An unwelcome boost

Ciguatera poisoning: an unwelcome vacation experience.

married couple in their late 50s trav-eled to Costa Rica on vacation. They both dined frequently on local fish. While in the country , they developed nausea, vomiting, and diarrhea, with up to 10 bowel movements per day. These symptoms were followed by tingling of the extremities and a sensation of " pricking by pins and needles " that was exacerbated by the movement of air over the skin. In ad...

An unwelcome guest in the courtroom.

Editor: Drs. Kapoor and Williams brought an important matter to our attention, with which I am in agreement, given some 45 years of general and forensic practice. I was surprised that a commentary was not presented, especially by a practitioner of both psychoanalysis and forensics. My education and practice have been guided by psychoanalytic theory for both psychotherapy and forensic examinatio...

Vertebral Arteriovenous Fistula: An Unwelcome Thrill

Cervical vertebral AV fistulae are uncommon vascular lesions involving abnormal communication between the extradural vertebral artery and surrounding venous structures. We examine the case of a female evaluated in the emergency department with a vertebral AV fistula presenting classically as pulsatile tinnitus and later successfully treated with standard endovascular techniques. A discussion on...

Unwelcome complement.

For decades, the complement system has been recognized as an effector arm of the innate immunity system that contributes to the destruction of tumor cells. However, recent studies have challenged this paradigm by demonstrating that a complement component, the anaphylatoxin C5a, promotes the growth of malignant tumors in a mouse model of cervical carcinoma. The effect of C5a on tumor growth was ...

Out-of-Network Emergency-Physician Bills - An Unwelcome Surprise.