Learning from our Lotte

Sam, Lotte and Caroline Parenting is a messy adventure – it tests our patience, our will and our energy, but never our concern, love or passion for our children. With three kids under 10, my wife, Caroline, and I have managed broken noses, split lips, cuts and bruises too numerous to count … even Lyme disease, skin disorders, and serious fevers – most seem to come with the territory. But there have been rare moments when one of our kids was sick and we didn’t know what was wrong or how to ease the pain, and in those moments, we felt pretty desperate. One of those times was when our 4-year-old daughter Charlotte or “Lotte” came down with a high fever when she was 10 months old. While this was not a new experience for us, the part that made us nervous was that the fever, despite Children’s Tylenol and Motrin, would not break. Over the course of several days, Lotte became a bit listless, lethargic and clearly out of sorts. She didn’t have an appetite, and we quickly felt that guttural queasiness of not knowing what to do. We did what most parents do and brought her to our pediatrician, who ordered some blood tests and sent us home. We were still worried. We knew something was wrong. The pediatrician called to say the blood tests could suggest meningitis and urged us to take Lotte to the nearest hospital ASAP. Caroline did just that while I stayed home to find a sitter for Sammy and Ellie. While the staff in our local hospital were...
Source: Thrive, Children's Hospital Boston - Category: Pediatrics Authors: Tags: Diseases & Conditions Our Patients’ Stories Richard Yu vesicoureteral reflux (VUR) Source Type: news

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This study examines intramuscular pressure in the trapezius as an alternative mechanism for understanding FMS pain. METHODS: 108 patients who satisfied the ACR criteria for FMS and 30 patients who met the ACR criteria for another rheumatic disease comprised the study groups. Muscle pressure was measured in mmHg using a pressure gauge attached to a No. 22 needle inserted into the mid portion of the trapezius muscle. In addition, FMS patients and rheumatic disease controls had dolorimetry testing, digital palpation, and reported pain scores. RESULTS: Muscle pressure was substantially higher in patients with FMS with ...
Source: Journal of Rheumatology - Category: Rheumatology Tags: J Rheumatol Source Type: research
PET/MRI helps clinicians stage cancer treatment as well as PET/CT -- and finds...Read more on AuntMinnie.comRelated Reading: PET/MRI ups lesion detection by 15% for some cancers SNMMI 2020: PET/MRI finds location of chronic pain in patients SNMMI 2020: PET/MRI combo tracks osteoarthritis progression PET, MRI uncover women's predisposition to Alzheimer's PET/MRI shows inflammation link to mitral valve prolapse
Source: AuntMinnie.com Headlines - Category: Radiology Source Type: news
Authors: Monreal C, Luinstra L, Larkins L, May J Abstract CONTEXT: Technological advances have given smartphones the capabilities of sensitive clinical measurement equipment at lesser cost and higher availability. The Clinometer is a smartphone application that can be used to measure the joint range of motion in a clinical setting, but psychometric properties of the tool's use measuring cervical range of motion (CROM) are not established. OBJECTIVES: The purpose of this study was to examine the validity and intrarater reliability of the Clinometer application for the measurement of CROM (ie, flexion, exten...
Source: Journal of Sport Rehabilitation - Category: Sports Medicine Tags: J Sport Rehabil Source Type: research
No abstract available
Source: The Back Letter - Category: Orthopaedics Tags: Articles Source Type: research
No abstract available
Source: The Back Letter - Category: Orthopaedics Tags: Articles Source Type: research
No abstract available
Source: The Back Letter - Category: Orthopaedics Tags: Articles Source Type: research
Psychosocial health may influence the outcomes after total knee arthroplasty (TKA). We investigated the hypothesis that multimodal therapy influences the quality of life and function in patients diagnosed with osteoarthritis of the knee joint. Secondly, in patients who then proceed to have TKA post-multimodal therapy, does the response to the multimodal therapy influence the overall functional outcome of surgery? Patients diagnosed with osteoarthritis of the knee were enrolled in the study and prospectively followed-up. A total of 526 patients were enrolled and available for the study. All participants were enrolled for 12...
Source: Orthopedic Clinics of North America - Category: Orthopaedics Authors: Source Type: research
Patellar instability and associated patellar dislocation can result in significant pain, disability, and associated injuries in young athletes. The patellofemoral joint is a complex articulation with stabilizing restraints, both medially and laterally, that help guide the patella into the corresponding trochlear groove as the knee cycles through an extension-to-flexion arc. In addition to soft tissue injuries, many osseous aberrancies can contribute to patellar instability in young athletes, including trochlear dysplasia, patella alta, and axial and coronal plane abnormalities. There is a role for nonoperative treatment in...
Source: Orthopedic Clinics of North America - Category: Orthopaedics Authors: Source Type: research
This article provides an overview of femoroacetabular impingement, including diagnosis and treatment, with focus on athletes and return to play.
Source: Orthopedic Clinics of North America - Category: Orthopaedics Authors: Source Type: research
Conclusions The potential benefit of this standardized method is improved understanding of the relationship between objective measures of prosthesis alignment and various measures of patient outcomes and success such as pain, discomfort, and daily steps walked. A standardized means of calculating and expressing prosthesis alignment will also benefit the design and development of future alignment tool technology.
Source: JPO Journal of Prosthetics and Orthotics - Category: Orthopaedics Tags: TECHNICAL NOTE Source Type: research
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