...Samantha Gonzalez Neurosurgeon The brain is the greatest machine that has ever been studied. Its amazing complexity is indescribable until this day. The practice of neurology is the study of how the brain functions according to its components: the nervous system and the spinal cord structure. Neurosurgeons are the “hands on practicians” of neurology. They study and perform surgeries on the brain, the spinal cord and also treat diseases that affect the nervous system. They are the closest humans to understanding the complexity of how the brain works. Through extensive years of education they are one the most recognized medical doctors and the most devoted. Neurology is the study of diseases that affect the nervous system and neurosurgeons are its great practitioners. They also deal with diseases or damage that is done to the spinal cord. The neurological treatment of the spinal cord, and its great connection with the brain is a essential part of neurological surgery and it’s a great part of what type of surgeries, neurosurgeons perform. The long journey to neurosurgery isn’t easy, and it starts with a great devotion to work hard in a four-year college. The most important step of the education process is to be accepted to a competitive medical school. A bachelor’s degree is necessary to be accepted into medical school. It would be preferred if its a bachelor’s degree concentrated in a field that relates to pre-medicine classes. Classes such as biology, chemistry, and...
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...Neurology Associates LLP. vs Elizabeth Blackwell, MD An Assignment Submitted by Name of Establishment Class XXXX, Section XXXX, Fall 2011 Case: Neurology Associates LLP, vs Elizabeth Blackwell, MD Overview of Facts In May 2005, Dr. Elizabeth Blackwell earned her Medical Doctor Degree and she was hired by the Neurology Associates LLP, located in Longville state in June 2005. She has been offered different jobs before, but Dr. Elizabeth concluded by choosing Neurology Associates LLP because of the interval between her home and family. The employment agreement, signed by Dr.Elizabeth, included detailed clauses of compensation terms, vacation, on all duties and fringe benefit package. NA agreed to pay $1,000 for the course that was designed to help prepare future candidates for the test, such as for Dr. Elizabeth Blackwell. Immediately after hiring Dr. Elizabeth, different conferences were held, and chief directors of NA introduced her to a number of physicians in order to build the referral base for the practice. But in July 2005, one of the partners of NA, Mr. Cohn told her that she needs to sign an additional part of document which was neglected by him during the early negotiations. He mentioned that the document was a standard procedure so it needs to be signed by the end of the workday. The document covered the following facts: “Section 1: The parties hereby agree, in consideration of the exchange of good, valuable and sufficient consideration, to be bound...
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...magazine for our office Michael, At out last meeting together you have asked me to look for a magazine that would be beneficial to our neurology practice. In my recent search through all the current publications I came across three very similar magazines. I would like to present to you the three publications and explain in detail the benefits of each one. * “Neurology Now” is a bi-weekly publication. It delivers credible, most up-to-date articles for the neurology professionals. It touches on many subjects like Alzheimer’s disease, stroke, multiple sclerosis and Parkinson’s disease. It also offers a lot of new technology instruments like articles on eReader, Ealerts with Personalized Alert Management and CME XtraCredit. EReader would allow the physicians to read the latest articles on their electronic reading devices without having their laptop around. EAlerts would allow the physicians to know what is being published ahead of time. CME XtraCredit is earned when the physicians answer online clinical questions. * “Neurology” is a monthly journal. It is said to be the premier peer-reviewed journal for clinical neurologists. It is the leading worldwide neurology journal directed to physicians concerned with diseases and conditions of the nervous system. The articles are up-to-date on all major issues in the neurology field today. It also offers a lot of new online applications for easy access to the latest issues. That would include E-Publish ahead...
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...answers to the questions asked. It is a new learning experience to ask someone about a person’s career and definitely learn something from it. The interviewee has an amazing learning milestones, achievements, and the vast knowledge of her entire career. The neurologist is the interviewee who is a medical doctor treating the brain and the nervous system disorders. Below are some of the findings, informations, and the discussions about her strong career in neurology. A Description of the Targeted Department or Facility This targeted department or facility is an outpatient clinic in neurology, getting referrals on patients with complaints of headaches, seizures, falls, neck, and low back pains, dizziness, memory loss, strokes, brain tumor, multiple sclerosis, Alzheimer’s disease, and many more. Guerrero et al. (2011) “Headache is a common cause of medical consultation, both in primary care and in specialist neurology outpatient clinics” (p. 226). Headache disorders account for 24% to 36% of first visits to a general neurology outpatient clinic, and migraine accounts for half of consultations because of headache. Between 40% and 45% of migraine patients meet the criteria for chronic migraine and 30% to 70% satisfy the criteria for medication-overuse headache. Some studies show a...
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...EPILESPY Patrice AHLT 125: Anatomy & Physiology II Ms. Johnson March 4, 2014 Epilepsy is a series of brain disorders that cause repeated and unpredictable seizures that range from severe, life threatening, disabling or benign (In epilepsy "National Institute of Neurological Disorders and Stroke 2013). The normal pattern of neurology activity becomes disturbed due to brain illness, damage to the brain; abnormal growth and other unknown causes. Some examples that can cause epilepsy are strokes and brain tumors. Most often the onset for this disease is early childhood or early adulthood. The brain is located in the cranial cavity and is surrounded by the meninges, Dura mater, arachnoids, cerebrospinal fluid and ventricles. The brain has four main divisions such as the Cerebrum which is the largest part of the brain that’s divided into the right and left cerebrals. These Cerebrals are the broken down into five lobes which are the frontal, parietal, temporal, occipital lobe and the insula. This is where thoughts, memory and reasoning occur. The diencephalon or interbrain is located between the cerebral hemispheres and the brain stem home of the thalamus and the hypothalamus. The thalamus forms the lateral walls of the third ventricle. The thalamus sorts out sensory impulse. The hypothalamus located midline and inferior to the thalamus and form the floor of the third ventricle. The purpose of the hypothalamus is to maintain homeostasis, controls autonomic nervous system...
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...The Research of Medical Marijuana: A literature Review One of the most controversial subjects not only in health care but also in the United States right now is medical marijuana. The subject of marijuana is not new to the U.S but medical marijuana is just beginning to evolve. Medical marijuana also referred to as cannabis, is meant to be a form of medical therapy to treat certain diseases and alleviate symptoms. According to a current research, “Cannabis has been used to reduce nausea and vomiting in chemotherapy and AIDS and to treat pain and muscle spasticity” (Werner, 2012) Since July 31st 2014 there are now 23 legal medical marijuana states and also DC. As many people know, Illinois has just joined on the medical marijuana bandwagon and legalized it in 2013. Becoming a nurse, the use of medical marijuana is going to keep growing and there is still a large amount of research and studies to be done on the subject. Efficacy and safety of medical marijuana in selected neurologic disorders Researches Koppel, Brust, Fife, Bronstein, Youssof, Gronseth, and Gloss came together to focus on how medical marijuana would affect people with neurologic disorders. The main purpose in this study is to determine the efficiency of medical marijuana in several neurologic conditions. One of the most common neurologic disorders seen is multiple sclerosis; which is an autoimmune disease that affects a person’s brain and spinal cord. (Koppel, et. al, 2013) Key points The question the authors...
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...BEH/225 THE BRAIN AND BEHAVIOUR ESSAY The Brain and Behavior Essay BEH/225 June 7, 2014 The Brain and Behavior In the four lobes of the brain, temporal lobe is of them. Cerebral cortex the major part of which this lobe is part of. It is on the lower side of both cerebral hemispheres on each side. This lobe has different functions, mainly auditory detection, keeping memory and emotional perception. The hippocampus happens to be an area of the brain that consolidates information from brain. The damage to this lobe is mainly linked to the impairment of an individual experiences. For instance, damage that occurs to the left lobe may cause difficult noting words while damage to the right lobe can cause lack of talk inhibition. One of the well noted behavior due to damage to this lobe is attention type of disorder, victims proving distraction and inability to attention. They give incompatible memory, sometimes it is called forgetting to recall. The way of thinking of victims with this injury happens to be hard, and they may prove some improper issues in their way of responding. This preservation, with inability to change form one way of thinking to another, brings difficulties with calculations, such as carryover subtraction. Aphasia is not all times observed, but this so contrary from Wernicke’s and Broca’s response on it. Victims have well monitored motor speech. Repetition is always intact...
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...Football players more likely to develop neurodegenerative disease, study finds By Nadia Kounang, CNN updated 4:38 PM EDT, Wed September 5, 2012 [pic] (CNN) -- Just hours before the 2012 NFL season kicks off, a new study suggests that professional football players are three times more likely to have neurodegenerative diseases than the general population. When researchers specifically looked at Alzheimer's disease and ALS -- amyotrophic lateral sclerosis, also known as Lou Gehrig's disease -- that risk increased to four times greater than the rest of us. The study, published Wednesday in the medical journal Neurology, surveyed nearly 3,500 retired NFL players who were in the league between 1959 and 1988. The National Institute for Occupational Safety and Health, a division of the Centers for Disease Control, had been following this group of players since the early '90s, when the NFL asked the institute to evaluate them for their risk of cardiovascular disease. This time, the authors decided to look at the neurological outcomes of the players by specifically evaluating the autopsies of 334 players. "We looked at all the death certificates, and Parkinson's, Alzheimer's and ALS had significant contribution to the death," according to study co-author Elliot Lehman. When tallying those specific diseases, the authors found that among the 334 players, seven had died from Alzheimer's and another seven with ALS. Three players had died with Parkinson's disease, but the authors...
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...When a person is born it is an immediately known that one day they will die. You go through life carefree not considering that one day that could instantly change. Often times persons of a particularly older age tend to have measure in place that dictates their final wishes such as wills, DNRs, and their desire to donate organs or not. At twenty or even thirty you aren’t considering your demise. The most you may have is life insurance. If something happens that daunting task is often left to your loved ones. Hospitals are faced with the grueling task of ethically ensure their duty to do no harm while also trying to respect the patients and loved ones wishes. When it comes to traumatic unforeseen brain injuries it can be hard to let go. One day the person was perfectly normal, then instantly you are faced with deciding how they will ultimately spend their last living moments. You must consider the how the person’s life was before the injury as well as the quality of life they would have if treatment was continued. A patient’s death dictates a cease of treatment and allows those who have made their wishes known can begin the process for donating organs for transplantation to help save the life of others. A determination between life and death is essential due to the physician’s inability to waste limited medical resources or to potentially violating medical ethics by inflicting treatment after the patient is considered medically dead. With a precise diagnosis, families may be...
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...Drug Information Paper: Levodopa/Carbidopa: Sinemet Kristin Curcione Daemen College This drug information report will explore in detail the medication Levodopa. Levodopa is the most effective drug for the symptomatic treatment of Parkinson’s disease. Levodopa works when it is absorbed in the blood from the small intestine and travels through blood to the brain where it is converted to dopamine (Parkkinen, O'Sullivan, Kuoppamäki, et al., 2011). It is intended for the purpose of treating chronic neurodegenerative diseases. It is primarily used in neurology practice for patients who are experiencing idiopathic Lewy body degenerative disease of the central nervous system. This paper will also discuss use of Carbidopa as it is used...
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...Few may be opposite such that they feel hungry and eat whatever they get. Even, they tend to steel food from others. • They feel hallucinations or delusions and their reaction will be worst in case they see them self in it. • The people suffering from Dementia mostly have sleeping disorders. • Lack of interest in any activity is the early sign. Treatment for People Affected with Dementia in Later Adult Stage • There is no permanent cure for treating Dementia patients. • Only few physiological syndromes can be correct with neurology drugs. • There are many alternative medicines available like Ayurveda (Herbal) to treat various types of Dementia. They are best when comes to motor neuron disabilities associate with Dementia. • The Dementia patient may undergo clinical tests like brain scanning, blood tests, cognitive impairment and Geriatric Depression Scale. • There are many types of Dementia and treatment varies with each other. • A person may get multiple Dementias in the mid or later stage of his or her life. • A Neurologist may use Cholinesterase inhibitors for the patients with early onset Dementia. • Palliative care and cognitive care is the only treatment available for Dementia...
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...GAUTAM SEHGAL, M.D. Medical Director 228 South Orange Avenue Gautam Sehgal, M.D. South Orange, NJ 07079 Specialized in Neurology, Physiatry Phone: (973) 253-0505 Member of American Academy of Neurology Fax:(973) 253-2255 Hospital Privileges: E.O. General (E Orange), St. Michael (Newark), St. James (Newark), Columbus Hospital (Newark) NEUROLOGICAL CONSULTATION Patient: Francois Compere Referred by: Dr. Baptiste D.O.S.: 04/21/2011 D.O.A.: 11/09/2010 AGE: 43-year-old. Sex: Male Dear Dr. Baptiste: Thank you for letting me to participate in the evaluation, management and treatment of your patient, Francois Compere. As you are aware, he is a 43-year-old male, who was involved in an automobile accident. According to the patient, he was the driver of the vehicle with his seatbelt on. The car was struck on the back right side. There is history of head trauma and no loss of consciousness. The patient was shaken up and dazed. The patient was taken to UMDNJ, treated, examined and released. For detail, please refer to the police report. Since the accident, the patient has been under your care, but remains symptomatic in spite of conservative therapy for close to six months, and is referred to me for further evaluation. PRESENT COMPLAINTS: On the day of examination, i.e. today, 04/21/2011, he complains of neck pain with stiffness. Neck pain is dull-to-sharp radiating into the both upper extremities, left more than right with the numbness, tingling and...
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...video analysis) and kinematic quality. Healthy control data is essential to allow a much greater number of movement performances. Specific Aim 2 is to determine the natural time course of movements in subjects with severe brain injury. As a pilot study of the natural history of recovery of motor control after severe brain injury, we will record upper body movements with FAMs from subjects in their nursing home over three days. Movement time-courses will be defined by the standard measure of total activity, as well as the measures developed in Specific Aim 1. B. Scientific background Biologically meaningful outcome measures are essential to uncover basic mechanisms of disease and recovery. This is not straightforward in the fields of neurology and psychiatry where neuronal function can only be measured indirectly through behavior. This is typically performed through clinical evaluation scales, which are limited by ordinal outcome measures, requirement for a trained examiner, and inability to record in a continuous fashion. In the domain of movement, wireless devices are beginning to prove themselves capable of defining motor performance objectively and continuously, and allowing for acquisition in subjects’ natural living situation (Dobkin and Dorsch, 2011; Wagenaar et al., 2011). The most commonly used device has been unidirectional accelerometers for measurement of total movement (Schnakers et al., 2008; Figure 1). More recently, tri-axial accelerometers have been able to track...
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...Parkinson's Disease Michelle Briscoe Drexel University Introduction to Online Learning and Scholarly Writing N324 Professor Hawes January 26, 2012 Parkinson's Disease To understand why I chose Parkinson’s disease, one must understand what Parkinson’s disease can do to a person. Parkinson’s ravaged my mother for 9 years, the deterioration left her unable to swallow, communicate, and eventually led to dementia which took her life in April, 2010. Not only did it wreak its revenge on her, but it took its toll on the family watching her decline rapidly over the years but knowing the medications had no effect on her after time. As a nurse it took everything I had to ensure her safety, her being comfortable, and helping with her care. A once vibrant, pleasant, happy woman who laughed and smiled, was independent she now was somnolent with no expression, no laughter, and not able to complete a sentence or her thoughts. She became incontinent, unable to perform ADL’s, unable to roll over in bed, and unable to speak or communicate. Nine years had passed since her diagnosis, she suffered from depression, anxiety, cognitive impairment and she withered away to a mere 100 pounds. January 2010 it all began, the end of the end, she lost the ability to swallow solid foods and liquids and began pureed foods and thickened liquids. By March 2010, she no longer could communicate verbally her wants and needs; she followed you with her eyes. April 2010, her eyes open all the time, she no longer...
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...To me accountability is being liable for my actions and responsibility is how I proceed from those actions. As I write this, my minds brings me back to the night I was taken care of 18 year old. I was working on the step down section of the neurology unit. This patient was admitted because of a drug overdose, which left the patient in state like she had a stroke. I remember going to assess her at the beginning of my shift ( 12 hour night) and as I was conducting a neurological assessment, the patient was taking to me or responding to my presence. Which the off going nurse had said in report that the patient wasn’t responding to anyone’s presence. When I assessed her pupils, they were both dialed and not responding to my pen light. Just to double check I gave it another minute and assess her eyes again. So before I did anything else, I notified the on call physician and explained my findings. The physician came to her assess the patient. While assessing the patient the physician said, my report from the previous doctor said that she was showing more response than she is now. When the physician assess her pupils and noted what I had seen, the physician ordered a stat CT scan. Which there was a CT machine located on the unit. So I and the doctor wheeled the patient to the CT suite, where we met the on call radiology tech. As a result, the CT scan showed that the patient had a bleed in her brain. That patient was then transferred to the Neuro ICU department, which was just step...
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