MKSAP: 19-year-old woman is seen for counseling regarding contraceptives
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 19-year-old woman is seen for counseling regarding contraceptives. Medical history is unremarkable; she is nulliparous and has never taken prescription contraceptives. Her father had a pulmonary embolism at age 47 years, which was associated with arthroscopic knee surgery, and her 23-year-old sister experienced a deep venous thrombosis 3 weeks after delivering her first child. The patient does not smoke and takes no medications.
On physical examination, she appears well. Vital signs are normal; BMI is 31. The ...
Source: Kevin, M.D. - Medical Weblog - April 28, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions OB/GYN Source Type: blogs
Patient Modesty: Volume 86
Discussion Blog)
Source: Bioethics Discussion Blog - April 10, 2018 Category: Medical Ethics Source Type: blogs
mi-eye 2 Portable In-Office Arthroscopy System Cleared in EU, Canada
Trice Medical, a firm based in Malvern, Pennsylvania, won the European CE Mark of approval and received Canada’s regulatory green light for its mi-eye 2 portable arthroscopy system. The whole package consists of a tablet computer and an arthroscope that has both a camera and light source built the needle. The arthroscopic component is single-use and disposable, while the tablet stays put between procedures.
The device allows surgeons to perform in-office imaging of patient joints and other anatomies via natural or surgical openings. Trice Medical believes that many orthopedic MRI scans can be avoided thanks to its t...
Source: Medgadget - March 21, 2018 Category: Medical Devices Authors: Editors Tags: Orthopedic Surgery Source Type: blogs
Today Is The Big Day
I have been waiting for this day for nearly five weeks. This is the day I go see my surgeon for a follow up. I have my fingers crossed that all is well and I am given the green light.... to drive that is.I have not been able to drive since October 5, the date of my surgery. Originally I expected that my surgery would be a minor arthroscopic clean up of my knee and I would be all healed by now. But now, during surgery they found what they really needed to do was to repair my meniscus so I don ' t lose any more stability in my right knee (I need all the stability I can get as my left knee has a torn ACL and likes to give way...
Source: Caroline's Breast Cancer Blog - November 8, 2017 Category: Cancer & Oncology Tags: depression doctor appointments knee surgery stress Source Type: blogs
Number Nine
Surgery number nine was yesterday. I thought the surgeon was going to clean out my knee arthroscopically so it would no longer catch and lock up. That was a good idea.Everything went as planned - including me being STARVING by the time we got there at 1pm after not eating since the night before - until I woke up after surgery. That ' s when I found out the bad news.Well its a good news/bad news situation. The good news is that the surgeon fixed my knee so it will no longer catch - which is amazingly painful when it happens. The bad news is the repair is more complicated than the original plan. Instead of a clean out, he re...
Source: Caroline's Breast Cancer Blog - October 6, 2017 Category: Cancer & Oncology Tags: aggravation changes crabbiness knee pain knee surgery recovery Source Type: blogs
Pre-Op Day
Today is pre-op day. Tomorrow I am having minor arthroscopic knee surgery. Its no big deal. An in and out procedure that should last an hour or so. Nothing significant. It is to repair my right knee which has been locking up for the last year or so.What it does mean is that I am going to be limited in my abilities to get around for the next week or so. I do not plan on using crutches because I hate them (and I have lymphedema). I really hate crutches. We live in a raised ranch and I bought a can so I should be able to maneuver around the one floor by myself.My husband has taken tomorrow and Friday off and then will be home...
Source: Caroline's Breast Cancer Blog - October 4, 2017 Category: Cancer & Oncology Tags: knee pain organization planning surgery Source Type: blogs
Large Hospital Chains Developing More Specialized Standalone Centers
We are moving toward a future where inpatient admissions are becoming less common with more specialized, remote centers becoming more numerous. More hospitals are also being designed as"bedless" facilities (see:The Design of Bedless Hospitals Continue to Evolve Based on Cost and Technology;The Future of Healthcare: Virtual Physician Visits& Bedless Hospitals;Some Additional Ideas About the Bedless Hospitals of the Future). A recent article discussed how large hospital chains seems to be moving in this direction (see:Warding Off Decline, Hospitals Invest in Outpatient Clinics). Below is an excerpt from i...
Source: Lab Soft News - September 30, 2017 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Healthcare Business Healthcare Delivery Hospital Executive Management Hospital Financial Radiology Source Type: blogs
Well, Crapola!
A few weeks ago, I posted about whatmy pain medication may hide, yesterday I found the truth. Call me slow about some things but I had to do some thinking.I have RA, fibromyalgia, bad back, etc - all sorts of nice things that cause pain. So I get the good drugs. I have this awesome pain patch that masks 99% of it. It wasn ' t until I was an idiot a few weeks ago and forgot to change my pain patch I had no idea how much pain.The thinking process I had to go through was what was all that pain from and why is it important? I know several people that have RA as well, my mother and an old friend. Both of them are on injected bi...
Source: Caroline's Breast Cancer Blog - September 20, 2017 Category: Cancer & Oncology Tags: aggressive ailments arthritis treatment medical crap rheumatoid arthritis Source Type: blogs
Surviving Life With Ailments
What is the best way to survive ailments? First of all, one step at a time. And take as many breaks as possible to have fun.That is what I did today. I may have my feet up recovering but I had fun, with my husband.Today we went to a museum and out for lunch looking at the ocean. My feet are really tired. My knees hurt. My hips are speaking up too.But by spending a few hours out doing something outside our normal activities it was a nice break. I didn ' t have to think about any of my medical ailments (until my feet started to hurt) or upcoming medical misadventures - which includes knee arthroscopy in a couple of weeks.It ...
Source: Caroline's Breast Cancer Blog - September 13, 2017 Category: Cancer & Oncology Tags: being a patient enjoyment fun Source Type: blogs
I Forgot To Keep Quiet
Everytime you go to the doctor they ask if you have fallen recently. Do you know why they ask you this? Its not because they want to check if you have skinned your knees or ask if you want an ice pack. They want to know if you are at risk of injuring yourself by falling. Or really are you a fall risk.... Which is very bad.But you say its only a little yellow bracelet. But no it ' s not. It means they label you as a fall risk until you can balance on your toes on a paddleboard, a million hours of PT, or something. Its hard to get rid of that label on your medical chart.Yesterday afternoon, I ran into a particularly slippery...
Source: Caroline's Breast Cancer Blog - August 30, 2017 Category: Cancer & Oncology Tags: doctor questions falls knee surgery Source Type: blogs
Surgery Is One Hell Of A Placebo | FiveThirtyEight
The guy's desperate. The pain in his knee has made it impossible to play basketball or walk down stairs. In search of a cure, he makes a journey to a healing place, where he'll undergo a fasting rite, don ceremonial garb, ingest mind-altering substances and be anointed with liquids before a masked healer takes him through a physical ritual intended to vanquish his pain.Seen through different eyes, the process of modern surgery may look more more spiritual than scientific, said orthopedic surgeon Stuart Green, a professor at the University of California, Irvine. Our hypothetical patient is undergoing arthroscopic kn...
Source: Psychology of Pain - August 13, 2017 Category: Anesthesiology Source Type: blogs
My Health Complicates Everything
I have too many ailments. Combined they interact and cause all kinds of problems. Normal people can have knee problems and then surgery to fix them. Me? Not so much.I hurt my right knee skiing in 2001 and had arthroscopic surgery to fix as much as possible. My right knee became my bad knee. After surgery, the surgeon said if it ever stops locking up come back and see me again.In 2015 I fell in our backyard and tore my left ACL. My left knee became my bad knee and my right knee became my good (or not quite as bad) knee. I then started over stressing my right knee which wasn ' t happy. In the fall of 2016, my right knee star...
Source: Caroline's Breast Cancer Blog - June 29, 2017 Category: Cancer & Oncology Tags: ailments knee pain surgery whininess Source Type: blogs
The Private Sector Can Lead In Delivery System And Payment Reform
Editor’s Note: This is the fourth in a five-part Health Affairs Blog series, produced in conjunction with the Bipartisan Policy Center, examining current issues and care models in the delivery system reform effort. Each post will be jointly authored by Democratic and Republican leaders in health policy. Check back for more posts in the series.
Employers and other private purchasers of medical services have played an important role in spurring health care delivery system and payment reform. The development of managed care has been accelerated by federal and state policies over the years but originated with private sector...
Source: Health Affairs Blog - June 8, 2017 Category: Health Management Authors: Chris Jennings and James Capretta Tags: Costs and Spending Featured Organization and Delivery Payment Policy bipartisan delivery system reform CalPERS reference pricing shoppable services Source Type: blogs
Hemostatic agents market is estimated to reach USD 8,347.9 Million by 2022
Surgery is a foundational component of health-care systems. Over 51 million hospital-based surgical procedures are performed annually worldwide. The effective management of bleeding to achieve hemostasis during surgical procedures is essential to promote positive outcomes. As surgical procedures evolve to be more refined and noninvasive, the utilization of fast acting biologically and synthetically derived hemostats, encompassing fibrin sealants, flowable gelatins and adhesives, is becoming increasingly prevalent. Some of the parameters for choosing a hemostatic agent includes efficiency, type of surgery, patient condition...
Source: Medical Hemostat - June 2, 2017 Category: Medical Devices Authors: hemostatguy at gmail.com (hemostat guy) Source Type: blogs
Stepping Back to the Big Picture
Sometimes I just need the big picture and skip the details. Yesterday I saw my knee doctor. I asked him to update his notes on my appointment on the big picture state of my knees. I need this information for my SSDI application and I sometimes just need the big picture for myself.The status is, and I quote, " At some point they will end up being bone on bone and we will need to talk knee replacement. That could be in ten years or two. " In the meantime, I can continue to get steroid injections in them and possibly arthroscopic surgery to clean up the right one.I hate all this medical crap. Sometimes I get too bogged down i...
Source: Caroline's Breast Cancer Blog - April 25, 2017 Category: Cancer & Oncology Tags: doctor questions knee pain medical crap Source Type: blogs
