Monica Kempster

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As a result of superior vena cava thrombosis and ligation of the inferior vena cava, central venous access was limited in a patient with large, recurrent, intestinal fistulas. Transthoracic catheterization of the azygos vein provided a successful route for parenteral nutrition for 9 wk on one occasion, and transthoracic catheterization of the superior vena(More)
Four patients had soft, narrow-bore feeding tubes passed transbronchially into the pleural space. Guide wires were used to aid passage and may have contributed to this complication. The errant positioning of the tube was first noted roentgenographically in each case. Alternate methods of inserting such tubes in patients with altered airway and swallowing(More)
A key aspect of successful chronic disease management is active partnership between consumer and provider this is particularly important in diabetes management, where many key activities are in the hands of the patient. We have developed a multiinterface system that promotes high-quality diabetes management through profiling and adaptive support of both(More)
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