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Biomedical subjects

F H Kushner

Publications and source records attributed to F H Kushner.

7 recordsLinked to original sources

Retinal hemorrhage as a consequence of epidural steroid injection.

OBJECTIVE: To report that retinal hemorrhage is an important but uncommon complication of epidural steroid injection, a procedure frequently employed to alleviate chronic back pain. DESIGN: Patients who complained of visual field defects or blurred vision after receiving the injection received complete eye examinations, including fundus photography and fluorescein angiography. They were then followed up as their clinical situation dictated. SETTING: Patients were examined in an outpatient setting in our offices. PATIENTS: Between 1989 and 1992, five eyes of four female patients ranging in age from 35 to 81 years were evaluated and followed up. RESULTS: Examination and photographic documentation showed that these eyes had retinal hemorrhages, often distributed in a petaloid pattern, which resulted in transient loss of vision from 6 weeks to 6 months. CONCLUSIONS: Retinal hemorrhage is an uncommon but significant and previously unemphasized complication of epidural steroid injection for chronic back pain. This procedure should be carefully considered, particularly in one-eyed patients and those with bleeding problems, and patients should be fully informed that this can happen despite appropriate care and technique.

Adult↗

To live or to die. Causes of mortality among POWs in South Vietnam.

I have attempted to evaluate some of the varied reasons for the mortality among a small group of POWs interred in one camp in Quang-Nam, South Vietnam. There were many factors affecting survival: physical, psychological, social, cultural, racial, and, of course, the whim of fortune. The ancient message seems to be, however, that man is an adaptive animal; he learns from his own experiences as well as the experiences of others. Though he is a product of his environment and may be subjugated and destroyed by a strange one, he constantly attempts to work within it, to mold it, and to rise above it. It is the key to survival.

Cause of Death↗

Where do we go from here?

Ophthalmology is endeavoring to negotiate the perilous transition foisted upon it by an increasingly centralized government playing a more active role in the provision of health care for its citizenry; while at the same time we struggle with the changing ethical mores of society, and the shifting moral constructs of our colleagues. Transition is the most dangerous part of any voyage, but if we adhere to the consistent, universal values, we will emerge successfully on the other side of the transition.

Ethics, Medical↗

Effect of adding betaxolol to dipivefrin therapy.

We evaluated the safety and effectiveness of adding topically administered betaxolol 0.5% twice daily in 39 patients with ocular hypertension or primary open-angle glaucoma already being treated with dipivefrin 0.1% twice daily. The addition of the betaxolol significantly decreased (P less than .01) the mean intraocular pressure after two weeks (2.82 mm Hg) and four weeks (3.63 mm Hg). There were no significant changes in pulse rate, mean arterial pressure, or pupil diameter. The administration of betaxolol to patients already receiving dipivefrin appears to be clinically useful.

Aged↗

Conjunctival squamous cell carcinoma combined with malignant lymphoma.

A 31-year-old white woman with a poorly differentiated malignant lymphoma and a compromised immune system atypically contracted squamous cell carcinoma. Data obtained after her death indicate that her immune system was severely altered by either the primary disease or the chemotherapeutic regimen, or both.

Adult↗