Appalling practice by US hospitals reported by Times

This extensive investigative report must be read to be believed: "GETTING TOUGH: Immigrants Deported, by U.S. Hospitals," By DEBORAH SONTAG, New York Times August 3 2008.

Many hospitals are taking it upon themselves to repatriate seriously injured or ill immigrants because nursing homes won't accept them without insurance.

Surgeon General's Lecture Series at 1100 on 8 August 2008 in Memorial Auditorium, NNMC, Bethesda, MD

My buddy Andre sent this announcement about a lecture. I imagine you cant contact him if you need any additional information:

This is just a reminder that the Surgeon General's Speaker Series is set to continue on 8 August 2008 at 11:00 AM in Memorial Auditorium at the National Naval Medical Center, in Bethesda, MD. The lecture, "Jonathan Messersmith Foltz: Colorful Naval Surgeon and Friend and Foe of President James Buchanan," will be delivered by Ludwig Deppisch, MD, author of the recently acclaimed book, The White House Physician: A History from Washington to George W. Bush. This lecture will be open to all who wish to attend. As a note, this talk will hold special appeal to anyone interested in mid-nineteenth century American political and naval history. The subject of the lecture is a notable Victorian-era Navy surgeon who was linked to many famous literary, political, and scientific figures of his day including President James Buchanan, Admiral David Farragut, Samuel Morse, Edgar Allan Poe, and Queen Victoria. Dr. Foltz served as the first military White House physician, a Fleet Surgeon with Admiral David Farragut at the Battle of Mobile Bay, and in 1871 he was appointed as the Surgeon General of the Navy (becoming only the second person to hold that post).

André B. Sobocinski
Deputy Historian/ Publications Manager
Office of the Historian
Bureau of Medicine and Surgery (BUMED)
Tel: (202) 762-3244
Fax: (202) 762-3380
E-Mail: Andre.Sobocinski@med.navy.mil
http://navyhistory.med.navy.mil/

Moulage instruction booklet

As mentioned a couple of days ago, here's an instruction book for moulages meant to simulate mass casualties - Instructor's Guide for Casualty Simulation Kit Device 11E10

Mid-Atlantic history of medicine seminar

Since I'm on vacation, I can actually post to the blog during the day. Here's an announcement that Andrea wanted up:

Announcing the 6th Annual Joint Atlantic Seminar for the History of
Medicine, to be held the weekend of September 26-27, 2008, and hosted
by the Section of the History of Medicine and the Program in the
History of Science and Medicine at Yale University in New Haven, CT.
The seminar is organized and coordinated by graduate students across
North America working in fields related to the history of medicine.
Our mission is to foster a sense of community and provide a forum for
sharing and critiquing graduate research by peers from a variety of
institutions and backgrounds.

There is no fee for the Seminar, but registration is required.
The deadline for registration is September 10, 2008.

Please email Julia Irwin at JASMed2008@gmail.com to register.
For further information, see our website at www.jointatlantic.org

Establishing identity

Here's another shot from our Resolved exhibit. It shows the lines of evidence that must be explored in order to establish identity.
Forensic identification is the application of science to establish personal identity.
Postmortem data are an individual's physical characteristics recorded by scientists from a person's remains after death.
Antemortem data are the physical characteristics that a person is born with and acquires throughout life.
Identification results when a person's postmortem data matches an individual's antemortem data to the exclusion of everyone else.
Lines of evidence are those scientific disciplines that contribute to an identification, such as material evidence, fingerprinting, dentistry, anthropology, DNA, and pathology.
A case is resolved when an American returns alive, the remains are recovered, repatriated, and certified, or there is convincing evidence that neither of the two options is possible.

Neat article on why bacteria can make you sick

They group together and plot. See "Social Lives of Bacteria May Yield Benefits for Humans," By David Brown, Washington Post Staff Writer, Monday, July 28, 2008; Page A05.

Resolved

This image is what greets the visitor at the entrance to our new "Resolved" exhibit on identification of war dead. I think it's universal in language, eloquence without words.

Let's look at a photo

This one's for Johanna of the Morbid Anatomy blog - she's seen this picture before, but let's take a look at it.



Comparative anatomy, Auzoux model of horse, life size. Specimen no. 2635. [papier mache, on display in Army Medical Museum]. We no longer have the model, although one can be seen in the Science Museum in London.

For many years, models were a way to convey information in medicine and natural sciences. Color printing had to be hand-done, and photography first didn't exist, and then each photograph for a book had to be printed individually and glued into the book. And hand-tinted if required. So well into the 20th century models like Auzoux's above, or ones like this x-ray burn were produced for education.



Breast. Burn, X-Ray. Wax model. No. 92 X-ray burn involving right breast and axilla. Necrosis of tissue producing sloughing ulceration, the bottom of which includes pleura and lung tissue. X-ray treatment was applied for carcinoma of the breast. Colored, woman, age 35 years. Army Medical Museum model prepared by Dr. J.F. Wallis. [Circa World War 1, 1918].

The museum's model-making skills continued into the 1950s, when a technique called moulage, which simulated injuries in rubber overlays were developed. A soldier would put on a moulage of a nuclear radiation injury for example and then the trainees would attempt to treat him. I'll attempt to get some photographs of them up, although I think we scanned the kit's whole instruction book recently as well.

Check out this conference in Europe on models and Auzoux too.

Memorial to French doctors

This relief is on an exterior wall at the Musée d'Histoire de la Médecine in Paris, kind of tucked away and probably not noticed much. I'm glad I found it. It's a memorial to the 1800 doctors who gave their lives for their country in World War 1.

Victor McKusick, Abraham Lincoln and the Museum

A couple of decades ago Dr. Victor McKusick suggested that Abraham Lincoln may have had Marfan's syndrome and that the museum's specimens should be tested. I'm going by memory here, but I think a blue-ribbon committee was convened, debated, and a decision was made not to test the material because the science wasn't advanced enough yet, and it didn't really matter if Lincoln had Marfan's. Read the three NY Times articles linked above rather than trust my memory. McKusik died recently and the Washington Post ran an obituary and an appreciation while the NY Times ran an obituary.

At the moment, the museum is not contemplating DNA tests on Lincoln's remains, nor any other individuals.

Reminder: Limb Lab Program Tomorrow

Afternoon Coffee Talk at the National Museum of Health and Medicine

Title: "Limb Labs: Getting Amputee Soldiers Back to Work After World War I"

Speakers: Beth Linker, Ph.D., Associate Professor of History, University of Pennsylvania and Jeffrey Reznick, Ph.D., Honorary Research Fellow in the Center for First World War Studies at the University of Birmingham and Director of the Institute for the Study of Occupation and Health, AOTF

What: Join a discussion about early efforts to standardize and construct affordable prosthetic arms and legs for amputee soldiers by orthopedic surgeons in America and England during World War I.

When: Thursday, July 24, 2:00-3:30 p.m.

Where: Classroom (AFIP, Bldg. 54)
http://www.nmhm.washingtondc.museum/about/directions.html

Cost: Free! Coffee!

Former museum staffer on weight vs height vs driver's license

Anthropologist Tony Falsetti was on the Museum's staff a decade or so ago. He popped up in the news recently - once for a project to match people's self-images with their body reality - "License, Registration And Weight, Please: For Many Drivers, Telling the Whole Truth Is Too Heavy a Burden," By Brigid Schulte, Washington Post Staff Writer, Monday, July 21, 2008; C01.

He also was wandering around Russia looking into the Czar's assassination.

New exhibit in Museum sheds light on identifying missing soldiers, sailors and airmen

The Museum's opened a new exhibit on forensic identification of war dead that goes from the 19th through the 21st centuries. One can see how it is relevant in the newspaper on a weekly basis. Here's a recent article -"Remains of MIA Pilots Identified: Vietnam War Casualties, One From Vienna, to Be Buried," By Ian Shapira, Washington Post Staff Writer, Saturday, July 19, 2008; Page A3.

Urology exhibit in Washington-Baltimore area

The Post ran this story on the William P. Didusch Center for Urologic History in Maryland - "Appetizers in The Urology Museum," By Gabe Oppenheim, Washington Post Staff Writer, Saturday, July 19, 2008; Page C01.

Trepanation

You see old illustrations of this procedure and it kind of makes your skin crawl and makes you very glad it's not you under the awl or drill. According to wikipedia, cave paintings as far back as the Neolithic era give the earliest documentation of this medical procedure, used for a variety of disorders from migraines to bad spirits. I can kind of identify with that. I used to get some hellacious headaches and if a hole drilled in my head would have relieved them, I would have signed up on the spot. Trepanation is still used today but a little more circumspectly. Regarding this picture, though, even for my headaches, I would have insisted on a nice, lie-down position. This picture was part of a small museum attached to an excavated 12th century church in Dublin, Ireland.

Old Walter Reed Hospital

Have I posted this before? I lose track. I was just looking at my Flickr stats and saw that this picture of the old (original) Walter Reed Hospital was viewed several times yesterday. I took this last fall, the second-best time of year to be in Washington. If you haven't been here in spring, put it on your Bucket List. Washington is indescribably beautiful in the spring, but fall is almost as good. Look at the color of that sky.

Agent Orange's lasting effects

I'm going to get on my soapbox for a minute and if I've written about this before, just skip this post.

About three years ago my husband went for a routine physical and got the bad, terrifying news that he was diabetic. Even though I have a sister who's diabetic and I thought I knew all there was to know, it turned out neither Bob nor I knew much of anything. He had no family history whatsoever. Overnight, it seemed, he lost quite a bit of weight because he was afraid to eat anything. The doctor told him no bread, potatoes, rice, or pasta and he gave it all up cold turkey. He manages pretty well now, thanks, but has a pretty good idea of what awaits him down the line.

Now here's the kicker. About a year after he was diagnosed, his brother was trolling the VA website and found information relating diabetes to Agent Orange. The bottom line is, if a soldier set foot in Vietnam and now has diabetes, the VA makes the presumption that Agent Orange is the cause. You don't have to prove anything other than show your DD214. Sure, they make you jump through hoops but if you have it, pass Go and collect your claim. And it's not just diabetes. If you know a Vietnam vet who's having health problems, please direct him or her to the VA website.

SOPs for death of employees

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I've been processing a collection from a former director of the AFIP (Armed Forces Institute of Pathology), a doctor who was in the forefront of aircraft accident investigations, causes, and pathology, back in the late 1950s and early 1960s. Much of the collection relates to papers he wrote and conferences he spoke at and attended, interesting to a certain point, but still... However, among his papers I found these gems that, 50 years on, made me smile. I know you'll have to click through to read them. I think they're worth it.

Resolved: The Story of Capt. Robert M. Young and His Return Home

As part of the next NMHM Docent Meeting and to coincide with the opening of the museum's newest exhibition, "RESOLVED: Forensic Identification of U.S. War Dead, the museum will host a special talk on Wednesday, July 23 at 11 a.m. If you are interested in attending, please call 202-782-2673.

"Resolved: The Story of Capt. Robert M. Young and His Return Home"

In the spring of 1970, a U.S. Army helicopter was hit by enemy fire and
forced to land on the border of Cambodia and South Vietnam. The soldiers
on the aircraft were captured and interred as prisoners of war. In 1973,
several of the soldiers were released while others remained
missing-in-action. Two of the soldiers were found to have died in the
camps. One of these soldiers, Capt. Robert M. Young, left behind a young
wife and three-year-old daughter.

Over 25 years later, Capt. Young's remains were positively identified by
the Central Identification Laboratory through several lines of evidence,
including an examination of anthropological remains and DNA analysis.
This family's story provides a real-life illustration of the process of
identification exhibited in "RESOLVED: Advances in Forensic
Identification of U.S. War Dead."

Afternoon Coffee Talk at the National Museum of Health and Medicine

Afternoon Coffee Talk at the National Museum of Health and Medicine

Title: "Limb Labs: Getting Amputee Soldiers Back to Work After World War I"

Speakers: Beth Linker, Ph.D., Associate Professor of History, University of Pennsylvania and Jeffrey Reznick, Ph.D., Honorary Research Fellow in the Center for First World War Studies at the University of Birmingham and Director of the Institute for the Study of Occupation and Health, AOTF

What: Join a discussion about early efforts to standardize and construct affordable prosthetic arms and legs for amputee soldiers by orthopedic surgeons in America and England during World War I.

When: Thursday, July 24, 2:00-3:30 p.m.

Where: Russell Auditorium (AFIP, Bldg. 54)
http://www.nmhm.washingtondc.museum/about/directions.html

Cost: Free!