Priscilla

Well, it’s been a really rough three weeks. The first thing that happened was on January 1, no kidding, when I came down with a case of the flu (much worse than the before-Xmas flu). It’s going around. A lot of people are sick with this thing. Anyway, it hit me with a very high fever and huge gastrointestinal issues. Terrible. Plus, one night, delirious with fever, I fell against the bathroom wall and injured my wrist. Ouch. Because my wrist was all swollen and hurt like the dickens, and I feared it might be fractured, Stefano took me to the emergency room at Florence’s university hospital, Careggi. We spent 13 hours there. They checked me out thoroughly, not just my wrist, but everything, from head to toe. Result: I had pneumonia, but luckily my wrist wasn’t broken. No fractures, nothing. Just a bad trauma. So they put a sort of splint (which was partly a cast, too) on my arm for a week, and now that the cast is off, I have to wear a brace for another 10 days or so. My wrist will be fine. Oh, and my pneumonia is gone, but I still have to be careful…so I’m convalescent, well, I’ve actually been convalescent for more than a week now. So things are getting better for me, physically, I mean, and in fact I can finally use my left hand to type a little bit. But something simply awful happened on Friday morning. I found Priscilla, our 14.5 year old cat, lying on the bathroom floor, panting, not moving at all. She didn’t respond to m...
Source: Margaret's Corner - Category: Cancer & Oncology Authors: Tags: Blogroll cat Source Type: blogs

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Pneumonia has been a serious cause of morbidity and mortality for many years and, more than 100 years ago, Sir William Osler referred to it as "the natural enemy of the old man" [1]. Many studies have documented that elderly individuals have a higher frequency of illness, increased mortality and more subtle clinical features compared to younger populations. This too was known by Osler who commented that "it is not improbable that debility lowers the vitality and renders the individual susceptible" and when the illness occurs, it can be "without chill; the cough and expectoration are slight&quo...
Source: European Respiratory Review - Category: Respiratory Medicine Authors: Tags: Epidemiology, occupational and environmental lung disease, Respiratory infections and tuberculosis Editorial Source Type: research
Conclusions: Sepsis affects a fifth of patients admitted to ICUs in mainland China with a 90-day mortality rate of 35.5%. Our findings indicate that a large burden of sepsis, and we need to focus on sepsis as a quality improvement target in China given the high mortality. In addition, further studies are needed to delineate the epidemiology of sepsis outside the ICU.
Source: Critical Care Medicine - Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research
Three hospitals in Greater Cincinnati are among the 50 best in the nation and five other local hospitals also were recognized for clinical excellence in a new ranking by the website Healthgrades. The performance of nearly 4,500 hospitals nationwide was analyzed across 32 conditions and procedures to determine recipients of America’s Best Hospitals Awards, according to Healthgrades. That included reviews of care provided for heart attack, heart failure, pneumonia, respiratory failure, sep sis and…
Source: bizjournals.com Health Care:Pharmaceuticals headlines - Category: Pharmaceuticals Authors: Source Type: news
AbstractAnomalous origin of left coronary artery from the pulmonary artery (ALCAPA) is a life-threatening ischemic congenital cardiac disease, resulting in myocardial dysfunction and heart failure within the first year of life. The authors report the case of a 1-mo-old infant with a radiological diagnosis of pneumonia handled with point-of-care lung ultrasound (POCUS) due to the persistence of dyspnea, despite a week of antibiotic therapy. Lung ultrasound showed a non-univocal interpretation of the lesion and gave indication to the second level instrumental diagnostics that confirmed the presence of ALCAPA. There is no cas...
Source: Indian Journal of Pediatrics - Category: Pediatrics Source Type: research
AbstractIntroductionLittle has been published on respiratory syncytial virus (RSV) among Medicare patients at high risk (HR) of RSV complications due to age or comorbidity.MethodsAdult patients (at least 18  years of age) with at least 1 diagnostic code for RSV were identified using the 5% US Medicare database from 2011 through 2015. Patients were required to have continuous health plan enrollment for 180 days pre- and 180 days post-RSV diagnosis (baseline and follow-up periods, respectively). HR wa s defined as diagnosis of chronic lung disease, congestive heart failure, or weakened immune system for 180&nb...
Source: Advances in Therapy - Category: Drugs & Pharmacology Source Type: research
ConclusionsOur study analyzed the relationship of frailty and postoperative complications in patients with long bone fractures. Patients had increased likelihood of morbidity, independent of other comorbidities and demographic factors. The mFI may have a role as a simple, easy to use risk assessment tool in cases of orthopedic trauma.
Source: Journal of Clinical Orthopaedics and Trauma - Category: Orthopaedics Source Type: research
FRIDAY, Jan. 24, 2020 -- Patients with heart failure, but not those with acute myocardial infarction or pneumonia, have demonstrated an increase in postdischarge 30-day mortality, according to a study published online Jan. 15 in The BMJ. Rohan...
Source: Drugs.com - Pharma News - Category: Pharmaceuticals Source Type: news
(Yale University) The Obamacare program intended to reduce the risk of patients being readmitted after hospitalizations for heart attacks, heart failure, and pneumonia has not caused an increase in mortality risk for patients in emergency departments or observational units, according to a new report.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news
This observational time-trend study compares trends in 30-day mortality rates among veterans hospitalized with heart failure and pneumonia when claims-based vs clinical variables are used in risk-adjustment models.
Source: JAMA Internal Medicine - Category: Internal Medicine Source Type: research
The call for quality measurement to focus on outcomes rather than care processes is loud and persistent. However, robust consideration of problems with the validity of outcome measures is often lacking. In this issue of JAMA Internal Medicine, Silva and colleagues make an important contribution to that discussion. They used data from the Veterans Health Administration to examine trends in mortality 30 days following hospital admission for veterans with heart failure or pneumonia. Risk-adjustment models that used only comorbidity data to assess risk of death overestimated declines in risk-adjusted mortality compared with mo...
Source: JAMA Internal Medicine - Category: Internal Medicine Source Type: research
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