- Email: [email protected]
Why not glove the left hand first?
ELSEVIER
Resident3 Comer
ELI’S PEARLS
Q: A 28year-old woman complains of sudden onset of double vision. It occurs only when she looks toward the right side. Examination reveals a paralysis of the left medial rectus muscle, the left eye not moving past the midline on right-lateral gaze. The right eye abducts well, but nystagmoid movements are noted in this eye as it follows the finger to the right. Where is the lesion to explain this internuclear ophthalmoplegia? What diagnosis is most likely?
WHY NOT GLOVE
Eli Tobias, M.D., Ph.D.
Chicago,Illinois PII SOO90-3019(96)00258-3
THE LEFT HAND
It is inherent in humans to resent and to instinctively resist any change in routine activities and habits. One of the acquired habits for surgeons is to have their right hand gloved first, followed by the left. 1 could not find any reason for this ritual. Why not glove the left hand first? There is a good reason why one should want specifically to do that. In a right-handed person, the volume of the left hand is slightly but significantly smaller than that of the right. The left hand slips with more ease than the right into the glove and would not require the help of the opposite ungloved hand for a good fit. If the left hand is gloved first, the surgeon could use it to
0 1996 by ElsevIer Science Inc. 655 Avenue of the Americas, New York,
A: There is a lesion of the left medial longitudinal fasciculus. This results in an ipsilateral medial rectus paralysis. The attempt to maintain conjugate eye movement results in nystagmus of the right eye. The sudden onset, age, and isolation of the lesion points to the diagnosis of multiple sclerosis.
FIRST?
help glove the dominant right hand with greater ease, thus obviating the need for further readjustment to level the creases, ripples, and corrugations. Why not glove the left hand first? It might be difficult to break away from an old habit. Try it, you will like it, and possibly adopt it. Since I acquired this habit more than a decade ago, I have never regretted it. Fuad S. Haddad,
M.D.
Beirut, Lebanon PI1SO0903019(96)00082-l
0090-3019/96/$15.00 NY 10010
Resident3 Comer
ELI’S PEARLS
Q: A 28year-old woman complains of sudden onset of double vision. It occurs only when she looks toward the right side. Examination reveals a paralysis of the left medial rectus muscle, the left eye not moving past the midline on right-lateral gaze. The right eye abducts well, but nystagmoid movements are noted in this eye as it follows the finger to the right. Where is the lesion to explain this internuclear ophthalmoplegia? What diagnosis is most likely?
WHY NOT GLOVE
Eli Tobias, M.D., Ph.D.
Chicago,Illinois PII SOO90-3019(96)00258-3
THE LEFT HAND
It is inherent in humans to resent and to instinctively resist any change in routine activities and habits. One of the acquired habits for surgeons is to have their right hand gloved first, followed by the left. 1 could not find any reason for this ritual. Why not glove the left hand first? There is a good reason why one should want specifically to do that. In a right-handed person, the volume of the left hand is slightly but significantly smaller than that of the right. The left hand slips with more ease than the right into the glove and would not require the help of the opposite ungloved hand for a good fit. If the left hand is gloved first, the surgeon could use it to
0 1996 by ElsevIer Science Inc. 655 Avenue of the Americas, New York,
A: There is a lesion of the left medial longitudinal fasciculus. This results in an ipsilateral medial rectus paralysis. The attempt to maintain conjugate eye movement results in nystagmus of the right eye. The sudden onset, age, and isolation of the lesion points to the diagnosis of multiple sclerosis.
FIRST?
help glove the dominant right hand with greater ease, thus obviating the need for further readjustment to level the creases, ripples, and corrugations. Why not glove the left hand first? It might be difficult to break away from an old habit. Try it, you will like it, and possibly adopt it. Since I acquired this habit more than a decade ago, I have never regretted it. Fuad S. Haddad,
M.D.
Beirut, Lebanon PI1SO0903019(96)00082-l
0090-3019/96/$15.00 NY 10010