Beyond Schatzki to Maglinte

Wednesday, January 20, 2010 by Sherry Holden, BSN, RN, Associate Partner
This is a multi-faceted blog. I think I know the point I want to make but the angles have the possibility of aligning under these categories:
  • Just When You Think You Know Something
  • Gerontological Bliss
  • Lifelong Learning
  • Medical Nursing: Priceless
This week, I met the most delightful 90-year-old woman, who has been married to a most delightful 96-year-old man for 61 years. Naturally, I was delighted! I have enjoyed every minute I have had the privilege of caring for her. She is bright, witty, engaged, and very interested in whatever I was up to regarding her care and my days in general. At this point in time, her life is getting very complicated and there are many decisions to be made. I could continue with several little vignettes regarding Ms. N, so you could be delighted too, but I am now going to make an abrupt detour to one of her maladies known as Schatzki ring.

It was 0630. It’s not always easy for me to engage my brain at that time of day. I was reading history notes on my patients and discovered one of them has a Schatzki ring. I drew a blank. Then, for some odd reason, I thought “Final Jeopardy” and I end up with no money because I bet it all on medicine and suffer a terrible defeat at the hand of the Schatzki ring. So I place this on my “need to know list” and begin the day feeling a bit more ignorant than when I started.

A quick look-up reminded me that a Schatzki ring is simply a ring of tissue that forms where the esophagus and stomach meet. A little dilation now and then seems to work wonders for most people. One would think that would placate my curiosity but I started to wonder, “who is Schatzki and how does someone get a piece of tissue named after them?" So I read a condensed Google version of his biography, and I found it to be quite fascinating.

First of all, Richard Schatzki was born in Germany, not Poland. Having lived in Wisconsin, I thought I could tell the difference based on spelling: wrong. As a GI/Liver nurse, I was particularly interested in learning that “in 1931 he presented the first in-depth discussion of esophageal varices and the initial description of gastric varices.” Varices have been my life for 30 years! Why have I not equated it with Schatzki? He also described that esophageal ring in great detail so, of course, his name is attached to it. That is just the tip of his iceberg. This man has made an incredible contribution to medicine; specifically, gastrointestinal radiology /fluoroscopy. In 1992, he died at the age of 90 and my 90 year old has his ring! This seems to be an ageless blog! He was also an accomplished pianist. I found that dimension of the man to be quite fascinating. His life really is worth a Google.

Medical nursing is sort of a mental melting pot - a junkyard of information, perhaps. I can substantiate that statement by telling you it is now 0700 on a Saturday morning – my day off! And, I am musing beyond Schatzki to Maglinte. He has his own tube. How did that happen? I use that tube and find it quite useful, but who in the world is Maglinte? Another gastrointestinal radiologist who just happens to reside at IU! I wonder if he plays the piano?

Sherry

To be a registered nurse at Clarian, visit Jobs for Registered Nurses.

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