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Holli Marshall
Holli's Triumph Over Tragedy-Story
Paul McLaughlin - Medical History/SCAN
The
patient was admitted here on June 30, 1951, at the age of 2 years,
following a fall at home.
He
was brought to the hospital where physical examination revealed
multiple contusions over the entire body and a severely contused
head. He also had persistent vomiting during the first week of
hospitalization here and appeared to be anemic and under-nourished.
On
admission he was classified as being in serious condition and the
impression was cerebral concussion and nutritional anemia. X-rays of
the skull here were negative. Laboratory findings: Hemoglobin was 54%
and RBC's were 2,784,000. Urine was negative except for slight trace
of albumin. Patient did spike a temperature of 101 degrees on the
second day after admission. No other X-ray tests were done here.
During his stay, patient gradually improved and became more alert and
responsive and, after the first week, the vomiting subsided. He was
kept at the hospital for 48 days and discharged on August 17, 1951.
Patient was under the care at that time of Dr. Walter Rongaus of
Donora. Since that time, the child has been doing fairly well.
However, he has been mentally slow and has been in a special
education class during most of his school career. At the present time
he is in school and recently was drafted (into the military). -D.M
Petro, M.D.
Paul
McLaughlin
EEG
Test: December, 1997
DESCRIPTION
OF FINDINGS:
During
wakefulness, the background activity contains a well-developed
symmetric posteriorly dominant 8-9 Hz alpha rhythm which attenuates
with eye opening. Anteriorly, lower amplitude activity of mixed
frequencies is seen. A significant feature of this recording during
wakefulness is the presence of occasional episodes of rhythmic phase
reversing sharp 6Hz theta activity seen with phase reversals at the
T3 electrode (left temporal), lasting one to two seconds each without
clinical change in the patient. Occasionally, bi synchronous sharp
theta slowing is seen in the temporal head regions bilaterally (T3, T4).
As
the recording progresses, the patient becomes drowsy with
generalized symmetric increased slowing of the background activity
associated with development of vertex sharp waves. Stage 2 is reached
later in the recording with noted symmetric sleep spindles and K-complexes.
ACTIVATION:
Hyperventilation
produces a minimal generalized disorganization of the background
activity. Photic stimulation produces a bioccipital driving response.
IMPRESSION:
Abnormal
EEG in the wake, drowsy, and stage 2 sleep states due to the
presence of focal left temporal sharp waves and rhythmic theta
slowing. This finding is potentially epileptiform from an
electrographic viewpoint and could correlate best with a partial
seizer disorder. The fact that there is underlying slowing over the
left temporal head region is also potentially indicative of an
underlying focal structural abnormality on the left (which would be
consistent with prior brain injury focally on the left).
Meanings
of the above EEG Report;
1.
History of abuse, would not be surprised if psychiatric
abnormalities were pressed as well speech is ok without dysarthria.
Dysarthria
= speech defect
Meaning
= History of abuse the doctor is just noting that, doctor would not
be surprised if you have psychiatric (mental) problems because of the
abuse and that you endured, and the doctor is also noting that you
have ok speech without any major speech defect.
2.
Flexion contracture on left hand
Flexion
= extension, movement range, displacement
Contracture
= permanent tissue shortening
Meaning
= The doctor is saying you are not able to move you left or part of
your left hand to full motion as a normal person would, and they
suspect permanent tissue shortening (damaged tissue). Does not state
what cause of this may be.
3.
Patient is markedly myopic difficult to asscess his fundi bilaterally.
Fundi
= part of the eye
Bilaterally
= Two, both eyes equally
Myopic
= Severe to Mild eye problems that should be watched for possible
detachment (I have this too...severe)
Meaning
= Your eyesight is pretty bad and the doctor had a difficult time
what the difference between one eye to the other was with difficulty
upon examination of the fundi.
4.
Stress disorder - mild left hemiparesis
Hemiparesis
= Weakness of the muscle on one side (left-mild in your case) of the
body usually the sign of damage or disease affecting the part of the
brain that controls the nerves that direct movement (motor nerves)
Meaning
= The doctor found that the left side of your body is mildly damaged
or diseased and that is because part of your brain that controls this
is not working normally.
5.
Is mentally retarted but is a fairly reliable historion as far as my
experience goes.
Meaning
= The doctor found some signs of mental "retartedness" (I
hate that word!) So I will say, the doctor found you were slow
mentally, but that you are good at remembering things, experiences
past and present, and the doctor as not seen anyone quite as good and
functional as you in the doctors experience.
6.
Strange social mannerisms. Average intelligence other wise very
congruent in his discussion.
Manneisims
= mannerisms, such as moving hands while talking, putting certain
sentences together, movement of body, movement of speaking,
understanding, etc...
Congruent
= Follows through, you can carry on a conversation well.
Meaning
= The doctor found that there is some strange social skills,
probably (most likely) resulting in your abuse and seizure patterns,
otherwise you have average intelligence and can carry on a discussion
with people well.