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10 Odd Things Swallowed, with X-ray Evidence

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You're gnawing on something for one reason or another, and sometimes instinct takes over and -whoops- you've swallowed it! If an inedible object is small enough and somewhat round (coins and stones), it will often pass through the digestive system on its own. Others need surgical intervention.

1. Knife

This x-ray of a knife eaten by a dog accompanied an article about the strange things dogs will swallow. Veterinarians advise dog owners to keep dangerous objects away from dogs, even if they seem much too big to swallow. Your dog can surprise you!

2. Rubber Duck

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A Staffordshire terrier named Ozzie swallowed a rubber duckie whole rather than lose it in a fight with another dog! The duck had to be removed surgically.

Vet Hannah Ferguson, who followed up Ozzie's treatment, said: "It's not uncommon for dogs to swallow strange objects, although they tend to chew them into little bits first.

"We did once have a Labrador which swallowed its entire bed, but Ozzie's is certainly the most entertaining x-ray we've ever seen."

3. Toy Dog

200xraytoy.jpgMurphy the Labrador Retriever had a habit of eating socks. He usually passed them with no trouble. One day his owner took him to the vet over distressing symptoms. An x-ray revealed that a plush fabric dog toy was lodged in Murphy's stomach and couldn't quite fit into the intestines. It was removed endoscopically, meaning they reached in and pulled it out through his throat. No word on whether Murphy went back to eating socks again afterward.

4. Fork

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A 10-year-old dog named Apachee in Raleigh, North Carolina swallowed a fork, with dire consequences. The fork pierced a vein in his chest and he began bleeding around the lungs. Emergency surgery saved him as doctors patched the vein and removed the fork. Apachee is expected to make a full recovery.

5. Electric Blanket

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If you told me a blanket had been swallowed whole, I would assume the swallower to be a dog. Not in this case. A 12-foot Burmese Python named Houdini managed to swallow not only a queen-sized electric blanket, but the cord and the control box as well! Veterinarians in Ketchum, Idaho had never operated on a snake before, but went ahead after consulting an expert by phone. The two-hour surgery to remove the blanket was successful.

6. Light Bulbs

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Ripley's Believe It Or Not featured this x-ray of a pine snake that had ingested two light bulbs. The snake must have thought they were eggs!

7. Magnetix

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Children tend to swallow small objects when they get a chance. Every year, doctors see cases of coins and other small objects that toddlers swallow. In most cases, the object will pass naturally. Magnets can cause problems, however. If a child swallows more than one magnet, they will attract each other in the digestive system and could rip through intestines. Eight-year-old Haley Lents swallowed around 30 pieces of her Magnetix set and suffered eight intestinal tears. It could have been worse without surgery to remove the magnets.

8. Key

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Adults have their own reasons for swallowing strange objects. 18-year-old Chris Foster, a student at Bournemouth University, had been drinking and didn't want the night of partying to end. So to prevent his friends from taking him back to his dormitory, he swallowed his room key! Foster had no recollection of the stunt, but sought medical help after being told of it. Doctors took x-rays and advised Foster that the key would eventually reappear without surgery.

9. Engagement Ring

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Simon Hooper wanted to propose to his girlfriend, but didn't want to pay for a ring. So he visited a jeweler in Dorchester, England. While the jeweler was distracted, Hooper swallowed a platinum ring! Hooper was arrested and x-rayed, but police had to wait for three days for the "evidence" to emerge. The jeweler says the recovered ring draws interest, but people don't want to buy it because they know where it's been.

10. Swords

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Sword swallowing can be a hazardous profession. When you do it right, no medical intervention is needed, but there are side effects, such as sore throat, lower chest pain, and intestinal bleeding. Are you surprised? Sword swallowers sustain injuries from their act at a higher rate than most performers. Most injuries occur when the performer is startled or distracted.

For more harrowing x-ray images, see X-Rays in the News.

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History
The Doctor Who Modernized Royal Births—in the 1970s
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Gary Stone/Getty Images

When Prince William eventually ascends to the English throne, he’ll be the first British monarch ever born in a hospital. And he has a man named George Pinker to thank for that.

Royal births have always been fraught affairs due to the thorny issues of birthright and succession. Throughout history, English royal women were expected to give birth in rooms filled with spectators and witnesses—in part to avoid a pretender to the throne being switched with the royal baby at birth.

That made childbirth a grueling ceremony for queens, many of whom had to give birth to stillborn or dying children in the company of scores of strangers. In 1688, after 11 tragic attempts to produce an heir to James II’s throne, Mary of Modena gave birth in front of an audience of 67 people. (It was even worse for Marie Antoinette, who gave birth in 1778 in front of so many people the onlookers nearly crushed her.) And even after births became more private affairs, archbishops and officials attended them as late as 1936.

Of course, doctors have long been part of that crowd. The royal household—the group of support staff that helps royals at their various residences—has included physicians for hundreds of years, who have often been called upon to perform various gynecological duties for royal women. They have frequently been dispatched to serve other family members, too, especially those giving birth to important heirs.

Even when hospitals became popular places for childbirth at the turn of the last century, English royals continued having kids at home in their palaces, castles, and houses. Elizabeth II was delivered via Caesarean section in 1926 at her grandmother’s house in London. When she became queen, her royal surgeon gynecologists recommended she deliver her children at home, bringing in equipment to turn the space into a maternity ward.

Yet it was one of her gynecologists, John Peel, who ended up changing his tune on delivering children in hospitals, and in the 1970s he published an influential report that recommended all women do so. When he stepped down in 1973, the queen’s new royal gynecologist, George Pinker, insisted the royals get in line, too.

Pinker was different from his predecessors. For one, he skipped out on a potential career in opera to practice medicine. He had been offered a contract with an opera company, but when asked to choose between music and medicine, the choice was clear. Instead, he stayed involved with music—becoming assistant concert director at the Reading Symphony Orchestra and vice president of the London Choral Society—while maintaining his medical career.

He was also the youngest doctor ever to practice as royal surgeon gynecologist—just 48 when he was appointed. He supported controversial medical advances like in vitro fertilization. And he insisted that his patients’ welfare—not tradition—dictate royal births.

“It is very important for mothers to accept modern medical assistance and not to feel guilty if they need epidural or a Caesarean,” he told an interviewer. Pinker recommended that pregnant women lead as normal a life as possible—no easy task for royals whose every move was spied on and picked apart by the public. In fact, the doctor being anywhere near the queen or her family, even when he was not there to treat a pregnant woman, was seen as a sign that a royal was pregnant.

When Princess Diana delivered her first son, it was at a royal room in a hospital. “Most people marveled at the decision to have the royal baby in such surroundings rather than Buckingham Palace,” wrote The Guardian’s Penny Chorlton. Turns out the surroundings were pretty plush anyway: Diana delivered in her very own wing of the hospital.

Pinker served as the queen’s royal gynecologist for 17 years, delivering nine royal babies in all, including Prince William and Prince Harry. All were born at hospitals. So were William’s two children—under supervision of the royal gynecologist, of course.

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Big Questions
What Is the Difference Between Generic and Name Brand Ibuprofen?
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What is the difference between generic ibuprofen vs. name brands?

Yali Friedman:

I just published a paper that answers this question: Are Generic Drugs Less Safe than their Branded Equivalents?

Here’s the tl;dr version:

Generic drugs are versions of drugs made by companies other than the company which originally developed the drug.

To gain FDA approval, a generic drug must:

  • Contain the same active ingredients as the innovator drug (inactive ingredients may vary)
  • Be identical in strength, dosage form, and route of administration
  • Have the same use indications
  • Be bioequivalent
  • Meet the same batch requirements for identity, strength, purity, and quality
  • Be manufactured under the same strict standards of FDA's good manufacturing practice regulations required for innovator products

I hope you found this answer useful. Feel free to reach out at www.thinkbiotech.com. For more on generic drugs, you can see our resources and whitepapers at Pharmaceutical strategic guidance and whitepapers

This post originally appeared on Quora. Click here to view.

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