Should We Worry That the 118th Congress Will Be Unproductive?
David BoazIn the Washington PostGillian Brockell explores how the House of Representatives has functioned in the past when it was very closely divided. The answer seems less encouraging than she suggests. In 1917, for instance, the Republicans had a plurality of seats, but not a majority, and third ‐party members joined the Democrats to elect a Democratic speaker. Did that divide cause gridlock? Not enough, in my view:The 65th Congress was remarkably productive — not only did it authorize a declaration of war by a 373 –50 vote, it also passed the 18th Amendment prohibiting alcohol, which r...
Source: Cato-at-liberty - December 7, 2022 Category: American Health Authors: David Boaz Source Type: blogs
My Trial of the New Abbott Freestyle Libre 3
There are many compelling features on the new Abbott Freestyle Libre 3 and I may decide to switch; but I may wish to first try the new Dexcom G7 once it ' s FDA-approved. But I won ' t wait forever...In my 15 years of writing this blog, one thing I have never done is something I occasionally see some younger, less-discerning members of the blogging community do: which is to pimp their blogs (and themselves) out to receive free so-called " blog-ola " . I ' ve been blogging since 2005, and I have never endorsed a product in order to get free things, nor have I ever used my blog to even solicit free stuff from companies which...
Source: Scott's Web Log - December 7, 2022 Category: Endocrinology Tags: 2022 Abbott Abbott Freestyle Libre 3 CGM CGMS Dexcom Source Type: blogs
Room for Innovation in Digital Transformation
Digital Transformation is a huge buzz word in the world of healthcare at the moment. With the pandemic, we had to scramble to find a digital way to do many things in order to stay safe. So in a lot of ways, healthcare has been skyrocketed into the future, but there is still room for improvement. For some organizations, being rushed to find a digital solution has left certain areas unsupported. This rush also means that not all organizations have adopted the same practices that patients have grown to love and are now trying to catch up. So while we have made huge progress in the world of digital transformation, there is sti...
Source: EMR and HIPAA - December 7, 2022 Category: Information Technology Authors: John Lynn Tags: C-Suite Leadership Healthcare IT IT Infrastructure and Dev Ops 4D Path ABOUT Healthcare Alan Stein Amanda Bury Andrew Rickman Angie Franks Bamboo Health Brandon Clark Catalyst Health Group Chris Evanguelidi CloudWave Digital In Source Type: blogs
Reviewing Work on CISD2, a Mammalian Longevity Gene
Few genes have been shown to robustly alter mammalian longevity as a result of altered expression, with data obtained primarily in mice. Klotho is perhaps the most well known and well studied of that small but steadily growing portfolio. The topic of today's open access paper is another of these longevity genes, CISD2. Loss of CISD2 shortens lifespan, while increased expression extends life span in mice. CISD2 is upregulated after exercise, and may act through autophagy, a common factor in many approaches shown to modestly slow aging in laboratory species. Like other approaches to upregulation of autophagy, increased CISD2...
Source: Fight Aging! - December 5, 2022 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs
A woman in her 20s with syncope
Written by Destiny Folk MD, with edits by Meyers, peer reviewed by Smith and GrauerA woman in her late 20s with a past medical history of cervical cancer status post chemotherapy and radiation therapy presented to the emergency department for shortness of breath, chest tightness, and two episodes of syncope.Her initial vital signs revealed a temp of 97.7F, HR 125, RR 20, BP 115/90, and an oxygen saturation of 95% on room air. Upon arrival, she did not appear in acute distress. She was noted to be tachycardic and her heart sounds were distant on physical exam. She had a normal respiratory effort, and her lungs were clear to...
Source: Dr. Smith's ECG Blog - November 28, 2022 Category: Cardiology Authors: Pendell Source Type: blogs
The story of a physician, after a year sober
My first COVID vacation last year was spectacular, except that I barely remember three days because I was drinking to the point of amnesia. I am a physician from a multigenerational family of alcoholics, and I never wanted to struggle with alcohol use disorder. Instead, I discovered that I could avoid feelings of discomfort by
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The story of a physician, after a year sober originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 17, 2022 Category: General Medicine Authors: Kara Pepper, MD Tags: Physician Psychiatry Source Type: blogs
Tax Increases and the Great Depression
Chris EdwardsDid tax increases deepen and extend the Great Depression?That is one topic explored in a new book by Art Laffer, Brian Domitrovic, and Jeanne Cairns Sinquefield,Taxes Have Consequences: An Income Tax History of the United States. The authors include a discussion of federal, state, and local tax increases during the 1930s.Many economists would point to monetary policy mistakes for causing the initial slide into the Great Depression. The nation ’s money supply fellnearly 30 percent between 1930 and 1933.But Laffer and coauthors argue that the “chief cause of the Great Depression was taxation.” That is ...
Source: Cato-at-liberty - November 16, 2022 Category: American Health Authors: Chris Edwards Source Type: blogs
The S.O.A.P. Reporting Break Through
The objective portion of the report is the time when you state your case and tell everyone the stuff you found during your assessment. It’s time to become the CSI investigator and talk about your investigation and you findings.
This will tend to be almost entirely objective information, however, don’t be scared to throw in the occasional subjective tidbit if it helps to paint your picture. “She thinks this bruise may be old.” or “His ankles are always a bit swollen but not this much.” If a subjective addition adds to the picture, include it.
When telling my objective story I tend to start with the le...
Source: The EMT Spot - November 15, 2022 Category: Emergency Medicine Authors: Steve Whitehead Tags: EMT Source Type: blogs
Understanding Combative Head Injuries
Big biker dude strained against the double layers on tape across his forehead and it occurred to me that the act of c-spine seemed pointless if the patient insisted on fighting violently against the tape and straps. Three firefighters were still holding big biker dude (BBD) down and the firefighter closest to his head was yelling, “calm down. … CALM DOWN!” This wasn’t working, but I understood. Sometimes the urge is irrisistible. For his part, big biker yelled back in disorganized consonants and vowels, “uaaaaghhh”.
BBD had laid his Harley down just before an inte...
Source: The EMT Spot - November 14, 2022 Category: Emergency Medicine Authors: Steve Whitehead Tags: EMT Source Type: blogs
EMS Response To Sexual Assault
The EMT Spot would like to welcome Jimmy Futrelle to our guest post roster. Jimmy s a Paramedic hailing from Scurry County Texas. Jimmy has been responding on calls long enough to remember the Lifepack 5 and using D50 as a diagnostic tool.
His unique background working for private and public EMS as well as for local law enforcement makes him uniquely qualified to teach on the subject of sexual assault.
This detailed guide to responding to these challenging calls is well worth reading. I sincerely thank him for this contribution.
Contents
Responding To Sexual AssaultIntro...
Source: The EMT Spot - November 14, 2022 Category: Emergency Medicine Authors: Steve Whitehead Tags: EMT Source Type: blogs
What Is Nystagmus?
This study has never been duplicated.
Note the estimated angle of nystagmus onset
Yup, my patient has nystagmus. What does that mean?
Big picture … it means that there’s something abnormal about the patient’s nervous system. There are a few major reasons to consider.
Drugs and alcohol
Yes, that old roadside sobriety test is a useful indicator of alcohol intoxication. People begin having nystagmus with blood alcohol levels as low as .04%. But alcohol isn’t the only drug that can cause nystagmus. Other central nervous system depressants like barbiturates, Lithium and benzodiazepines ...
Source: The EMT Spot - November 14, 2022 Category: Emergency Medicine Authors: Steve Whitehead Tags: EMT Source Type: blogs
Rapid Diagnosis: Vomiting Blood
The dispatcher reports that the patient is vomiting blood. Hemataemesis if you want to be technical about it. It could be a whole bunch of things right? … Well yes it could. Before you e-mail me to say that you can’t believe I missed Bolivian Hemorrhagic Fever, here’s one web site that lists 113 possibilities.
But if you want to play the numbers, it’s going to be one of four things. And if you want to play “stump your partner” you can narrow it down quite a bit based on your patients age and disposition.
There are four things that tend to cause a person to vomit blood. Before you click on the little ...
Source: The EMT Spot - November 14, 2022 Category: Emergency Medicine Authors: Steve Whitehead Tags: EMT Source Type: blogs
The Alcoholic Drink That Could Improve Your Memory
Scientists have found that phenolic compounds in this drink can help improve spatial memory. (Source: PsyBlog | Psychology Blog)
Source: PsyBlog | Psychology Blog - November 12, 2022 Category: Psychiatry & Psychology Authors: Jeremy Dean Tags: Memory Source Type: blogs
How To Lower Diastolic Blood Pressure Through Minor Lifestyle Changes?
ConclusionWhat Is Diastolic Blood Pressure?
Diastolic blood pressure is the pressure in arteries during the resting phase of a heart. These range below 120 mmHg in a healthy human, whereas 120-129 is an elevated stage, and anything in between 130-139 mmHg or above is considered hypertension.
Why Choose The Drug-Free Approach To Manage Blood Health?
Managing blood health without using medicines is best for early-stage patients. There are a few reasons why one should choose a drug-free approach.
First, drug-free approaches are often more effective in the long run. Second, these methods tend to have fewer side eff...
Source: The EMT Spot - November 11, 2022 Category: Emergency Medicine Authors: Michael Kutryk Tags: Guides Blood Pressure Source Type: blogs
What Time Should You Check Your Blood Pressure?
ConclusionBest Time To Check Blood Pressure
Many experts recommend that you check your blood pressure at least twice a day. This could be once in the morning and again at night.
Doctors normally suggest checking your blood pressure at least twice a year. But there are other times when it may be worth checking.
If you have anxiety or experience high blood pressure episodes lasting more than two hours.
If you have shortness of breath, chest pain, rapid heart rate, sweating, lightheadedness, nausea or vomiting, consult your doctor immediately.
Choosing A Time That Works For You
You can check your blood pre...
Source: The EMT Spot - November 11, 2022 Category: Emergency Medicine Authors: Michael Kutryk Tags: Guides Blood Pressure Source Type: blogs
