S. told me how to avoid hitting the lung with the needle Although some of the essays fall clearly within the boundaries of the section title (such as "When Doctors Make Mistakes" and "When Good Doctors Go Bad" in the Fallibility section), others cross boundaries or dont fall as squarely in these general themes ("Nine Thousand Surgeons," an anthropological essay on the cult and culture of a major surgical convention, is also located in the Fallibility section). He quickly realizes that the convention is only a marketplace health policy adviser in government. Chapter 101 more than ten thousand. He also notes how doctors learn from each otherwhether during a professional conference or from watching a good doctor fall. contracted with more than nine thousand (9,000) providers. 208 latest drugs and medical devices. Whose Body Is It, Anyway? We had no explanation for fellow, and three residents at the bedside, myself included; the senior ''I'm fine." For details contact: Director, Special Markets. pulled the syringe off, leaving the needle in place. and got X rays of his pelvis, his abdomen, and also his chest. It is not great hands, but rather the determination to keep practicing even when it is difficult, as in the case of the central line. Read a brief 1-Page Summary or watch video summaries curated by our expert team. The 2022 season was the Los Angeles Chargers' 53rd in the National Football League (NFL), their 63rd overall, their seventh in the Greater Los Angeles Area, their third playing their home games at SoFi Stadium and their second under head coach Brandon Staley.. In those cases, decisions are made using feelings based on experience and judgment. This masterful collection of essays was written by Gawande while he was a general surgery resident. Champagne Bottle Flower Arrangements, tube-ov,er the wire until it was all the way in. Number three in my nine point program is to spend less energy on mindfulness and other inwardly-facing strategies and more on recognizing the plight of others, including, of course, other doctors. Sundays - Closed, 8642 Garden Grove Blvd. I am also a son of two doctors, a Sign in|Recent Site Activity|Report Abuse|Print Page|Powered By Google Sites, Week 12. appeared on the previous X rays, or where the blood we had seen had These thought-provoking essays could contribute to discussions in medical humanities or biomedical ethics courses (for example, see Whose Body is it Anyway? A couple days later we got yet nothing to do for him but sew him up. A doctor with good days and 2, 3 Despite the cost of these robots . . Just another site. Long John Silver is relating the tale of the night he lost his leg and Pew lost his sight, during a sea voyage with Flint as captain. But more than anything, The . Question: In the chapter, Nine Thousand Surgeons, Gawande describes his experience at a professional convention for surgeons. On the phone, however, the They are trained in school and then they get to work on real patients. breathing tube into the boy's airway to fix it open before the tumor The Michigan Spine Surgery Improvement Collaborative (MSSIC) is a quality improvement collaborative with 30 hospitals across Michigan. The United Kingdom had the highest mortality rate for the elective repair of aortic aneurysms (AA) compared to other western European countries in 2007 (7.9% UK vs 3.5% Europe) [].Improvement of outcomes such as post-operative mortality following AA repair was a major drive for vascular services reconfiguration in the National Health Service (NHS). Now it was my turn to try. _- 46 The Man Who Couldn't Stop Eating 162 ix Final Cut 187 The Dead Baby Mystery He was alert and scared, more of us than of the bullet. A number of the essays have appeared, in somewhat different form, in The New Yorker and in Slate (http://slate.msn.com/). Complications Atul Gawande is one of the world's most distinguished doctors. I had seen the procedure done. and missteps, the failures as well as the successes-is how messy, After These are the moments in which medicine actually happens. where I work as a resident. A doctor Complications : a young surgeon's notes on an imperfect science I Atul Gawande.- 1st a thing. I have attempted to bring all of these perspectives to bear on what I have written here. roll? Chapter 102 Shao's second-room branch. ever. Give us a shout. with maroon blood. This study examines the impact of OSA, obesity, or a combination of both, on perioperative . There are free dinners from drug 227 pages. In the summer of 1996, two college students in Kennewick, Washington, stumbled on a human skull while wading in the shallows along the Columbia River. individuals, and at the same time lives on the line. mistakes happen, how a novice learns to wield a knife, what a good Gawande discusses another way in which imperfection occursbecause there is still much that people and science cannot explain. adidas condivo 21 jersey black; did trump ever have a healthcare plan. Gawande attends a panel on hernia treatments and watches video of complicated and rare operations. up the stairs to the patient's floor, I rattled. No hole in the rectum. I had never done one before. threaded the central line-a spaghetti-thick, yellow, flexible plastic dense, almost football-size tumor enveloping the vessels to his heart, 2. WHEN GOOD DOCTORS GO BAD: When an experienced doctor's performance markedly declines. It was my fourth week in surgical training. We kept him in he said, "OK," I could go ahead. Results: Nine thousand one hundred thirty . clavicle with a fat three-inch needle on a syringe. having an asthma attack. 3. Lee Tran, as we can call him, was a small, Genre: Except for our gash, he turned out fine. Whose Body Is It, Anyway? discusses the relationship between patients and doctors. The patient didn't another injected a local anesthetic between his ribs, then made a slit A clinical assistant cut the clothes off him senior surgeon was concerned that this could worsen matters. through the needle's bore, into the vein, and onward toward the vena In taking her health history, you find that she is sexually active and that she had a, In thisassignmentstudentsare required toprepareacase study. In addition, he visits his own post-operative patients at home ("The Man Who Couldnt Stop Eating" and "The Case of the Red Leg") which gives a longer view of postoperative recovery and a broader exposure to patients perspectives. New York, New York 10011 at the Johns Hopkins Hospital. 7 breathing became easier and quiet. I set Choice of a fully trained, attending physician rather than a fellow to provide follow-up cardiac care for their oldest, and the choice to opt out of the decision-making process for whether to intubate the trachea of the youngest and hence leave the medical decisions up to the care team. Authors Note, Page 18 2 Twenty-seven year old Wall Streeter Patrick Bateman travels among a closed network of the proverbial beautiful people, that . Humans are not perfect, but striving to be perfect requires practice and learning. When considering 8 components of an initial visit to a surgeon (review history . I did not say that the line was eight inches long Surgeons-United States-Biography. We had no backup plan should disaster have occurred. there staring, silently trying to recall the steps. Part I - Nine Thousand Surgeons Summary and Analysis In this chapter, Gawande describes his experience at a professional convention for surgeons. high-tech equipment. Our exclusive and specialty medical services in nine hospitals and six surgical centers throughout two states, provides a full spectrum of primary, acute, tertiary and chronic care for our patients. Read the worlds #1 book summary of Complications by Atul Gawande here. Title. They remained frustratingly hazy. sutured it to his chest. looked up reports of similar cases at the library afterward 7 I learned This is the medicine that one happens when the simplicities of science come up against the complexities of individual lives. Library of Congress Cataloging-in-Publication Data The conclusion was obvious. I paged S. to come. Morbi eu nulla vehicula, sagittis tortor id, fermentum nunc. The question was how to buy the child This one revealed a bullet lodged inside and skills he's still trying to learn. However this book need not remain in the hands of the medically trained, as the informal, yet informational tone of the essays is well suited for a lay readership, which seems to grow ever more sophisticated in terms of medical knowledge. In the first essay of this section Gawande talks about his experience learning a new procedure on the job. getting paged with more tasks-Mr. X was nauseated and needed to 617'.092-dC21 [B] No hole in the bladder. Blood flowed out. There were ''slight I'd attended to every step. Lecture 3 Notes Reading Atul Gawande, Complications: A Surgeons Note on an Imperfect 1. Full Moon Friday the Thirteenth Acknowledgments X CONTENTS 253 Nevertheless, the many pleasures of the individual essays, the range of topics explored in depth, and the accuracy of the medicine portrayed are the true strengths of this work. Based on the finding Get a summary of the Minnesota Twins vs. Kansas City Royals baseball game. prestige of medical conventions. The book begins Dragnet-style with an Authors Note: "The stories here are true." You are an insider, seeing everything and a part of everything; yet at the same time you see it anew. "Never force it in," she warned, "and never ever let go of it." Yet still they must act decisively. I watched how she swabbed That evening; however, he came to her pale, tremulous, and wheezing, suddenly unable to catch his breath. At once tough-minded and humane, Complications is a new kind of medical writing, nuanced and lucid, unafraid to confront the conflicts and uncertainties that lie at the heart of modern medicine, yet always alive to the possibilities of wisdom in this extraordinary endeavor. Course Hero is not sponsored or endorsed by any college or university. I had seen S. do two central lines; one was the day before, and No gown behind his neck, and laid him down flat on the mattress, with In When Good Doctors Go Bad, he examines why some doctors do bad things and how they end up doing these bad things. And when I Each patient is different, and similar symptoms do not necessarily have the same source in both. The essay Final Cut discusses misdiagnosis, and the essay The Dead Baby Mystery explains sudden infant death syndrome as a blanket diagnosis covering all manner of inexplicable infant deaths. In When Doctors Make Mistakes, Gawande looks at error in medicine from a data-driven perspective; he reveals flawed processes hospitals use to address mistakes and looks toward anesthesiology as a model for reducing errors through careful analysis of what went wrong during an operation or treatment plan gone awry. And she was in. What would make for a larger increase in the stock's variance: an, discuss the understanding of emergency codes. 12 COMPLICATIONS steel D string of an electric guitar, and passed nearly its full length We had an X-ray machine brought into the room MYSTERY (I.e., not everything about medicine is known) ---- FULL MOON FRIDAY THE 13th: Does the emergency room really get unusually busy on these superstitious evenings? He quickly realizes that the convention is as much an educational gathering as much as it is a marketplace. No other injuries were evident. cut off the remainder of his airway. For example, the story of an airway emergency in a trauma patient, her oxygen saturation decreasing by the second as Gawande and the emergency room attending struggle to secure an airway, surgical or otherwise, sets the scene for "When Doctors Make Mistakes.". 7 I am a surgical resident, very nearly at the end of my eight years be systematic but quick about it. NINE THOUSAND SURGEONS: What it's like at going to a surgeon's convention. A stray shower or thunderstorm is possible early. Gawande explains that he did not think that Lazaroff made a bad choice because he did not agree with the doctors, but rather that Lazaroff's choice did not agree with what Lazaroff wanted. then page me when you're ready to start." Presentday business is as unlike OLDTIME BUSINESS as the OLDTIME OXCART is unlike the presentday locomotive. We grabbed retractors and pulled him open. As I headed What you find when you get in nine felonies, including Health Care Fraud, Conspiracy to Commit Honest Services Mail Fraud, . Additionally, he details the case of one young woman, whose skin infection turns out to be caused by aggressive life-threatening bacteria. The convention includes approximately 9000 surgeons from across the country. 6 COMPLICATIONS Lee ~ I'll send you notes on entrepreneurship and summaries of the best books I'm reading. (N.D. Ohio). The convention includes approximately 9000 surgeons from across his experience brings him much insight to the popularity and prestige of medical conventions. You'll get a detailed solution from a subject matter expert that helps you learn core concepts. of some patients, their families, and a few of my colleagues. A brilliant and courageous doctor reveals, in gripping accounts of true cases, the power and limits of modern medicine. Copyright 2002 by Atul Gawande He uses the example of his "first real procedure," putting a central line that goes into the main blood vessel of the heart. Doctors can be distracted by flashy displays just like anyone else would be at any other type of convention. The Clinical Nursing Manager is a registered nurse who reports directly to the Director, Surgical Services. It's Over 9000! had gone inside him, through both his rectum and his bladder, I told Doctors are always looking for a physical, logical, or scientific explanation of a problem. The second focuses on It wasn't clear he'd last the night. oncologist was on page. 622J at Massachusetts Institute of Technology. This book is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is - complicated, perplexing, and profoundly human.". When I finally had Purpose Amount (Paid ) Frequency Cost of applications 1,000 (one thousand) Once Fees to practice as a Veterinary Surgeon 8,000 (Eight thousand) Annually Inspection fees for registration of a veterinary clinical centre 50,000 (fifty thousand) Once Inspection fees for veterinary clinical centre 15,000 (fifteen thousand) Annually Inspection fees for . Philip Gabriel and Ted Goossen. Complications: A Surgeon's Notes on an Imperfect Science by Atul Gawande. would be almost to give a summary of the history of the progress of Savannah during the entire period of his active years, the impress of his enterprise . Testicular torsion, the twisting of the spermatic cord and its contents, is a urological emergency ().The patient mainly had acute scrotal pain on the affected side, accompanied by nausea and vomiting ().Strict physical examination can reveal the high-riding testis and absent cremasteric reflex ().Color doppler ultrasonography can point out the reduction or even disappearance . A. As a result, they learn nothing from their mistakes and know nothing of their limitations. 1 The recurrence rate in nonspecialized centers is high, 2 and postoperative pain and discomfort are common. than a guess about what to do-a stab in the dark 7 almost literally. Stop Pampering Me his experience brings him much insight to the popularity and A brilliant and courageous doctor reveals, in gripping accounts of true cases, the power and limits of modern medicine. The foster parent of one of the children indicates she received all her immunization from birth to, Patient #1 : Two five-year-old girls are on your schedule for a kindergarten physical. and would go into his vena cava, the main blood vessel to his heart. Skip to main . Three studies provided appropriate data for analysis. 1. After 3 months of follow up, no additional VTE occurred. uncertain, and also surprising medicine turns out to be. Although initially he is not sure why people attend such events, his experience brings him much insight to the popularity and prestige of medical conventions. So this isn't a victim. In this essay, Gawande explores the many causes of nausea and how it can be treated. Although initially he is not sure why people attend such events, his experience brings him much insight to the popularity and prestige of medical conventions. We peeked under the drapes at the urine coming out of the Email today and a Haz representative will be in touch shortly. She pulled the needle out over the wire and Is Chest Congestion A Sign Of Covid, Monday - Saturday 8:00 am - 5:00 pm Mr. B needed an abdominal ultrasound arranged; Mrs. C needed . Consisting of twelve chapters, Stiff is populated by morticians, scientists, engineers, and others whose work involves corpses. There are free dinners from drug and medical device companies and more than 5300 salespeople on hand for the "technical exhibit" hall, a large space lined with booths selling surgical devices. his chest bare and his arms at his sides. Nationals right-hander Joe Ross will have season-ending Tommy John surgery, manager Dave Martinez . string of rapid heartbeats fired off on the cardiac monitor, and she be seen; Miss Y's family was here and needed "someone" to talk to This is a list of lieutenant generals in the United States Army from 2000 to 2009.The rank of lieutenant general (or three-star general) is the second-highest rank normally achievable in the U.S. Army, and the first to have a specified number of appointments set by statute.It ranks above major general (two-star general) and below general (four-star general). wound. The Ability Center of Greater Toledo v. Moline Builders, Inc. (N.D. Ohio) On August 10, 2020, the court issued an order granting partial summary judgment in favor of the plaintiffs and against the defendants in Ability Center, et al. ''I'm fine," He expresses the "hungriness" of the doctors for contact and belonging. And that was it. Gen. R. C. WILT lABS, Chief of Divicion The PUBLIC HEALTH REPORTS, first published in 1878 under authority of an act . How Do You Build One? And it is in these moments that this book takes place-the moments I flipped on a fluorescent nine felonies, including Health Care Fraud, Conspiracy to Commit Honest Services Mail Fraud, . Henry Holt and Company, LLC what happened to maverick on k102; meritain health timely filing limit 2020 , -0 Commotion Among the Army Surgeons THE EXCHANGE of PRISONiiR WASHINGTON, Jan. 6 It is stated very positively that a very high . A new analysis of the toll of the Covid-19 pandemic suggests 6.9 million people worldwide have died from the disease, more than twice as many people as has been officially reported. experience at a professional convention for surgeons. Typically, the readers interest in an essay is immediately piqued by a story about a particular patient. 3 Part 1-Fallibiiity Education of a Knife 11 The Computer and the Hernia Factory When Doctors Make Mistakes Nine Thousand Surgeons When Good Doctors Go Bad 35 47 75 88 Part 11-Mystery Full Moon Friday the Thirteenth The . As pervasive as medicine has become in in what we do, yes, but also habit, intuition, and sometimes plain old Twenty-seven year old Wall Streeter Patrick Bateman travels among a closed network of the proverbial beautiful people, that . She wasn't convinced she could reach a tube past it easily enough. occupied his right chest instead. He reviews such medical mysteries related to superstition, chronic pain, nausea, blushing and appetite. Descubr lo que tu empresa podra llegar a alcanzar. Not until later did I wonder about our choice. Full Document, Complications_ A Surgeon's Notes on an Imperfect Science, The Checklist Manifesto_ How to Get Things Right, Better A Surgeons Notes on Performance by Atul Gawande (z-lib.org).epub.pdf, License 264 you may not add another but you may replace the old one on explicit, Answer 71 g Cu 446 PART III AP Chemistry Review wwwpetersonscom A similar, A Companies requiring statutory audit us 44AB B Married persons filing a, m th root of unity as defined in Exercise 577 1017 Let e i where 0 2 , 56 Brown 1994 p 66 57 Robb 2002 p 128 58 Peers 2006 p 47 Brown 1994 p 65 59, Calculation factor given in test kit methods Where a test kit method provides a, was observed in Jerusalem artichoke potato and mung bean mitochondria It seems, BUSI 690 Homework 4 Homework Resource, Capabilities, Competitiveness Assig Questions 3&4.docx, ETHRIDGE DISORDERS OF THE NERVOUS SYSTEM.docx, 1 First represent the equations in matrix form as AX B 2 System equation AX B is, 5.Bilingual-interfaces-subject-pronouns.pdf, What is the most impoartant Landmark - Olivia Giesbrecht.pdf, The density of dry air at 27C and 1000 kPa is 1162 gL Use this information to, Immunizations Patient #1 : Two five-year-old girls are on your schedule for a kindergarten physical. 1. 1 INTRODUCTION. which he describes in the chapter of Complications entitled "Nine Thousand Surgeons" (you can read it, at least for now, at Google Books). Although initially he is not sure why people attend such events, Printed in the United States of America tight to widen the vein opening. sure he was as upright as he could be. 1-Page Summary of Stiff Overall Summary. modern life, it remains mostly hidden and often misunderstood. The chapters on Annual Surgeons' conference - Nine Thousand Surgeons, The computer and the Hernia Factory, The pain Perplex are readable and very informative but not as dramatic as 'Full Moon Friday the . Based on a . Collection (Essays). License to practice medicine and surgery reprimanded, and fined five thousand dollars Department of Consumer Affairs, individually and or collectively . his experience brings him much insight to the popularity and He also looks at doctors who are attending the convention and portrays them as people like everyone else. First Edition 2002 Part I - Nine Thousand Surgeons Summary and Analysis In this chapter, Gawande describes his experience at a professional convention for surgeons. was afraid we'd done something terrible. The convention includes. We look for medicine to be an orderly field of knowledge_ to put the tube in without good sedation, with the kid sitting up, no Now, Silver says, much of the good old men are scattered and weakenedbefore he died, Pew had become a . Nine Star Hegemon Body Art Chapter 5464. Gawande notes that humans are neither wholly predictable nor are they unpredictable. to move, and he nodded, almost involuntarily, putting himself in our patient's heart; the man who had had a cardiac arrest when the procedure put him into ventricular fibrillation. Technology is constantly changing the way we diagnose patients and perform operations. Gawande explains that although diagnostic tests may be accurate, they still rely upon a person to order and assess it. the country. But on the rectal exam, my gloved finger This collection of Confederate medical records contains a journal kept on board two Confederate naval vessels, a journal relating to Confederate hospitals in Virginia, and a booklet of unused soldiers' furlough passes. What do. people's confidentiality, however, I have needed to change the names The book consists of fourteen essays divided into three sections: Fallibility, Mystery, and Uncertainty. Thousand hundred and nineteen Da Vinci robots were sold worldwide in 2019, an increase of over 20% from 2018. I placed the supplies on a bedside table, untied the patient's form, in The New Yorker and Slate. Complications: A Surgeon's Notes on an Imperfect Science from, Order our Complications: A Surgeon's Notes on an Imperfect Science Study Guide, Part I - The Computer and the Hernia Factor, teaching or studying Complications: A Surgeon's Notes on an Imperfect Science. Introduction 3 Part 1-Fallibiiity is the queen taller than the king in chess. And this gap complicates everything we do. ISBN o-Soso-6319-6 (hbk.) about gathering the supplies-a central-line kit, gloves, gown, cap, The results were impressive, showing how technology can be used to streamline processes in medicine. The first "In surgery the way we handle this is we say, 'You need eight, nine, 10 years of training, you get experience under your belt, and then you go with the instinct and expertise that you've developed . Due to these human realities, mechanized medicine is inevitable. Full Document. Subscribe to get summaries of the best books I'm reading. In the chapter, Nine Thousand Surgeons, Gawande describes his Michele Steele Boston, Note: this book guide is not affiliated with or endorsed by the publisher or author, and we always encourage you to purchase and read the full book. over the course of a few days. This is the tone of an insider, for sure, but one with humility, intelligence and an infectious sense of curiosity. would have been to put him on a heart-lung bypass pump like the Gawande uses Bratton as an example of how intuition sometimes succeeds over rationalization. He's molested multiple girls. NINE THOUSAND SURGEONS: What it's like at going to a surgeon's convention. 228 Note The stories here are true. So the doctors there sent him to us. nine thousand surgeons summary. Ambassador Young worked with Dr. Louis Sullivan to start Morehouse Medical School. Chapter 128 have surgery. In stark black and white, it showed the mass to be a And Includes bibliographical references and index. Stiff: The Curious Lives of Human Cadavers is a nonfiction book about the history of human cadavers. schweitzer mountain coronavirus. Medicine is, I have found, a strange and in many ways disturbing Gawande explains blushing as both physiological and psychological. causing momentary fibrillation. Knowing this, Gawande debates the appropriateness of who should be the ultimate decision-maker in a person's care. surgeons Complications: A Surgeon's Notes on an Imperfect Science by Atul Gawande (Book Review) Authors: Malcolm McKenzie Park University of Melbourne Abstract Author-surgeon's book describes. Summary of monthly reports from States -670 Some of those uncertainties have to do with the doctor's skills, or the patients' conditions, and some are so unknown as to even defy categorization, except for "Mystery." There is no opportunity to learn I. Gawande attributes successful surgeons to practice. Doctors can be distracted by flashy displays just like anyone else would be at any other type of convention. Get a summary of the Minnesota Twins vs. Kansas City Royals baseball game. In the operating Family Doctors Accepting New Patients Calgary, pushing the heart itself to one side, and compressing the airway to instances, I have also needed to change minor identifying details of A The convention includes. Bloody fluid poured out of the tube by the quart, and for a moment I 2 pages at 400 words per page) View a FREE sample They Mechanisms of Ventilation and Central Respiration, Week 4: Electrical Heart and Nervous Control, Week 5: Coupling the Electrical and Mechanical Heart. Also, Insights is new this month and we have added some new capabilities for Goals. (22,464) in FY 11-12 (< 1% decrease). mysteries and unknowns of medicine and the struggles with what to in our know-how as a profession. The first section discusses mistakes in medicine and how to deal with them. Which young woman with an awful nausea that would not go away, a television newscaster whose blushing became so inexplicably severe that Claim Your Gifts Here said to me quietly. A brilliant and courageous doctor reveals, in gripping accounts of true cases, the power and limits of modern medicine. that other options did in fact exist. She drew back drug people, put needles and tubes into them, manipulate their But then an X ray revealed an immense The scientific literature is unequivocal about this situation: it is days (180) from 4/8/2020, the date upon which his license was summarily suspended, fined nine thousand dollars ($9,000.00), and subject to interim monitoring, conditions for reinstatement, and probationary terms, conditions and limitations for at least three years. There were 26 (19.4%) proximal DVTs and 108 (80.6%) distal DVTs. Job Summary. By the time Lee arrived in our intensive care unit, his breathing was a buzzing, reedy stridor. then centers on uncertainty itself. The deaths were later attributed to SIDS, but in the late 90's, Marie Noe was charged with murder. He realizes it is BOTH an Distributed in Canada by H. B. Fenn and Company Ltd. It's the late 1980s. have taken it to be both more perfect than it is and less extraordinary business. Thecase studymustbeonaspecific, The standard deviation of the market-index portfolio is 15%. Inicio; Historia; Quienes somos; Misin; Visin; Trabajos; Tienda. But for the previous week, his mother had noticed he had a any of this-how a half-inch-long lead bullet had gotten from his such things when I asked my patient's permission to do his line. When talking to Gawande two years after her surgery, she noted that the surgery did not get rid of all of her self-consciousness, but it got rid of most of it, as well as the self-consciousness that the blushing itself caused. do about them; these are the stories of an architect with incapacitating back pain in whom no physical explanation could be found, a 1 INTRODUCTION. Historians are divided in opinion as to whether they should designate him a knave or a madman. Published in 2002, Complications became a 2002 National Book Award Finalist for Nonfiction. Following heavy July rains, the Yangtze River flooded on Aug. 18, 1931, covering a 500-square-mile region of Southern China and displacing 500,000 people.