Fight Aging! Newsletter, March 27th 2023
This study has potentially significant implications in the field of OA as it provides a novel strategy for OA treatment.
A Vicious Cycle of Heart Failure and Dementia
https://www.fightaging.org/archives/2023/03/a-vicious-cycle-of-heart-failure-and-dementia/
The end of life is not pretty. The body is a failing machine of many complex essential parts, and the failures cascade and feed into one another as it breaks down. There is pain, loss of capacity, loss of the self as the brain runs down. There is a tendency to paper over the ugly reality in public discussion, to not talk about the facts of the matter...
Source: Fight Aging! - March 26, 2023 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
poem
The 12th DraftYou know what? I can ’t go through with it. I take it all back. I retract the apologies spewed in all the other drafts. None of you are absolved. You’re all to blame. It’s all your fault I came this close. I don’t regret the temporary sense of loss I may have inflicted. I’m still here, grinding my teeth, nursi ng hard earned grudges. Do not go on with your lives. Do not remarry. Cancel the meeting with the estate attorney. Stop trying to be strong in the face of untimely tragedy. Do not leave my room untouched. Stop curating your memories. Un-cancel your holiday plans. I’ve spared you the ha...
Source: Buckeye Surgeon - March 22, 2023 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
Watch what happens when you teach others how to find OMI
Submitted by Dr. Caio Aguiar from Brazil, written by Pendell MeyersIt is immensely rewarding to receive these emails, like I received from Dr. Aguiar last week:" Last year I had a couple of lessons with you while on my internship.I finished my residency of Emergency Medicine and I ’m working at a great Emergency Department here in Brazil.Since then, I started looking for OMI EKG findings and not just STEMI.So, I ' m a follower of your blog, and I think I have a interesting case that I attended yesterday. "Case" Male, 43yo, come to ED with Epigastric Pain started 3 hours ago. Risk Factors: High Cholesterol. Vitals S...
Source: Dr. Smith's ECG Blog - March 21, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
What do people want from pain management?
The short answer is often “take my pain away” – and we’d be foolish to ignore the impact of pain intensity on distress and disability. At the same time there’s more than enough research showing that if treatment only emphasises pain intensity (1) it may not be achievable for many, especially if we take into account the small effect sizes on pain intensity from exercise, medications and psychological therapies; and (2) even if pain is reduced, it may not translate into improvements in daily life.
The slightly more complex answer lies behind the desire to “take my pain away.” We n...
Source: HealthSkills Weblog - March 19, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Coping strategies Research Science in practice Occupational therapy pain management Therapeutic approaches Source Type: blogs
A 50-Something Male with 2 hours of Chest discomfort
This ECG was texted to me in real time, but I did not notice the message until about an hour after it came. " 50 + yo. Concerning history, known CAD "Recorded 2 hours after pain onset:What do you think?This was my response:" This looks like a worrisome EKG. It looks like an Occlusion MI (OMI), but I am not 100% certain. But by now you must have a repeat ECG. Can I see it? "Pendell Meyers had an identical response when I sent it to him.PM Cardio AI algorithm said " OMI with high confidence "Explanation: There is subtle ST Elevation in inferior leads, with a hyperacute T-wave in III, reciprocal STD in aVL with an ...
Source: Dr. Smith's ECG Blog - March 19, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
poem
Lifelong FriendWe spend the bulk of our livesAlone with the personNo one else really knowsThe one who sits with youAs the March snow falls in feathery ashOn the other side of smudged bedroom windowsOver time the distinction between Yourself and this person blurs into one But it ' s only an act of self preservationTo ease the pain of alwaysHaving to say goodbye To your oldest, truest friend Every moment is a secret little deathBut he always comes back to lifeBefore there ’s any time for lamentationSuch private farewells are best deferredUntil the final days when it ’s obviousWe ' ve both come t...
Source: Buckeye Surgeon - March 19, 2023 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
The orgasmic heart beat
TL:DR – Sex can double or treble a person’s heart rate, but this is a normal physiological response provided the rate goes back to normal within a few minutes.
Love might make your heart skip a beat, but love-making definitely gets it pumping. Indeed, sexual activity will inevitably raise your bpm, beats per minute, especially as a person approaches orgasm. A friend with a fake FitBit was curious about the trajectory of heart rate during sex and wore his monitor (around his wrist) in the bedroom one night. As he and his missus slid between the sheets, he set it to “other” workout and then synced th...
Source: David Bradley Sciencebase - Songs, Snaps, Science - March 17, 2023 Category: Science Authors: David Bradley Tags: Health and Medicine Sex Source Type: blogs
A woman in her 50s with chest pain and dyspnea
Submitted by anonymous, written by Pendell MeyersA woman in her 50s presented to the Emergency Department with chest pain and shortness of breath that woke her from sleep, with diaphoresis. She had a prior history of " NSTEMI " one month ago, during which she had a coronary angiogram reportedly showing no stenosis in any coronary artery. Her vitals were within normal limits.Here is her triage ECG:PM Cardio Version (see original screenshot I received below)Original image. What do you think?Here is the prior ECG on file (from 1 month ago, when she was having " NSTEMI " with high sensitivity troponin peaking at 200 ng/L):What...
Source: Dr. Smith's ECG Blog - March 17, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
Two Patients With More Than One Diagnosis
BY HANS DUVEFELT
I have written many times about how I have made a better diagnosis than the doctor who saw my patient in the emergency room. That doesn’t mean I’m smarter or even that I have a better batting average. I don’t know how often it is the other way around, but I do know that sometimes I’m wrong about what causes my patient’s symptoms.
We all work under certain pressures, from overbooked clinic schedules to overfilled emergency room waiting areas, from “poor historians” (patients who can’t describe their symptoms or their timeline very well) to our own mental fatigue after many hours on the...
Source: The Health Care Blog - March 16, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Medical Practice Hans Duvefelt neuralgia sinusitis Source Type: blogs
N of 1 studies – great examples
This study examined whether it’s more fruitful to expose people to many activities they’ve previously avoided, or instead, to limit the number of activities each person was exposed to. This is SUCH an important component of therapy where people have avoided doing things that bother them because they anticipate either that their pain will go to untolerable levels (or interfere with other important things like sleep) or because they’re worried they’ll do harm to themselves. Why? Because doing things in one safe space is not life. We do lots of activities in lots of different spaces, and most of them a...
Source: HealthSkills Weblog - March 12, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Clinical reasoning Low back pain Research Science in practice pain management single case experimental design Source Type: blogs
A man in his 50s with chest pain
Sent by anonymous, written by Pendell MeyersA man in his 50s with no prior known medical history presented to the Emergency Department with severe intermittent chest pain. He had episodes of chest pain off and on all night, until about 1 hour prior to arrival when the pain became constant, crushing, 10/10 chest pain that radiated to both arms. He denied any lightheadedness, shortness of breath, vomiting, or abdominal pain. Vitals were within normal limits.Here is his triage ECG at 0343:What do you think?Meyers interpretation: Diagnostic of LAD OMI, with hyperacute T waves in a large LAD distribution including precord...
Source: Dr. Smith's ECG Blog - March 9, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
What do you think of this ECG?? Is this during pain, or after pain resolution? Also, see the CT image of the heart.
If you saw this ECG only knowing that it is an acute chest pain patient, what would be your interpretation?This is a trick question, as you will see below. But you can make a diagnosis here, and Pendell and I do this all the time when reading ECGs from databases. I sent this to Pendell without any information at all, and he replied " Postero-lateral Reperfusion. "The T-waves in V2-V4appear hyperacute, suggesting LAD occlusion,BUT there is also T-wave inversion that is typical morphology forreperfusion in V5 and V6.Thus, one must think of reperfusion. When there is reperfusion and there are large T-waves in...
Source: Dr. Smith's ECG Blog - March 6, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
A 30-something with Chest pain and SOB
In conclusion, the presence of negative T waves in both leads III and V1 allows PE to be differentiated simply but accurately from ACS in patients with negative T waves in the precordial leads. "See this post for more detail on the ECG in pulmonary embolism. Still more cases are here.==================================My Comment by KEN GRAUER, MD (1/19/2023):==================================How good is the ECG for the diagnosis of acute PE? The answer is — it depends! Sometimes the ECG is excellent, in that it immediately tells you " high probability for massive acute PE ...
Source: Dr. Smith's ECG Blog - March 4, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
190 Tuesday Quotes to Give You Motivation and Plenty of Positive Energy
It’s Tuesday.
Maybe you’re tired after Monday. And you're ready to restart your week.
Or you might want something to help you to keep up the momentum after an energetic and focused start yesterday.
In today’s post I’d like to help you out no matter what headspace you're in right now. This is 190 of the best, most motivational and powerful Tuesday quotes.
I hope you’ll find something here to help you make this into a fun, fulfilling and excellent week.
And if you want even more uplifting inspiration for the week then check out this post with quotes on Wednesday motivation and this one filled with helpful Thursday...
Source: Practical Happiness and Awesomeness Advice That Works | The Positivity Blog - March 3, 2023 Category: Consumer Health News Authors: Henrik Edberg Tags: Inspirational Quotes Personal Development Source Type: blogs
The power of listening: a poem from a chronic pain patient to their doctor
Per the CDC, 11 to 40 percent of Americans struggle with chronic pain. All physicians must treat patients with chronic pain, whether they are spine surgeons or primary care physicians. It is a disease we can not escape. We do not have a one-time pill to fix chronic pain. Unlike other diseases, we do not
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The power of listening: a poem from a chronic pain patient to their doctor originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 25, 2023 Category: General Medicine Authors: Aaron Morgenstein, MD Tags: Physician Pain Management Source Type: blogs
