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HIGH-TECH MEDICINE: FIBER OPTICS
In the dark room, peering through a tube inserted near the navel of Linda Tejada’s pregnant belly, Dr. Karen Filkins says, “I can see the mouth, and there’s the jaw. And the eye. It’s perfect.”
Dr. Filkins has inserted a flexible rod into her patient’s womb to look directly at the unborn fetus, checking for deformity.
Six years earlier, Mrs. Tejada had given birth to Rolli, a boy with defective jaw, head, and eye. Now, at University Hospital in Newark, New Jersey, she wanted to find out about her new baby. Five months later, she gave birth to Priscilla, unblemished in any way.
“I would not have become pregnant again if I had no way of finding out if my baby was going to have Rolli’s problems,” she told me. Her son has undergone several operations.
To examine Priscilla, Dr. Filkins relied on fiber optics: thousands of tiny glass fibers, each 0.0004-inch thick. Each fiber carries a narrow pencil of light. Even with the fiber bent 90 degrees, doctors can see around corners and illuminate the womb.
With fiber optics, doctors operate on unborn babies. At Yale Medical School, they have drained a blocked bladder that could destroy the kidneys. Others have transfused new blood to the fetus.
Fiber optics give doctors a direct view of an adult’s stomach, lungs, large bowel, kidney, and gallbladder. Physicians have removed gall and kidney stones without surgery. And in the large bowel, they find early cancer and clip it – without operating.
In the future, scientists want to look directly into the beating heart to see the valves. They probably will.
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