What we can learn about rehab from my dog
Miss Molly May is my adorable, high energy, full-sized labradoodle. She’s five years old, and has just undergone a tibial plateau leveling osteotomy for her right rear knee. Essentially she damaged the dog equivalent of her cruciate ligament because she’s an idiot. Well, she’s a dog who adores chasing the B-A-L-L and the F-R-I-S-B-E-E and any random S-T-I-C-K at full speed, turning really fast to catch it before anyone else gets to it.
Five weeks ago she was seen by our local general practice vet, referred to animal physio (click) and comprehensively examined there, then referred to the Animal Orth...
Source: HealthSkills Weblog - July 9, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Coping strategies biopsychosocial Clinical reasoning Health healthcare Therapeutic approaches Source Type: blogs
Direct Core Relationships
Have you thought much about the core relationships you’d like to cultivate with life, such as your relationships with work, people, physical reality, your body, government, creativity, entertainment, time, food, intimacy, home, etc?
You surely have many specific instances of these relationships showing up in your life, such as a particular job or family member. But have you ever stepped back from the specifics to make some high-level decisions about the purest forms of these relationships that you want to experience? There’s tremendous power in doing this since it helps you elevate your standards, define bou...
Source: Steve Pavlina's Personal Development Blog - July 9, 2023 Category: Psychiatry & Psychology Authors: Steve Pavlina Tags: Creating Reality Relationships Values Source Type: blogs
Psychedelic Science 2023 – Full Conference Review
In June I attended the Psychedelic Science 2023 conference at the Colorado Convention Center in Denver. We were told this was the largest psychedelic-related gathering in the history of the planet, attracting about 12,000 attendees and 500 speakers. In this post I’ll share about my experiences and insights from the conference.
Here’s a pic from inside the Bellco Theater where the main keynotes were held.
The Colorado Convention Center is sizable, and sessions were spread across many different rooms. Even though I didn’t do extra exercise on this trip, I was typically hitting about 1000 calories ...
Source: Steve Pavlina's Personal Development Blog - July 7, 2023 Category: Psychiatry & Psychology Authors: Steve Pavlina Tags: Creating Reality Health Lifestyle Source Type: blogs
This was texted to me by a former resident. An 80-something woman who presented with chest pain and dyspnea.
This was texted to me. An 80-something woman who presented with chest pain and dyspnea.What do you think?The rhythm appears to be atrial fibrillation. In any case, it is clearly a supraventricular rhythm. There is significant ST depression in V2-V4. Is this posterior OMI?Before jumping to any conclusions about the significance of ST-T abnormalities, you must first be certain that they are not a result of (secondary to) any QRS abnormalities. Do you see any such abnormalities?There is a large R-wave in V1. Is this RBBB? No, it is not RBBB. The QRS is not wide enough, there are no wi...
Source: Dr. Smith's ECG Blog - July 7, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
Gratitude: The Art of Savoring Wins.
I was stressed this past past few weeks I finally figured in a sports injury which was supposed to be a way to de-stress my body. The many roles I acquired during the pandemic finally took its toll after almost all required physical presence and face to face activities.
Face to face tasks demand full attention and physical presence. You cannot attend two conferences at the same time anymore or listen to two lectures on two different gadgets. It seems that, the technology enabled “always present, always available” does not hold true anymore post pandemic. It came to a frustrating point that I decided to give...
Source: The Orthopedic Logbook - July 1, 2023 Category: Orthopaedics Authors: Remo Aguilar Tags: doctors gratitude healthcare providers Medicine physicians savoring thankful tweetchat Source Type: blogs
Gratitude: The Art of Savoring.
I was stressed this past past few weeks I finally figured in a sports injury which was supposed to be a way to de-stress my body. The many roles I acquired during the pandemic finally took its toll after almost all required physical presence and face to face activities.
Face to face tasks demand full attention and physical presence. You cannot attend two conferences at the same time anymore or listen to two lectures on two different gadgets. It seems that, the technology enabled “always present, always available” does not hold true anymore post pandemic. It came to a frustrating point that I decided to give...
Source: The Orthopedic Logbook - July 1, 2023 Category: Orthopaedics Authors: Remo Aguilar Tags: Habits Productivity doctors gratitude healthcare providers Medicine physicians savoring thankful tweetchat Source Type: blogs
Chest pain with 2 serial ECGs, with dynamic change, texted to me
These were texted to me only with " chest pain. "First:2nd:What was my response?Smith: Young thin black male. No OMI.Texter: Can ' t fool you. It was indeed. Queen: #1: NOT OMI, HIGH CONFIDENCEQueen: #2: NOT OMI, HIGH CONFIDENCEECG 1 Interpretation: there is terminal T-wave in V3-V6. Is this Wellens ' pattern A? No. this is classic Benign T-wave Inversion. It helps to know that the patient has active chest pain, as Wellen ' s is a post occlusion (reperfusion) state, with open artery and pain-free.See 2 dozen examples here: Understanding this pathognomonic ECG would have greatly...
Source: Dr. Smith's ECG Blog - June 30, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
A man with chest pain off and on for two days, and " No STEMI " at triage.
Written by Kaley El-Arab MD, edits by Pendell Meyers and Stephen SmithA 61-year-old male with hypertension and hyperlipidemia presented to the emergency department for chest tightness radiating to the back of his neck that has been intermittent for the past day or two. Here is his triage ECG which was obtained at 20:34 during active pain.What do you think?This ECG was read as “No STEMI” with no prior available for comparison. It is true this ECG does not meet STEMI criteria (there is 1.0 mm STE in III, and possibly 0.5 mm in aVF), but there is clear evidence of OMI findings on this ECG. Leads II, III, and aVF hav...
Source: Dr. Smith's ECG Blog - June 19, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
Is it really depressing? Really living with chronic pain
Someone responded to my post Unpalatable truths about pain saying it was depressing. For a moment I thought – yeah, it is really. And then I reflected on my life living with, and working with people dealing daily with chronic, ongoing, persistent pain. It’s not inevitably miserable. Is there something wrong with me?
This, of course, set me to thinking maybe my pain isn’t as intense as others. Well – how would I know? I can’t give my pain a number out of 10. It’s just there and I can’t remember a time without any pain, so I can’t compare a 0 = no pain at all with anything ...
Source: HealthSkills Weblog - June 18, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Clinical reasoning Pain conditions Psychology Research Resilience/Health Science in practice Wellness pain management Therapeutic approaches Source Type: blogs
75 Karma Cheating Quotes to Help You Recover From Betrayal and Infidelity
Betrayal is one of the worst things in life.
And the worst of the worst may be infidelity and your partner cheating on you.
It can make you feel like you want some kind of revenge, make it hard to trust the next person that comes into your life and research shows that it can can spark depressive symptoms and lower your self-esteem.
But people who behave that way will in time often mess up their own life the most. Karma will catch up to them in some way.
In today's post I’d like to share 75 of the best and most helpful karma quotes for cheaters.
To let go of the fantasy about revenge. To help you heal and move on.
To a ne...
Source: Practical Happiness and Awesomeness Advice That Works | The Positivity Blog - June 15, 2023 Category: Consumer Health News Authors: Henrik Edberg Tags: Inspirational Quotes Personal Development Source Type: blogs
Two ECGs texted to me in the same hour. What would you recommend?
Written by Pendell MeyersBoth of these cases were sent to me with no information other than adults with acute chest pain. What would be your response?Case 1:Case 2:What if I told you that Case 1 has an abnormal initial troponin, and Case 2 has a normal initial troponin? Case 1An elderly male presented with chest pain. His vitals were within normal limits except some mild hypertension. Here was his triage ECG:What do you think?I texted back: " I just see LVH with no signs of OMI " .I sent this ECG to the Queen of Hearts (PMcardio OMI), and here is the verdict:You can subscribe for news and early access (via partic...
Source: Dr. Smith's ECG Blog - June 15, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
Cracking the code to a healthy spine: Revealing the secrets of aging gracefully [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join us in this enlightening episode as we welcome orthopedic surgeon and author Yoshihiro Katsuura, who sheds light on the process of spinal degeneration and the secrets to aging gracefully. With a focus on back and neck pain, Yoshihiro shares insights on how some
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Cracking the code to a healthy spine: Revealing the secrets of aging gracefully [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - June 14, 2023 Category: General Medicine Authors: The Podcast by KevinMD Tags: Podcast Orthopedics Source Type: blogs
How to Stop Overthinking Everything: 22 Simple Tips
What is holding people back from the life that they truly want to live?
I’d say that one very common and destructive thing is that they don't know how to stop overthinking.
They overthink every little problem until it becomes bigger and scarier than it actually is. They overthink positive things until they don’t look so positive anymore (and as the anxiety starts to build).
Or overanalyze and deconstruct things and so the happiness that comes from just enjoying something in the moment disappears.
Now, thinking things through can be a great thing of course.
But getting lost in a sort of overthinking disorder ...
Source: Practical Happiness and Awesomeness Advice That Works | The Positivity Blog - June 14, 2023 Category: Consumer Health News Authors: Henrik Edberg Tags: Happiness Personal Development Success Source Type: blogs
ChatGPT Alternatives For Healthcare And Research
ChatGPT has made a name for itself in the world of AI, along with Bard and MedPaLM. Following the success of these first-generation language models, a host of alternatives, including the open-source project Spark NLP for Healthcare, have emerged. Our exploration today focuses on alternative solutions that, while underpinned by the principles of ChatGPT, have potential utility in the healthcare and research sectors.
ChatGPT is remarkable, but it does have its drawbacks: a knowledge cut-off in November 2021, unilateral control and updates by OpenAI, an iOS-exclusive mobile app, and API-only integration, which can be quite...
Source: The Medical Futurist - June 13, 2023 Category: Information Technology Authors: Andrea Koncz Tags: TMF Artificial Intelligence in Medicine digital health large language models GPT in healthcare ChatGPT in healthcare AI Source Type: blogs
Unpalatable truths about pain
Recently I read a blog post about the way “Explain pain” had landed with a group of people in the general public. The point being made was that people found the ideas presented unpalatable. They didn’t agree with the points and they thought the ideas were dismissive of their experience.
Now I am a critic of any recipe-based approach to helping people. I am especially a critic of clinicians using something they’ve picked up on a weekend course, or out of a book, being applied holus bolus to an individual without nuance. There have been outrageous claims made about the effectiveness of giving some...
Source: HealthSkills Weblog - June 11, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Pain conditions Professional topics biopsychosocial pain management Therapeutic approaches Source Type: blogs
