Celebrities get shingles, too
Follow me on Twitter @RobShmerling Perhaps you heard the news recently that Lin-Manuel Miranda has shingles. Headlines announced this in a variety of ways: Hamilton creator Lin-Manuel Miranda is suffering from shingles (NY DailyNews) Lin-Manuel Miranda has shingles; must be quarantined from his baby (today.com) Lin-Manuel Miranda has shingles, regrets joke about blurred vision (CBS News). Without more information, these headlines might leave you wondering: is this a serious condition? Is it dangerous for children? Can it lead to blindness? What is shingles? The term “shingles” refers to a painful rash caused by infection with the varicella-zoster virus (VZV), a member of the herpes family of viruses. The typical rash usually leads to a quick diagnosis — there are groups of tiny fluid-filled “bubbles” or blisters limited to a single patch of skin. However, the rash may be preceded by burning pain over the skin, fever, fatigue, or headache. Miranda reportedly thought he was experiencing a migraine when it started. VZV is the same virus that causes chickenpox. Anyone who has had chickenpox (usually as a child) can have the virus hidden in nerves beneath the skin. Years later it can erupt onto the skin as shingles. The name comes from the Latin cingulum, which means belt. The rash of shingles often spreads over a patch of skin in a pattern that resembles a belt. Shingles is quite common. According to the CDC, almost one in three people will develop...
ConclusionsPhysical and psychological functioning, pain, fatigue and appetite loss had prognostic significance above and beyond clinical predictors in CRC. Routine monitoring of these PROs may allow earlier detection and amelioration of problems, which may improve quality of life and perhaps extend survival. More research is needed to determine prognostic value of PROs in early-stage CRC, and prognostic significance of changes in PRO scores.
Research has shown that the experience of Childhood Sexual Abuse (CSA) can increase the rates of physical and emotional sequela, including depression, anxiety, PTSD, and physical pain. However, little is known about the healing journeys for those women who...
Patients with critical limb ischemia are exposed to qualitative and quantitative malnutrition as a result of anorexia caused by chronic pain, insomnia, overuse of analgesics, and limitation of mobility. Furthermore, malnutrition is a well-known factor that causes coagulation disorders and immunosuppression, and it directly adversely affects the wound healing process. The aim of this study was to assess the influence of qualitative and quantitative malnutrition on the results of revascularization procedures as frequency of large amputations in patients with critical lower limb ischemia.
True anterior tibial artery aneurysms attributed to nontraumatic causes are rare, and only a few cases have been published since 1967. A 28-year-old man was referred to the emergency department with a history of swelling, pain, and footdrop of the left lower limb for the past 7 days. The patient did not report any history of trauma. Examination revealed compartment syndrome, and imaging studies showed an aneurysm of the left anterior tibial artery with dilated veins on the overlying skin as well as mild erythema (Figs 1 and 2).
Chronic low back pain (CLBP) is highly prevalent, associated with substantial socioeconomic impact, and commonly attributed to neurologic and musculoskeletal causes. We observed an unexpected prevalence of CLBP preoperatively among our patients with proximal venous outflow obstruction (PVOO) of the iliac veins undergoing stent placement. We undertook this study to better characterize these patients.
We describe our initial experience using TRA for endovascular intervention with SDD at a community hospital.
I’m in Italy for a vacation and went to Lurisia in Piemonte for a spa Terme . Was reading about it when I read about the hot springs had High amounts of Radon in the water. Learned that Marie Curie has visited in 1906 and was excited about the radiation. There are several places in Germany, Austria that also have high radon. I canceled my massage and was surprised this still is allowed. To my surprise discovered there are old mines in Montana that are high in radon where people go for pain... Radon spas and Montana mines
Hey peeps, Need some advice. Doing my pain fellowship. Having some occasional issues pushing meds into joints during procedures - particularly SI joints ugh. I have small hands, attending jokingly (or not so jokingly? ) asked me if I was using weights. Any suggestions? Becoming frustrating.
hello all. I had a new situation in clinic today which I previously didn’t encounter.Long story short. Patient with a known history of meth abuse Who admits to smoking the night before leaves work, is an unrestrained driver in a singe car accident. shows up in my office with severe right sided Neck pain. States that he continues to use meth with last use yesterday. He can’t turn his neck more than 10° rotation, and is actively using meth. Has anyone ever taking someone’s drivers license... Revoking a drivers license?
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