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Methodist DeBakey Cardiovascular Journal

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https://www.readbyqxmd.com/read/29977478/essay-on-being-a-doctor-dr-edwards
#1
Justine Johnson
Through the generosity of Charles R. Millikan, D. Min., vice president for Spiritual Care and Values Integration, an annual award competition was established at Houston Methodist Hospital among the resident staff. To enter the writing competition, residents must submit a poem or essay of 1,000 words or less on the topic, "On Being a Doctor." A committee of seven was selected from Houston Methodist Hospital Education Institute to establish the judging criteria and select the winning entries. The following is the first-place winning entry for 2018; the second- and third-place entries will be published in the next two issues of this journal...
April 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29977477/dr-phil-s-art-corner-alpha-centurion-9-and-shuttle-ready
#2
(no author information available yet)
Philip Alexander, M.D., is a native Texan, retired physician, and accomplished musician and artist. After 41 years as an internal medicine physician, Dr. Phil retired from his practice in College Station in 2016. A lifelong musician and former music professor, he often performs as an oboe soloist for the Brazos Valley Symphony Orchestra. He began exploring visual art in 1980, evolving from pencil sketches-including an official White House portrait of President Ronald Reagan-to the computer-generated drawings featured in this journal...
April 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29977476/poet-s-pen-dante-s-inferno-canto-i
#3
Dante Alighieri
Dante Alighieri's Divine Comedy chronicles his journey through the afterlife in three cantiche -from hell (Inferno), to purgatory (Purgatorio), and finally to heaven (Paradiso)-each comprising 33 cantos . Writing in idiomatic Tuscan rather than the more common, but less widely understood, Latin, Dante is widely credited with establishing Italian as a literary language and opening up contemporary literature to a wider, less scholarly audience. He wrote his epic during his political exile from Florence, and completed it in 1320, just a year before his death...
April 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29977475/continuous-venous-venous-hemodialysis-versus-intermittent-hemodialysis-in-critically-ill-patients
#4
Juan Jose Olivero
The column in this issue is supplied by Juan Jose Olivero, M.D., a nephrologist at Houston Methodist Hospital and a member of the hospital's Nephrology Training Program. Dr. Olivero obtained his medical degree from the University of San Carlos School of Medicine in Guatemala, Central America, and completed his residency and nephrology fellowship at Baylor College of Medicine in Houston, Texas.
April 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29977474/a-case-of-infected-mitral-aortic-intervalvular-fibrosa-pseudoaneurysm
#5
Maan Malahfji, Mohammad Chamsi-Pasha, Su Min Chang
No abstract text is available yet for this article.
April 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29977473/a-giant-aortic-root-abscess
#6
Abdel Rahman Al Emam, Michael Moulton, Marshall Hyden, Yiannis Chatzizisis
No abstract text is available yet for this article.
April 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29977472/adipositas-cordis-a-rare-and-poorly-understood-cardiomyopathy
#7
Angel I Martin, Igor T Sunjic, Carlos A Rojas, John Donatelli, Jon Finan, Cristiano Caldeira, Bengt Herweg, Benjamin D Mackie
Adipositas cordis is a rare cardiomyopathy characterized by diffuse fatty infiltration of the ventricular myocardium or interventricular septum. This occurs without myocardial cell destruction, unlike arrhythmogenic right ventricular cardiomyopathy. A 40-year-old obese woman was found to have a II/VI systolic murmur that worsened with standing. A transthoracic echocardiogram showed interventricular septal hypertrophy with a preserved left ventricular ejection fraction. Cardiac magnetic resonance imaging revealed a fatty mass in the interventricular septum...
April 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29977471/treatment-of-platypnea-orthodeoxia-syndrome-in-a-patient-with-normal-cardiac-hemodynamics-a-review-of-mechanisms-with-implications-for-management
#8
Brian S Porter, Bruce Hettleman
Platypnea-orthodeoxia syndrome is a rare entity characterized by dyspnea and hypoxemia in the sitting position and usually resolved by lying down. Although it is not well understood, it is thought to be associated with either intracardiac or extracardiac factors. Within the group of intracardiac etiologies, it typically occurs in the presence of right heart failure or elevated right-sided filling pressures. When right heart failure is absent, platypnea-orthodeoxia is thought to be due to either anatomic changes that produce a baffle-directing flow across an atrial defect or to posture-dependent right-to-left pressure gradients...
April 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29977470/is-24-7-in-house-intensivist-staffing-necessary-in-the-intensive-care-unit
#9
REVIEW
Faisal Masud, Tina Yaqing Cai Lam, Sahar Fatima
Over the past few decades, an increasing number of studies have shown that intensivist-staffed intensive care units (ICUs) lead to overall economic benefits and improved patient outcomes, including shorter length of stay and lower rates of complications and mortality. This body of evidence has convinced advocacy groups to adopt this staffing model as a standard of care in the ICU so that more hospitals are offering around-the-clock intensivist coverage. Even so, opponents have pointed to high ICU staffing costs and a shortage of physicians trained in critical care as barriers to implementing this model...
April 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29977469/telemedicine-virtual-icu-where-are-we-and-where-are-we-going
#10
REVIEW
Chiedozie Udeh, Belinda Udeh, Nadeem Rahman, Christina Canfield, Jack Campbell, J Steven Hata
Intensive care unit telemedicine (tele-ICU) is technology enabled care delivered from off-site locations that was developed to address the increasing complexity of patients and insufficient supply of intensivists. Although tele-ICU deployment is increasing, it continues to cover only a small proportion of ICU patients. This is primarily due to expense, with first-year costs exceeding $50,000 per bed. Meta-analyses of outcomes indicate survival benefits and quality improvements, albeit with significant heterogeneity...
April 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29977468/setting-expectations-for-ecmo-improving-communication-between-clinical-teams-and-decision-makers
#11
REVIEW
Ashley L Stephens, Courtenay R Bruce
Transplant medicine is fraught with clinical-ethical issues. It is not uncommon to have ethicists on transplant teams to help navigate ethically complex cases and ethical questions. Clinical ethicists work in hospitals and/or other healthcare institutions identifying and addressing value-laden conflict and ethical uncertainties. As ethicists, we set out to describe our process and involvement in cases involving extracorporeal membrane oxygenation (ECMO). Our work centers on monitoring and optimizing communication among clinicians, families, and patients, with the goals of (1) aligning patient/family understanding of the nature and purpose of ECMO while encouraging realistic expectations for possible outcomes, and (2) proactively mitigating the moral distress of providers involved in complex ECMO cases...
April 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29977467/the-role-and-impact-of-extracorporeal-membrane-oxygenation-in-critical-care
#12
REVIEW
Iqbal Ratnani, Divina Tuazon, Asma Zainab, Faisal Uddin
Use of extracorporeal membrane oxygenation (ECMO) has been exponentially increasing over the last decade and is now considered a mainstream lifesaving treatment modality in critical care medicine. However, the need for physician education, training, and experience remains imperative. Although ECMO has traditionally been used in end-stage lung disease and circulatory collapse, it is being adopted for use in right heart failure, as a bridge to heart and lung transplantation, and as rescue therapy for both sepsis and post-organ transplantation...
April 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29977466/how-new-support-devices-change-critical-care-delivery
#13
REVIEW
Asma Zainab, Divina Tuazon, Faisal Uddin, Iqbal Ratnani
Mechanical support devices are used to support failing cardiac, respiratory, or both systems. Since Gibbon developed the cardiopulmonary bypass in 1953, collaborative efforts by medical centers, bioengineers, industry, and the National Institutes of Health have led to development of mechanical devices to support heart, lung, or both. These devices are used as a temporary or long-term measures for acute collapse of circulatory system and/or respiratory failure. Patients are managed on these support devices as a bridge to recovery, bridge to long term devices, or bridge to transplant...
April 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29977465/sepsis-in-a-panorama-what-the-cardiovascular-physician-should-know
#14
REVIEW
Deepa B Gotur
Sepsis accounts for an estimated 30 million cases and 6 million deaths globally each year. According to a multidisciplinary task force convened by the Society of Critical Care Medicine and European Society of Intensive Care Medicine, sepsis is defined as life-threatening organ dysfunction due to a dysregulated host response to infection. Sepsis is a medical emergency, so much so that the World Health Organization made it a global health priority. Since patients with cardiovascular diseases have unique risk factors for sepsis, prompt and accurate diagnosis is critical...
April 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29977464/the-benefits-of-enhanced-recovery-after-surgery-programs-and-their-application-in-cardiothoracic-surgery
#15
REVIEW
Jessica K Brown, Karanbir Singh, Razvan Dumitru, Edward Chan, Min P Kim
The perioperative care of the surgical patient is undergoing a paradigm shift. Enhanced Recovery After Surgery (ERAS) programs are becoming the standard of care and best practice in many surgical specialties throughout the world. ERAS is a multimodal, multidisciplinary, evidence-based approach to care of the surgical patient that aims to optimize perioperative management and outcomes. Implementation, however, has been slow because it challenges traditional surgical doctrine. The key elements of ERAS Pathways strive to reduce the response to surgical stress, decrease insulin resistance, and maintain anabolic homeostasis to help the patient return to baseline function more quickly...
April 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29977463/the-urgency-and-impact-of-cardiovascular-critical-care
#16
EDITORIAL
Faisal Masud
No abstract text is available yet for this article.
April 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29977462/journal-editors-recognize-faisal-masud-m-d-for-his-exceptional-guidance-on-this-issue-addressing-cardiovascular-critical-care
#17
Faisal Masud
No abstract text is available yet for this article.
April 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29623178/dr-phil-s-art-corner-searching-and-cobra-canyon
#18
(no author information available yet)
Philip Alexander, M.D., is a native Texan, retired physician, and accomplished musician and artist. After 41 years as an internal medicine physician, Dr. Phil retired from his practice in College Station in 2016. A lifelong musician and former music professor, he often performs as an oboe soloist for the Brazos Valley Symphony Orchestra. He began exploring visual art in 1980, evolving from pencil sketches-including an official White House portrait of President Ronald Reagan-to the computer-generated drawings featured in this journal...
January 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29623177/poet-s-pen-ulysses
#19
(no author information available yet)
In the nineteenth century, when poetry was more widely read and memorized, Alfred, Lord Tennyson (1809-1833) was hugely popular, and no poem of his was more popular and better known than "Ulysses." Even today many know the rousing call to action, which closes the poem: "To strive, to seek, to find, and not to yield." Ulysses, the Roman name for Odysseus, has returned home an old man after 20 years of fighting in Troy and wandering, and he faces an existential crisis: the tension between his obligation to his wife Penelope, son Telemachus, and his kingdom and his need to continue a personal journey of discovery...
January 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29623176/renal-artery-stenosis-to-stent-or-not-to-stent
#20
Hassan N Ibrahim
The column in this issue is supplied by Hassan N. Ibrahim, M.D., director of the Division of Kidney Diseases and Hypertension in the Department of Medicine at Houston Methodist Hospital and a fellow of the American Society of Nephrology. Dr. Ibrahim joined Houston Methodist in May 2017 after serving as a professor of medicine and chief of nephrology at the University of Minnesota.
January 2018: Methodist DeBakey Cardiovascular Journal
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