MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'case study'. Sat, 03 Sep 2011 02:07:49 +0100 http://www.medworm.com/index.php?rid=5125741&cid=t_93743_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Finteresting-neuro-case-requires-er-doc-to-recall-forgotten-med-school-knowledge%2F2011.08.12 Yesterday, I presented the case of a woman with double vision and ptosis and challenged you all to a game of “spot the lesion.” To be honest, I found this stuff impenetrable as a medical student and it was only by sheer force of will that I was able to commit it to memory for exactly long enough to pass a test on it before immediately purging it from my memory. I did this several times for various board exams and such, but it never really “stuck.” Hated neuro beyond words, I did. As mind-numbing as I found it all in the abstract, I get excited about these cases in application. I may not remember where exactly the internal capsule is or what it does, but when I see someone with an interesting neuro deficit due to a lesion there, all of a sudden it makes so much more ... Better Health blogs http://www.medworm.com/rss/comments.php?id=5125741 Fri, 12 Aug 2011 16:00:00 +0100 5125741 http://www.medworm.com/index.php?rid=4615100&cid=t_93743_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fcase-report-a-craniopharyngioma-in-the-prepontine-cistern%2F2011.03.20 We report a pathologically proved craniopharyngioma in the prepontine cistern. A 50-year-old woman presented with swallowing difficulty for 1 month. She underwent brain MR and CT imaging. T1-weighted, T2-weighted, and contrast-enhanced T1-weighted images showed a large peripheral enhancing cystic mass in the prepontine cistern. Inside the lesion, high signal intensity (SI) on T1 and low SI on T2-weighted imaging were noted (Fig 1). The CT scan showed features similar to those on the MR images, except for the addition of a peripheral small calcification in the cystic lesion. We could not find any connection between the mass in the prepontine cistern and the sellar or parasellar area. The mass was partially surgically removed, and histopathologic examination revealed craniopharyngioma in the... Better Health blogs http://www.medworm.com/rss/comments.php?id=4615100 Sun, 20 Mar 2011 11:00:07 +0100 4615100 http://www.medworm.com/index.php?rid=4592714&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2FUbQvO0PjsHQ%2Fessure-and-pregnancy-essure-reversal.html An Essure procedure does not have to be permanent and Essure reversal is possible. An Essure reversal patient shares her reasons for Essure removal and explains how the reversal of her Essure brought her closer to God and her Catholic faith. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=4592714 Tue, 15 Mar 2011 19:16:28 +0100 4592714 http://www.medworm.com/index.php?rid=4536532&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2FiqLhsI_ddbs%2Fessure-removal-can-essure-be-reversed.html Essure coils can be removed and Essure sterilization can be reversed. Natural pregnancy is possible after Essure reversal and Michelle's experience offers proof that all of the above are possible. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=4536532 Tue, 01 Mar 2011 19:50:00 +0100 4536532 http://www.medworm.com/index.php?rid=3962029&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2Fuc5SFCGwyM8%2Fis-it-possible-to-get-pregnant-after-a-tubal-ligation.html This article describes the experiences of two couples who sought reversal of a tubal ligation. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=3962029 Mon, 13 Sep 2010 02:27:39 +0100 3962029 http://www.medworm.com/index.php?rid=3679930&cid=t_93743_180_f&fid=38619&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FALifeCoachsBlog%2F%7E3%2FWWUOfLm2HXI%2F A Life Coaching case study that explains why you are a niche. Continue reading... (Source: Life Coach Blog: The Discomfort Zone :) Life Coach Blog: The Discomfort Zone : blogs http://www.medworm.com/rss/comments.php?id=3679930 Sun, 13 Jun 2010 21:42:48 +0100 3679930 http://www.medworm.com/index.php?rid=3545452&cid=t_93743_105_f&fid=38964&url=http%3A%2F%2Fdrwes.blogspot.com%2F2010%2F05%2Fplaying-house-md.html From one of our local affiliate cardiologists: A patient in the hospital told me he had a "drawer full of meds" at home but didn't know their names. I asked his wife to bring them in so we could look at them.She did.Good thing he didn't store the medications in the refrigerator...-Wesh/t: Dr. Micah Eimer on Facebook (used with permission)Addendum: From a follow-up e-mail:"Btw in that drawer were two scripts for dig(oxin)- he was taking both explaining the visual changes and complete heart block." Musings of a cardiologist and cardiac electrophysiologist. (Source: Dr. Wes) Dr. Wes blogs http://www.medworm.com/rss/comments.php?id=3545452 Fri, 07 May 2010 22:09:00 +0100 3545452 http://www.medworm.com/index.php?rid=3519482&cid=t_93743_105_f&fid=38964&url=http%3A%2F%2Fdrwes.blogspot.com%2F2010%2F04%2Flunatics.html keep re-discovering digoxin:William Withering ... moved in 1762 to Edinburgh, Scotland, to study medicine, and qualified MD in 1766 after submitting a thesis entitled ‘De Angina Gangraenosa’ (Malignant Putrid Sore Throat). Withering moved back to England in 1767, and established a private practice in Stafford, and also worked as a physician at the Stafford Infirmary. Unexpectedly, in 1775, he was invited to go to Birmingham to join the staff of the General Hospital there, where he was to work for the next seventeen years.During his time at Birmingham Withering published his major work on the foxglove (Digitalis) - "An account of the Foxglove and some of its Medical Uses" (Withering 1785)...... Withering was encouraged by his membership of the Lunar Society of Birmingham, which met onc... Dr. Wes blogs http://www.medworm.com/rss/comments.php?id=3519482 Thu, 29 Apr 2010 16:30:00 +0100 3519482 http://www.medworm.com/index.php?rid=3511563&cid=t_93743_105_f&fid=38964&url=http%3A%2F%2Fdrwes.blogspot.com%2F2010%2F04%2Flittle-blue-patch.html Oh. My. Goodness.-WesMusings of a cardiologist and cardiac electrophysiologist. (Source: Dr. Wes) Dr. Wes blogs http://www.medworm.com/rss/comments.php?id=3511563 Wed, 28 Apr 2010 15:36:00 +0100 3511563 http://www.medworm.com/index.php?rid=3475851&cid=t_93743_105_f&fid=38964&url=http%3A%2F%2Fdrwes.blogspot.com%2F2010%2F04%2Fsomething-new.html What is this?AP Xray ViewLateral Xray ViewTry not to look, but if you must, the answer is here.-WesMusings of a cardiologist and cardiac electrophysiologist. (Source: Dr. Wes) Dr. Wes blogs http://www.medworm.com/rss/comments.php?id=3475851 Thu, 15 Apr 2010 16:45:00 +0100 3475851 http://www.medworm.com/index.php?rid=3467792&cid=t_93743_105_f&fid=38964&url=http%3A%2F%2Fdrwes.blogspot.com%2F2010%2F04%2Fextramarital-affairs-and-heart.html As I tweeted before from the recent ACC meeting, physical exertion during extramarital affairs is over twice as strenuous on the heart for men. But what happens to women if they have an extramarital affair?Well, Mind Hacks points us to a case report of a woman who died while having an extramarital affair with her lover:The presented case is unique in that the deceased was a femaleaffected by chronic hypertensive cardiovascular disease, engaged in a long standing extramarital romantic relationship. Case reportA 46-year old woman, married and mother of two, has been meeting with her 52-years old married lover twice a month for several years. These sexual encounters were conducted in the male partner’s class B car, typically lasting less than an hour. The last tryst took place on a hot summ... Dr. Wes blogs http://www.medworm.com/rss/comments.php?id=3467792 Wed, 14 Apr 2010 03:07:00 +0100 3467792 http://www.medworm.com/index.php?rid=3435061&cid=t_93743_105_f&fid=38964&url=http%3A%2F%2Fdrwes.blogspot.com%2F2010%2F04%2Fone-heart-nailed.html ... and he lived (video) to talk about it:The man’s heart was pierced as he was nailing boards with a co-worker at a carpentry shop. The shop’s owner said the men were working together, when suddenly, they ran into each other resulting in the nail gun going off.Oops.-WesMusings of a cardiologist and cardiac electrophysiologist. (Source: Dr. Wes) Dr. Wes blogs http://www.medworm.com/rss/comments.php?id=3435061 Fri, 02 Apr 2010 16:56:00 +0100 3435061 http://www.medworm.com/index.php?rid=3403898&cid=t_93743_105_f&fid=38964&url=http%3A%2F%2Fdrwes.blogspot.com%2F2010%2F03%2Fjust-another-friday-pacemaker.html I've encountered this about eight times in my professional career and used to dread finding this. Now, providing it's not too late on Friday afternoon, I rather enjoy tackling a case like this. I know the electrophysiologists out there know what the main finding is here, but do others?-WesMusings of a cardiologist and cardiac electrophysiologist. (Source: Dr. Wes) Dr. Wes blogs http://www.medworm.com/rss/comments.php?id=3403898 Thu, 25 Mar 2010 01:38:00 +0100 3403898 http://www.medworm.com/index.php?rid=3382854&cid=t_93743_105_f&fid=38964&url=http%3A%2F%2Fdrwes.blogspot.com%2F2010%2F03%2Fcase-of-appropriate-inappropriate-shock.html He was 60 year old man who underwent implantation of an implantable cardiac defibrillator (ICD) implant approximately 3 years prior who was returning to the clinic for routine follow-up. He felt well and had no other complaints.He was connected to the EKG and the programmer's wand placed over the device. I interrogated his device and when the initial screen appeared, there it was: a single shock from his device, received two weeks ago."Mr. Smith, are you aware that you had an ICD shock about two weeks ago?""Yeah.""Why didn't you call us?""I don't know.""Did it bother you?""Not really.""Why not?"There was a pause. I looked up from the programmer and took a quick look at him. He was looking away. Instantly, I realized the answer."Never mind," I answered. "Here, I'll just change the VT detect... Dr. Wes blogs http://www.medworm.com/rss/comments.php?id=3382854 Thu, 18 Mar 2010 16:51:00 +0100 3382854 http://www.medworm.com/index.php?rid=3346478&cid=t_93743_105_f&fid=38964&url=http%3A%2F%2Fdrwes.blogspot.com%2F2010%2F03%2Fhistory-of-defibrillation.html .. told in the New York Times:While the surgeon massaged the man’s heart manually, the article said, “a makeshift ‘defibrillator’ was rigged to administer instantaneous electric shock treatment.” The article described a process that was shocking in more ways than one. When the man’s heart went into ventricular fibrillation — an event that means death in less than five minutes — operating room workers hooked two copper electrodes to an examining lamp that happened to be in the room, touched the other ends to the man’s heart, and shocked it into normal rhythm.The “Philadelphia specialist” who dared to attach the wires “requested that his name be withheld from publication,” no doubt with good reason. But whoever he was, he was probably up to date on the latest in def... Dr. Wes blogs http://www.medworm.com/rss/comments.php?id=3346478 Tue, 09 Mar 2010 01:53:00 +0100 3346478 http://www.medworm.com/index.php?rid=3251433&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F_Ca0J5LGvcI%2Ftubes-untied-tube-reversal-patient-from-dominican-republic.html Shalena is a labor and delivery nurse who had a tubal ligation while suffering from postpartum depression. She is a good friend of Dr. Monteith and she travels from the Dominican Republic to reverse the permanent decision she made after the birth of her last child. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=3251433 Mon, 08 Feb 2010 15:28:06 +0100 3251433 http://www.medworm.com/index.php?rid=3089320&cid=t_93743_105_f&fid=38964&url=http%3A%2F%2Fdrwes.blogspot.com%2F2009%2F12%2Flive-on-tv-implantable-cardiac.html As implantable cardiac defibrillators (ICDs) are increasingly ubiquitous in society, it is not suprizing that their effects might be caught on television. We've already seen the remarkable benefit of an ICD correcting ventricular fibrillation in the professional Belgian soccer player, Anthony Van Loo, but when it happens to a conscious scientist at the 2009 Coppenhagen Climate Summit, it certainly turns heads:Danish physicist Henrik Svensmark was attending the Coppenhagen Climate Summit '09 and had three repetitive ICD firings recorded on live television. Reportedly he was rushed to a hospital and his condition stabilized.Implantable cardiac defibrillators fire when the ventricular heart rates exceed a pre-determined heart rate that is sustained for a predetermined number of heart beats. I... Dr. Wes blogs http://www.medworm.com/rss/comments.php?id=3089320 Mon, 14 Dec 2009 22:25:00 +0100 3089320 http://www.medworm.com/index.php?rid=3044778&cid=t_93743_105_f&fid=38964&url=http%3A%2F%2Fdrwes.blogspot.com%2F2009%2F11%2Fekg-du-jour-19-case-of-obtundation.html A 60 year-old man was found obtunded, unable to ambulate or communicate at home by a house cleaning service. He was brought to the emergency room and found to by hypotensive, bradycardic and was intubated emergently due to poor ventillatory effort. His initial potassium was found to be 7.6 meq/L and a slow junctional escape rhythm of 40 b/min. He was administered calcium, insulin and glucose, and the EKG, shown below, improved a bit. Click image to enlargeAn astute observer glanced at the EKG and posed an important question to the ER staff.What was the question?-WesAddendum 18:45 CST - The EKG image was updated to permit better enlarged viewing.Musings of a cardiologist and cardiac electrophysiologist. (Source: Dr. Wes) Dr. Wes blogs http://www.medworm.com/rss/comments.php?id=3044778 Mon, 30 Nov 2009 17:49:00 +0100 3044778 http://www.medworm.com/index.php?rid=2989176&cid=t_93743_105_f&fid=38964&url=http%3A%2F%2Fdrwes.blogspot.com%2F2009%2F11%2Fhow-to-find-arrhythmia-patients-room.html When it's 1:00 AM and you're not sure where the patient with incessant ventricular tachycardia is located in the ICU, just turn to the telemetry strips:Click image to enlarge-WesMusings of a cardiologist and cardiac electrophysiologist. (Source: Dr. Wes) Dr. Wes blogs http://www.medworm.com/rss/comments.php?id=2989176 Fri, 13 Nov 2009 02:51:00 +0100 2989176 http://www.medworm.com/index.php?rid=2967315&cid=t_93743_105_f&fid=38964&url=http%3A%2F%2Fdrwes.blogspot.com%2F2009%2F11%2Fcardiology-fellow-saves-life-on-subway.html Dr. Sonia Tolani, 32, a first-year cardiology fellow at NewYork-Presbyterian/Columbia, notches her belt with another save after 20 minutes of CPR on the subway..."Stayin alive, stayin' alive, ah ah ah ah..."Nice work!-WesMusings of a cardiologist and cardiac electrophysiologist. (Source: Dr. Wes) Dr. Wes blogs http://www.medworm.com/rss/comments.php?id=2967315 Fri, 06 Nov 2009 02:02:00 +0100 2967315 http://www.medworm.com/index.php?rid=2916141&cid=t_93743_105_f&fid=38964&url=http%3A%2F%2Fdrwes.blogspot.com%2F2009%2F10%2Fcsi-chicago-murder-victims-identified.html In a sad case here in Chicago, it is interesting to note that a person's pacemaker can help identify them if no other means of identification exists following a homicide:Ruby and Milton McClendon's bodies were discovered about 12:30 p.m. Monday in the Wentworth Woods of the Cook County Forest Preserve off Campbell Road between Pulaski and Michigan City Roads. An autopsy performed Tuesday determined that Milton McClendon died from a gunshot wound to the head and Ruby McClendon died from multiple gunshot wounds. Milton McClendon, who was identified through his heart pacemaker, was 78, and his wife was 76, records show.This is not the first time pacemakers have been used to determine critical identifying information or details (subscription) about the time of death. All patients implanted wit... Dr. Wes blogs http://www.medworm.com/rss/comments.php?id=2916141 Wed, 21 Oct 2009 18:17:00 +0100 2916141 http://www.medworm.com/index.php?rid=2879849&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2FLyjCUg4PVxg%2Ffirst-successful-reversal-of-adiana-sterilization.html The first successful reversal of tubal sterilization by the Adiana method was reported today by Dr. Gary Berger, Medical Director of Chapel Hill Tubal Reversal Center. The Adiana sterilization method uses radio frequency energy to cause tubal blockage and was approved for use in the US in July 2009. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2879849 Fri, 09 Oct 2009 20:59:49 +0100 2879849 http://www.medworm.com/index.php?rid=2871711&cid=t_93743_105_f&fid=38964&url=http%3A%2F%2Fdrwes.blogspot.com%2F2009%2F10%2Fnow-thats-determination.html ... when you have to reach for a urinary catheter to finish a marathon:Since he started running at age 50, the 81-year-old Johncock has done more than 400 races, ranging from 5K to 50K, including more than 100 marathons. He said he's never dropped out of a race. "I wanted to finish. I didn't want to go to the hospital." But he knew he couldn't get to the finish without relieving himself. "My bladder would've have burst or something," he said. Then a spectator who overheard the conversation said he had a spare catheter in his car. "I said, 'Oh, you saved my life. And you saved my marathon.'" Johncock was able to insert it himself.'nuf said.-WesMusings of a cardiologist and cardiac electrophysiologist. (Source: Dr. Wes) Dr. Wes blogs http://www.medworm.com/rss/comments.php?id=2871711 Wed, 07 Oct 2009 20:37:00 +0100 2871711 http://www.medworm.com/index.php?rid=2862511&cid=t_93743_105_f&fid=38964&url=http%3A%2F%2Fdrwes.blogspot.com%2F2009%2F10%2Fanother-way-defibrillators-prevent.html It seems they can stop bullets:A 61-year-old male presented to the emergency room with a gunshot wound to the upper left chest. He had a history of myocardial infarction, two coronary bypass graft surgeries, and intracoronary stents. The patient had chronic ischemic cardiomyopathy with a left ventricular ejection fraction of 24%. He received a Medtronic Virtuoso-DR D154AWG (Minneapolis, MN) transvenous implantable cardioverter-defibrillator (ICD) in 2007 for primary prophylaxis. Since implantation, he had never received ICD therapy but did atrial pace frequently. The ICD had been interrogated 2 weeks prior and was found to function normally. Despite the gunshot wound with an entry to the chest located just medial to the ICD generator, the patient remained alert with stable vital signs and ... Dr. Wes blogs http://www.medworm.com/rss/comments.php?id=2862511 Mon, 05 Oct 2009 13:52:00 +0100 2862511 http://www.medworm.com/index.php?rid=2678683&cid=t_93743_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F08%2F07%2Fdsm-v-update-and-transparency%2F Discussion: Is the Risk Syndrome for Psychosis Risky Business?”, this describes in detail the proposal for a new disorder called “Risk Syndrome for Psychosis.” You can access the proposed criteria for the disorder, including the text discussing characteristics, associated features, differential diagnosis, etc…. So far, there are 23 comments posted, constituting a rigorous debate about the pros and cons of the proposal. Whether or not 23 comments constitutes a “rigorous debate” anywhere, I’d point out of the seven work group members featured at the top of this article, only two of them bothered to engage in this live discussion. What’s that say about their interests in engaging in actual, legitimate scholarly discussion? (On a side note, if y... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2678683 Fri, 07 Aug 2009 12:42:50 +0100 2678683 http://www.medworm.com/index.php?rid=2602261&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2FrX7lcSDmJ8o%2Ftubal-ligation-reversal-at-age-47-pat.html Pat is a 47 year-old breast cancer survivor who has defied the odds and now travels to Chapel Hill Tubal Reversal Center to pursue her dreams of having a tubal reversal and giving herself the possibility of conceiving again. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2602261 Tue, 14 Jul 2009 13:54:02 +0100 2602261 http://www.medworm.com/index.php?rid=2588478&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2FUAl5lgmW1yg%2Ftubal-reversal-journey-dr-berger-3.html "I don't know what the future will bring, and I know that there are no guarantees in this life, but I still have a chance that I did not have only a little over a month ago. My life has been impacted immensely by everyone at Chapel Hill Tubal Reversal Center." Lisa R. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2588478 Thu, 09 Jul 2009 20:42:21 +0100 2588478 http://www.medworm.com/index.php?rid=2573128&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F4PbKVei1W1o%2Ftubal-reversal-journey-dr-berger-2.html In Part 2 of My Journey to Tubal Reversal With Dr. Berger, posted on the Tubal Reversal Blog, Lisa R. writes, "On the day of my consult at Chapel Hill Tubal Reversal Center, I felt like I was in a whole new world. I have NEVER in my life felt so important or so special. When I met with Dr. Berger that day, I just knew I was in the best hands possible." (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2573128 Sun, 05 Jul 2009 22:32:23 +0100 2573128 http://www.medworm.com/index.php?rid=2571308&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F4Ik9sgP9lY8%2Fmy-journey-to-tubal-reversal-with-dr-berger.html "My journey to Dr. Berger began on May 29, 2007, the day my youngest son, was born. I knew in my heart I did not want my tubes tied, but because of 2 very life threatening pregnancies, we decided it would be best to have a tubal ligation. But then life became all too real to me on July 30, 2007 when I lost my youngest son, only 2 months and 1 day after he was born." Lisa R. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2571308 Fri, 03 Jul 2009 23:22:18 +0100 2571308 http://www.medworm.com/index.php?rid=2270268&cid=t_93743_87_f&fid=36941&url=http%3A%2F%2Fwww.mazecordblood.com%2Fblog%2F%3Fp%3D97 M.A.Z.E. cord blood bank recently posted an interesting case study on a patient whose parents banked his cord blood with M.A.Z.E.  The baby was born with cerebral palsy and his cord blood was used as treatment. Read the cord blood case study. (Source: Cord Blood News) Cord Blood News blogs http://www.medworm.com/rss/comments.php?id=2270268 Sun, 15 Mar 2009 23:09:49 +0100 2270268 http://www.medworm.com/index.php?rid=2513515&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F6V8_0gUpdPk%2Fsusan-international-tubal-ligation-reversal.html We describe Susan's past, the critical nature of her tubal reversal surgery, and the successful salvage of her only ovary. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2513515 Thu, 15 Jan 2009 14:13:25 +0100 2513515 http://www.medworm.com/index.php?rid=2513519&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2Fb9irqBtSXoo%2Ftube-blocked-tubes.html Dorinda, a 27 year-old tubal reversal patient from Rock Hill S.C., was able to afford reversal of tubal ligation because of the generosity of her dying father. This blog describes the concerns of the Tubal Ligation Reversal Doctors at Chapel Hill Tubal Reversal Center as they review her operative report and have fears about Dorinda having unrepairable fallopian tubes. Putting her trust in God's hands, Dorinda's blocked tubes were able to be repaired successfully. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2513519 Mon, 22 Dec 2008 22:27:40 +0100 2513519 http://www.medworm.com/index.php?rid=2034531&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F483093273%2Ftubal-ligation-reversal-at-46-patricias-story-part-3.html Patricia, a 46 year old tubal reversal patient of Chapel Hill Tubal Reversal Center, has her tubal reversal surgery a day after her television appearance on the QVC Channel. Patricia did extremely well with her television appearance and her reversal surgery. Her tubes were very healthy and her ovaries yielded an unexpected but pleasant surprise! (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2034531 Fri, 12 Dec 2008 22:53:07 +0100 2034531 http://www.medworm.com/index.php?rid=2029473&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F479493291%2Ftubal-ligation-reversal-at-46-2.html Patricia explains her the reason for her tubal ligation and the reasons she now seeks tubal ligation reversal. Patricia offers a detailed explanation of her desires and reasons for seeking a tubal ligation reversal at the age of 46. Her story is both motivational and inspirational to other women who want to add a baby to the lives of their families. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2029473 Tue, 09 Dec 2008 12:51:41 +0100 2029473 http://www.medworm.com/index.php?rid=2513523&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2FmTgncFm8RFQ%2Fage-46-patricias-story.html Patricia is a 46 year-old entrepreneurial mother of three who traveled to Chapel Hill Tubal Reversal Center for her tubal ligation reversal. Patricia describes her reasons for tubal ligation, her remarriage, and her desire to have more children after tubal ligation. She explains the hesitancy she felt about becoming an 'older' parent and her decision to have reversal surgery. She also inspires readers by having had an original idea to improve the lives of others, resulting in the development and marketing of a new sports product called the Yackle Ball. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2513523 Fri, 05 Dec 2008 16:28:17 +0100 2513523 http://www.medworm.com/index.php?rid=1999836&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F469565185%2Funethical-tubal-ligation.html Catrina had a tubal ligation during a C-section delivery without her knowledge or consent. She tells readers how she came to find out her tubes had been tied and how tubal reversal at Chapel Hill Tubal Reversal Center gave her back her life and control over previous decisions her ex-husband had made for her. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=1999836 Sun, 30 Nov 2008 22:32:15 +0100 1999836 http://www.medworm.com/index.php?rid=1931393&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F441510714%2Ftubal-reanastomosis-international-patient-care.html Paula and Raymond O. are international patients who traveled from Ireland to Chapel Hill Tubal Reversal Center to have tubal reanastomosis performed by Dr. Berger. After doing extensive research about their treatment options, they decided to have tubal reversal surgery and travel to the United States to have tubal reanastomosis performed by the best tubal reversal doctor. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=1931393 Tue, 04 Nov 2008 00:07:16 +0100 1931393 http://www.medworm.com/index.php?rid=1922058&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F437432280%2Freversing-tubal-ligation-and-finding-ovarian-endometriosis.html The tubal reversal doctors of Chapel Hill Tubal Reversal Center describe reversing tubal ligation even when unexpected endometriosis is discovered during tubal reversal surgery. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=1922058 Thu, 30 Oct 2008 23:06:07 +0100 1922058 http://www.medworm.com/index.php?rid=1912444&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F433556263%2Fmeet-katharine.html Katharine relates her experience with worsening mood and physical symptoms after her tubal ligation and she explains her decision to travel to Chapel Hill Tubal Reversal Center to undergo a tubal ligation reversal. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=1912444 Mon, 27 Oct 2008 14:31:55 +0100 1912444 http://www.medworm.com/index.php?rid=2513531&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2FtiyNdeMbe18%2Fmeet-praybelieving.html Praybelieving describes her worsening physical and mental symptoms after a tubal ligation. She has many of the symptoms of Post Tubal Ligation Syndrome and she decided to pursue ligation reversal surgery to allow her to become pregnant and to alleviate her worsening menstral symptoms. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2513531 Thu, 23 Oct 2008 12:19:39 +0100 2513531 http://www.medworm.com/index.php?rid=2513532&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2FqBKdYaOikBQ%2Frebecca-after-tubal-ligation-reversal.html Rebecca, a tubal reversal patient of Chapel Hill Tubal Reversal Center, provides a brief update on the improvement in her post tubal ligation menstrual symptoms since undergoing tubal ligation reversal. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2513532 Mon, 20 Oct 2008 12:29:11 +0100 2513532 http://www.medworm.com/index.php?rid=2615319&cid=t_93743_83_f&fid=38213&url=http%3A%2F%2Fthebridge.medbrains.net%2F2008%2F10%2F18%2Fknee-case-question%2F This 55 y/o female had debilitating pain as a result of medial compartment osteoarthritis of the right knee. In December, 2007, she underwent tricompartmental, cemented total knee replacement with a lateral release.Her postoperative course was uneventful. Four weeks following surgery she began to complain of anterior knee pain located just proximal to the patella in the quadriceps tendon. She was begun on a course of physical therapy with quadriceps strengthening and stretching, ultrasound and hot/cold therapy. Physical Exam The patient was lying supine in no distress. The midline incision was well-healed. She had no observable swelling about the knee. The knee joint was minimally warm. There was no palpable knee effusion. The knee actively flexed from full extension to 124 degrees. The wa... Bridge on Orthopaedics blogs http://www.medworm.com/rss/comments.php?id=2615319 Sat, 18 Oct 2008 23:28:21 +0100 2615319 http://www.medworm.com/index.php?rid=2019626&cid=t_93743_83_f&fid=38213&url=http%3A%2F%2Fthebridge.medbrains.net%2F2008%2F10%2F18%2Fknee-case-question%2F This 55 y/o female had debilitating pain as a result of medial compartment osteoarthritis of the right knee. In December, 2007, she underwent tricompartmental, cemented total knee replacement with a lateral release.Her postoperative course was uneventful. Four weeks following surgery she began to complain of anterior knee pain located just proximal to the patella in the quadriceps tendon. She was begun on a course of physical therapy with quadriceps strengthening and stretching, ultrasound and hot/cold therapy. Physical Exam The patient was lying supine in no distress. The midline incision was well-healed. She had no observable swelling about the knee. The knee joint was minimally warm. There was no palpable knee effusion. The knee actively flexed from full extension to 124 degrees. The wa... Bridge on Orthopaedics blogs http://www.medworm.com/rss/comments.php?id=2019626 Sat, 18 Oct 2008 23:28:21 +0100 2019626 http://www.medworm.com/index.php?rid=2513534&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2FjgAwZcJQDW0%2Fandrea-after-tubal-ligation-reversal-surgery.html A Chapel Hill Tubal Reversal Center patient, Andrea, describes improvements in her menstral, physical, and mental symptoms after tubal ligation reversal. She also reports a healthy pregnancy within two months of tubal ligation reversal! (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2513534 Mon, 13 Oct 2008 17:02:42 +0100 2513534 http://www.medworm.com/index.php?rid=2513535&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2Fa5KlnVl_Mxc%2Fmeet-andrea.html Andrea, a 31 year-old married, mother of four from Coeur d’ Alene, Idaho describes her symptoms of Post Tubal Ligation Syndrome (PTLS), decision to have tubal ligation reversal and her disagreement with her insurance company on the Tubal Reversal Blog. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2513535 Thu, 09 Oct 2008 19:09:49 +0100 2513535 http://www.medworm.com/index.php?rid=2513537&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2FqNVwHruS4Pk%2Fmeet-momzilla.html Momzilla describes her worsening menstral, physical, and mental symptoms after her tubal ligation. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2513537 Thu, 02 Oct 2008 18:51:53 +0100 2513537 http://www.medworm.com/index.php?rid=1845867&cid=t_93743_165_f&fid=37959&url=http%3A%2F%2Fhealthskills.wordpress.com%2F2008%2F10%2F02%2Fcase-formulation-a-simplified-example-continues%2F My final post on case formulation illustrates the slightly simplified case study that I presented here. I will be simplifying his presentation again today, to make sure this post isn’t too enormous! Firstly, we identify the relatively stable phenomena: Pain-related anxiety and avoidance Work disability Depression Pain behaviours Selected biophysical contributing factors: Initial scaphoid fracture Complex regional pain syndrome type i Reduced range of movement and strength Central sensitisation Selected psychological contributing factors: Unhelpful beliefs about pain and activity Negative reinforcement from avoiding movements anticipated to be painful Catastrophising Nonadherence to treatment recommendations Anxiety/stress about financial situation and employment Selected socia... HealthSkills Weblog blogs http://www.medworm.com/rss/comments.php?id=1845867 Thu, 02 Oct 2008 07:02:18 +0100 1845867 http://www.medworm.com/index.php?rid=1841978&cid=t_93743_165_f&fid=37959&url=http%3A%2F%2Fhealthskills.wordpress.com%2F2008%2F10%2F01%2Fcase-formulation-a-simplified-example%2F Over the past few days I’ve been posting about case formulation. While I’ve presented the abductive theory of method (ATOM) which is a process of inferring from phenomena to underlying causal mechanisms, it’s not the only way to develop a formulation.  I posted on some of the other ways formulations can be developed, and today I’m going to describe a simplified formulation to show how it can work in practice. Don’t forget that when I write about patients I make sure details that can identify the individual are changed - or I describe a composite of several patients. Robert is a 39 year old previously self-employed electrician who sustained a fracture of a his nondominant hand when he fell from a ladder two years ago.  This fracture developed into a complex r... HealthSkills Weblog blogs http://www.medworm.com/rss/comments.php?id=1841978 Wed, 01 Oct 2008 07:43:29 +0100 1841978 http://www.medworm.com/index.php?rid=1782620&cid=t_93743_111_f&fid=34834&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FMentalNurse%2F%7E3%2F387821772%2F A slightly simpler vignette, but one that happens quite often where I work… You are a staff nurse on a locked ward. After supper, Bill the patient comes up to you, appearing agitated. He says he’s feeling stressed (or words to that effect) and needs a cigarette or he’s going to ‘kick off’. Your hospital has a policy of only allowing patients outside once an hour (escorted by staff) for cigarettes and smoke time is 40 minutes away. You have an audience of other patients all watching to see what you do and the ward is short staffed as usual. So what do you do?   (Source: Mental Nurse) Mental Nurse blogs http://www.medworm.com/rss/comments.php?id=1782620 Tue, 09 Sep 2008 16:53:58 +0100 1782620 http://www.medworm.com/index.php?rid=1750080&cid=t_93743_111_f&fid=34834&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FMentalNurse%2F%7E3%2F380121349%2F Mental health care most often becomes ethically clouded when it interacts with the law. Jodie is a 19 year old female who is voluntarily admitted to the acute mental health unit following a suicide attempt whilst under the influence of alcohol. This is her first presentation to the service and you spend some time to get to know her the following day. During the course of conversation Jodie tells you what caused her to act as she did. “I was out with a group of my friends and I saw an old college professor who sexually assaulted me 2 years ago. I never reported it cos I thought nothing would be done and I’ve never told anyone else about it. I got really drunk and it played over in my head. I wanted to tell my friends but I couldn’t.” “I didn’t realise it... Mental Nurse blogs http://www.medworm.com/rss/comments.php?id=1750080 Mon, 01 Sep 2008 08:53:48 +0100 1750080 http://www.medworm.com/index.php?rid=2513548&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2FvGnlQnRvkgg%2F%25e2%2580%2598untying%25e2%2580%2599-tied-tubes-a-successful-story-of-tubal-ligation-reversal.html Our first patient of the day came to us from New Jersey. Her last child was born 10 years ago and she had a tubal ligation five years after the birth of her last child. She eventually met a new partner who did not have any children. Together they wanted to have a child. Our patient [...] (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2513548 Fri, 08 Aug 2008 15:22:32 +0100 2513548 http://www.medworm.com/index.php?rid=2513552&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F0u7CIscDfy4%2Fethics-of-tubal-ligation-part-2.html This case report is about a 26 year old woman with no children who had a tubal ligation at age 22. She changed her mind about wanting to have children and came to Chapel Hill Tubal Reversal Center to have her tubes untied. But her tubal ligation was with such a destructive method that tubal reversal was not possible. The question is raised, since there are tubal ligation methods that can be reversed, is it ethical for a doctor to destroy the tubes in a young woman with no children? (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2513552 Fri, 11 Jul 2008 23:30:35 +0100 2513552 http://www.medworm.com/index.php?rid=1909172&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F333104754%2Fethics-of-tubal-ligation-part-2.html This case report is about a 26 year old woman with no children who had a tubal ligation at age 22. She changed her mind about wanting to have children and came to Chapel Hill Tubal Reversal Center to have her tubes untied. But her tubal ligation was with such a destructive method that tubal reversal was not possible. The question is raised, since there are tubal ligation methods that can be reversed, is it ethical for a doctor to destroy the tubes in a young woman with no children? (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=1909172 Fri, 11 Jul 2008 23:30:35 +0100 1909172 http://www.medworm.com/index.php?rid=2513553&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2FszjgPneSpnI%2Funexpected-finding-during-tubal-ligation-reversal.html This case report is about an IVF nurse who was familiar the pros and cons of tubal ligation reversal vs IVF. She and her husband decided ligation reversal was a more appropriate path for them. She was a knowledgeable medical professional. She understood what it meant to have a tubal ligation. Many patients of all walks of life will have changes of heart as their lives change. Even medical professionals will make health care decisions for themselves that later may turn out to not be right for them. In her case, the surgical techniques of tubal anastomosis and microsurgical salpingostomy were used to repair the fallopian tubes. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2513553 Fri, 11 Jul 2008 00:07:15 +0100 2513553 http://www.medworm.com/index.php?rid=2513556&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2FC0Dgayhq1sI%2Fhope-tubal-reversal.html Dr. Gary Berger and his team at Chapel Hill Tubal Reversal Center give hope to hundreds of women each year looking to have another baby. Patients come to Chapel Hill from across the United States and abroad to have him perform the one-hour, outpatient microsurgical procedure he developed an refined. With the most experience in tubal reversal surgery, Dr. Gary Berger has successfully repaired the fallopian tubes in 98 percent of the women who have had a tubal ligation and want to get pregnant. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2513556 Wed, 25 Jun 2008 23:00:04 +0100 2513556 http://www.medworm.com/index.php?rid=2513557&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2Fly9FICjyFvs%2Fchapel-hill-tubal-reversal-center-meets-momzilla.html Momzilla is the public display name of a member of the Tubal Reversal Message Board. She came to Chapel Hill Tubal Reversal Center seeking relief of symptoms that developed after she had undergone a tubal ligation. She is one of many women who report the onset of many symptoms they associate with tubal sterilization that have been described as Post Tubal Ligation Syndrome (PTLS). She is reporting daily about her experiences related to tubal ligation and tubal reversal to other interested women on the Tubal Reversal Message Board. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2513557 Tue, 24 Jun 2008 11:03:44 +0100 2513557 http://www.medworm.com/index.php?rid=2513559&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2FdjINHEE4boU%2Ftubal-ligation-reversal-patient-story.html This is one of the case histories of tubal reversal patients at Chapel Hill Tubal Reversal Center. She is a 33 year old mother of three from West Virginia. Women travel from all over the US and the world to have their tubal ligation reversal performed at Chapel Hill Tubal Reversal Center. It is the only medical facility that exists specifically and exclusively for tubal ligation reversal surgery. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2513559 Tue, 17 Jun 2008 23:04:10 +0100 2513559 http://www.medworm.com/index.php?rid=2513568&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2FPqmLUSjyJDE%2Ftubal-reversal-possible.html Dr. Monteith’s Diary – May 22, 2008 One of our 4 tubal reversal patients today had the following story. She was from North Carolina and had three older children. She had her tubes tied several years ago. As time passed, she changed her mind and desired more children. She wanted a tubal ligation reversal and after searching [...] (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2513568 Thu, 22 May 2008 23:50:59 +0100 2513568 http://www.medworm.com/index.php?rid=1239241&cid=t_93743_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2008%2F02%2F18%2Fpsychotherapy-and-the-divide-between-practice-and-research%2F If you’re a therapist, you can get frustrated by the lack of research into easy-to-use techniques that can be readily integrated into your existing set of techniques. Most research into psychotherapy requires use of a specific “program” or manual of instructions or exercises that most therapists, in the real world, have trouble sticking to. Because if you’re been practicing for 5, 10 or 20 years, you’re not likely to throw out everything you’re currently doing just because some new research suggests a different technique might be more effective. Researchers, on the other hand, have a hard time understanding what it’s like to be a clinician. Most researchers work within a very small niche or section of psychology, studying just one well-defined asp... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1239241 Mon, 18 Feb 2008 13:48:38 +0100 1239241 http://www.medworm.com/index.php?rid=1909219&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F286469510%2Ftubal-ligation-informed-consent.html I received an email message today from a patient that prompted me to write about informed consent for tubal ligation. (See my previous blog about informed consent for tubal reversal.) Here is the message that was sent to me. Hello, Dr. Berger, You performed tubal reversal surgery on me on 10/29/07, and I just found out [...] (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=1909219 Tue, 15 Jan 2008 19:37:16 +0100 1909219 http://www.medworm.com/index.php?rid=1909223&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F286469519%2Fectopic-pregnancy-tubal-rupture.html I recently received an email from a patient who had an ectopic pregnancy subsequent to her tubal reversal. Unfortunately, the pregnancy continued to the point of tubal rupture with the loss of the fallopian tube. Patient’s History I was hoping you could help me understand why my ectopic pregnancy was not detected early enough to prevent the [...] (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=1909223 Sun, 06 Jan 2008 15:00:49 +0100 1909223 http://www.medworm.com/index.php?rid=1909226&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F286469524%2Fabuse-remarriage.html Patient’s History Ana G. was one of the 4 patients I operated on today at Chapel Hill Tubal Reversal Center. She is a 28 year old woman from Angola, the mother of 3 children - ages 9, 8, and 6. She married when she was 15 and was in an abusive marriage. To keep from [...] (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=1909226 Mon, 31 Dec 2007 21:56:13 +0100 1909226 http://www.medworm.com/index.php?rid=1909228&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F286469526%2Ftubal-ligation-ethics.html Doctors who perform tubal ligations should consider the possibility that the patient might in the future change her mind. It is best to perform a type of tubal ligation that can be reversed at a later time, should the need arise. The best choice of a tubal ligation requested by a young woman with no children is the clip method (either Hulka clip or Filshie clip). (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=1909228 Thu, 27 Dec 2007 02:03:40 +0100 1909228 http://www.medworm.com/index.php?rid=1909229&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F286469527%2Ftubouterine-anastomosis.html Tubal Anastomosis at the Uterine Cornua Tubouterine anastomosis is a tubal reversal procedure that is intermediate between tubotubal anastomosis and tubouterine implantation. It is also called cornual anastomosis because the tube is joined to the cornual area of the uterus with this operation. The cornu is the area where the fallopian tube normally [...] (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=1909229 Sat, 22 Dec 2007 19:18:29 +0100 1909229 http://www.medworm.com/index.php?rid=1186496&cid=t_93743_165_f&fid=36770&url=http%3A%2F%2Fmetaot.com%2Fblogs%2F%255Buser%255D-7 Allex is a 54 year old man who is currently 7 in full time employment as an IT trouble shooter. He previously participated in golf, cycling and long distances running as leisure activities and enjoyed keeping fit and active.In 2003 Allex was involved in a road traffic accident when he was knocked of his bicycle by a lorry. He incurred an injury to the cervical spine. Initially he received treatment of medications and outpatient physiotherapy; however, there was no significant relief of his pain and weakness, and in 2005 Allex received a cervical fusion at one level. Despite some improvement in strength, Allex has continued to report neck and upper back pain, headaches and decreased function. He has been referred again for outpatient rehabilitation with a diagnosis of chronic back pain. Upo... meta-ot blogs blogs http://www.medworm.com/rss/comments.php?id=1186496 Sat, 08 Dec 2007 20:03:17 +0100 1186496 http://www.medworm.com/index.php?rid=1070229&cid=t_93743_109_f&fid=34875&url=http%3A%2F%2Fballoonballoon.blogspot.com%2F2007%2F12%2F17.html Yes, I hid them in a good place. (Source: American Center for Surreal and Paranoid Life) American Center for Surreal and Paranoid Life blogs http://www.medworm.com/rss/comments.php?id=1070229 Tue, 04 Dec 2007 16:51:00 +0100 1070229 http://www.medworm.com/index.php?rid=1909246&cid=t_93743_177_f&fid=38133&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F286469549%2Fessure-tubal-reversal.html What is Essure? Essure is a permanent birth control device that has recently become available as an alternative to traditional tubal ligation methods. The spring-like device is inserted through the uterine cavity into the tubal openings using a hysteroscope. This can be done as an in-office procedure. The device expands to fill the tubal opening [...] (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=1909246 Thu, 29 Nov 2007 23:37:10 +0100 1909246 http://www.medworm.com/index.php?rid=1051240&cid=t_93743_109_f&fid=34875&url=http%3A%2F%2Fballoonballoon.blogspot.com%2F2007%2F11%2F13.html My novel was born out of the idea not to intellectualize. I couldn't say anything (more), there were no words to say -- so my novel was born out of an action really, an action of feeling -- a welled-up feeling that couldn't be expressed in words at first, but only in a rush of feeling emanating from my body, and then using language only as a secondary means of knowing a little bit (or even an inkling) of what my welled-up feeling was all about. (Source: American Center for Surreal and Paranoid Life) American Center for Surreal and Paranoid Life blogs http://www.medworm.com/rss/comments.php?id=1051240 Mon, 26 Nov 2007 16:33:00 +0100 1051240 http://www.medworm.com/index.php?rid=1048997&cid=t_93743_109_f&fid=34875&url=http%3A%2F%2Fballoonballoon.blogspot.com%2F2007%2F11%2F12.html I saved a kitten today from a small but deep and narrow fountain. The kitten was submerged underwater when I noticed her. She was swimming upwards to the surface, when I put my hands into the fountain water and grabbed hold of her and took her out of the water. (Source: American Center for Surreal and Paranoid Life) American Center for Surreal and Paranoid Life blogs http://www.medworm.com/rss/comments.php?id=1048997 Sun, 25 Nov 2007 15:14:00 +0100 1048997 http://www.medworm.com/index.php?rid=1045930&cid=t_93743_109_f&fid=34875&url=http%3A%2F%2Fballoonballoon.blogspot.com%2F2007%2F11%2F11.html Today I was calm in the heart today. I felt calm. I felt like I was calm. I was calm today. I can't wait to go to sleep tonight. I will take some dreaming pills tonight. (Source: American Center for Surreal and Paranoid Life) American Center for Surreal and Paranoid Life blogs http://www.medworm.com/rss/comments.php?id=1045930 Thu, 22 Nov 2007 16:08:00 +0100 1045930 http://www.medworm.com/index.php?rid=1044005&cid=t_93743_109_f&fid=34875&url=http%3A%2F%2Fballoonballoon.blogspot.com%2F2007%2F11%2F10_21.html The policeman put on his cap at 1:45 p.m. and ran off to a distress call down the street. The dispatcher had to remind the policeman to bring his weapon, because it was a dangerous (as well as distressful) situation, the dispatcher said.She slapped his cheek hard, when he told her that he had lost faith in their life together. And she watched his face blankly as the redness in his cheek slowly went away."Inequality in our society is the whodangey of all the goodness and capabilities of organized heroes where ardent strides are kept alight toward the goal of futile gesticulations," a respected professor (who wished to be a policeman when he was a child) was saying as me and my friends were sitting together in the grass near the fence outside University Hall on that October afternoon when th... American Center for Surreal and Paranoid Life blogs http://www.medworm.com/rss/comments.php?id=1044005 Wed, 21 Nov 2007 16:36:00 +0100 1044005 http://www.medworm.com/index.php?rid=1040072&cid=t_93743_109_f&fid=34875&url=http%3A%2F%2Fballoonballoon.blogspot.com%2F2007%2F11%2F10.html TRIP The / Your Count / Esses / Houses. Television Visions --> Monday, November 19, 2007 was the day the skull - (was) down in the Lap(b)els: skull post/erior /moments/ meditated by mr //hot// tamale at 11 minutes : 55 Places to Meet the Comment(arie)s - Like the post/erior _ (Source: American Center for Surreal and Paranoid Life) American Center for Surreal and Paranoid Life blogs http://www.medworm.com/rss/comments.php?id=1040072 Tue, 20 Nov 2007 11:05:00 +0100 1040072 http://www.medworm.com/index.php?rid=1036913&cid=t_93743_109_f&fid=34875&url=http%3A%2F%2Fballoonballoon.blogspot.com%2F2007%2F11%2F8.html There was another one in Freeport, Texas. She unlocked the car door quickly, and tried to get away. I told her she had thirteen seconds to make a run for it. She said that she could run to hell and back in thirteen seconds. And when she left, she left her purse in the car. That's how I got those little "trophies," as you call them. (Source: American Center for Surreal and Paranoid Life) American Center for Surreal and Paranoid Life blogs http://www.medworm.com/rss/comments.php?id=1036913 Mon, 19 Nov 2007 16:15:00 +0100 1036913 http://www.medworm.com/index.php?rid=1034839&cid=t_93743_109_f&fid=34875&url=http%3A%2F%2Fballoonballoon.blogspot.com%2F2007%2F11%2F7.html Timing is always right. No matter which way you see it, or look at it. She was with me again last night. (Source: American Center for Surreal and Paranoid Life) American Center for Surreal and Paranoid Life blogs http://www.medworm.com/rss/comments.php?id=1034839 Sun, 18 Nov 2007 15:34:00 +0100 1034839 http://www.medworm.com/index.php?rid=1030140&cid=t_93743_109_f&fid=34875&url=http%3A%2F%2Fballoonballoon.blogspot.com%2F2007%2F11%2F6.html I was in the late great state of Michigan, and we were both sitting on the sofa. She arrived at our rendezvous spot a lot earlier than she was supposed to. She pulled a knife on me when she sat down on the sofa with me. Her boyfriend (and her five kids from another relationship) found out about me, she said.And I grabbed her wrist and told her to put the knife back (into her purse where she got it from). She did so for a moment, but then pulled the knife on me again. And again I had to grab her wrist and guide her hand to put the knife back. (Source: American Center for Surreal and Paranoid Life) American Center for Surreal and Paranoid Life blogs http://www.medworm.com/rss/comments.php?id=1030140 Thu, 15 Nov 2007 22:11:00 +0100 1030140 http://www.medworm.com/index.php?rid=1027113&cid=t_93743_109_f&fid=34875&url=http%3A%2F%2Fballoonballoon.blogspot.com%2F2007%2F11%2F5.html Last night my dream was not a dream, because it was blacked out by fever and a (migraine) headache. I was nonetheless there, in my dream, although I can't recall except that my mind was tossing and turning trying it's best to get better.In the future I will listen to no more stop signs. (Source: American Center for Surreal and Paranoid Life) American Center for Surreal and Paranoid Life blogs http://www.medworm.com/rss/comments.php?id=1027113 Wed, 14 Nov 2007 15:44:00 +0100 1027113 http://www.medworm.com/index.php?rid=1022189&cid=t_93743_109_f&fid=34875&url=http%3A%2F%2Fballoonballoon.blogspot.com%2F2007%2F11%2F4.html Another day of wanting gravity to give up on me. A UFO will land in front of my house tonight, at a time in the night when everyone else is sleeping.My brain will be looked into (and operated on) while I am hypnotized. I will be called on to walk through my house exactly as I've always done, except now with a slight night-time (sleepy) daze.My dreams that night will bring me the details of what I'm supposed to do. (Source: American Center for Surreal and Paranoid Life) American Center for Surreal and Paranoid Life blogs http://www.medworm.com/rss/comments.php?id=1022189 Tue, 13 Nov 2007 13:14:00 +0100 1022189 http://www.medworm.com/index.php?rid=1020011&cid=t_93743_109_f&fid=34875&url=http%3A%2F%2Fballoonballoon.blogspot.com%2F2007%2F11%2F3.html I wish there was a sure fire way of communicating with other people and getting what I want from them at the same time.When the time is right, things will work out whether I know it (realize it) or not. I've got to get to the stock market as soon as possible. The stock market is the one place that's connected so much to nature, without seemingly to have anything whatsoever to do with nature. Intuition comes alive in the stock market. Why? Because the elements of chance, fate, skill, thought, human frailty and triumph, and delusion come into play in direct connection with actual reality outside the self.I don't shape reality, I must play the game "correctly" within the reality that's going on outside me. My stock choices relate to (or shape) my bankroll reality only -- not at all are they r... American Center for Surreal and Paranoid Life blogs http://www.medworm.com/rss/comments.php?id=1020011 Mon, 12 Nov 2007 09:50:00 +0100 1020011 http://www.medworm.com/index.php?rid=1019114&cid=t_93743_109_f&fid=34875&url=http%3A%2F%2Fballoonballoon.blogspot.com%2F2007%2F11%2F2.html Today is the start of my story. I don't know at this point where the story will lead (or where or how it will end). But it will lead and end somewhere. It has to, once it gets started. I just know that honesty is important. (Source: American Center for Surreal and Paranoid Life) American Center for Surreal and Paranoid Life blogs http://www.medworm.com/rss/comments.php?id=1019114 Sun, 11 Nov 2007 06:18:00 +0100 1019114 http://www.medworm.com/index.php?rid=907050&cid=t_93743_109_f&fid=34875&url=http%3A%2F%2Fballoonballoon.blogspot.com%2F2007%2F09%2Ftheres-music-in-air.html (Ivan Johnson -- The Institution Blues Album / 2007 / USA) The final touches of a cutting-edge psychology experiment have now been completed on Patient I.J., marking twelve years of non-intrusive neuroscience research since the preliminary experiments were first started in 1995.Ivan Johnson (Patient I.J.) suffers cyclical episodes of incapacitating hebephrenic schizophrenia that has not been helped in any way by any currently available medications.So as a last resort, doctors at the Milton S. Hershey Clinical Psychiatry Center decided to fully give in to Ivan's delusions of grandeur and allowed him to pursue his "dream" of becoming a blues singer musician (while still in the safety of the courtyards at the Center).The doctors supplied Ivan with a guitar and set up a small recording apparat... American Center for Surreal and Paranoid Life blogs http://www.medworm.com/rss/comments.php?id=907050 Thu, 27 Sep 2007 09:30:00 +0100 907050 http://www.medworm.com/index.php?rid=841685&cid=t_93743_109_f&fid=34875&url=http%3A%2F%2Fballoonballoon.blogspot.com%2F2007%2F09%2Fivan-johnson-hear-my-sound-worm.html Ivan Johnson's recordings (full album, 36:24) done live in the sunny Z-courtyard at the Milton S. Hershey Clinical Psychiatric Center, between June 24 - 27, 2007. Ivan has been an inpatient at the Center for some years. Here's a sample from his "upcoming" CD.Song 1, "Little Person" (Source: American Center for Surreal and Paranoid Life) American Center for Surreal and Paranoid Life blogs http://www.medworm.com/rss/comments.php?id=841685 Wed, 05 Sep 2007 12:01:00 +0100 841685 http://www.medworm.com/index.php?rid=819531&cid=t_93743_109_f&fid=34875&url=http%3A%2F%2Fballoonballoon.blogspot.com%2F2007%2F08%2Fshop-at-shop.html Work by Linda Starlson, lindastarlson(at)yahoo(dot)com, in response to an earlier post. Thanks Linda!She writes, in reference to the work, "It's all over in half a page, but in that glimpse the goose is lifted dramatically." (Source: American Center for Surreal and Paranoid Life) American Center for Surreal and Paranoid Life blogs http://www.medworm.com/rss/comments.php?id=819531 Fri, 24 Aug 2007 09:48:00 +0100 819531 http://www.medworm.com/index.php?rid=479272&cid=t_93743_109_f&fid=34875&url=http%3A%2F%2Fballoonballoon.blogspot.com%2F2007%2F02%2Feye-on-cultural-icon.html Britney Spears is the first popular public figure to make it here onto this blog by the sheer context of her developing psychosis. She does so with this recent act of shaving off all the hair on her head. So what does it mean for Britney Spears to shave off her hair? No, it's not a fashion statement, nor is it an act meant to steer an interested public into a new style or way of living.Simply put, with this act she shows herself as a person who feels completely not in control of herself. In other words, she feels overwhelming controlled by others other than herself. Her hair is the one thing closest to her that she feels is hers, and is also something that's hers and she can (safely) take away at will and effectively say, "See, this is mine, not yours!" We don't know exactly who she's symb... American Center for Surreal and Paranoid Life blogs http://www.medworm.com/rss/comments.php?id=479272 Tue, 20 Feb 2007 05:38:00 +0100 479272 http://www.medworm.com/index.php?rid=479271&cid=t_93743_109_f&fid=34875&url=http%3A%2F%2Fballoonballoon.blogspot.com%2F2007%2F02%2Finstitutionalized-but-not-forgotten.html The next several posts will be a series of children's bedtime stories written by George Johanson, aged 31, an institutionalized patient for the last 2 years at the hospital who has recently taken to writing children's bedtime stories in order to, he says, "Lull myself to sleep, and get my mind off the fact that I'll probably never have children of my own. Nobody wants a loser like me."George was a grade-school teacher, and before being admitted to the hospital he was under some stress at his place of work. His wife of five years left him, and he began to find that he had to check that the doors were locked and faucets turned off. This took on a constant and extended ritual pattern, even when he was at home. Over a period of months his rituals gradually became more elaborate and began to in... American Center for Surreal and Paranoid Life blogs http://www.medworm.com/rss/comments.php?id=479271 Sun, 04 Feb 2007 15:37:00 +0100 479271 http://www.medworm.com/index.php?rid=479265&cid=t_93743_109_f&fid=34875&url=http%3A%2F%2Fballoonballoon.blogspot.com%2F2007%2F01%2Fis-steve-right.html There are many conspiracy theories regarding just about everything out there these days. What is the one conspiracy theory that you've heard about recently? Not that you necessarily believe in it. But one that you simply remember hearing about.Or what about your own personal conspiracy theory?Steve's personal conspiracy theory concerns his parents and his parent's generation. Steve says, "I believe that my Baby Boomer parents and their generation as a whole consciously and deliberately place and construct obstacles in front of the generations who are behind the Baby Boomer generation (especially my generation, Generation X). I think that Baby Boomers do this mostly in the workplace, where they constantly change the rules in order to benefit themselves. And I'm convinced that these Baby Boo... American Center for Surreal and Paranoid Life blogs http://www.medworm.com/rss/comments.php?id=479265 Mon, 22 Jan 2007 04:35:00 +0100 479265