How do you spell EEG?

April 24, 2011 at 7:45 pm (Uncategorized)

Sometime in the late ‘eighties while I had administrative responsibility for the clinic at Buckeye Youth Center, I was notified by one of my staff that we needed to purchase a new battery for the EEG machine.

At that time (and for many years previously), it was customary to order an electroencephalograph of many a delinquent youth who passed through our doors. This was a recording of electrical activity along the scalp resulting from the firing of neurons in the brain. Irregular EEGs were associated with epilepsy, tumors, and other neurological problems.

The EEG machine was located in a standard examination room, except for the fact that there was copper screen covering the windows, light fixtures, and other possible sources of stray electrical transmissions. The machine itself had an array of dials, meters, and switches. The battery was located in a cabinet beneath it.

The “subject” of an EEG examination would have electrodes fastened to his or her head with a conductive paste or gel. Then over the course of thirty minutes or so, all of his/her “brain waves” would be recorded on a scrolling piece of paper with a stylist (much like an old-fashioned seismograph). A doctor would read the report, determine whether it was normal or abnormal, and place it in the youth’s file.

The purpose of the battery, I believe, was to amplify the electrical signals since they otherwise would be far too weak to detect. So I did not hesitate to instruct my staff member to contact the manufacturer of the machine about obtaining a new one. What I did not expect was a faxed letter back from them almost immediately, notifying us that 1) the device had been recalled sometime in the late ‘sixties, 2) it had a serious electrical problem, and 3) we were lucky we hadn’t injured anyone over the intervening years.

When I brought this issue to the attention of our central office, they made the decision to forego any further EEG examinations rather than purchasing a new machine. To be honest, I can’t remember ever making use of any of the thousands of EEG tests that were administered over the years. I suspect they were done more out of habit than anything else.

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