I thought Journal Club could try something different for the New Year.
Everyone is invited to submit an article that you feel might be enjoyed by
the group. Articles can be scholarly or thought provoking. I only ask that
they be related to medical or nursing topics, be under four pages, and not be
from a journal that has a subscription,(these cannot be linked to the blog).
The theme of the December blog was how our group could be more
interactive. Perhaps getting to know each other by what we love to read is
another way to interrelate. Here is the January Article by Cathy Pippin.
My name is Catherine Pippin, RN, BA, CPAP, CAPA I have been employed in
the Department of Surgery for almost four years starting in PACU,
cross-training to Same Day, and now GI procedures and the clinic as part of
Dr. P. Vashi's team. I have been in nursing since 1978 working in many
different areas with Critical Care as the "core" of my experience. The variety
of opportunities in the nursing profession is what I have most enjoyed.
I have selected the 200 year timeline of medical advancements documented in
the NewEngland Journal of Medicine, nejm200.nejm.org/ . I found this to
be a fun, as well as, fascinating web site. Please select a topic or discovery
of interest from the timeline and "blog", email, or inter-office mail your
comments with the following format:
Name/department
Topic selected/why
Year of article
Brief comment regarding most interesting fact you discovered reading the article.
To "blog", sign into the blog site with your g-mail account, for those who
who choose not to blog, send to melissaluebbe@comcast.net , or
inter-office mail to, Melissa Luebbe c/o Pain Management Department.
Thanks Cathy, this was a really great article!
I chose the article titled "Insensibility during Surgical Operations Produced by Inhalation" dated Nov. 1846. I was curious. We use Propofol during our GI procedures, which is a wonderful drug for ambulatory surgery. I am certified in both ambulatory surgery and perianesthesia. The process for certification involved delving into some history of anesthesia.
ReplyDeleteThe author of this article recounts his pleasurable experiences experimenting with nitrous oxide and Egyptian "haschich" on his path to the discovery of ether. He observed and documented his experiments on both children and adults. One of the patients was a young girl having a leg amputated. This was extremely interesting to read.
Hi everyone, My name is Theresa Rodriguez. I have been at CTCA for 5.5 years. I started out inpatient, then was in radiation for 2 years, then moved to the Infusion Center. Ultimately I selected an older article--published in 1862--because after 30min of searching, I honestly cannot find where the modern articles are, on this website! In any case, my article is entitled "The Origin and Signification of the Symptoms of Brain Disease," from the late 1800s, and discusses the revolutionary idea, at the time, that the different cerebral hemispheres of the brain control opposite sides of the body. Although this article does not discuss brain cancer per se, it was only upon working in radiation that I realized how imminent it is to control the brain, when it acquires cancer (mets or primary). These are typically STAT consults in XRT, as chemo does not cross the blood-brain barrier. As Dr. Eden used to tell me: "The brain controls everything, so if we don't get it under control, it doesn't matter that we're treating cancer which is elsewhere in the body." Patients typically get M-F radiation for 2-3 weeks, if brain mets is discovered. Sx which may merit the med onc to order a STAT MRI include blurry vision or diplopia, unsteady gait, disorientation, poor word recall, loss of bowel/bladder control, seizures, etc. Patients are often placed on decadron to control swelling, while getting radiation. Following the treatment, they typically return in 8 weeks, with a repeat MRI, to ascertain effectiveness.
ReplyDeleteHello all, my name is Andrea Goodwin and I have been at CTCA for almost a year. I work in the care management department. I picked an article from March 8th, 1837 on Rhinoplastic Operation. This article appealed to me because my first thought was wow vanity started early haha. But, the article was different than I had thought. This article was interesting. They did not use anesthetic for the procedure at all. The man in this article had a broken nose and developed an ulceration that destroyed all of the tissue on his nose. The article was about how they "built" him a new nose. Without the use of anesthetic this procedure must have been very painful. I found it interesting how they used lint to hold suture lines together. They discussed how in other attempts at this surgery they use leaches to reduce the swelling. I wish the pictures would have been present. Overall reading all brief explanations of the articles thru the last 200 years was interesting and fun. Thanks for the link.
ReplyDeletePicking a favorite article was tough! The one I enjoyed most was the 2007 article about Oscar, the cat. This article confirms what we all know; animals are acutely tuned into the forces around them. I have worked with many patients in their final moments and have experienced the palpable energy that a person generates while they transition from this life. It gives me hope that life never ends, it just changes its form.
ReplyDelete"Energy cannot be created or destroyed, it can only be changed from one form to another."
-Albert Einstein
hi!
ReplyDeleteMy name is jennifer castro from sctu. The article that appealed to me was "The Intravenous Infusion of Bone Marrow in Patients Receiving Radiation and Chemotherapy" published sept. 12, 1957. The article was chosen because as a nurse that works in sctu, i got interested in the early beginnings how bone marrow was collected versus the new ways of collecting stem cells that we do in the unit. imagine, the experiments done before wherein the bone mrrow was collected from fetal and adult cadavers, from ribs removed at surgery and from aspiration biopsy of the ileum. we have come a long way since then! but the freezing of the stem cells before was stored in -80 degrees centigrade while nowadays we do cryoprecipitate the collected stem cells till patient is ready for the autotransplant. altho' our modern method for the allo transplant that we do in the unit is to collect from the donor in the morning and do the allo transplant in the evening to the recipient. i enjoyed reading the article. thank you, cathy.
Hello. My name is Tina Luckett. I have worked in the Radiation Oncology department for just over 5 years. I have always loved oncology and really enjoy radiation oncology.
ReplyDeleteI found this article that really makes sense to me. The article was “Speak Up: 8 Words & Phrases to Ban in Oncology! In Oncology Times: 25 June 2010-volume 32-Issue 12-p 20. Maybe the exact words in the article do not pertain to us but there are certain words that we use that can strike a nerve with our patients and families. I think that in our conversations with our patients we often say things to them and have very good intentions yet they hear something completely different. I think that there are some ways that we can phrase things that are more comforting for the patient and family while still conveying the truth.
After reading this article, I am going to try to think before I speak. Sounds like common sense but usually not always done. So, I am going to think if I was in the situation, what words would be more acceptable to me.