It has not been too long since we realized that Joseph Murray (1919-2012) has passed away while we heard this sad news 2 weeks ago. We never forget his memories and trip for the first time on 14th November 1974to Iran. He returned to our country one more time later to share his experiences with the country specialists. It is a great sorrow that he did not see our progress in plastic and reconst...

about 60 cigarettes daily and had regular morning cough and sputum. As part of his act he used to fill his mouth with turpentine or paraffin which he would blow out and ignite. He had taken drugs since he was 16-years-old, often swallowing them with beer. He recalled taking, among others, Mandrax, Tuinal, Dexedrine, DFl 18, diazepam, and cannabis. He occasionally inhaled powdered drugs particul...

A72-year-old man scheduled for cardiac surgery presented for evaluation of an intrathoracic mass noted on a preoperative chest roentgenogram. He denied chest pain, dyspnea, cough, weight loss, or fever. In the 1950s, while working above ground with coal, the patient had a routine chest roentgenogram that showed a left pleural mass. He remained as-ymptomatic, however, and the mass enlarged only ...

An 81-year-old man presented with a 3.5×3.0-cm pink exophytic tumor with an eroded surface and prominent vascularity on the left side of the parietal scalp. The patient reported that the tumor had been present for more than 30 years but recently had grown larger in size. He denied pain or pruritus in association with the lesion and did not report any systemic symptoms. He had received no prior ...

St. John’s wort (SJW)(Hypericum perforatum L) is one of the oldest medicinal herbs. Hypericum extracts have been shown to be significantly effective in treating mild to moderate depression. To our knowledge, this is the first case report about panic attack in a man induced by a single dose of SJW extract. A 35-year-old male was admitted for gradually increased trembling and fear of dying. He st...

BACKGROUND AND OBJECTIVES Job's syndrome (JS), one of the presentations of the Hyper IgE Syndrome, is a rare immunodeficiency. It includes cutaneous abscesses, recurring pneumonias, pneumatoceles, eosinophilia, hyperimmunoglobulinemia E (> 2,000 IU.mL(-1)), and craniofacial and bone growth changes. This report describes the disease and its anesthetic management. CASE REPORT The patient is a 1...

A 48-year-old man residing in a mental health department inpatient program with a history of schizoaffective disorder presented to the emergency department with a chief complaint of fever and intense abdominal pain for one day. The patient stated he initially fell in the shower and afterwards experienced back pain. He was transferred to an acute care unit within the facility for further evaluat...

The incidence of chronic and debilitating conditions in the aging population is steadily increasing, and the treatment of extreme elderly patients with spinal conditions can be challenging. Spinal stenosis and spondylolisthesis can dramatically affect patient quality of life, and patients commonly seek a surgical solution for their condition. Many extreme elderly patients are cautioned against ...

A 55-year-old African-American man presented with a week-long history of cough with bloodstreaked sputum. He denied fevers, night sweats, weight change, and sinus symptoms. He was physically active and had no dyspnea on exertion. He reported gastroesophageal reflux symptoms but denied any other complaints. His medical history included diverticulosis and depression. He took no medications. He wa...