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Joseph Giordano, Surgeon Who Helped Save Reagan's Life, Dies at 84
Joseph Giordano, Surgeon Who Helped Save Reagan's Life, Dies at 84

New York Times

time04-07-2025

  • New York Times

Joseph Giordano, Surgeon Who Helped Save Reagan's Life, Dies at 84

Joseph Giordano, who as the lead trauma surgeon at George Washington University Hospital helped save the life of President Ronald Reagan after he was shot outside the Washington Hilton in 1981, died on June 24. He was 84. His son Christopher said the death, at MedStar Georgetown hospital in Washington, was from complications of an infection. A little after 3 p.m. on March 30, 1981, Dr. Giordano was examining a patient on his hospital's sixth floor when an announcement came over the loudspeaker calling him to the emergency room. It was only when he got down there, and through a scrum of Secret Service officers, that he realized the purpose of the call. And it was only after he and his team cut open the president's suit, revealing a hole below his left armpit, that they realized that Mr. Reagan had been shot. Just minutes earlier, and not far from the hospital, the president had been exiting the Hilton hotel after giving a speech to union representatives when John Hinckley Jr. approached him on the sidewalk and fired six shots from his .22-caliber revolver. The last shot ricocheted off the presidential limousine and hit Mr. Reagan. Two more shots hit Timothy McCarthy, a Secret Service officer, and James S. Brady, the White House spokesman, both of whom were also taken to George Washington. Want all of The Times? Subscribe.

Ukraine's field hospitals keep getting hit, so they are moving underground
Ukraine's field hospitals keep getting hit, so they are moving underground

Washington Post

time15-06-2025

  • Health
  • Washington Post

Ukraine's field hospitals keep getting hit, so they are moving underground

Just a few miles from the front line in eastern Ukraine, almost 20 feet below the surface, the day begins with a brief five-minute exchange between two surgeons — a father and his son. They embrace, swap a few words about the night shift and that evening's Champions League soccer match, then part ways again — one to rest, the other to begin another 48-hour shift in the underground field hospital where they work. Viacheslav, the father, is a trauma specialist with combat experience dating back to 2015 and the war against Russian-backed separatists in Luhansk. His son Andriy joined his medical unit in 2023. Once they worked together in a district hospital to the west, in a small town near the Moldovan border. Now they work underground. When Andriy arrived for his first stint as a combat surgeon, there was little time for reflection. 'I just worked,' he said. It was here that he performed his first amputations — sometimes five in a row. 'After the fifth one, it really got to me. But people adapt. Then shelling starts, and you don't even flinch. You just think, 'It won't hit here.'' But often it does, and that's why they sought safety in the earth. The hospital is a prototype, a new approach, after years of what the Ukrainians characterize as the systematic Russian targeting of their medical facilities. Everyone there had stories of medical colleagues killed after a field hospital was hit: Denis, killed by an Iskander ballistic missile; Kolya, killed by a guided bomb. 'Medics are especially vulnerable,' said Lt. Col. Yuriy Palamarchuk, the head of the hospital's surgical unit. 'They're not hiding behind armor. In field evacuations, they think of no one but the wounded. The Russians know this — they hunt medics. It's targeted terror.' Russia's Defense Ministry did not respond to a request for comment about targeting field medical facilities, which is a war crime. Capt. Oleksii oversees the facility, which he said they built on their own with the help of donations after other facilities near the front lines were hit. He commented ruefully that they should have done this years ago. Like the surgeons, he spoke on the condition that his last name not be used to preserve his and the hospital's anonymity. 'If we'd assumed from the start that Russia wouldn't fight by the rules, maybe we'd have built differently. Back then, we used NATO-style field hospitals — modular, clean, visible. Too visible. They were easy targets.' 'Command centers have long been underground — with generators, comms, protection. We asked: If that works for battle control, why not for saving lives? And it does — no one had done it systematically,' Oleksii said. He hoped the example of his hospital would be picked up by the government and built elsewhere. For now it is the exception. The structure is a combination of wood and metal barrels sunk into the ground — but not with concrete, which the medics fear would have attracted too much attention from Russian surveillance drones. Palamarchuk said the hospital has endured several near misses — explosions within 10 to 20 yards. 'We felt the shock wave from the front row — doors skewed, floors sagged — but we kept working.' He noted that the damage around the site is extensive: 'Six bombs fell nearby last month. All surrounding buildings are destroyed — but the hospital stands.' Not for lack of Russian effort, however. They believe the Russians know something is here. Already a flight of the dreaded glide bombs — massive Soviet-era ordnance with crude guidance systems and immense destructive power, known as KABs — landed nearby. 'Either it was random, or a very precise coincidence,' Oleksii said. 'No direct hit.' But they know the structure can't withstand a KAB with its more than 500-pound warhead. 'That would destroy everything. But artillery, shrapnel, near misses — that we can handle.' At the heart of the hospital lies the triage platform flanked by two operating theaters and then a recovery area. There are no beds as the patients don't stay for long and are sent on as soon as they are stable. 'We stabilize, operate and resuscitate. But we don't hospitalize. No beds. No overnight stays. You wake the patient up — and send them out,' Oleksii said. 'If we have enough vehicles, we can take 200 to 400 people a day.' That night, everything was calm. The silence underground was so deep it was easy to forget that war raged just a few miles away. In the rest area, someone was on the PlayStation. Another medic read a book in the freshly cleaned operating room. A few were already settling into bed. Just as darkness fell, a signal announced an incoming evacuation vehicle, but it was being tailed by a Russian drone. The team waited calmly as the vehicle maneuvered to lose the tracker. Inside the vehicle were three lightly wounded soldiers. They walked on their own into the intake area. Their uniforms were removed — whether stained with blood or caked in mud — and replaced with pajamas and soft pink slippers. The slippers drew laughter, even amid the pain. Andriy Dmytruk described his unit's narrow escape from a drone strike. Ordered to retreat, he fled through one house. Just as he got inside, an explosion shook the walls. Smoke and dust filled the room. Lights cut out. 'I couldn't breathe,' he said. He fled to another building and then another as explosions went off around him. Inside, he threw a rug over a table and crawled underneath. Drones buzzed overhead. He powered off his phone to avoid detection. Then came the smell — sharp and acrid. He wet a scarf with bottled water, tied it over his mouth and nose, and stayed still. His eyes burned. He thinks he lay there for at least two hours. When the noise faded, Dmytruk escaped and found his comrades. It took nearly a full day for them to reach the evacuation point, where they were finally transported to the hospital. They arrived courtesy of 58‑year‑old paramedic Oleksandr Smolyar, who before the war spent 31 years in prison medicine and since 2022 has worked on front lines in Donetsk, Kherson and Zaporizhzhia. He appreciated the new underground hospital. 'You drive in for a second or two — you're indoors. Above ground, you're visible — a target,' he said. His profession was running out of people, he lamented, and where once two medics would handle an evacuation, now it was just one. When everything quieted, distant explosions resumed — walls trembled, earth fell from wooden beams above. The medics were already asleep, as though they hadn't treated half a dozen wounded just minutes before. Everyone knew, however, that more casualties would be on their way as the weather warmed and the summer fighting season began once more. 'Everyone says Russia will try again, but they already are. As soon as the weather warmed up — the pressure started,' Oleksii said. 'Everything is shifting in our direction. And not in a good way.' Yet amid all the fighting, whispers of peace talks persist — statements of ceasefires or negotiations. Meanwhile, shifts in global politics are destabilizing supplies. 'One charity told me plainly: Since the new U.S. president, purchases have gotten harder,' he said. 'They can still send bandages, syringes. But advanced, higher‑tech gear? Not anymore. There's no money.' The hospital has a laparoscope, allowing for minimally invasive surgeries — but sterilizing its delicate camera requires a plasma sterilizer, not a conventional autoclave. 'A regular autoclave can be found. But plasma sterilizer? Without it, the camera needs replacing every year.' 'These high‑tech items are outside the standard budget,' Oleksii said. 'There was a time when those same funds could help with things like this. Now they can't. We haven't stopped, but it's become much harder to move forward.' Natalia Chernokoz, an operating room nurse, wants the war to end — but not at any cost. 'Maybe negotiations,' she said, 'but only on normal terms. Not just surrender.' She fears a premature peace could lead to another cycle of violence. 'Like we make a deal — and then in a year, it starts again. There need to be some guarantees.' She thinks of the children already affected by the war. 'We can't let it touch another generation,' she said. 'They need to see strength,' she added, referring to the Russians. 'I don't think anything else gets through.' Viacheslav admits he's nearly out of strength — but as long as he's still here, it means there's something left. He dreams of returning home with his son. Waiting for them are his wife, two daughters, elderly mother — and a house in need of some care. 'A gate that needs fixing. A faucet that leaks. Something to prop up by the porch,' he said, smiling. Since 2023, he's kept a ritual: a daily game of solitaire. 'If the cards fall right — it's time for demobilization.' This year, they seem to be falling into place. 'If not,' he said with a laugh, 'then next year. It's already the third year like that.' 'Today was my daughter's last day of school,' he added. 'I watched the video. And it was enough.'

Child molester ‘drives 8cm nail into girl's skull to silence her'
Child molester ‘drives 8cm nail into girl's skull to silence her'

Telegraph

time02-06-2025

  • General
  • Telegraph

Child molester ‘drives 8cm nail into girl's skull to silence her'

A child molester has been accused of driving an 8cm iron nail into a girl's skull in an attempt to silence her. The seven-year-old's mother told doctors in India that her daughter was abused by an unidentified man who then pierced the nail through her mouth, penetrating her palate and brain. The police have opened an investigation. The girl, from a village in the northern state of Uttar Pradesh, is expected to make a full recovery and was discharged from the King George's Medical University (KGMU) in Lucknow city on Monday. Dr Samir Misra, a surgeon at KGMU, told The Telegraph that the nail had entered through the girl's lower jaw and neck before reaching her cranial cavity, narrowly missing major arteries. 'This was an extraordinarily complex case where the child's life was in serious jeopardy,' said Dr Misra. 'It took us four hours to remove the nail that was touching the brain and it was dangerously close to vital blood vessels. 'Our team worked meticulously to avoid any damage to the brain and sensitive nerves between the mouth and the brain,' the doctor, who works in the hospital's trauma surgery department, added. In the early hours of May 16, the patient was referred to KGMU, where a specialist team conducted examinations including CT scans. Clinical evaluation and imaging revealed the nail's path through several high-risk anatomical zones. Dr Misra described the child's condition on arrival as precarious. 'Her blood pressure was dangerously low. She was in shock, possibly septic or neurological, and required immediate resuscitation.' The team transfused blood to treat her anaemia, which they suspect may have been pre-existing due to malnutrition. After surgery the girl initially did not respond as expected, and doctors were especially concerned about the risk of infection and meningitis given that the iron nail was probably contaminated. But after intensive antibiotic care and close monitoring, the child stabilised and recovered without developing serious infections or neurological complications. 'She is now walking, talking and doing remarkably well,' Dr Misra said. 'There is some mild weakness, possibly due to her long hospital stay, but we expect a full recovery.' Following the surgery, the girl was placed in a paediatric intensive care and kept under close observation for 10 days. On May 29 she was fully conscious and responding well. 'She has shown remarkable resilience,' Dr Misra said. 'There are no neurological defects and we believe she will go on to live a normal life.'

Local trauma surgeon weighs in on recovery process for gunshot victims following two Officers shot
Local trauma surgeon weighs in on recovery process for gunshot victims following two Officers shot

Yahoo

time31-05-2025

  • Health
  • Yahoo

Local trauma surgeon weighs in on recovery process for gunshot victims following two Officers shot

COLUMBUS, Ohio (WCMH) — A local trauma surgeon explains how damaging a shooting injury can be following two Mifflin Township Officers being shot on duty. Two Mifflin Township police officers are now recovering from their injuries after a shooting incident Wednesday night. One was shot in the arm and is recovering at home, but the other still has a long road ahead of him after being shot multiple times. Gunshot wounds like the ones officers sustained can be very damaging. Dr. Keshav Deshpande is a trauma surgeon at Grant Medical Center, where many gunshot victims are treated. He did not talk specifically about the Mifflin Township shooting, but he said treating gunshot wounds of any kind is typically difficult. While a bullet is small, it can destroy almost anything in its path. 'That damage can really create cavitations in the body that are much bigger than the bullet itself. And also, when the bullet goes into the body, it can break apart, and that shrapnel can really go in different directions, causing injuries to multiple organs,' said Dr. Deshpande. The surgeon said treating any kind of gunshot wound is anxiety-inducing. Usually, he said, the hospital staff doesn't know who they are treating. But Dr. Deshpande said he has treated law enforcement in the past. 'By the time they get through our doors, most often, we don't know who they are, whether they were the good guy, the bad guy, just an innocent person,' said Dr. Deshpande. 'Sometimes we don't know that they're a police officer, and so we try to treat everybody the same.' Dr. Deshpande said knowing he is helping a police officer can weigh heavily because it means something happened in the community, but his focus is on getting each patient healed. 'It can be a long road to recovery from all aspects, from a holistic aspect, a physical aspect, the whole gamut,' said the surgeon. While Dr. Deshpande didn't talk about the Mifflin Township officers' injuries, local Fraternal Order of Police president Brian Steel said the officer who was shot multiple times just had a lengthy surgery and is in the ICU at Grant. 'This is a couple-week process, and right now we're just hoping there's no kind of infection or blood clot or anything that sets in,' said Steel. Both officers were wearing bulletproof vests, but Steel said there are still areas where a bullet can get through, which is how the officer was injured so severely. 'So he is stable by the great work and the grace of God and the hospital medical staff. He's on the road to recovery. Just keep your thoughts and prayers for him,' said Steel. Both officers will be off work while they rest and recover. While they will still get paid their salary, the cost of recovery will be a financial burden. Steel said the FOP will have a fundraiser in the near future for the officers and their families. Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

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