The Ochsner journal
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"One Sunday morning when both my dad and I were working in our offices, he walked into my office and gave me this manuscript. I read it, said I enjoyed it, and asked where he was going to publish it. ⋯ I just wrote it for you.' I recently came across it while cleaning out some files. I thought others would like to read it since it was written in the 1960s." - John Ochsner, MD.
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The Ochsner journal · Jan 2010
The accuracy of intraoperative subareolar frozen section in nipple-sparing mastectomies.
Intraoperative subareolar frozen sections are used to assess the nipple areolar complex's suitability for preservation for patients selected for nipple-sparing mastectomy. We aim to investigate the accuracy and value of the frozen section compared to formal histopathologic results. ⋯ Intraoperative subareolar frozen section is a specific but nonsensitive test. It is useful in nipple-sparing mastectomy because in 10% of cases a positive result allows immediate nipple and areolar excision. Its low sensitivity and negative predictive value means that 15% of patients will need a subsequent nipple and areolar excision. Eighty-five percent of patients can, however, have a single-stage excision.
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Survivors of out-of-hospital cardiac arrest frequently suffer devastating effects from anoxic brain injury. Therapeutic hypothermia is the first therapy to show benefit in improving survival as well as limiting neurologic injury. We review the data supporting the use of therapeutic hypothermia in this patient population, the pathophysiologic basis of its neuroprotectant effects, the methods of hypothermic induction, and the clinical application.
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The Ochsner journal · Jan 2007
Osler's Pupil, Henry W. Ochsner, MD (1877-1902): His Life, Lineage, and Death.
In multiple editions of his Principles and Practice of Medicine, a 1904 speech, and his essay "A Student Life," Sir William Osler mentions and laments the death due to typhoid of his pupil, Henry W. Ochsner (1877-1902). Harvey Cushing, MD, in his biography of Osler, describes how deeply Osler was moved by "poor" Ochsner's death. ⋯ Ochsner, MD, a son of Swiss pioneers who settled in Waumandee, Wisconsin. He was a member of a family that includes medical luminaries (e.g., Albert J. Ochsner, MD, the famous Chicago surgeon, and Alton Ochsner, MD, the founder of the Ochsner Clinic); a brilliant student and physician; a humble and beloved fellow citizen; and a favorite pupil of Osler.