This article from The Lancet discusses the benefits, risks and uses of Ketamine for depression.
Although limited, studies into the use of medical marijuana in neurological conditions have shown some benefits. Patients with medical and neurological problems such as anxiety, headaches and pain, nausea and vomiting, weight loss, glaucoma, spasticity, multiple sclerosis (MS), seizures and movement disorders have shown benefits from medical marijuana. Check out this article going into more detail of some of the benefits and not of medical marijuana.
Major Ed Pulido welcomed us on his radio show "Warrior for Freedom" on AM 1640 The Eagle. We spent an hour taking about neurology and the need for continued care of people who have suffered brain injury. We look forward to another morning with him in the future.
JUNE 13, 2013
Mercy Hospital Oklahoma City co-workers Kelli Dutton, APRN-CNP, and Brandy Chaney, RNC-NIC, have been recognized among an elite group of nurses nationally.
Dutton and Chaney were among only 27 spotlighted nationally by medical device company Tangent Medical. The Nurses’ Choice Awards were created to honor nurses during National Nurses Week and to recognize those clinicians who demonstrate excellence in improving patient comfort, satisfaction, safety and the overall quality of patient care. Every nurse considered for this award was nominated by a nursing professional in hospitals and practices across the U.S and Canada.
Dutton helps lead the stroke program at Mercy Hospital Oklahoma City which was in January accredited with the state’s only Advanced Certification for Comprehensive Stroke Centers by the Joint Commission – the nation’s oldest and largest accrediting body in health care for having staff, equipment and processes that meet the highest levels of stroke prevention, detection, treatment and rehabilitation.
Dutton, who recently joined Mercy Clinic, works with stroke nurses, neurologists, administrators and staff to ensure patients are seen by a stroke expert within 15 minutes of arriving at the hospital. She makes sure the program flows smoothly and patient outcomes are ever-improving.
Chaney works in Mercy Hospital Oklahoma City’s level-III neonatal intensive care unit, which helps 400 babies per year grow and thrive so they can go home to be with their families. The 42-bed unit has private and semi-private rooms, and serves babies from across the state thanks to the recent addition of a NICU flight team.
By helicopter, the crew can reach babies in Ardmore, Ada, Stillwater and other Oklahoma communities in a fraction of the time it used to take to get there by plane or ground ambulance. Within fifteen minutes of getting a call to retrieve a baby, the Mercy NICU Flight Team is suited up and ready to go.
Chaney, left, and Dutton, right
were the only nurses in the state to earn a spot on the list
From March 3, 2015
By John Winkelman
Martin Duffner doesn’t remember any of the details, but his story is so significant that it caught the attention of the The Wall Street Journal.
The 75-year-old from Festus, Missouri, was checking the tire pressure on his vehicle when he became dizzy and started having double vision. Fortunately, his wife Carol went looking for him in the garage at about the same time and helped him to his favorite living room chair.
“I said, ‘Marty if you don’t answer me, I’m calling 911,' " Carol Duffner recalled. Paramedics from the Joachim-Plattin Ambulance District arrived and found him unresponsive, so they rushed him to Mercy Hospital Jefferson in Crystal City where he was immediately given a CT scan.
Through Mercy’s virtual telestroke network, Dr. J. Dustin Rosenhamer, a neurologist at Mercy Hospital Oklahoma City, evaluated Martin Duffner, checked the CT scan, reviewed his medical history through the electronic medical record, and ordered tPA, the clot-busting drug for stroke patients.
The tissue plasminogen activator (tPA) is most effective when given within three hours of the stroke onset, or up to 4.5 hours for some patients. Because of the fast action of his wife, the ambulance crew, emergency room, and the secure access to the stroke specialist in Oklahoma, Martin received the drug about an hour and 6 minutes from the first sign of stroke.
He was flown by helicopter to Mercy Hospital St. Louis for additional evaluation, where an angiogram showed his arteries open. The tPA had done its job.
“I woke up and they asked me if I knew where I was. I knew I was in a hospital, but I didn’t know which one,” Martin said.
His breathing tube was removed and he was able to raise his arms and legs on request.
“At first I had trouble lifting my left leg, but about the third try, I just told myself, ‘I’m going to do it,’” he said. After a night in the ICU and one in a medical patient room at Mercy in St. Louis, the rehab staff asked him to prove his steadiness by walking around the hospital floor. Just two days after a stroke that left him unconscious, he was headed home.
“The only after effect is that I get a little emotional when I think about it or talk about it,” Martin said.
Dr. J Dustin Rosenhamer
Mercy neurologist in Oklahoma City
Martin and Carol Duffner
of Festus, Missouri
Communities within the Edmond and NW OKC regions are lacking sufficient number of specialized providers to manage their health issues. Primary care providers are not able to provide the advanced care needed. The number of available specialized providers is declining especially related to neurological disease management. This vulnerable population is waiting 5-6 or more months to see a neurologist. Oklahoma was noted to be one of the top five states that will have the greatest projected gaps by 2025 specifically for people suffering from Alzheimers. It is projected that there will be less than 10 neurologists per 10,000 people for just Alzheimers alone (Neurology Today, July 2017.) The number of active neurologists in 2012 verses the anticipated need of specialized neurological care in 2025 was a near 20% short fall, which increased from 11% in 2012(NIH.gov, July 2013.) Further, there are increasing numbers of advanced practice nurses and PAs serving as providers, but few with any neurological expertise to assist in the growing need of this vulnerable population.