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God’s Hotel: A Doctor, a Hospital, and a Pilgrimage to the by Victoria Sweet

By Victoria Sweet

San Francisco's Laguna Honda clinic is the final almshouse within the kingdom, a descendant of the Htel-Dieu (God's resort) that cared for the ailing within the heart a while. Ballet dancers and rock musicians, professors and thieves-"anyone who had fallen, or, frequently, leapt, onto challenging times" and wanted prolonged clinical care-ended up the following. So did Victoria candy, who got here for 2 months and stayed for twenty years.Laguna Honda, decrease tech yet human paced, gave candy the chance to perform one of those attentive medication that has virtually vanished. progressively, where reworked the best way she understood her paintings. along the trendy view of the physique as a laptop to be fastened, her awesome sufferers evoked an older suggestion, of the physique as a backyard to be tended. God's Hotel tells their tale and the tale of the health facility itself, which, as potency specialists, politicians, and designers descended, made up our minds to show it right into a smooth "health care facility," printed its personal stunning truths in regards to the essence, expense, and cost of taking care of physique and soul.

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According to the WHO scheme, tumors with nuclear atypia alone are considered grade II; those with mitotic activity in addition to nuclear atypia are grade III; and neoplasms showing atypia, mitoses, microvascular hyperplasia (“endothelial proliferation”), or necrosis are considered grade IV. The WHO classification recognizes three morphologic variants of cells comprising diffuse astrocytomas: fibrillary, protoplasmic, and gemistocytic. However, no cytoarchitectural variant appears to have any prognostic importance.

Dagher AP, Smirniotopoulos J: Tumefactive demyelinating lesions. Neuroradiology 38:560–565, 1996. 4. Daumas-Duport C, Scheithauer B, O’Fallon J, Kelly P: Grading of astrocytomas: a simple and reproducible method. Cancer 62:2152–2165, 1988. 5. Eby NL, Grufferman S, Flannelly CM, et al: Increasing incidence of primary brain lymphoma in the US. Cancer 62:2461–2465, 1988. 6. Essig M, Schlemmer HP, Tronnier V, et al: Fluid-attenuated inversion-recovery MR imaging of gliomatosis cerebri. Eur Radiol 11:303–308, 2001.

Once irradiation is completed, postirradiation imaging should be performed to assess tumor response to radiation and any immediate radiation-related complications, such as edema, mass effect, or hemorrhage. Imaging at this time can also serve as a baseline scan before the patient starts adjuvant chemotherapy. For those patients enrolled in therapeutic clinical trials, a regular follow-up clinical and imaging evaluation is performed as part of the protocol—usually at intervals of 2 to 3 months, depending on the patient’s clinical status.

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