Lost Hospital — The Renwick Smallpox Hospital, Roosevelt Island, New York1

Smallpox is an infectious disease unique to humans. The term “smallpox” was first used in Europe in the fifteenth century as a way to distinguish this disease from the epidemic of syphilis.

Smallpox killed an estimated 400,000 Europeans each year by the end of the eighteenth century. As recently as 1967, the World Health Organization (WHO) estimated that 15 million people contracted the disease, and two million had died as a result.

The Renwick Smallpox Hospital (later the Maternity and Charity Hospital Training School) was located on Roosevelt Island in New York City.  When Renwick Smallpox Hospital opened on December 18, 1856 on Blackwell’s Island (the island’s name at the time), the hospital could treat 100 patients. … Read more →

Tips: How to Make Your Child’s Hospital Stay Fun

A hospital stay can be a difficult and often emotional experience for a child. Keeping your children occupied can be the best way to keep them from focusing on their illness. Here is a list of things that can make your child’s hospital visit much more fun.

  • Most importantly let your children know how much you love and care for them, and that you will be by their side.
  • Bring toys from home for your children. Their favorite doll or dinosaur can make the hospital stay seem much shorter and help them feel at home.
  • You can do arts and crafts. Bring coloring books, legos, beads and more. Try making a scrap book of their hospital stay by collect stickers from nurses, drawing pictures of the people they met and so on. Being creative can be a wonderful way to keep busy and stay positive. It’s also a great way to join in on the fun with your child.
  • You can bring outside dinner into your child’s room if the nurses okay it. This will make the children feel a lot better, and of course it is much better than eating the cafeteria food.
  • Bring video games. If you don’t own video games most hospitals have a Nintendo you can rent. Even parents can get involved on two player games.
  • Take your child for “adventures”(walks) in a wheelchair all over the hospital.
  • Have a “slumber party” in your child’s hospital room. You may not be able to make a lot of noise, jump on the bed, or have friends come. You can bring a movie and some snacks if your child is able to eat. Most hospitals allow you to rent the vcr. Your child can even have other members or children of the hospital to come and join.
  • Bring books to read stories to your child. This is aways a great way to help them fall asleep.

Things which may be restricted:

  • Cell Phones. Cell phones often cause interference with hospital equipment.
  • Latex or rubber balloons. Many people are allergic to latex, and to be on the safe side, most hospitals restrict their use. Mylar balloons are usually permitted.
  • Flowers or stuffed animals. You’ll want to check with the nurse beforehand. Some hospitals have restrictions on these items to avoid patient allergies.
  • Electrical Gadgets, like blow dryers, radios, portable DVD players, etc. You will want to get clearance before bringing these items. Battery-operated handheld video game players should typically be permitted.

PBS This Emotional Life: The Modern Art of Medicine

Craig Garner, chief contributor here at Hospital Stay write on the integration of complementary and alternative medicine in today’s health care system for PBS The Emotional Life.

“The irrationality of a thing is not an argument against its existence, rather, a condition of it.” –Friedrich Wilhelm Nietzsche

Let’s face it. Hospitals instill fear and anxiety in just about everyone. We logically connect hospitals with high-tech equipment, sterile rooms, and scary surgical procedures. Surprisingly, few people associate these same facilities with treatments such as massage, acupuncture and meditation.  As we head into 2011 — some ten months since President Barack Obama announced the passage of the Patient Protection and Affordable Care Act (PPACA) — this lack of understanding about hospital services is about to change.

Offered in almost 40 percent of hospitals (up from 26.5 percent in 2005, and 8 percent in 1998), complementary and alternative medicine (CAM) includes yoga, acupuncture, meditation, as well as other options typically considered outside of traditional Western medicine.  In a hospital setting, CAM increasingly appeals to patients for general wellness options, preventative measures, or when conventional choices fall short. Not surprising, preventative care and wellness programs exist at the core of PPACA, even though these particular sections in the 2,700-page law often escape the media’s spotlight.

Western medicine is associated with the most advanced, research-based treatments, surgeries, and drugs used by medical doctors and their colleagues. CAM treatments may date back thousands of years to ancient Greece or China and include in part acupuncture, herbal medicine, chiropractic treatments, hydrotherapy, and art therapy.  Historical precedence, however, may not be the biggest concern for hospital patients, especially since the existence of stress, anxiety, and overall fear — an inescapable dynamic inherent in practically all hospital stays — predates both new and old medicine.

With so many therapies falling under the umbrella of complementary and alternative, there are a myriad of different ways that hospitals and medical centers might integrate CAM into their establishments. While hospitals typically focus on the more established CAM therapies like massage, relaxation training, and nutritional therapy, even these treatments typically vary.

In addition to body-based therapies such as acupuncture, some CAM programs offer treatments in stress management, hypnosis, and resilience training. Studies show this approach helps patients develop positive coping strategies. Other facilities include CAM treatments in wellness areas, including environment, relationships, personal growth, and spirituality, as well as nutrition and exercise.

Some of these treatments are truly “holistic” systems, incorporating acupuncture, herbal medicine, massage, dietary, and lifestyle treatments in some instances, and yoga, diet, massage, and meditation in others. At the same time, complementary treatments are not always holistic, and this term may be little more than a lure for patients seeking “whole-person” care.

Some of the most common conditions treated with complementary and alternative medicine at hospitals include chronic pain, cancer, preparation for surgery and/or recovery, women’s health, and anxiety and depression. However, patients seek CAM treatments for any number of conditions, including chronic fatigue, sinusitis, addiction, gastrointestinal conditions, sports injuries, or as a preventative measure.

As with CAM-treated ailments, CAM treatments are far ranging. They vary in cultural origin, philosophy, and history—some may be thousands of years old, others only decades. They may include anything from homeopathy to pet therapy (an increasingly popular inpatient service, sometimes referred to as Animal Assisted Therapy (AAT)). The following are some of the most common treatments found at hospitals and integrative centers in the U.S.

Acupuncture involves the insertion of fine needles at specific body points and is believed to rebalance energy flows (qi) along pathways (meridians) to alleviate pain or treat conditions such as insomnia and high blood pressure. Acupressure is similar but involves the application of pressure as opposed to needles.

Biofeedback uses electronic devices to enhance patients’ control over body functions, such as heart rate and muscle tension, to treat conditions like anxiety, insomnia, and migraines.

Chiropractic body manipulation is based on diagnosis and manipulation of joints used primarily to treat spine, joint, and muscle problems.

Creative therapy uses creative expression—music, art, dance, and color, for example—for therapeutic purposes, such as dealing with difficult emotions or stress.

Herbal medicine, rooted in Western and Eastern traditions such as Ayurvedic, Chinese, Japanese, and Tibetan, uses medicinal fruits and plants to promote healing.

Hypnotherapy uses therapeutic suggestions to the mind in a relaxed state to encourage healing of physical or emotional problems, such as phobias, addictions and anxiety.

Massage is the application of pressure to induce relaxation and is believed to include a range of health benefits such as improved immunity and circulation.

Meditation, a form of mind-body therapy, uses a variety of techniques—such as focusing on a word or image—to clear the mind and induce relaxation. Other techniques include deep breathing, progressive relaxation and guided imagery.

Nutrition uses food and supplements tailored to an individual to treat ailments or as a preventative measure.

Qi gongTa’i chi, and yoga: A part of the traditional Chinese medicine system, Qi gong is a system of static and moving exercises that involves breathing and meditation. Also of Chinese origin, Ta’i chi involves slow, flowing movements and breathing techniques. Yoga, a part of Ayurvedic medicine, is a system of exercises, breathing, and meditation techniques.

Reiki, or “universal life energy,” involves transferring healing energy through hand positions to treat and rebalance the body.

Whole medical systems are complete systems of theory and practice, often having evolved over centuries, such as Ayurveda and traditional Chinese medicine. Naturopathy is another conventional whole medical system with a focus on utilizing natural treatments such as herbal medicine, acupuncture, and nutrition to encourage the body to heal itself and return to a state of balance.

This article was originally posted on PBS This Emotional Life.

Sports Fans Get Drunk, Study Concludes

A recent study reported online now and in the April issue of Alcoholism: Clinical & Experimental Research has concluded one out of every 12 fans leaving major sporting events is drunk.

Researchers from the University of Minnesota measured the blood alcohol content (BAC) in 382 adults after 13 baseball games and three football games found that eight percent of these fans had a BAC above the legal limit (0.08 or higher). Researchers also concluded that individuals who participated in tailgating before were 14 times more likely to leave that game intoxicated, and fans under 35 years old were nine times more likely.

According to study author Darin Erickson, an assistant professor of epidemiology and community health at University of Minnesota’s School of Public Health: “There weren’t really a lot of studies that specifically looked at an objective measure of how much people were drinking at these events. As with most good research, it probably brought up more questions than answers.”

Erickson’s study approached fans after sporting events between May and October 2006, and researchers asked these individuals to submit to an anonymous breathalyzer test and brief survey about their alcohol consumption.  After each game about 20 fans volunteered, with 58% of the individuals being male, 55% between the age of 21 and 35, and 14% were 51 or older. Erickson continued: “We were concerned we wouldn’t be able to get enough people. Next time we would have [another person on the team] just to watch how many people say no. We don’t have a real objective idea of the response rate.”

Some experts believe that the number of individuals drunk after sporting events if probably higher. Dr. Stephen Ross, an assistant professor at the New York University School of Medicine and clinical director of the NYU-Langone Center of Excellence in Addiction, stated: “The numbers are startlingly alarming. It’s well known the amount of drinking that goes on at ball games. It’s part of the culture of the games. Culture determines substance use almost more than any other factor. It’s clearly a public safety hazard.”

Michael Hilton, deputy director of the division of epidemiology and prevention research for the U.S. National Institute on Abuse and Alcoholism, added: “The implication is that a lot of these people are probably going to be driving. It should be an area of concern. This is really very much a pilot study, but it definitely says things that are worth following up in future studies.”

In conclusion, Dr. James C. Garbutt, medical director of the Alcohol and Substance Abuse Program at the University of North Carolina, Chapel Hill, added a sobering warning:  “The study reminds us that heavy drinking at sporting events occurs and that this likely contributes to DWI accidents and injuries or even deaths. Efforts to reduce this serious problem — such as education, traffic stops around a stadium and not serving alcohol in the final portion of a game — are of value.”

Sports Fans Get Drunk, Study Concludes0

A recent study reported online now and in the April issue of Alcoholism: Clinical & Experimental Research has concluded one out of every 12 fans leaving major sporting events is drunk.

Researchers from the University of Minnesota measured the blood alcohol content (BAC) in 382 adults after 13 baseball games and three football games found that eight percent of these fans had a BAC above the legal limit (0.08 or higher). Researchers also concluded that individuals who participated in tailgating before were 14 times more likely to leave that game intoxicated, and fans under 35 years old were nine times more likely. … Read more →

That Lasting First Impression

“You never get a second chance to make a first impression.”

Many credit Oscar Wilde with this quote, others believe American humorist Will Rogers deserves authorship (it is even engraved on his memorial plaque), and some give credit to Mark Twain.  Science has travelled beyond the literal meaning of the words to explore its truth.

According to a recent study published in the Journal of Experimental Psychology, new experiences that can potentially contradict a first impression become “bound” to the original context (i.e., impression) and that will ultimately prevail on many different levels.

According to lead author Bertram Gawronski:  ”Imagine you have a new colleague at work and your impression of that person is not very favorable. A few weeks later, you meet your colleague at a party and you realize he is actually a very nice guy. Although you know your first impression was wrong, your gut response to your new colleague will be influenced by your new experience only in contexts that are similar to the party. However, your first impression will still dominate in all other contexts.”

According to Gawronski, the human brain stores “expectancy-violating experiences” as mere exceptions to the rule. To explore the impact this has on first impressions, Gawronski and his team showed study participants either positive or negative information about an unknown person on a computer screen. Later in the study, the same participants received new information about the same individual, only inconsistent with the previous information.

To study importance of contexts, the researchers made subtle changes to the background color of the computer screen as participants formed their first impression. In measuring the participants’ spontaneous reactions to the person, they concluded that new information influenced participants’ reactions only in situations when it was presented against the background in which the new information was first acquired.

Otherwise, the first impression still dominated when the person was presented against other backgrounds. Gawronski commented: “What is necessary is for the first impression to be challenged in multiple different contexts. In that case, new experiences become decontextualized and the first impression will slowly lose its power. But, as long as a first impression is challenged only within the same context, you can do whatever you want. The first impression will dominate regardless of how often it is contradicted by new experiences.”

Lost Hospital Series — The Rabbit Test

Developed in 1927 by Bernhard Zondek and Selmar Aschheim, the Rabbit Test was an early way to detect pregnancy.  Although the original test actually involved mice, the Rabbit Test was nonetheless an important transition for medical advances in the middle of the twentieth century.

In the test, a doctor injected the urine from a woman into a female rabbit.  A few days later, the doctor examined the rabbit’s ovaries, looking for changes in response the hormone secreted only in pregnant women. This hormone – human chorionic gonadotropin (hCG) – is produced during pregnancy and an indication of a fertilized egg. Before this time, scientists believed hCG was produced by the pituitary gland. Georgeanna Jones, however, discovered hCG was indeed produced by the placenta.

From the 1930s to 1950s, this particular examination became a widely used pregnancy test, and the actual term “rabbit test” was first recorded in 1949.  Indeed, Xenopus frogs were also used in a similar “frog test.” Modern pregnancy tests still use the same concepts to determine the presence of the hormone hCG. Advances in medicine, however, have eliminated the need to use live animals.

There is a common misconception that only if the woman was pregnant would the injected rabbit die, which led to the phrase “the rabbit died” (meaning a positive pregnancy test). Unfortunately, all rabbits used for this particular test died as all examinations of rabbit ovaries were through invasive surgical intervention. Although it was possible to perform the exam without compromising the bunny, at the time medical science was more concerned with the trouble and expense it would involve.

That Lasting First Impression1

“You never get a second chance to make a first impression.”

Many credit Oscar Wilde with this quote, others believe American humorist Will Rogers deserves authorship (it is even engraved on his memorial plaque), and some give credit to Mark Twain.  Science has travelled beyond the literal meaning of the words to explore its truth.

According to a recent study published in the Journal of Experimental Psychology, new experiences that can potentially contradict a first impression become “bound” to the original context (i.e., impression) and that will ultimately prevail on many different levels. … Read more →

Lost Hospital Series — The Rabbit Test0

Developed in 1927 by Bernhard Zondek and Selmar Aschheim, the Rabbit Test was an early way to detect pregnancy.  Although the original test actually involved mice, the Rabbit Test was nonetheless an important transition for medical advances in the middle of the twentieth century.

In the test, a doctor injected the urine from a woman into a female rabbit.  A few days later, the doctor examined the rabbit’s ovaries, looking for changes in response the hormone secreted only in pregnant women. This hormone – human chorionic gonadotropin (hCG) – is produced during pregnancy and an indication of a fertilized egg. … Read more →

Lost Hospital — Greystone Park Psychiatric Hospital, Morristown, New Jersey0

The New Jersey State Lunatic Asylum at Morristown opened on August 17, 1876. Due to the efforts of Dorothea Lynde Dix, a nurse and advocate on behalf of better health care for mentally ill patients, the New Jersey Legislature eventually approved $2.5 million for the facility.

Located on approximately 743 acres of land, New Jersey’s second mental hospital was positioned near Morristown, Parsippany, and Newark. The hospital officially changed its name to Greystone Park Psychiatric Hospital in 1924. … Read more →