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A diagnosis of dysautonomia sheds new light on Sarah ’s pain

Sarah Fishman exudes vivaciousness and warmth. When describing her favorite activities, mainly swimming and rugby, her energy is infectious. It is hard to imagine that someone as lively as Sarah has been suffering from chronic pain her whole life. Since she was little, Sarah has struggled with Irritable Bowel Syndrome (IBS), a common intestinal disorder that causes stomach pain and colon issues. However, it wasn’t until her junior year of college that she started experiencing symptoms that were no longer recognizable. “My local gastroenterologist kept giving me treatments that weren’t doing anything,” Sarah remembers. “So it kind of occurred to me and my parents after a while that maybe this is more of a brain-thing than a stomach-thing.” Sarah started experiencing extreme fatigue, nausea, and vertigo. She tried to write off her symptoms as normal bodily functions, but when the migraines started, she knew something was indisputably wrong. A second opinion from Boston Children’s Hospital Searching for the cause of her new symptoms, Sarah made an appointment with Dr. Alyssa Lebel in the Headache Program at Boston Children’s Hospital. Sarah’s migraines, in addition to her other symptoms, were a key sign to Lebel that something was awry in her autonomic nervous system (ANS). The ANS controls the body’s vital signs, including internal temperature, breathing patterns, blood pressure, heart rate, digestion, and pupil dilati...
Source: Thrive, Children's Hospital Boston - Category: Pediatrics Authors: Tags: Our Patients’ Stories Alyssa Lebel dysautonomia headaches irritable bowel syndrome Source Type: news

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Hi everyone, Has anyone had any success with percutaneous discectomies and if so which pain fellowhsips do you recommend to gain exposure to this type of intervention?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums
AbstractThe aim of this study was to determine the prevalence of Hallux valgus (HV) and the association between the presence thereof and quality of life, dependence for basic and instrumental activities of daily living and foot function. Prevalence study was carried out in a random population sample (n = 1837) (α = 0.05; Precision = ±2.2%). Informed consent and ethical review board were obtained (code 2008/264). We studied anthropometric variables, Charlson Comorbidity Index, function and state of foot [Foot Function index (FFI), Foot Health Status Questionnaire (FHSQ)], quality o...
Source: Rheumatology International - Category: Rheumatology Source Type: research
This study aimed to compare the effectiveness of a 6-week combined exercise program with and without connective tissue massage (CTM) on pain, fatigue, sleep problem, health status, and quality of life in patients with fibromyalgia syndrome (FMS). Patients were randomly allocated into Exercise (n = 20) and Exercise + CTM (n = 20) groups. The exercise program with and without CTM was carried out 2 days a week for 6 weeks. Pain, fatigue, sleep problem with Visual Analog Scales, health status with Fibromyalgia Impact Questionnaire (FIQ), and quality of life with Short Form-36 were evalua...
Source: Rheumatology International - Category: Rheumatology Source Type: research
Michael Green, neuroscientist and professor of psychiatry and biobehavioral sciences at UCLA, has been fascinated with the human brain, behavior and mental illness since his undergraduate days.In graduate school at Cornell University, he worked in a state hospital with people who had schizophrenia. While working with them, Green noticed he could be having an ordinary conversation one moment, and then suddenly the conversation would shift dramatically, erasing the common ground they had established.“I have never encountered a condition so perplexing, both scientifically and clinically,” said Green, who is a seni...
Source: UCLA Newsroom: Health Sciences - Category: Universities & Medical Training Source Type: news
Thread Starter All pathological CXR look the same to me? Follow 27 minutes ago 27m ago Quote: Originally Posted by nexttime Will you though? I'm pretty sure at med school I've had MCQs which were literally an XR and 5 diagnoses to choose from. ECGs too. Albeit not i...
Source: The Student Room - Category: Universities & Medical Training Authors: Tags: Medicine Source Type: forums
Conclusions: VAD improvement primarily occurs within 6 months after onset, and VAD aggravation within 1 month. It seems that older patients and current smoking are negative predictors of VAD improvement as risk factors, and as image findings, the pearl and string sign is a positive predictor and occlusion a negative predictor.Cerebrovasc Dis Extra 2017;7:153 –164
Source: Cerebrovascular Diseases Extra - Category: Neurology Source Type: research
Researchers have already linked opioid use to longer hospital stays and higher white blood cell counts, and now the same investigators take a deeper dive, looking at C diff severity and mortality.Medscape Medical News
Source: Medscape Medical News Headlines - Category: Consumer Health News Tags: Gastroenterology News Source Type: news
Conclusions: Conclusions:The current implementation of the ABCDEF bundle varies across individual components and regions. We identified specific targets for quality improvement and adoption of the ABCDEF bundle. Our data reflect a significant but incomplete shift toward patient- and family-centered ICU care in accordance with the Pain, Agitation, Delirium guidelines.
Source: Critical Care Medicine - Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research
Amgen (NSDQ:AMGN) announced today that it inked a one-year collaboration with Boston Children’s Hospital to study patients with pain syndromes in an effort to identify potential genetic targets. The collaboration will combine Amgen’s work in genetic target identification and the division of pain medicine at Boston Children’s Hospital. Get the full story at our sister site, Drug Delivery Business News. The post Amgen, Boston Children’s Hospital partner to find genes linked to pain disorders appeared first on MassDevice.
Source: Mass Device - Category: Medical Devices Authors: Tags: Neurological Pharmaceuticals Research & Development Wall Street Beat Amgen Boston Children's Hospital Source Type: news
Abstract This educational review presents an overview of opioid use disorder, misuse and overdose among adolescents, and the clinical implications for anesthesiologists. It provides definitions, discusses the epidemiology worldwide, (focusing on North America), and emphasizes the clinical implications of patients with chronic opioid exposure, including perioperative pain management, as well as opioid overdose and prolonged use of opioids after acute exposure. In the USA, opioid use disorder and negative outcomes related to opioids rose dramatically from 1999-2010; concomitantly heroin use and fatal overdoses have ...
Source: Paediatric Anaesthesia - Category: Anesthesiology Authors: Tags: Paediatr Anaesth Source Type: research
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