W. Mel Flowers

Learn More
BACKGROUND Radionuclide angiography (RA) has been used for many years to confirm the clinical diagnosis of brain death, but quantitative data regarding the technique are unavailable. METHODS We conducted a retrospective review of 229 RA procedures done in 219 patients. RESULTS Of 206 patients who had interpretable studies and met clinical criteria for(More)
Persistent cerebral blood flow occasionally confounds confirmatory tests for brain death and results in the anguish of delayed diagnosis, unnecessary use of expensive resources, and loss of transplant opportunities. We reviewed the literature to examine the reasons, frequency, and meaning of this problem. We found that this phenomenon occurs: (1) before(More)
BACKGROUND The accuracy of the clinical diagnosis of brain death has never been established. METHODS Seventy-one consecutive clinically brain dead patients were studied retrospectively. Inclusion criteria were complete cessation of brain function with profound coma of known cause, complete absence of brain stem reflexes, and apnea, all persisting for a(More)
Systemic radionuclide therapy with strontium chloride Sr 89 is a rediscovered alternative to relieve pain from bony metastases. Although numerous advances have been made in the diagnosis and treatment of cancer, pain remains a serious and debilitating disease complication. An increasing number of clinical trials are reporting satisfactory results with(More)
We report a case of seat-belt injury in a 10-year-old girl who had total subcutaneous disruption of her anterior chest wall. She had a tear of her pericardium and subsequent herniation of her heart into the left hemithorax through the pericardial defect. The skin was intact, and masked the true extent of the problem. She also had injuries to her cervical(More)
Acute pulmonary edema developed in two young, previously healthy women immediately after the intravenous administration of contrast media. The pulmonary edema, rare in young persons, could not be explained by classical anaphylaxis, contrast media overdose, sodium and fluid overload, or acute myocardial infarction. A nonimmunologic osmotic mechanism causing(More)