the man to call if his symptoms don’t improve in three days.

Why was skin-grafting necessary in this patient? (why not just let the skin heal on its own)

The RP stated she asked a nurse regarding how the resident could have acquired gangrene in such a short time; the nurse believe it was due to the resident sitting for an extended period of time with her shoes

Acting on a hunch, he called for a second opinion who also believed it was a severe case of cellulitis, but ordered a biopsy of her leg tissue to prove Gawande’s hunch wrong. To their surprise, his past experience with a patient and seeing a flesh-eating virus up front paid off, Bratton did indeed have necrotizing facscitis and because of Gawande, her case was caught early enough that her life as well as her leg were

It was almost midnight when I got the call from Dr. Seagraves. She told me to meet her in the physicians lounge at 7 am: we had a case. The next morning began like any other in the operating room. We met with the patient, I received permission to observe and then got suited up for case. The patient was an elderly African American woman, she called me handsome and smiled comfortably. When we made it into the OR I was asked to help lift the patient from bed to table, with a subtle warning of “watch out, it’s gooey.” Dr. Seagraves parted the patient’s gown, exposing a mass of raw tissue that somewhat resembled a leg. The patient had suffered a week’s worth of necrotizing fasciitis, more commonly known as flesh eating bacteria. The wound had a certain odor, a putrid smell you do not forget. Our hearts sank in unison as we realized what we were up against. We had to act fast. Dr. Seagraves began scrubbing the wounded tissue as the Anaestesiologist monitored the patient’s progress. I had observed Dr. Seagraves on multiple occasions and never did she express concern for the outcome. For the first time in our relationship I heard her mutter, “This is not good. This is not good at all.”

Fifteen year old, Grace Casey, was misdiagnosed three times and suffered from serious blood clots in both of her legs. “Grace was a healthy, slim teenager with no health problems when she started getting pains in her legs.” says Grace’s father. She was first misdiagnosed with a urine infection, which didn’t seem right because “her legs were all swollen and purple and she could barely walk.” Grace was later misdiagnosed with a blood infection, and sent home. Her condition had further continued to deteriorate when her parents brought her back into the hospital, at this time the swelling had continued up to her waist (Sturdy, Joe).

Country singer named CarelleMowatt noticed something strange on her leg. That strange thing was a blister and she first did not think that it could be something serious so she ignored it. But as days were passing by, the blister was growing. After it burst, the country singer became more concerned because that revealed a wound underneath and she needed to visit a doctor.

On page 154, at the bottom of the second paragraph, the narrator is wrapped in Leo’s legs as she kisses his hands showing affection making sure she kissed a clear spot of skin. Suddenly, he drops his legs and the moment is over. She replies with, “’I’ll go make dinner’” (Horrocks, “Steal Small”, pg. 154). I like this part of the story and find that it drives the plot because Horrocks uses a symbol like rotting skin and uses it as a way to show the reader how broken and rotten their relationship was. Throughout the story the gangrene seems to grow as the reader learns more about Leo and his wife, the narrator, who steal dogs and sell them for their own personal gain without any care to what happens to these poor creatures. The gangrene creates a funk over the world leaving the reader feel dirty and sad because they feel as helpless as the narrator who wishes she can save the dogs and her sister, but is held back by her own

Sherman Red is an 80-year-old male who was diagnosed with diabetes six months ago and is now admitted to the local hospital for a diabetic ulcer to his right great toe. The toe is infected and the patient is diagnosed with possible sepsis. The scenario depicts a presentation of sepsis in the elderly. This shows how wound healing and care of a diabetic patient can be difficult if not followed closely. The complication that can result from a diabetic ulcer can be devastating. It is always important that a patient is in full compliance with the treatment to prevent other health problems. The infection of the wound could have been avoided if treatment was taken seriously. The nurse must conduct a head to toe assessment of the

‘Oh, my Lord!’ he thought. ‘ If only I didn’t have to follow such an exhausting profession! On the road, day in, day out. The work is so much more strenuous than it would be in head office, and then there’s the additional ordeal of traveling, worries about train connections, the irregular, bad meals, new people all the time, no continuity, no affection. Devil take it!’ He felt a light itch at the top of his belly; slid a little closer to the bedpost, so as to be able to raise his head a little more effectively; found itchy place, which was covered with a sprinkling of white dots the significance of which he was unable to interpret; assayed the place with one of his legs, but hurriedly withdrew it, because the touch caused him to shudder involuntarily.”

A few days later, Jamereo feels bad about what happened with Annabelle. Her words resonate inside his head. He keeps playing her voice over and over. He also feels horrible about Jamie; he says under his voice, “I should have killed that nigga”. He reflects about what Annabelle told him about going to Mexico. They talked about going to Cancun once. But if she goes anywhere else, he fears for her safety. He starts rocking back and forth.

Larson, Gutglass, Erickson, Bonville & Larson, S.C., Milwaukee; Michael P. Malone, Hinshaw & Culbertson, L.L.P., Milwaukee. Their claim was that the infection was told to Mrs. Mayo and her husband and that all the options were discussed and gone over properly. Their claim was that at the time they believed the only way to truly treat the infection and keep the infection from spreading was to amputate of off the limbs. That informed consent was given properly and that everything was done according to procedure. They also stated Dr. Jaffe & Dr. Gibson performed “a logical and methodical workup of their patient,” and gave Mayo adequate treatment based on the information they had at the

Manilla folder in hand, my mother and I walked into the Children's Hospital of Philadelphia exhausted. We carried that manilla folder everywhere for over a year. In it were scripts, x-rays, MRIs, and CAT scans. It was about ready to burst and so was my untreated foot. We had lost count of the doctors appointments and this place was our last hope. When the doctor finally saw us and the manilla folder, she told us that she thought it was lymphedema. Instead of relief or even fear, we were confused. In this long journey,