HEALTH CARE Essay Example | Topics and Well Written Essays - 750 words

HEALTH CARE - Essay Example The initial X-ray appears to be normal (pre-op). The pulmonary findings of subsequent radiograph in this patient, 3 days post-op resembles that of acute respiratory distress syndrome (increased interstitial pattern). No cardiac or pulmonary effusions were noted. This might have superimposed the findings of pneumonia and atelectasis secondary to mechanical ventilation. The third radiograph taken 4 days post operative shows decreased interstitial pattern suggestive of recovery. Post- surgery, the PO2 levels were very low, suggestive of hypoxemia. This can be expected in fat embolism (Weinhouse 2000). The PCO2 levels are also low suggestive of hyperventilation. The bicarbonate levels are slightly low, which is an attempt to compensate for the alkalosis. The overall picture of ABG is that of respiratory alkalosis. Following this, mechanical ventilation has improved the oxygenation which is evident in the subsequent ABGs. The pCO2 and bicarbonate levels have normalized and the pH is in the normal range. However the PaO2 levels have been fluctuating through out the first day post-op. The differential diagnosis mentioned is pulmonary thromboembolism, lipid embolus, myocardial infarction and pulmonary edema. The investigations reveal normal hemoglobin and platelet count, prolonged PT, normal LAP, normal urine analysis, normal liver function and renal function tests and normal cardiac profile enzymes. ABG is suggestive of severe hypoxemia and respiratory alkalosis, chest X-ray is suggestive of increased interstitial pattern and EKG showed no fresh ischemic changes. The EKG and normal cardiac enzymes rule out repeat myocardial infarction. The absence of Watermark’s sign in the chest X-ray rules out pulmonary embolism. However, the best method of ruling out this condition would be to do Doppler ECHO, rapid D- dimer tests and V/Q lung scan. PT/PTT would be normal in this condition. ABG would show fairly normal

Class and Gordon Ramsay's Kitchen Nightmares Essay

Class and Gordon Ramsay's Kitchen Nightmares - Essay Example Gordon Ramsay’s Ramsay’s Kitchen has already transcended beyond cooking and good taste. Gordon Ramsay’s success became a gauge and to a certain extent a barometer of the desirable values that society should emulate. Ramsay’s values for example such as hard work and neoliberal individualism was idealized that even his less than ideal characteristics became part of the acceptable culinary identity. As a show, Ramsay’s Kitchen has to provide entertainment value to its audience for the show to remain relevant but the manner it provides entertainment triggers extreme reactions due to Ramsay’s unorthodox and outrageous approach to entertain its audience. The jokes employed by the show may have served its purpose to elicit emotional response from its audience but it also creates class distinction as those who are not able to contend with the swagger of the jokes of Ramsay are often relegated to as low class. Even the structure of the show where apprentices are supposed to be students became a symbol of class distinction as they became subservient to the chef and therefore are subjected to classist derision affirming the power and superiority of Ramsay in culinary world not only in terms of culinary competence but also in employing power in the totem pole of chefs. This extends to language where power seems to provide license to the Ramsay show where swear words did not only become an expression of disgust but also an expression of superiority and power. Class differences also extended to gender as Ramsay’s Kitchen Nightmares represents the value of male dominated society as the show embodies the middle-class male dominated masculinity. But this may be necessary as most of its audience are composed of middle class where it derives not only its ratings but also its significance as its values are reflective of the middle