But on one occasion when I encountered a similar fantasy in a little boy who was my patient I began to understand the uncanny effects of this story.

That was in the days before blood banks, of course, and transfusions had to be given directly from donor to patient.

The man's voice was a sweet, patient whisper.

Each time Letch `` went up '' in his `` lines '', I was the one to be patient, helpful and apologetic while he indulged in outbursts of temperament, profanity and abuse, blaming others, going into `` sulks '' and, on more occasions than I care to count, storming off the `` set '' for the rest of the day.

This patient was a 65-year-old white male accountant who entered the New York Hospital for his fourth and terminal admission on June 26, 1959, because of disabling weakness and general debility.

In September, 1958, the patient developed generalized weakness and fatigue which was concurrent with exacerbation of his anemia ; ;

Serum potassium at this time was 3.8 mEq. per liter, and the hemoglobin was 13.9 gm. By Dec. 1, 1958, the weakness in the pelvic and quadriceps muscle groups was appreciably worse, and it became difficult for the patient to rise unaided from a sitting or reclining position.

From March 3 to May 1, 1949, the patient was maintained on dexamethasone, 3 to 6 mg. daily.

Eventually it became clear to me, partly with the aid of another schizophrenic patient who could point out my condescension to me somewhat more directly, that this man, with his condescending, `` You're welcome '', was very accurately personifying an element of obnoxious condescension which had been present in my own demeanor, over these months, on each of these occasions when I had bid him good-bye with the consoling note, each time, that the healing Christ would be stooping to dispense this succor to the poor sufferer again on the morrow.

It seems clear, when one takes into consideration the exceedingly defective eyesight of the patient ( we shall describe it in detail in connection with our second question, the one concerning the psychical blindness of the patient ), that he had to rely on his sense of touch much more than the usual portfolio-maker and that consequently that faculty was most probably more sensitive to shape and size than that of a person with normal vision.

And so the authors conclude: `` The conduct of the patient in his every-day life and in his work, even more than the foregoing facts ( mentioned above under 1 ), leave positively no room for doubt that the sense of touch, in the ordinary sense of the word, was unaffected ; ;

When the patient was not allowed to move his body in any way at all, the following striking results occurred.

( This patient, in actuality, was a neurasthenic who had almost come to the point of accepting the fact that it was not her soma but her psyche that was the cause of her difficulty.

While women had always attended ball games in small numbers ( it was the part of a `` dead game sport '' in the early years of the twentieth century to be taken out to the ball park and to root, root, root for the home team ), they had often sat in patient martyrdom, unable even to read the scoreboard, which sometimes seemed to indicate that one team led another by a score of three hundred and eighty to one hundred and fifty-one.

It was just that she felt deeply about every patient on the ward and wanted to believe that they might benefit from their treatment there.

The word " extreme " ( final ) indicated either that it was the last of the sacramental unctions ( after the anointings at Baptism, Confirmation and, if received, Holy Orders ) or because at that time it was normally administered only when a patient was in extremis.

In April 1906, Mrs Deter died and Alzheimer had the patient records and the brain brought to Munich where he was working at Kraepelin's lab.

For nearly twenty years he battled an amphetamine addiction ; during the 1960s he was a patient of the notorious Max Jacobson, known as " Dr. Feelgood ", who administered injections of " vitamins with enzymes " that were in fact laced with amphetamines.

So many times I have wondered why veterinarians do not wipe the table clean before each new canine patient is placed on it for examination.

As shown in Fig. 4, an external antenna is placed over or around the patient and excited 3000 times a second with short 400-kc. bursts.

The patient returns 24 hours later to have the level of radioiodine " uptake " ( absorbed by the thyroid gland ) measured by a device with a metal bar placed against the neck, which measures the radioactivity emitting from the thyroid.

The benefits of combining mesmerism and phrenology was that the trance that the mesmeric trance a patient was placed in was supposed to allow for the manipulation of penchants and qualities.

The chestpiece usually consists of two sides that can be placed against the patient for sensing sound ; a diaphragm ( plastic disc ) or bell ( hollow cup ).

If the diaphragm is placed on the patient, body sounds vibrate the diaphragm, creating acoustic pressure waves which travel up the tubing to the listener's ears.

If the bell is placed on the patient, the vibrations of the skin directly produce acoustic pressure waves traveling up to the listener's ears.

The patient is intubated and is placed on a mechanical ventilator, and anesthesia is produced by a combination of injected and inhaled agents.

However, the APA rejected a stronger resolution that sought to prohibit “ all psychologist involvement, either direct or indirect, in any interrogations at U. S. detention centers for foreign detainees or citizens detained outside normal legal channels .” That resolution would have placed the APA alongside the American Medical Association and the American Psychiatric Association in limiting professional involvement in such settings to direct patient care.

The sedated or anesthetized patient lies down in the apparatus ' bed, with the back supported by a water-filled coupling device placed at the level of kidneys.

The pads are placed on the chest of the patient, or one is placed on the chest and one on the back.

Sonographers typically use a hand-held probe ( called a transducer ) that is placed directly on and moved over the patient.

( The ischemic exercise consists of the patient squeezing a hand dynamometer at maximal strength for a specific period of time, usually a minute, with a blood pressure cuff, which is placed on the upper arm and set at 250 mmHg, blocking blood flow to the exercising arm.

Patients can also choose to be placed in the room, prompting Kaysen to remark, “ freedom was the price of privacy .” Here, a patient can be blessedly alone for a period, free from scrutiny and company but confined to even tighter quarters.

Similarly, another patient with unilateral lesion of area V1 could avoid obstacles placed in his blind field when he reached toward a target that was visible in his intact visual field.

This is either an inflatable cuff placed around the fluid bag to force the fluid into the patient or a similar electrical device that may also heat the fluid being infused.

* Surgical mask or N95 mask to reduce possibility of airborne infection transmission ( sometimes placed on patient instead of caregivers.

Caretakers and health providers can sometimes contribute to wasting if the patient is placed on an improper diet.

They placed wires on nerves exposed during an operation, and reported that the patient heard sounds like " a roulette wheel " and " a cricket " when a current was applied.

Furthermore, because the radiation sources are placed in or next to the target tumour, the sources maintain their position in relation to the tumour when the patient moves or if there is any movement of the tumour within the body.

To identify the optimal spatial and temporal distribution of radiation sources within the applicators of the implanted tissue or cavity, the treatment planning software allows virtual radiation sources to be placed within the virtual patient.

If the home care service is not in place at time of discharge, the patient may not be able to leave the hospital, resulting in a delay in discharge and the patient being placed on alternate level of care status ( that is, deemed no longer requiring acute level of medical care, for which the hospital will receive a substantially lower rate of payment ) until the necessary services are arranged.

Although success rates are not usually equal to that of epilepsy surgery, it is a reasonable alternative when the patient is reluctant to proceed with any required invasive monitoring, when appropriate presurgical evaluation fails to uncover the location of epileptic foci, or when there are multiple epileptic foci.

Thyroid imaging and radiotracer thyroid uptake measurements, combined with serologic data, enable specific diagnosis and appropriate patient treatment.

Of the 19 patients who received a fluoroquinolone for an appropriate indication, only one patient of 100 received both the correct dose and duration of therapy.

The primary dispute is between those who believe DID is caused by traumatic stresses forcing the mind to split into multiple identities, each with a separate set of memories, and the belief that the symptoms of DID are produced artificially by certain psychotherapeutic practices or patients playing a role they believe appropriate for a patient suffering from DID.

At California's Emanuel Medical Center, neurologist Narges Pazouki, MD, said an organ-procurement organization representative pressed her to declare a patient brain-dead before the appropriate tests had been done.

# If the hospital does not have the capability to treat the condition, the hospital must make an " appropriate " transfer of the patient to another hospital with such capability.

This transactional view of speech acts has significant applications in many areas in which ( human ) individuals have had different roles-for instance-a patient and a physician might meet in an encounter in which the patient makes a request for treatment, the physician responds with a counter-offer involving a treatment she feels is appropriate, and the patient might respond, etc.

The ECMO Specialist, under qualified medical direction and supervision, is also responsible for the clinical needs of the patient on ECMO which may include bedside management of oxygenation and carbon dioxide removal, maintenance of normal acid-base balance, administration of medications, blood and blood products, and maintenance of appropriate anticoagulation therapies for the blood.

#: The emergency medical service provides appropriate and timely interventions to treat the patient at the scene of the incident

#: the emergency medical service load the patient in to suitable transport and continue to provide appropriate medical care throughout the journey

#: the patient is handed over to an appropriate care setting, such as the emergency department at a hospital, in to the care of physicians

In either case, the HMO takes a greater level of involvement in the patient's care, assigning a case manager to the patient or a group of patients to ensure that no two providers provide overlapping care, and to ensure that the patient is receiving appropriate treatment, so that the condition does not worsen beyond what can be helped.

EMTs are trained to assess a patient's condition, and to perform such emergency medical procedures as are needed to maintain a patent airway with adequate breathing and cardiovascular circulation until the patient can be transferred to an appropriate destination for advanced medical care.

According to WPATH, medically necessary sex reassignment surgeries include " complete hysterectomy, bilateral mastectomy, chest reconstruction or augmentation [...] including breast prostheses if necessary, genital reconstruction ( by various techniques which must be appropriate to each patient [...])[...] and certain facial plastic reconstruction.

Routine use of dental dams is not always appropriate because of some difficulties: for instance communication with the patient is significantly reduced and the patient may feel restricted.

Triage is typically conducted face-to-face when the patient presents, or a form of triage may be conducted via radio with an ambulance crew ; in this method, the paramedics will call the hospital's triage center with a short update about an incoming patient, who will then be triaged to the appropriate level of care.

Additional curriculum may cover diagnosis with emphasis on laboratory tests, disease state management, therapeutics and prescribing ( selecting the most appropriate medication for a given patient ).

Each DRG is allocated a ‘ weight ’, which is dependent on the average cost of inputs ( e. g. nursing, diagnostic services, procedures ) required to achieve the appropriate patient outcome.

The appropriate treatment for pyromania varies with the age of the patient and the seriousness of the condition.