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Why I’m thankful for my daughter’s MRSA

“What time is surgery today?” Ellie, age 12, croaks. She hasn’t opened her eyes yet, but she knows she’s headed to the operating room … again. It may be the fourth surgery this month, maybe the fifth. We don’t know. What we do know is our routine has changed from soccer carpools and homework battles to twice-weekly trips to the operating room, where the orthopedic surgeon will slice open my baby girl’s thigh and attempt to wash out the deadly bacteria accumulating in her right femur and knee joint. We’re trying to learn the new routine and master a new language. The vocabulary is demanding. There are procedures, medications, devices and acronyms. Most are scary — wound vacuum, PICC (peripherally inserted central catheter), clinical failure of vancomycin, Methicillin-resistant Staphylococcus aureus (MRSA). The only one who seems to have any answers is the pediatric resident. Unfortunately, he’s nearly always wrong. Our trip into this alternate reality started on Ellie’s first day of seventh grade. “My knee hurts,” she says. Probably too much soccer and cross-country running, we think. The next day, her right knee has swelled to the size of a small pumpkin. OK, that’s a little alarming. We visit the local emergency room. They suggest an ACL tear, send her home with a knee brace and order an MRI the next day. When we show up for the MRI, Ellie is definitely not herself. She’s quiet an...
Source: Thrive, Children's Hospital Boston - Category: Pediatrics Authors: Tags: All posts MRSA PICC line Source Type: news

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CONCLUSIONS: the results of the study suggest that propofol can be administered safely and effectively by a qualified endoscopist-nurse team, in patients with an ASA I-II risk. Audits of adherence by medical staff to the recommended procedure facilitate the identification of areas for improvement; further work is needed on the aspects that have not yet been consolidated. PMID: 29465248 [PubMed - as supplied by publisher]
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
CONCLUSION: endoscopist-directed sedation is effective and safe for single balloon enteroscopy. Multi-center and wider studies are needed in order to better assess the efficacy, safety and efficiency of sedation controlled by a non-anesthetist during advanced endoscopy in this field. PMID: 29465247 [PubMed - as supplied by publisher]
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
So I'm a DO who applied Ortho. Was surprised last Monday about not matching, has great feed back and strong COMLEX (601, 742). I just finished an anesthesia rotation and realized how much I enjoyed the physiology, intubating, managing airways, giving epidurals, etc. My question is how should I attack the SOAP to eventually end up in anesthesia. My USMLE are (240 and 252). Should I just take a research year and reapply next cycle or should I do a surgical prelim and either reapply or hope... Didn't match, chance of SOAPing?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums
ARTHRITIS pain affects about 10 million people in the UK, according to the NHS. These are the best exercises to reduce and prevent joint pain and inflammation.
Source: Daily Express - Health - Category: Consumer Health News Source Type: news
Conclusion: TEP repair using a synthetic long-term resorbable mesh was found to be safe and promising regarding pain and discomfort at 1-year follow-up in patients with IH. Longer follow-up is necessary to establish the risk of recurrence. PMID: 29472759 [PubMed - in process]
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - Category: Surgery Tags: JSLS Source Type: research
Conclusions: An accurate diagnostic pathway helps to correctly distinguish between the possible causes of acute scrotum. However, none of the examinations performed could reliably distinguish between acute torsion and other causes of acute scrotum. Therefore, immediate surgical exploration of the testis is mandatory if torsion cannot be ruled out. PMID: 29468000 [PubMed]
Source: Oman Medical Journal - Category: Middle East Health Tags: Oman Med J Source Type: research
Allura Xper systems with Certeray X-ray Generator located in regions with high mains (480V) voltage. Product Usage: The Allura Xper series is intended for use on human patients to perform: Vascular, cardiovascular and neurovascular imaging applications, including diagnostic, interventional and minimally invasive procedures. This includes, e.g., peripheral, cerebral, thoracic and abdominal angiography, as well as PTAs, stent placements, embolisations and thrombolysis. Cardiac imaging applications including diagnostics, interventional and minimally invasive procedures (such as PTCA, stent placing, atherectomies), pacemaker i...
Source: Medical Device Recalls - Category: Medical Devices Source Type: alerts
Conclusion There is not enough evidence to conclude the efficacy of BTX-A for the treatment of interstitial cystitis to improve quality of life.
Source: Actas Urologicas Espanolas - Category: Urology & Nephrology Source Type: research
Conclusion Although still relatively uncommon in Saudi Arabia, there are on average 2–3 cases of pediatric AP diagnosed annually in our institution. Idiopathic AP was the most common cause. Isoniazid and choledochal cysts are rare causes of AP and were reported in the study.
Source: International Journal of Pediatrics and Adolescent Medicine - Category: Pediatrics Source Type: research
Conclusions Our results provide evidence that QoL improvement after STN-DBS depends on preoperative NMS characteristics. These findings are important in the advising and selection of individuals for DBS therapy. Future studies investigating motor and non-motor PD clusters may enable stratifying QoL outcomes and help predict patients' individual prospects of benefiting from DBS.
Source: Brain Stimulation - Category: Neurology Source Type: research
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