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Biomedical subjects

R M Steckler

Publications and source records attributed to R M Steckler.

18 recordsLinked to original sources

The cervical wound of General James Longstreet.

BACKGROUND: Lieutenant General James Longstreet was arguably the finest corps commander on either side during the Civil War. He was severely wounded at the Battle of the Wilderness in Virginia on May 6, 1864, after a successful flank attack that nearly routed the Union army. DESIGN: A thorough review of the firsthand accounts of the events leading up to and following Longstreet's wounding was made. In addition, all articles listed in the medical literature describing Longstreet's care and numerous recent texts and articles about Longstreet have been researched. RESULTS: After being wounded on May 6, Longstreet received appropriate care by John Syng Dorsey Cullen, MD. Cullen controlled the hemorrhage from Longstreet's wound, helped evacuate him from the battlefield, and diligently cared for him during his convalescence. CONCLUSIONS: Longstreet was wounded by "friendly fire." The bullet's trajectory and the location of the gunshot wound suggest a posterior wound of entry rather than an anterior one as has been previously assumed.

Famous Persons↗

Outpatient parotidectomy.

Encouraged by the success of outpatient thyroid surgery, we have performed outpatient parotidectomy in more than 56 selected patients during the past 5 years. As a result of the success of the procedure and the enthusiastic patient response, the proportion of parotid operations performed on an inpatient basis has declined in the latter part of the series. The indication for surgery in virtually all cases was a mass in the parotid gland. The surgical technique used for inpatient or outpatient parotidectomy was the same. If a diagnosis of carcinoma was made based on frozen section examination, definitive surgery was performed, and the patient was admitted to the hospital. Postoperative interviews were conducted with all patients who had outpatient parotid surgery. There was almost uniform patient satisfaction with the performance of the procedure on an outpatient basis. Outpatient parotid surgery permits more efficient use of hospital facilities and more effective use of the surgeon's time. Outpatient parotid surgery was found to be a safe, cost-effective procedure, convenient for both the patient and the surgeon in selected patients.

Adenolymphoma↗

Outpatient thyroidectomy: a feasibility study.

In a group of 48 highly selected patients, thyroid surgery was performed on an outpatient basis. It was found to be a safe, cost-effective procedure, convenient for both the patient and the surgeon. Economic factors, although definitely a consideration, were not the compelling reason to perform thyroidectomy in this manner.

Adolescent↗

General Grant: his physicians and his cancer.

In early June 1884, seven years after leaving office as President of the United States, General Ulysses S. Grant was found to have carcinoma of the right tonsillar pillar. The General's physicians kept a detailed record of the course of their patient's disease. Speaking was quite painful for the patient, and his words and thoughts have been preserved on the scraps of paper on which he communicated to family, physicians, and friends. The diagnosis, symptomatic treatment, and inexorably progressive course of General Grant's mouth cancer taking place in an atmosphere of personal financial ruin are discussed in detail.

Carcinoma, Squamous Cell↗

"Andy Gump".

Explore the source record for details and available documents.

Caricatures as Topic↗