EMS Peculiar Patient Presentations - Water On The Brain

A recent medical case has puzzled scientists: a 44-year-old man has been living a seemingly normal life despite having only 10% of his brain tissue remaining.

The patient was diagnosed with hydrocephalus, a condition characterized by an abnormal accumulation of cerebrospinal fluid (CSF) in the brain.

In his case, the excess CSF has gradually displaced nearly all of the brain parenchyma, leaving only a thin peripheral rim of functional neural tissue. Imaging studies revealed that the majority of his cranial cavity is occupied by fluid.

Remarkably, despite this profound anatomical abnormality, the man leads a fully functional life.

He is employed as a civil servant, has a family, and possesses a measured IQ of 84 — slightly below the statistical average, but well within the range of independent functioning.

This case calls into question long-standing assumptions about neuroanatomy, brain plasticity, and the localization of consciousness and cognitive functions.

It suggests a remarkable degree of adaptability in the central nervous system, and may prompt a re-evaluation of how essential various brain structures are to everyday functioning.

Further Reading:

Feuillet, L., Dufour, H., & Pelletier, J. (2007) Brain of a White-Collar Worker. The Lancet, 370(9583), 262. https://doi.org/10.1016/S0140-6736(07)61127-1 Accessed April 10, 2025

EMS Celebrations - National EMT & Paramedic Appreciation Day

Today we salute the heroes who run toward the emergency. Thank you, EMTs and Paramedics, for your courage, care, and commitment. Your unwavering dedication to serving our communities does not go unnoticed. 

Day in and day out, you put your lives on the line, often in the most challenging and unpredictable situations. 

Your quick thinking and expert training make all the difference in providing life-saving care when it matters most. You are the reassuring presence amidst the chaos, offering comfort to those in distress and bringing hope when it seems all is lost. 

On this National EMT and Paramedic Appreciation Day, we honor your tireless efforts, the sacrifices you make, and the emotional challenges you face. Your compassion and professionalism inspire us all. 

Thank you for everything you do to keep our communities safe and healthy. We are grateful for your service and commitment to excellence. Today, we celebrate YOU — our everyday heroes!

EMS Celebrations - National Public Safety Telecommunications Week

This week, we honor the unseen heroes who serve as the crucial first point of contact in emergencies—our emergency dispatchers.

Emergency dispatchers play a vital role in ensuring the safety and well-being of our communities. They are the calm voice in the chaos, the steady presence in moments of panic, and the link between those in need and the help they require. 

Whether it’s a medical emergency, a fire, or a crime in progress, dispatchers are the ones who gather critical information, coordinate with first responders, and provide life-saving instructions—all while remaining composed under pressure.

These dedicated professionals work tirelessly behind the scenes, often without recognition, yet their impact is felt every day. Their quick thinking, compassion, and professionalism help save lives and keep our neighborhoods safe.

To all emergency dispatchers: thank you for your unwavering commitment, your strength in stressful situations, and your vital service to our communities. You are truly the lifeline in times of crisis, and we are deeply grateful for everything you do.

Happy National Public Safety Telecommunications Week!

EMS Words of Wisdom - Put The ‘Extra’ Into Your Service