Upon this revelation, Juan had her body removed from the crypt and flown to his home in Spain, where he and his third wife, Isabel, kept the corpse in their dining room on a platform near the table.
He died in and was succeeded by his wife Isabel, who became the first female president in the Western Hemisphere. The government refused to pay the ransom, and the hands, seen by Argentinians as a symbol of power, have never been recovered. Login Register. Enjoying our content? Thanks for visiting The Medical Bag. If you wish to read unlimited content, please log in or register below. Registration is free. Register for free and gain unlimited access to the latest in medical news, and lifestyle and business advice, with personalized daily picks for you.
There's something for every health care professional on The Medical Bag. Continue Reading. Please login or register first to view this content. King Herod. Although the recurrence was not a complete surprise, the rapidity of it was striking and she was given additional radiotherapy to shrink the mass. Three months later, the pelvic pain had returned, and any further surgery was regarded fruitless. With the development of lung metastases, chemotherapy with nitrogen mustard was administered to relieve her cough and ease her breathing.
Although her medical records suggest that a prefrontal lobotomy was performed to help control her pain and anxiety, recent findings have suggested more sinister undertone s. The patient however, eventually slipped into a coma and died on the 26 th July , two and a half years following onset of the disease. She was just 33 years old. During her illness, the patient had never been informed of her condition.
It was not unusual at that time however, for such a diagnosis to be concealed from a patient since it was believed to prevent depressive and suicidal thoughts. The concealment of her medical condition may also have reflected a decision not to burden her or the public with the ramifications of her impending death. Furthermore, it was not uncommon in high profile cases for treatment to deviate from what was regarded as normal practice the VIP syndrome.
So why did a distinguished New York surgeon become involved in such a mysterious case? As well as being flattered and privileged to have been asked to help, he would have truly believed that his efforts would benefit the patient. Moreover, the US government favoured his involvement for diplomatic and political reasons. George Pack had hoped one day to document his role but sadly passed away before it could be accomplished. There are several important factors that may have led to the development of her disease.
Early onset of sexual activity is one such cause but with this patient, that could only be presumed. Continued high incidence and mortality from cervical cancer reflects a need to build capacity for cervical cancer screening, as well as vaccination.
In recent years, the focus in Latin America has been on vaccination; however, cervical cancer screening should not be de-emphasized. In this setting, each Latin American country must review their current screening programs on a population level with regard to their effectiveness at screening the target population, the quality of the program, and their efficacy at detecting and treating cervical dysplasia and early-stage cervical cancer.
This approach should be considered in these countries, especially for their lower-income regions. In the future, as more data emerge on cervical cancer incidence in the era of HPV vaccination, cervical cancer screening protocols should evolve. For example, there may be more of an emphasis on screening women who did not receive the HPV vaccination.
Patient education. Educational efforts focused on cervical cancer prevention, screening, and treatment should also be supported in Latin American countries. Many patient surveys from the region demonstrate a lack of awareness about HPV and cervical cancer. Studies from low- and middle-income countries have shown that inexpensive educational interventions can improve participation and adherence rates to cervical cancer prevention and screening efforts. Patient navigator programs.
Studies from Latin America have also shown that many patients with a positive Pap test are lost to follow-up. Such programs have been shown to improve cancer prevention and screening efforts.
These programs help to engage indigenous minorities and low-income and rural populations. This is particularly important for countries such as Bolivia, Ecuador, Guatemala, and Peru that have large indigenous populations where race, language, and sociocultural differences can create barriers to vaccination and screening.
Pain control. Tormented by excruciating pain in her last few weeks of life, at a time when even doctors were uncomfortable using morphine and its derivatives, she had a lobotomy for pain control without ever being told she had cancer.
It is high time we implement them. Providing optimal pain and palliative care to patients with cancer in Latin America is an ongoing challenge and must be prioritized by health care policymakers. Efforts to improve pain and palliative care in Latin America are ongoing but need continued support.
Although preventable, cervical cancer remains a major problem in Latin America. In the last decade, many Latin American countries have introduced the HPV vaccine, which is an exciting and highly effective intervention. Hence, there is a need for Latin American countries to invest in multipronged, multifaceted approaches that include cervical cancer education, health promotion, vaccination, and screening programs see below. Each country should review their current cervical cancer prevention and screening efforts, identify issues that can be improved upon, and implement changes in order to reduce cervical cancer incidence and mortality.
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