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When losing a patient is more than just a defeat: a doctor ’ s story
“I feel tired,” said Mr. T. Mr. T was a 72-year-old man who came to our ED. For the last three days, he had been passing reddish urine. Two weeks before this, he had a bout of bronchitis that did not require hospitalization, just ciprofloxacin. He had made a full recovery. The emergency department ordered Read more… When losing a patient is more than just a defeat: a doctor’s story originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 2, 2023 Category: General Medicine Authors: Kenneth Salu, MD Tags: Physician Hospital-Based Medicine Source Type: blogs

Does a Single Troponin below the 99th percentile URL Rule out Acute MI if the Chest pain is very prolonged?
A 66 y.o. male who presented for chest pain that started this AM when he woke up, and has persisted throughout the day prompting him to call 911. He says the pain is dull in nature and located across the chest, does not radiate, that it isworse with exhalation. He denies worsening with activity or positioning. He endorses SOB and requested to sit up. He says this has not happened to him before. He endorses cough productive of yellow sputum. He denies any edema. Denies history of venous thromboembolism. He endorses a 50 pack year history of smoking. He denies recent illness or recent s...
Source: Dr. Smith's ECG Blog - May 26, 2022 Category: Cardiology Authors: Steve Smith Source Type: blogs

Cardiology MCQs
Modified Blalock-Taussig shunt is: End to side anastomosis of subclavian artery to a pulmonary artery Side to side anastomosis of main pulmonary artery to aorta Side to side anastomosis of subclavian artery to a pulmonary artery using a conduit Anastomosis of superior vena cava to right pulmonary artery Correct answer: 3. Side to side anastomosis of subclavian artery to a pulmonary artery using a conduit In classic Blalock-Taussig shunt, the subclavian artery is divided and anastomosed to the pulmonary artery as an end to side anastomosis. In modified Blalock – Taussig shunt, a Gore – Tex graft is used to connect th...
Source: Cardiophile MD - July 4, 2021 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs

Fontan Circulation
Fontan repair of tricuspid atresia was initiated in late 1960s. Francis Fontan et al reported that surgical repair was carried out in three patients with tricuspid atresia of which two were successful [1]. Inferior venacaval blood was directed to the left lung and the right pulmonary artery received the superior venacaval blood through a cavopulmonary anastomosis. They mentioned that the size of the pulmonary arteries must be large enough and at sufficiently low pressure to allow flow in a cavopulmonary anastomosis. The first step was a Glenn procedure in which distal end of right pulmonary artery was anastomosed to the ...
Source: Cardiophile MD - April 20, 2021 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Cardiac Surgery Source Type: blogs

The Candy in My Pocket with John Robert Wiltgen
I had a chance to catch up with John Robert Wiltgen, the fascinating international award-winning JRW Design founder. I’m enjoying his recent blog posts and stories and want to spread the word in case you might enjoy them too. John was diagnosed with diabetes at 8 years old. He’s lived with diabetes for more than 53 years now and has faced many challenges. I enjoy his positive attitude and how he continues to charge forth and do what he loves. Over the course of his life, he built an incredible design business. He’s won more than 40 major design awards, and his work has brought him from Chicago̵...
Source: Scott's Diabetes Blog - February 23, 2021 Category: Endocrinology Authors: Scott K. Johnson Tags: Blog Posts Source Type: blogs

Smart Stethoscope Helps Monitor and Diagnose Respiratory Conditions: Interview with Helena Binetskaya, CEO of Healthy Networks
LungPass, an AI-powered Bluetooth stethoscope has been developed by Healthy Networks, a company based in Talinn, Estonia. The device can analyze sounds from the lungs and help to diagnose or monitor a variety of respiratory conditions, with an initial focus on pneumonia and COPD. The aim was to create a low-cost (the device costs as little as $45) technology that people could keep at home and use if they suspect to be were a respiratory illness or to monitor a pre-existing condition. With many respiratory illnesses, such as pneumonia, timely diagnosis and intervention is critical to avoid serious illness or death. Ha...
Source: Medgadget - December 9, 2020 Category: Medical Devices Authors: Conn Hastings Tags: Cardiology Diagnostics Exclusive Geriatrics Pediatrics Source Type: blogs

Do thunderstorms worsen asthma and COPD symptoms?
Anyone familiar with hay fever understands that weather impacts respiratory symptoms. However, many of weather’s effects on respiratory function remain unclear. One unanswered question is the extent to which storms affect people with chronic lung disease, particularly the type affecting the way air moves in and out of the lungs. These “obstructive lung diseases” are characterized by problems with airway narrowing. The most common obstructive lung diseases are asthma and chronic obstructive pulmonary disease (COPD). The two main types of COPD are chronic bronchitis and emphysema. Obstructive lung diseases affect a...
Source: Harvard Health Blog - December 9, 2020 Category: Consumer Health News Authors: Kathleen Haley, MD Tags: Asthma Lung disease Source Type: blogs

Top Ten Ways I've Survived Social Distancing
Sequestered away and worried about COVID–19? It ’s good to take this crisis seriously, but social distancing doesn’t have to be as dire as people online make it seem. Here are the top ten ways I’ve kept my attitude upbeat while isolated from others.As I’ve written before, I’ve been sick and social distancing since September 2019. I have asthmatic bronchitis, rhinitis, and chronic respiratory inflammation. Consequently, my body has been so busy struggling to breathe, it hasn’t had much oomph left to fight off every cold& virus in Utah. At first, I just thought I was getting a lot of colds f...
Source: The Splintered Mind by Douglas Cootey - March 19, 2020 Category: Psychiatry Tags: Depression Family Goodreads Journaling Source Type: blogs

My take on the Coronavirus-19 Outbreak
The following represent MY BELIEFS, albeit as a board-certified (and re-certified x 4) family physician with over 30 years experience, about the novel Coronavirus and Covid-19 disease, based upon basic principles of epidemiology and currently available information. First: I believe that Cov-19 is ALREADY PRESENT in the community. There is currently no way to determine its true prevalance, partially due to inadequate testing, but also because of the nature of the virus (variable disease severity ranging from inapparent infection to fatal disease, and high level of contagion.) What this means is that since anyone could be in...
Source: Musings of a Dinosaur - March 7, 2020 Category: Primary Care Authors: notdeaddinosaur Tags: Medical Source Type: blogs

Quick update
Well, quite a lot has happened since I wrote my post on the loss of our Priscilla. A few days after her death, Stefano came home complaining of a sore throat, which soon turned into a full-blown case of bronchitis: more proof, to me anyway!, of a close association between stress (and, in this case, probably grief as well) and a lowering of the immune defenses. Anyway, we tried to be careful, but to no avail: on top of everything else, I caught his bronchitis and was sick (againnnnnn!) for about two weeks. This happened in mid January or thereabouts. So, all in all, I was sick/convalescent/sick/convalescent for more than a ...
Source: Margaret's Corner - February 27, 2020 Category: Cancer & Oncology Authors: Margaret Tags: Blogroll coronavirus curcumin myeloma Source Type: blogs

C. difficile (C. diff): An urgent threat
Clostridioides (previously Clostridium) difficile (C. diff) is the most common cause of diarrhea among hospitalized patients and the most commonly reported bacteria causing infections in hospitals. In a 2019 report, the CDC referred to C. diff as “an urgent threat.” Who is most at risk? C. diff infection (CDI) occurs more commonly following antibiotic therapy or hospitalization, and among older adults or patients with weakened immune responses. In 2002, an epidemic strain of C. diff emerged, causing more severe disease with inflammation of the colon (colitis) and an increase in deaths. This strain adheres better to the...
Source: Harvard Health Blog - February 20, 2020 Category: Consumer Health News Authors: Lou Ann Bruno-Murtha, DO Tags: Digestive Disorders Health Infectious diseases Prevention Source Type: blogs

The new coronavirus: What we do — and don’t — know
A rapidly evolving health story broke in late December when a novel illness originating in Wuhan, China made the news. Reports of the number of infected people swiftly rose, and isolated cases of this new coronavirus — dubbed 2019-nCoV by scientists — have appeared in several countries due to international travel. At this writing, almost 1,300 confirmed cases and over 40 deaths have occurred in China, according to an article in the New York Times. Fortunately, public health officials in many countries, including the US, have put measures in place to help prevent further spread of the virus. These measures include healt...
Source: Harvard Health Blog - January 25, 2020 Category: Consumer Health News Authors: Todd Ellerin, MD Tags: Health Source Type: blogs

Coronavirus FAQ
What is a coronavirus? Coronaviruses are a group of viruses that cause diseases in mammals, including humans, and birds. Why are they called coronaviruses? The name derives from the fact that the viral capsule has a “halo” or “crown” surrounding it. What do coronaviruses do? In humans, the virus infects the airways giving rise to flu-like symptoms, a runny nose, cough, sore throat and fever, these are usually mild, but in rare cases can be lethal. Is there a vaccine against coronaviruses? No. Are there any drugs to block or treat infection? No. When were coronaviruses first discovered? In the 1960s ...
Source: David Bradley Sciencebase - Songs, Snaps, Science - January 24, 2020 Category: Science Authors: David Bradley Tags: Sciencebase Source Type: blogs

Birding while ill ...
OK so am pretty sick with bronchitis and such. But I had to get out. So I went for a brief birding outing, mostly in my car (I walked around a bit here and there). I went to Yolo Bypass and then drove briefly around rural Davis on the way home.I posted some of the pics to iNaturalist.See https://www.inaturalist.org/calendar/phylogenomics/2019/12/15Posted the best pics to Smugmug. See here -------- This is from the "Tree of Life Blog" of Jonathan Eisen, an evolutionary biologist and Open Access advocate at the University of California, Davis. For short updates, follow me on Twitter. -------- (Source: The Tree of Life)
Source: The Tree of Life - December 15, 2019 Category: Microbiology Authors: Jonathan Eisen Source Type: blogs