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Similar questions arise in Emergency Admissions: Memoirs of an Ambulance Driver by Kit Wharton, which documents the people he has helped and ferried since joining the ambulance service in 2003. Wharton’s father was treated in the John Radcliffe hospital, Oxford, Westaby’s domain, after a massive stroke in 1995 and kept alive in a vegetative state for 18 months. “Would it have been better to let him go?” Wharton asks. “What do I know?” But we do know. We, the public, want the medical profession to break the rules, except when we don’t – and therein lies a huge ethical dilemma. Control: Work on or near fragile surfaces requires a combination of stagings, guard rails, fall restraint, fall arrest and safety nets slung beneath and close to the roof.
Fragile Lives (豆瓣) - 豆瓣读书 Fragile Lives (豆瓣) - 豆瓣读书
It's amazing how far medicine has come in just a few generations. Who would have thought artificial hearts can and do work. The ability for a truly rested heart to regenerate is eye-opening and makes you wonder why we can't be doing this for more people. Westaby’s mantra is: “Move on, learn, try harder.” Innovation, he argues, is the goal, not outcomes. Since 2013, performance has been measured in “surgeon-specific mortality data”. As a result, he believes that cardiac surgery is too risky today for young students. They are “downtrodden, defensive, uncertain of themselves”. Westaby and his team performed Peter Houghton's heart operation in June 2000, implanting a Jarvik 7 artificial left ventricular assist device, a turbine pump. Peter Houghton (1938–2007) became the longest living person with an electrical heart pump in the world. [2] [3] One cannot help but be captivated by the effort to remove a recurrent myxoma from a patient’s heart, for five times over ten years. Or a “last-gasp attempt” when everyone else had given up on a six-month old baby with a rare congenital anomaly. A headstrong attitude and the refusal to admit defeat is what differentiated Westaby from the average surgeon.Oh, and this is my parting comment – make sure you’re on the Organ Donation Register, and make sure your family knows it, should the worst happen. Marsh and Westaby are likely the last of the pioneering NHS surgeons. Politicians would rather create lists and targets and 7 day GPs that no one has asked for. Why would any skilled doctor want to work in an environment where they are prevented from doing what's best for their patients? The crimson fountain hit the operating lights, sprayed the surgeons, soaked the green drapes. Someone murmured “Oh sh..! I was good with my hands (an understatement). The battle was lost…Yet I knew about life and death.” I read this pretty much in one sitting - an incredibly emotional, informative and really very addictive memoir here from Stephen Westaby, I now know more about the human heart than I ever could imagine that I would. You do have to concentrate. There’s a lot of new vocabulary to get used to, but as it’s used repeatedly, it soon becomes familiar. Perdicardium. Electrocautery. Cardioplegia. Perfusion. I sometimes struggled to visualise exactly what Westaby was doing to the heart in the various operations followed in the book. But I got the gist, and I suspect no matter how many books by surgeons I might read in my life, there will always be a magical mystery to the art.
Stephen Westaby - Wikipedia Stephen Westaby - Wikipedia
A brilliant, thought provoking memoir chronicling renowned heart surgeon Westaby as he details his life and career. Starting from humble beginnings, the author challenges the perception that only public schoolboys get to be surgeons. An incredible memoir from one of the world’s most eminent heart surgeons, recalling some of the most remarkable and poignant cases he’s worked on. Sensory. Many children with Fragile X are bothered by certain sensations, such as bright light, loud noises, or the way certain clothing feels on their bodies. heart surgery might become an everyday occurrence for me, but for the patient and their relatives it is once in a lifetime, and absolutely terrifying. Treat them kindly. Most Interesting Part of the Book These features include a narrow face, large head, large ears, flexible joints, flat feet, and a prominent forehead.You must provide the right equipment to prevent falls and ensure those using it have the right skills and experience to work safely.. Fragile X results from a change or mutation in the Fragile X Messenger Ribonucleoprotein 1 ( FMR1) gene, which is found on the X chromosome. The gene normally makes a protein, called FMRP, that is important for creating and maintaining connections between cells in the brain and nervous system. The mutation causes the body to make only a little bit or none of the protein, which often causes the symptoms of Fragile X. Prenatal testing is not very common, and many parents do not know they carry the mutation. Therefore, parents usually start to notice symptoms in their children when they are infants or toddlers. The average age at diagnosis is 36 months for boys and 42 months for girls. 2 Diagnosis of Children Book Genre: Autobiography, Biography, Biography Memoir, Health, Medical, Medicine, Memoir, Nonfiction, Science
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