To the Editor: Facial vascularized composite allograft transplantation holds the promise of restoring form and function to patients with severe facial disfigurement for whom other satisfactory treatment options are lacking. We previously reported the transplantation of full facial vascularized…
Presentation of Case. Dr. Taylor A. Lebeis: A 52-year-old woman who had undergone orthotopic heart transplantation because of dilated cardiomyopathy was admitted to this hospital with painful red lesions on the left arm and leg. Eight years before this admission, the patient had ongoing episodes of…
Transcatheter aortic-valve replacement (TAVR) was approved in 2011 in the United States. As a condition of reimbursement, the Centers for Medicare and Medicaid Services (CMS) requires TAVR programs to perform a minimum of 20 TAVR procedures per year or 40 over a period of 2 years. Although other…
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The majority of burn injuries are minor and either do not require treatment or can be treated by any caregiver. More severe burns can result in clinically significant morbidity and, unless treated appropriately, can lead to severe scarring. Major burns lead to a profound systemic response that has…
My patient was a small, elderly woman lying in bed, looking gray. She was weak and not able to say much, but she confirmed "dolor del pecho" and gestured feebly toward her chest. Several days earlier, she had undergone knee-replacement surgery and had lost some blood. After the surgery, her…
To the Editor: Since the inception of the United Network for Organ Sharing in 1987, the number of patients awaiting a kidney transplant in the United States has increased greatly. However, there has been a recent decrease in the number of waiting-list candidates (94,804 as of March 25, 2019, as…
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