Word: cooley
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Most of the artery-blocking clots are formed naturally in inflamed veins in the lower part of the body, sometimes after childbirth. Others are the result of surgery. Such a case is described by Baylor University's Dr. Denton Cooley and colleagues in the A.M.A. Journal. A woman of 37 was sent home, apparently doing well, eleven days after a hysterectomy. Next morning, as she climbed out of the bathtub, she collapsed, gasping for breath and suffering intense pain in the chest. Back she went to Jefferson Davis Hospital, where doctors did everything possible to boost her blood pressure...
...chest was opened along the breastbone. Tubes slipped into both great veins led used blood out of her body to the heart-lung machine. Another tube fed it back into a leg artery. A clamp on the aorta helped to keep the heart and lungs virtually bloodless. Dr. Cooley slit open the main pulmonary artery, found nothing in it. But in the successively smaller branches and in the lungs themselves were at least 18 clots. Dr. Cooley pulled some out with forceps, extracted the others with a vacuum suction tube. He washed out the lungs and squeezed them flat...
This took 15 minutes-more than four times as long as the body's blood flow can be safely stopped without a heart-lung machine. Then Dr. Cooley stitched up the artery and let normal blood flow resume. Immediately, the patient's blood pressure was a healthy 120 over 70. To protect her against the risk of renewed clotting, the great vein in her lower right flank was tied off. She went home in two weeks, and has remained well for months...
...benefit from the Cooley operation, most victims of pulmonary embolism will have to get, within a few hours, to a major center for heart surgery. So Dr. Cooley urges heart-lung surgeons to figure out ways of cutting down the time it takes to set up for an emergency operation...
...first time he came to bat, against the New York Highlanders, Ty Cobb doubled off famed Spitballer Jack Chesbro and drove in a run. Unfortunate Dick Cooley, who was ill, never got his job back. For the next 24 years-22 with Detroit, two with Philadelphia-brawling, champagne-swigging Tyrus Raymond Cobb, the son of a mild-mannered Georgia state senator, batted, ran and fought his way through the American League with durability, skill and brazenness unmatched in the history of baseball...