A comatose patient with a carbon monoxide level over 50%
A young man had an accidental exposure to carbon monoxide (CO). He was comatose and intubated and his initial Carboxyhemoglobin level was over 50%.An ECG is always recorded for CO toxicity. This was his ECG. It was shown to me with worry for ischemic ST elevation, which is certainly possible from severe CO toxicity, or concomitant ACS. In fact, there is laboratory evidence that CO toxicity increases Platelet –neutrophil aggregates and plasma myeloperoxidase (MPO) concentration and thus may precipitate ACS (though this is by no means clinically proven). Intravasc...
Source: Dr. Smith's ECG Blog - February 18, 2022 Category: Cardiology Authors: Steve Smith Source Type: blogs
Instructions Don ’t Always Help Us To Do Better At A Task
By Emma Young
You might hate following instructions on how to do something, but there’s no avoiding them. Training on everything from how to drive a car to read an X-ray starts with explicit instructions — whether verbal or written, as the authors of a new paper in the Journal of Experimental Psychology: Human Perception and Performance point out. In fact, Luke Rosedahl at UC, Santa Barbara and colleagues write, “This practice is so widely accepted that scholarship primarily focuses on how to provide instructions, not whether these instructions help or not.” Now the team reports that for learning how to do well...
Source: BPS RESEARCH DIGEST - December 1, 2021 Category: Psychiatry & Psychology Authors: BPS Research Digest Tags: Cognition Decision making Source Type: blogs
poem
Op Note XThey rolled in the next case. Another attempted suicide. But he wasn ’t yet dead. His eyes were cold and blue like ancient ice. Pupils just points without extension. No light passing in or out. His body was furrowed with self-inflicted wounds, too many to count. He was young and pale and tattooed in an Olde English script. Some Bible verses I certainly couldn ’t quote. Ezekiel or Romans I forget. Once he had been opened we feared it was too late. It seemed he was just an empty space, like a coffin, a waiting grave. But we were dutiful. We explored.&nb...
Source: Buckeye Surgeon - November 10, 2021 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
Food Intolerances: A Warning of Bad Things Ahead
I’ve recently discussed how the majority of food intolerances, whether to FODMAPs, histamine, nightshades, fructose, etc., are really manifestations of dysbiosis and SIBO. Here is another way to view these phenomena: Food intolerances are your body’s signal to you that serious deterioration in your health is coming.
In other words, if all you do is choose to reduce or eliminate the offending food, you are still left with the massive disruption of your intestinal microbiome that caused the food intolerance in the first place, along with increased intestinal permeability and endotoxemia. So say you eliminate ferm...
Source: Wheat Belly Blog - November 1, 2021 Category: Cardiology Authors: Dr. Davis Tags: Open microbiota prebiotic probiotic sibo small intestinal bacterial super gut undoctored wheat belly Source Type: blogs
poem
Teeth: A Short StoryThey aren ’t as hard as you thinkEven diamonds can crackI knocked out the one in frontWhen I was just ten,An incident involving a Huffy bikeAnd an ad hoc ramp madeFrom bricks and a sliver of plywood/sheet metal We didn ’t have enough to get it fixedBack then. I wore a “flipper” for years Which was a pink palate moldMelded with a fake in frontIt was a dicey contraption.I had to take it out when I ate.A couple times at school I had to fish it out Of the dumpster behind the cafeteria,My friend Eric holding me by the ankles.I wore braces for 8 years because We ran out of mo...
Source: Buckeye Surgeon - October 28, 2021 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
poem
Teeth: A Short StoryThey aren ’t as hard as you thinkEven diamonds can crackI knocked out the one in frontWhen I was just ten,An incident involving a Huffy bikeAnd an ad hoc ramp madeFrom bricks and a sliver of plywood/sheet metal We didn ’t have enough to get it fixedBack then. I wore a “flipper” for years Which was a pink palate moldMelded with a fake in frontIt was a dicey contraption.I had to take it out when I ate.A couple times at school I had to fish it out Of the dumpster behind the cafeteria,My friend Eric holding me by the ankles.I wore braces for 8 years because We ran out of mo...
Source: Buckeye Surgeon - October 28, 2021 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
State-Based Marketplaces 2.0 Part 2: Engines of Innovation, Competition, and Consumerism
CONCLUSION: MEANINGFUL PROGRESS IN A TURBULENT ERA
Healthcare policy has dominated American politics for decades. Despite the intense policy debate, providing better, tailored healthcare services for more people at lower costs is not controversial. Properly designed and managed, SBMs can achieve these aims.
States have an inherent advantage over the federal government in responding to their citizens’ needs because they can be more nimble in designing programs and making changes. There are multiple models for states to follow and plenty of lessons to build upon.
Using these lessons, states that already have...
Source: The Health Care Blog - October 25, 2021 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Policy Politics Affordable Care Act American Rescue Plan Biden Covered California David W. Johnson rosemarie day State-based marketplaces Source Type: blogs
New study: ursolic acid and myeloma cells
Conclusion: “These findings suggest that MRBE and its active ingredient, ursolic acid, […] may have significant chemopreventive potential against MM.” Very exciting, don’t you think? Of course, we must remember that this is a study that used MM cells in a lab setting (not human patients, I mean), so, as always, we mustn’t get overly excited. But still, a wee bit of excitement can’t hurt, right?
I have already ordered some white mulberry tea, while I do some more research to find a reliable source for ursolic acid (I hope to find the Morus Alba extract…but so far, I’ve foun...
Source: Margaret's Corner - September 30, 2021 Category: Cancer & Oncology Authors: Margaret Tags: Blogroll Morus Alba myeloma ursolic acid white mulberry Source Type: blogs
Srs with T1D; Medicare + Lack of Good Enrollment Info from Diabetes Nonprofits
Not long ago, my friend Riva Greenberg wrote a compelling diabetes blog post which actually ran on Diabetes Minehttps://www.healthline.com/diabetesmine/nearly-50-years-with-type-1-diabetes-a-long-haulers-report although she also posted news of it on her own personal bloghttps://diabetesstories.com/2021/06/16/the-untold-story-49-years-of-type-1-diabetes/.Riva, like me, is today considered a T1D " Long Hauler " . She is now in her 49th year of living with Type 1 diabetes, meaning she ' ll soon be eligible for a Joslin 50 year medal if she chooses to claim it. I think Riva and my older sister share a common diagnosis year (I ...
Source: Scott's Web Log - August 8, 2021 Category: Endocrinology Tags: Abbott CGM CMS Dexcom Eversense FDA Freestyle Libre Medicare Seniors Senseonics Source Type: blogs
Srs with T1D; Medicare + Lack of Good Enrollment Info from Diabetes Nonprofits
Not long ago, my friend Riva Greenberg wrote a compelling diabetes blog post which actually ran on Diabetes Minehttps://www.healthline.com/diabetesmine/nearly-50-years-with-type-1-diabetes-a-long-haulers-report although she also posted news of it on her own personal bloghttps://diabetesstories.com/2021/06/16/the-untold-story-49-years-of-type-1-diabetes/.Riva, like me, is today considered a T1D " Long Hauler " . She is now in her 49th year of living with Type 1 diabetes, meaning she ' ll soon be eligible for a Joslin 50 year medal if she chooses to claim it. I think Riva and my older sister share a common diagnosis year (I ...
Source: Scott's Web Log - August 8, 2021 Category: Endocrinology Tags: Abbott CGM CMS Dexcom Eversense FDA Freestyle Libre Medicare Seniors Senseonics Source Type: blogs
The Fable of the Cats
George SelginThe comparison has by now been made so often that it may qualify as a platitude. I mean that between stablecoin issuers and “wildcat” banks, the fly‐by‐night scams that supposedly flooded the antebellum United States with notes nominally worth some stated amount of gold or silver, but actually worth little more than the rag paper they were made of.Such disreputable stuff, we keep hearing, is what “private” currency always tends to be like. The paper sort survived until federal authorities nationalized the nation’s paper money during the Civil War. And (we are told), digital currency will...
Source: Cato-at-liberty - July 6, 2021 Category: American Health Authors: George Selgin Source Type: blogs
How Can We Encourage Bodily Autonomy in Our Children?
Bodily autonomy is the right for a person to be in control of their own body. This concept applies to both boys and girls and is something that all parents should teach their kids. When children understand their rights, they’ll be more willing to respect themselves and others. They’ll also feel more confident and secure in their own bodies
Here are a few ways parents can encourage bodily autonomy and help their kids grow into the strong, independent adults they were always meant to be.
Teach Anatomic Names
One of the best ways to encourage bodily autonomy is to teach your kids the correct anatomic names for ev...
Source: PickTheBrain | Motivation and Self Improvement - May 25, 2021 Category: Consumer Health News Authors: Kara Reynolds Tags: confidence family featured psychology self confidence self-improvement bodily body autonomy children family time mental health raising children Source Type: blogs
5 inflammation-fighting food swaps
Inflammation: if you follow health news, you probably hear about it often. When is inflammation helpful? How can it be harmful? What steps can you take to tone it down?
What is inflammation and how does it affect your body?
If you’re not familiar with the term, inflammation refers to an immune system reaction to an infection or injury. In those instances, inflammation is a beneficial sign that your body is fighting to repair itself by sending in an army of healing white blood cells. As the injury heals or the illness is brought under control, inflammation subsides. You’ve probably seen this happen with a minor ankle sp...
Source: Harvard Health Blog - May 10, 2021 Category: Consumer Health News Authors: Kelly Bilodeau Tags: Arthritis Autoimmune diseases Health Heart Health Nutrition Source Type: blogs
A North Carolina Pediatric Hospitalist Tells Her Pandemic Story to Senator Richard Burr: Thirteen Months (And Counting) In Medical Whistle-blower Hell - Courtesy Of Private Equity/For-Profit Healthcare And Cruelly-Indifferent/Morally-Bankrupt State & Federal Oversight
Author ' s Note: I cannot " sound-bite " the last year - and perhaps it ' s time to write the book. Scroll about half-way down to read the letter to Senator Burr. The bottom line is that for thethird time in 23 years, as a Pediatrician staffing a community hospital, I was fired " with-out cause " immediately after intervening in a neonatal ( " bad baby " ) case, rescuing the situation/ " saving " the baby, and reporting it INTERNALLY to Peer Review. NO discussion. NO recourse. NO review. A total cover-up. And EVERY SINGLE TIME I ' ve asked the state/Federal government to enfor...
Source: Dr.J's HouseCalls - February 28, 2021 Category: American Health Tags: ACA Apollo Global Management ApolloMD Ballad Heath Central Carolina Hospital CMS Duke Lifepoint ETSU Medicaid Medical Whistleblower NCDHHS Pandemic Quality Assruance Randolph Health Richard Burr Trump Source Type: blogs
Why Are People So Mad at Police?
ConclusionWe started with a simple question:Why are so many people so mad at cops these days? Plainly there are many reasons, and we should avoid the temptation to oversimplify. But it would be a monumental error to dismiss that anger if there is some justification for it, as well as a grave injustice. Police play a vital role in our society, but they cannot do their jobs effectively without the trust and support of the community. In order to hold that trust, they must earn it —including by asking themselves hard questions like whether there are certain laws they have a moral duty not to enf...
Source: Cato-at-liberty - December 24, 2020 Category: American Health Authors: Clark Neily Source Type: blogs
