Southern medical journal
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Southern medical journal · Sep 2000
Transcutaneous lumbar diskectomy for internal disk derangement: a new indication.
Percutaneous diskectomy has been used effectively to treat lumbar disk herniation. The purpose of this review was to determine whether transcutaneous diskectomy is an effective surgical option for treating lumbar internal disk derangement. ⋯ The favorable results from this series illustrate the high success rate of transcutaneous lumbar diskectomy in a heterogeneous patient population. Coupling the rate of success with a low rate of complications, transcutaneous lumbar diskectomy appears to be an effective, minimally invasive treatment for internal disk derangement.
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Southern medical journal · Sep 2000
Case ReportsTraumatic asphyxia complicated by unwitnessed cardiac arrest.
We report a case of traumatic asphyxia complicated by unwitnessed cardiac arrest in which the patient has made a good, functional recovery. Traumatic asphyxia is an uncommon clinical syndrome usually occurring after chest compression. ⋯ When such features are observed, the diagnosis of traumatic asphyxia should be considered. Prompt treatment with attention to the reestablishment of oxygenation and perfusion may result in good outcomes.
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Formal "duels of honor" ruled upper-class conduct for centuries. That social pressure could compel a choice of "death before dishonor" seems nearly incomprehensible today. Physicians might have been expected to disdain dueling as contrary to professional ethics, but a few rather colorful physicians did enter the lists. Details of some of the most famous physician duels are summarized in this article.