I think I’ve said something like this before but today’s number 45 of the top 50 physicians making a lasting impact on the field of medicine is known by EVERY pediatrician in the world, and most other physicians too. But that’s the definition of “lasting impact” isn’t it.
In 1949 Dr. Virginia Apgar was the first female full professor at the Columbia University College of Physicians and Surgeons and in 1953 went on to create what became known as the “Apgar score.”
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I have to tell you I’m still pretty ticked-off finding out about this huge conflict of interest: Big Soda acting like Big Tobacco and the health-care industry falling for it! I’m not sure where I’ve been to not hear about this until now; but, thankfully, the American Academy of Pediatrics and a few others have already come clean and done the right thing!
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We’ve only just begun, it seems, on our listing of the “50 most influential doctors in history,” a list made some time ago by a medical blog for physicians.
Today we chronicle the man who discerned the true nature of circulation, our number 46 on the list, William Harvey a contemporary of Galileo and Shakespeare and physician to King George of Great Britian.
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A while ago now, I decided to write a series of articles based on a magazine list described as the “top 50 influential doctors in history.”
The list, a big undertaking if not a bit ostentatious; the series of articles, a satisfying and most rewarding ride through the history of my profession – a ride even any parent would find an unexpected and critical benefit.
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Astin, the 17-year-old who suffered cardiac arrest when he was hit in the chest by an elbow playing baseball, is back for his 2nd follow-up. Remember, last visit he was depressed with worry over all the junk he had read on the internet and you (well I) assigned him some homework.
For the third article in the series we’ll talk about what we can do to “prevent” Commotio Cordis (CC, his final diagnosis) and help him decide about going back to play baseball in competition.
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Like others in this series of the 50 top physicians of all time, Helen Brooke Taussig is known by every Cardiologist in the world… most Pediatricians too.
You too would do well to get to know of her, if only to grasp a better understanding on how to care for your own children.
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Ok, it’s been over a week and your 17-year-old Commotio Cordis patient who suffered a cardiac arrest on the baseball field is back for his follow-up and an answer to his question: “When can I go back to playing baseball?”
You knew he was coming and you’ve had a week to prepare what to tell him… so, go ahead, I’d like to hear this too…
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Most of you let your children participate in sports so it’s critical that you know this. Bear with me, it’ll be fun – and something you want to talk to the coach about.
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Sudden Cardiac Death is, by definition, both sudden and unexpected – especially in a child whose life is supposed to revolve around “play” and “fun.” Unfortunately, it is also increasing.
Just as unfortunate, children’s “play” is often “industrialized” into major competitions with adult methods, standards and expectations leading to unintended consequences.
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This was a fun series of articles to write, but about an almost terrible experience on a 17-year-old boy athlete. It made the papers when he ostensibly had a “heart attack” on the baseball field.
The reader gets to “see the patient” and make a diagnosis (and see my humorous side) while learning about the four causes of sudden cardiac arrest in a child.
In follow-up we see some of the emotional side-effects of the near-death experience, exacerbated by viewing social media; and learn methods of problem-solving the correct way.
5 Posts in "Child Cardiac Arrest" Series
- Sudden Cardiac Arrest in a Child: Intro/Index – 25 Jul 2016
A heart attack or death of a child is always a major and emotional event; but, when it occurs in an otherwise healthy child participating in a sport even it often makes the news. These posts explain most of the why, who and how's of these dramatic occurrences.
- Sudden cardiac death – 26 Jul 2016
Sudden cardiac death in children is an "eye-opener" and shouldn't happen, especially to a healthy athletic one… right. But it does happen, all too often; and when it does it often make the newspaper. This article lets you be involved with a 17-year-old athlete who does just that— good luck!
- Sudden cardiac arrest - case – 7 Aug 2016
A somewhat interactive educational article about the four most common causes of sudden cardiac arrest and collapse in a child: Hypertrophic cardiomyopathy, Myocardial infarction, Long-QT syndrome and Commotio cordis.
- Commotio Cordis: Treatment and Prevention – 26 Aug 2016
You made such an impression on that 17-year-old boy who nearly died on the baseball field last week that he's now back for his followup with the question: “When can I go back to playing baseball?” Well, how about it?
- Commotio Cordis: Prevention and Return to Play – 9 Sep 2016
HEEES BAAAAACK! The 17-year-old who you've (well I've) been treating for his heart problem: Commotio Cordis. He's several weeks now from his near-death experience and is back for his second follow-up and a discussion about: Survivability, Prevention and Return to Play.
If you’ve enjoyed this little romp through children’s sports issues you might like to read about children’s fitness.
The popular TV series “Gray’s Anatomy” popularizes the name of a seminal breakthrough medical pioneer and his book; but, not one in 100 viewers has a clue about why the series’ title was chosen and who “Dr. Gray” really was.
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For the first time in a long time that I can remember, the dislike of mosquitos has taken on an entirely new life this summer. Most certainly due to all the medical news about the mosquito illnesses and Zika; but, there are other diseases mosquitos harbor too that we can’t just rely on “citrus smells” and “bug zappers” to defeat.
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