craniotomy for pf malaria prevents brain stem blowout

Matthew McDaniel - The Akha Heritage Foundation wrote:

Man, this is really tragic. I know something of brain
swelling, it is what kills you on PF malaria, blows the
brain stem out the back.

So that is why they pop the skull tops, prevents that.

They use some kind of steroid when you have PF malaria but
15 -25% still die, real nasty figure if you ask me.

That is real messed up what happened, yes, race is medical.

What about his wife and kids?

We are lucky to be alive each day of our life.

Thank you for your friendship Bob.

Matthew

Do you mean you know of craniotomies to prevent
damage caused by swelling from pf malaria? At
least another death exposes this, probably again.

I hate to have a fever because swelling causes a
headache, if nothing else, because old heads
are hard bone, kids have skin first then cartilage
while growing.

Wife and kids, lots of extended family, doesn't
hurt to look like daddy, either. Daddy looked
exactly like grand-dad, too, and great-grandma
is sure to notice. She drives a Mercedes, too.
Lots of love to take up the slack. They won't
be living in the worst projects but not far
away from them. The women pack together
and one aunt babysits while others work.

US civilian hospitals, and I think really insurance
companies wanting to avoid costly surgeries and
rehabs, hide behind one study of 314 cases which
is used to prop up a profile, "gcs profile", Glasgow
cerebral score, which is used or mis-used as a
threshold for craniotomy.

It's a catch-22. Any unconscious person is automatically
scored lower than that number indicating that surgery
would help. Confused speech, same thing. Of course if
they wait a while a person will go unconscious, then
they can score them low and excuse not doing a
craniotomy to relieve the pressure which has just
caused unconsciousness, catch-22.

Skip had been conversing with emt's on the ambulance
ride, so they assumed he would recover, and I assume
that means their gcs score was high enough to indicate
craniotomy would pay off.

After twelve hours his breathing was regular and normal
pace. His eyes had swollen, which means his brain was
also swollen, which killed him half an hour later by
stopping his heart. If he had survived, brain damage
would have resulted from swelling, all that pressure,
unbelievable pressure, judging by his eyes.

That's in the US capital city, but in Baghdad, capital of
Iraq, a US military hospital gets a 60% survival rate with
his status by doing a simple craniotomy to pre-empt
damage by swelling. That blows the Glasgow profiling
sham away, and so would routine craniotomy for pf
malaria.

It's almost like a tracheotomy. No advanced micro neuro
surgery. The Aztecs and Egyptians and Incas would have
saved him.

We're medieval morons. It's a selective dark age, and
that sets up ironies like medevac from US capital to
Iraqi capital city if you want a craniotomy to survive
the DC war zone. Young black males headshot survive
only if in uniform, another irony.

Also ironic, Skip had survived being a teenage gangbanger,
and he was a twenty-six year old working man with a wife
and two daughters. That could be a lot of us. He wasn't
a write-off, but they wrote him off by gcs profiling to
deny pressure relief surgery.

Ice bag(hypothermia), nasal oxygen tube(hyperventilation),
re-arranging the deck chairs on the Titanic to reduce swelling,
but look at his eyes swelling anyway, do the pressure relief
craniotomy immediately, pre-emptively.

-Bob

http://www.google.com/search?q=pf+malaria+craniotomy
http://www.bionewsonline.com/5/2/microflora_c.htm
No To Shinkei, 1991 Aug, 43(8), 781 - 5
{Acute subdural empyema due to peptostreptococcus}; Ueno M et al.; A very rare case of acute subdural empyema due to peptostreptococcus was reported . A 11-year-old-girl was admitted to our hospital with high grade fever, unconsciousness and rt hemiparesis . CT scans showed the mass effect caused by the subdural empyema over the left frontotemporal region . Subdural empyema was evacuated by the craniotomy . Peptostreptococcus was found in the pus obtained during the operation . However, CT scans 10 days after the operation revealed another subdural empyema in the left frontal base and interhemispheric fissure, which was removed again by the craniotomy using coronal incision 14 days after the first operation . Frontal sinusitis was also demonstrated by CT scan . Killian's operation to the frontal sinusitis was performed by otorhinolaryngologists at the same time . Six weeks after the second operation, she was discharged without any neurological deficits . Peptostreptococcus is one of the indigenous microflora of the oral cavity, skin, gastrointestinal tract and genitourinary system and may be a causative microorganism in every type of human infection due to its abnormal localization . There is a controversy concerning surgical management subdural empyema . Both the burr hole drainage of pus and the craniotomy are advocated . Associated otorhinologic lesions must not be overlooked . Otorhinologic consultation should immediately be obtained so that the drainage of an infected paranasal or mastoid sinus can be performed at the time of craniotomy . This is critical to prevent the recurrence of the subdural empyema from further extension of the extracranial disease.

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