Funtabulously Frivolous Friday Five 214
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 214. Question 1 Who first described the phenomenon of malignant hyperthermia? + Reveal the Funtabulous Answer expand(document.getElementById('ddet945038639'));expand(document.getElementById('ddetlink945038639')) Michael Denborough Question 2 Fox’s Sign ...
Source: Life in the Fast Lane - November 17, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five apocrine miliaria Charles Maitland fox sign george henry fox john addison fordyce jones fracture malignant hyperthermia michael denborough Newgate pimp Robert Jones smallpox william osler Source Type: blogs

I Once Met a Plant from Nantucket...
A year ago, voters made Massachusetts one of eight states (plus D.C.) to legalize recreational marijuana. For all its predecessors, the prospect of legal marijuana for both medical and recreational use has meant increased tax revenue, new jobs, and a reduction in black market sales. Technical issues inevitably arise —how to tax different products and concentrations? what constitutes impaired driving?—but with another nine months to go before the initiative takes full effect, there should be plenty of time to implement this reform.The Bay State does face one unique issue: how to transport marijuana from the mainland to ...
Source: Cato-at-liberty - November 6, 2017 Category: American Health Authors: Ilya Shapiro Source Type: blogs

Funtabulously Frivolous Friday Five 204
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 204. Question 1 Richard Doll published an epidemiology paper in 1950. What had he discovered? + Reveal the Funtabulous Answer expand(document.getElementById('ddet1398470481'));expand(document.getElementById('ddetlink1398470481')) The link between smoking and lung can...
Source: Life in the Fast Lane - September 7, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five addison's disease bubo bubonic plague cancer endocarditis JF Kennedy Libman Sacks moritz roth richard doll roth spots SLE smoking Source Type: blogs

16 Inspiring Quotes About Determination
I recently wrote about the power of determination. The fact is, determination is essential for success. You might have all the resources you need, but without determination, it will be difficult for you to achieve your goal. Below are 16 inspiring quotes about determination that I have found. They have inspired me, and I hope they will also inspire you. Enjoy! Always bear in mind that your own resolution to succeed is more important than any one thing. Abraham Lincoln One person with a belief is equal to a force of 99 who have only interests. John Stuart Mill The difference between perseverance and obstinacy is that one co...
Source: Life Optimizer - January 25, 2017 Category: Consumer Health News Authors: Donald Latumahina Tags: Attitude Source Type: blogs

Research and Reviews in the Fastlane 139
This study is a reanalysis of the data, attempting to identify the threshold where the benefit in functionality is produced, using ranges of <160, 160–169, 170–179, 180–189, and ≥190 mm Hg. The outcome was Rankin Scale at 90 days. Although the ranges proposed by the authors only include a <160 as the lowest, the linear analysis of SBP and Rankin Score shows a direct correlation going as low as 130-139mmHg, therefore the authors conclude that 130-139mmHg for SBP is the optimal range for management of patients with ICH. The study is a post-hoc analysis of a previous large study (open and unblinded) making no ...
Source: Life in the Fast Lane - June 23, 2016 Category: Emergency Medicine Authors: Soren Rudolph Tags: Clinical Research Education Emergency Medicine R&R in the FASTLANE Resuscitation Trauma Clinical Case critical care research and reviews Source Type: blogs

Salt For Adrenal Fatigue. Can it Make you Worse?
Salt for Adrenal Fatigue? Is it helpful, or can it make you worse? While there are a lot of websites out there suggesting taking sea salt for adrenal fatigue, someone recently wrote me stating that sea salt ‘stimulates’ fatigued adrenals, and therefore it’s like ‘beating a dead horse’ and that refraining from taking salt would allow the adrenals to rest. She stated that she got this information from a book entitled ‘We Want to Live’ by Aajonus Vonderplanitz. While I have not personally read the book, and am not going to comment on the book itself,  or whether the reader was co...
Source: Immune Health Blog - January 2, 2016 Category: Nutrition Authors: Kerri Knox, RN Tags: Food and Nutrition Help for Fatigue Specific Health Problems adrenal exhaustion adrenal fatigue does salt help the adrenals is salt bad for you salt for adrenal fatigue Source Type: blogs

Funtabulously Frivolous Friday Five 122
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia…introducing Funtabulously Frivolous Friday Five 122 Question 1 What is a Clay-shoveler’s fracture and how do you get one? + Reveal the Funtabulous Answer expand(document.getElementById('ddet1948481060'));expand(document.getElementById('ddetlink1948481060')) Fracture through the spinous process of a vertebra occurring at any of the lower cervical or upper thoracic vertebrae, classically at C6 or C7. Originally described in Australia associated with (no prizes for...
Source: Life in the Fast Lane - October 23, 2015 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five adrenal crisis adrenal insufficiency botulism clay shoveler's fracture erythema multiforme rhabdomyolysis Source Type: blogs

Hyponatremia, he fell, the answer
To recap: 78-year-old man admitted after a fall – no fractures. His labs on admission 125 89 33 128 5.2 22 2.1 He has a history of B-cell lymphoma. His serum osm are 273 and urine osm 263. Clinically he is euvolemic (i.e., not orthostatic).  He is bradycardic (we stopped his beta blocker given for previous CABG). He is new to our hospital, we do not know his previous renal function. Your question – what further tests do you want?  Can you speculate on his diagnosis? Cory had the proper instincts.  The patient had a random cortisol of ~4 (normal 8 or greater).  His stimulation test had a peak cortis...
Source: DB's Medical Rants - October 13, 2015 Category: Internal Medicine Authors: rcentor Tags: Acid-Base & Lytes Source Type: blogs

Funtabulously Frivolous Friday Five 118
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia…introducing Funtabulously Frivolous Friday Five 118 Question 1 The picture below is of an early piece of medical equipment from the 1930s called the “Hyman otor” What would one do with such a device? + Reveal the Funtabulous Answer expand(document.getElementById('ddet616347176'));expand(document.getElementById('ddetlink616347176')) Defibrillate The Hyman otor is the first example of a defibrillation device. Electrodes with introduced into the stopped heart ...
Source: Life in the Fast Lane - September 25, 2015 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five addison's Charles Dickens FFFF frank sign hannibal lecture hyman otor john f kennedy nerve palsy polydactyly romans Sir george Savile Source Type: blogs

68 Inspiring Relationship Quotes
Conclusion: All of the other people in your life are simply thoughts in your mind. Not physical beings to you, but thoughts. Your relationships are all in how you think about the other people of your life. Your experience of all those people is only in your mind. Your feelings about your lovers come from your thoughts. For example, they may in fact behave in ways that you find offensive. However, your relationship to them when they behave offensively is not determined by their behavior, it is determined only by how you choose to relate to that behavior. Their actions are theirs, you cannot own them, you cannot be them, you...
Source: The Positivity Blog | Increase Your Happiness and Awesomeness - August 28, 2014 Category: Consumer Health News Authors: Henrik Edberg Tags: Happiness People Skills Personal Development Success Source Type: blogs

Almost Alike: A Medical Cautionary Tale
Medical bracelet that says “Adrenal Insufficiency”. I’ve been thinking about medical stuff a lot lately, so apologies if my posts tend towards the medical for a little while.  It’s what happens when you suddenly realize how lucky you are to be alive, and how close you came to death.  My father’s cancer has me thinking about life and death and medical care a lot, too. In my dealings with doctors, I have found that they like the solutions to their problems to be neat and tidy.  In particular, they want there to be one diagnosis that explains all the symptoms they’re observing.  They want their patient...
Source: Ballastexistenz - August 26, 2014 Category: Autism Authors: Mel Baggs Tags: Adrenal insufficiency Aspiration pneumonia Bronchiectasis Communication Death Developmental disability Family Feeding tube Gastroparesis Genetics Long & detailed Medical Medical stuff Neglect Pain Perception Physical disabi Source Type: blogs

Gastroparesis Awareness Month: A Day In The Life
This is my second post for Gastroparesis Awareness Month.  Read my first post, Tube Love, here.  My first post was a love poem to my feeding tube.  :-)  My second one is a little more serious and a lot longer.  I apologize for the length.  I have trouble reading lengthy posts myself.  But sometimes I’m incapable of summarizing myself, so I have to write posts that are too long for even me to read.  I hope you’ll at least be able to skim through the important parts.  I’ve tried to break up the text with lots of photos, to see if that helps any. A DAY IN THE LIFE My day starts when my morning careg...
Source: Ballastexistenz - August 23, 2014 Category: Autism Authors: Mel Baggs Tags: Adrenal insufficiency Aspiration pneumonia Bronchiectasis Education Feeding tube Food Gastroparesis Life Skills Medical Medical stuff Personal history Treatment adult tubie adult tubies awareness awareness months bipap ce Source Type: blogs

Fat people and feeding tubes.
This isn’t a post I like to write.  The idea to write it always comes after someone, who is not communicating with me in good faith, approaches me and makes snide remarks about how I can possibly need a feeding tube if I’m fat.  Except they usually go beyond calling me fat.  They usually make some reference to my weight that makes it sound like I’m unusually fat, just to make things worse.  In one case, a known repeat cyber-bully (he has made threatening phone calls to a friend of mine — if I’d recognized him on sight I’d have deleted his comment unread) even told me he’d lost...
Source: Ballastexistenz - May 15, 2014 Category: Autism Authors: Mel Baggs Tags: Abuse Bullying Death Ethics Ethics, justice, etc. Food Medical Medical stuff Prejudice Rumors Stereotypes Treatment Trolls Discrimination fat fat and health fat health fatphobia feeding tube feeding tubes gastropare Source Type: blogs

Fwd: Secondary causes of pseudotumor cerebri syndrome
From: Djacobs272@aol.comTo: dhj1.neurology@blogger.comSent: 5/13/2014 2:29:28 P.M. Eastern Daylight TimeSubj: Secondary causes of pseudotumore cerebri syndrome (from Neurology, 2013; 81:1159-1165 cerebrovenous abnormalities:cerebral venous thrombosis (CVT)bilateral jugular thrombosis or surgical ligationmiddle ear or mastoid infectionincreased right heart pressuresuperior vena cava syndromeAV fistulashypercoagulable statesMedications and exposures:Antibiotics: tetracycline, minocycline, doxycycline, nalidixic acid, sulfa drugsVitamin A and retinoidshypervitaminosis A, isotretinoin, all trans retinoic acid...
Source: neurologyminutiae - May 14, 2014 Category: Neurologists Source Type: blogs

The Type 1 Connection
Why are there so many songs about rainbowsand what's on the other side?Rainbows are visions, but only illusions,and rainbows have nothing to hide.So we've been told and some choose to believe it.I know they're wrong, wait and see.Someday we'll find it, the rainbow connection.The lovers, the dreamers and me.Who said that every wish would be heardand answered when wished on the morning star?Somebody thought of that and someone believed it.Look what it's done so far.What's so amazing that keeps us star gazingand what do we think we might see?Someday we'll find it, the rainbow connection.The lovers, the dreamers and me.All of ...
Source: The D-Log Cabin - March 1, 2014 Category: Diabetes Authors: HVS Source Type: blogs