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2011年9月29日星期四

Pregnant woman's wreck has happy ending

Monique Whitfield started feeling pain in her lower back and stomach sometime Tuesday morning.

Could this be the onset of labor, she wondered, or was it kidney stones acting up again?

"I didn't know," Whitfield admitted.

Regardless, she needed to get it checked out. So she got in her car and headed toward Baptist Memorial Hospital-Golden Triangle.

But she decided to take a quick detour first.

Whitfield owns a beauty salon in Columbus, and the power bill was due.

She took the Main Street exit onto Highway 82 eastbound, and at around 12:15 p.m., she lost control of her car.

"It didn't go as planned," Whitfield said.

As Whitfield was driving along the exit ramp, her car ran off the right side of the road. The dark blue Dodge Ram Charger knocked down a light post and highway signage, traveled down a slope and ended entrenched in the trees alongside the highway.

"It was already slippery because it had been raining," Whitfield said. "When I got to the curb, I hit the brakes, and I lost control of the car."

She was nine months pregnant.

'Two angels'

Derek Whitfield, Monique's husband, was the first one to receive a phone call from his wife after the crash.

"I was scared," he said. "I didn't know. Anything could have happened (to the pregnancy)."

Monique Whitfield was unable to open her door due to trees and bushes surrounding the wrecked vehicle.

"It was awful," Monique Whitfield said.

However, two passersby saw the accident and called for help.

"Thank God for the two people who did see the accident," Diane Moore, Monique's mother, said. "I thank God for the two angels he sent."

Emergency response units rushed to the scene, removed shrubs and branches to get a stretcher near the driver's side door and carried Monique from the vehicle to a nearby ambulance. She was transported to BMH-GT.

2011年9月7日星期三

A Regional Leader for Urologic Services

Offering a wide variety of services for patients of all ages, the urology program at Memorial Hospital provides access to tertiary services previously unavailable in the community.

“We offer the full spectrum of urology services in York County, which is a huge advantage for referring physicians and their patients who no longer have to travel out of the community to receive the care they need,” says M. Azeem Bhatti, M.D., FRCSC, urologist at York Urology Specialists.

Memorial Hospital delivers all levels of urologic care, ranging from the basic to the most complex surgeries that may require extensive reconstructive work. Innovative treatment options provided through Memorial Hospital include minimally invasive robotic-assisted surgery; percutaneous kidney stone removal; laser surgery using GreenLight XPS laser technology for treatment of enlarged prostate; and holmium laser therapy ureteroscopy for renal calculi.

“Because of these technological advances, we are able to offer our patients an outpatient option that allows them to return to their regular activities within days,” says Dr. Bhatti. “Diagnostic cystoscopies and pediatric diagnostic ultrasound are also available at the office.”

The availability of pediatric diagnostic ultrasound is enhancing convenience for area families. More children with urologic concerns, such as voiding dysfunction, are able to receive care at Memorial Hospital instead of having to travel outside of the area.

At Memorial Hospital, robotic surgery is used to treat a wide variety of urological conditions, including prostate, bladder, kidney and adrenal cancers. Procedures offered using the da Vinci® SiTM HD Surgical System include bladder removal with bowel reconstruction, radical prostatectomy, and radical or partial nephrectomy.

“Urology is one field that has really embraced robotic and laparoscopic surgery,” says Dr. Bhatti. “There have been many changes in the approaches used to treat different types of urologic cancers, and Memorial Hospital is committed to making this technology available to patients in the York area.”

Robotic surgery presents several benefits for both patients and physicians, as patients who undergo robotic surgery generally have shorter recovery times and reduced postoperative pain. The enhanced visualization and instrumentation of the da Vinci® SiTM HD Surgical System also allows for better patient outcomes.

“Recently, I treated a patient with an enlarged prostate utilizing the da Vinci,” says Dr. Bhatti. “This was his second prostate surgery, so it was more difficult due to the presence of scar tissue. After undergoing robotic surgery, he was back to regular activities within a week, and he also had a functional recovery without voiding disruption. In the past, he would have had to go out of the area to receive this advanced care; however, we were able to treat him at Memorial Hospital.”

In addition to robotic surgery, cryoablation is available for prostate cancer treatment, and Dr. Bhatti works closely with radiation oncologists to offer radiation therapy, if necessary.

2011年6月14日星期二

O'Day throws, Harrison better

Darren O'Day climbed on the Yankee Stadium mound and threw to several Rangers' hitters, taking an important step in his recovery.

Manager Ron Washington watched O'Day carefully and said the submariner was "rusty."

"We'll continue to get him out there like we did today," Washington said. "He threw some good pitches, but there was inconsistency. It was nice to see him on the mound."

O'Day said it felt good to throw to hitters and that he feels like his target date of late June (June 26) is still very realistic. He'll throw another bullpen in two days. O'Day said ran harder as well on Tuesday.

"My command was a little off, but that's to be expected," O'Day said. "Overall it was a positive day."

Other notes:

* Maybe LHP Matt Harrison's luck is changing for the better. He anticipates to make his next start as scheduled. Harrison's blister has hardened and is not an issue. And he passed his kidney stone on Monday afternoon. He had the kidney stone in his locker (in a pill bottle) and plans to take it in for testing so maybe he can find out how the stone formed and if there's anything he can do to prevent them in the future.

As for his bruised left triceps, he had it wrapped and has treated it with ice the last few days. He will throw a bullpen session on Wednesday after playing catch on Tuesday.

* Elvis Andrus reiterated that he got the message that Washington was sending by pulling him on Sunday. Andrus knows his focus must be better (more on that on the blog tomorrow). Andrus is in the lineup and batting second.

* Craig Gentry is in tonight's game against lefty CC Sabathia. Washington said he likes the way Gentry is playing and plans to have the right-handed hitter in the lineup against lefties. That's despite Gentry hitting just .148 against lefties this season (4-for-27).

2011年4月12日星期二

The majority of these cases occur secondary to renal stones

Seventeen cases of peritonitis due to rupture of a pyonephrosis have been reported. The majority of these cases occur secondary to renal stones.

Only two cases of ruptured pyonephrosis with concurrent kidney neoplasm have been described and only one of these presented as an acute peritonitis. In this presentation we discuss an unusual case of a 68 year old man with a chronic history of bilateral nephrolithiasis and recent pyonephrosis.

He presented acutely with peritonitis and was later found to have a carcinosarcoma of the kidney. The case highlights the importance of recognizing the possibility of underling renal carcinoma in patients presenting with a ruptured pyonephrosis and discuss steps to avoid this serious complication.

Author: Silvia QuaresimaAntonio ManzelliEdoardo RicciardiAthanasios PetrouNicholas BrennanAlessandro MaurielloPiero Rossi.