How to have an exciting death: 5 tips from a palliative care physician
We’re all gonna die. It’s a simple truth that an astounding number of people neglect to acknowledge or accept. Some people die sudden, unexpected deaths, but most eventually fall victim to chronic or terminal conditions like COPD, heart failure or cancer. As a palliative care physician, I often meet patients who have had conversations with […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - June 25, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/christi-bartlett" rel="tag" > Christi Bartlett, MD < /a > < /span > Tags: Conditions Hospital-Based Medicine Palliative Care Source Type: blogs

New study reinforces the importance of walking through forests for mental and general health
This study aimed to clarify the psychological benefits of brief walks through forest areas. In addition, we aimed to examine the associations between psychological responses and trait anxiety levels. Five-hundred-and-eighty-five participants (mean age, 21.7 ± 1.6 years) were instructed to walk predetermined courses through forest (test) and city (control) areas for 15 min. The Profile of Mood State (POMS) questionnaire and State-Trait Anxiety Inventory were used to assess participants’ psychological responses and trait anxiety levels, respectively. The results revealed that walking through forest areas decreased the neg...
Source: SharpBrains - June 10, 2019 Category: Neuroscience Authors: Greater Good Magazine Tags: Cognitive Neuroscience Health & Wellness Peak Performance brief walks forest therapy forests general health individual difference mental health profile of mood state psychological relaxation shinrin-yoku trait anxiety Source Type: blogs

An ER Doctor Answers Our Questions About End-Of-Life Care
...Dr. Kevin Haselhorst: Life changing, yes! And perhaps a moment of divine intervention. An elderly man with COPD (chronic obstructive pulmonary disease) was rushed to the cardiac cath lab after being diagnosed with acute myocardial infarction (MI). He was struggling to breathe, yet pleaded with me to not insert the breathing tube. Read the whole article on HealthCentral about how an ER doctor became an advocate for those who are entering the end-of-life years? Carol Bradley Bursack is the Candid Caregiver MedicareFAQ – Medicare Resource Center Support a caregiver or jump-start discussion in support groups w...
Source: Minding Our Elders - June 2, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

In Hospice, Time is an Illusion
by Lizzy Miles (@LizzyMiles_MSW)Lately I ’ve been thinking a lot about the perception of time and how it affects our patients. Because their time is limited, their perception of time and its value can often be magnified. This is our job, but this is the patient’s LIFE. We have to remember that for our patients, they may be hyper-focuse d on time. How do we help them feel good about timing and the time we spend with them? We can do this by being mindful of how we use our time with them and also how we show respect for their time.Set expectationsThere is research in the ambulatory care arena that says that patient satisf...
Source: Pallimed: A Hospice and Palliative Medicine Blog - May 22, 2019 Category: Palliative Care Tags: hospice perception social worker time Source Type: blogs

Index: Evolution's Clinical Guidebook
In the past few blogs, I ' ve been discussing the recent publication of my book,Evolution ’s Clinical Guidebook: Translating Ancient Genes Into Precision Medicine. The premise of this book is that modern medicine is based on an understanding of evolutionary processes. Evolution shows us the relationships between the subdisciplines of medicine that benefit directly from Precision Medicine (i.e., pathology, microbiology, clinical genetics, pharmacology, and bioinformatics). In Evolution ' s Clinical Guidebook, all of these diverse fields are brought together, under the subject of evolution. To illustrate, I have listed bel...
Source: Specified Life - May 11, 2019 Category: Information Technology Tags: bioinformatics clinical genetics evo-devo evolution precision medicine rare disease Source Type: blogs

Fibrosis as a Consequence of Processes of Aging
Fibrosis is a malfunction of tissue maintenance and regeneration in which scar-like collagen deposits form, disrupting tissue structure and function. It almost always occurs in later life, even in fibrotic conditions clearly caused by environmental factors, such as smoking in the case of chronic obstructive pulmonary disease. Why is this? The authors of the open access paper noted here consider the mechanistic reasons as to why fibrosis is age-related, enumerating the processes associated with aging that are thought to have the greatest influence over fibrosis. There is presently little that can be done to turn back...
Source: Fight Aging! - May 3, 2019 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

Sophisticated Monitors Move into Homes; Inpatient and Home Care Merge
I have posted a number of notes abouthealth wearables and monitors (see, for example:Is Healthcare Ready to Embrace the Consumer"Wearable" Revolution?;AT&T Offers the LTE-M, Low-Powered Network for Uploading Wearable Health Data). These devices will have a major effect on both healthy consumers as well as the chronically ill. In the former case, wearables can be used to monitor daily activities and, using various types of descriptive, diagnostic, and predictive analytics, will guide consumers in their pursuit of wellness (see:Healthcare Will Contribute a Sizable Portion of Future Earnings for Apple).�...
Source: Lab Soft News - April 29, 2019 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Diagnostics Electronic Health Record (EHR) Food and Drug Administration Healthcare Information Technology Healthcare Innovations Point-of-Care Testing Predictive Analytics Preventive Medicine Source Type: blogs

Podcasts for medical students on internal medicine
Today, we received two 3rd year medical students starting their IM rotation. I told them I would give them a list of podcasts that should help them get oriented to internal medicine. This is my podcast v1.0 list: From the Curbsiders: 142 Cirrhosis TIPS for Acute Complications 104: Renal tubular acidosis with Kidney Boy, Joel Topf MD 92: Pulmonary Embolism for the Internist 86: COPD: Diagnosis, treatment, PFTs, and nihilism 76: Pneumonia Pearls with Dr Robert Centor 61: Vasculitis and Giant-Cell Arteritis: ‘Rheum’ for improvement 52: Anemia: Tips, and tools for diagnosis and treatment 20: Hyp...
Source: DB's Medical Rants - April 29, 2019 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs

Can you see through this paced rhythm?
Written by Pendell MeyersAn elderly female with known CAD and multiple stents, pacemaker, stroke, and COPD presented with 2 hours of midsternal, nonradiating chest pain at rest. Apparently on arrival to the ED the patient described her pain more as " crampy " abdominal pain, but also chest discomfort.Here is her initial ECG during active symptoms:What do you think?There is dual chamber paced rhythm (atrial and ventricular pacer spikes) with resulting LBBB-like morphology. There is massive excessively discordant STE in II, III, aVF, as well as V4-V6. There is reciprocal excessively discordant STD in I and aVL. Additionally,...
Source: Dr. Smith's ECG Blog - April 24, 2019 Category: Cardiology Authors: Pendell Source Type: blogs

Fight Aging! Newsletter, April 22nd 2019
Fight Aging! provides a weekly digest of news and commentary for thousands of subscribers interested in the latest longevity science: progress towards the medical control of aging in order to prevent age-related frailty, suffering, and disease, as well as improvements in the present understanding of what works and what doesn't work when it comes to extending healthy life. Expect to see summaries of recent advances in medical research, news from the scientific community, advocacy and fundraising initiatives to help speed work on the repair and reversal of aging, links to online resources, and much more. This content is...
Source: Fight Aging! - April 21, 2019 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Lawsuit Against Juul/Altria Alleging Fraudulent Misinformation Provides Fraudulent Misinformation
Parents of a Florida teenager who became addicted to Juul havesued Juul, Altria, and Philip Morris USA based on a number of claims, including fraud, negligence, and violation of the RICO statute (the compliant ishere). Dr. Stan Glantz and Lauren Lempert provide a nicesummary of the reasoning behind the lawsuit and the specific claims being made. The case was filed on Monday in the federal district court for the middle district of Florida.The Rest of the StoryAlthough the main complaint is that the company fraudulently provided misinformation about the product, its health risks, and its addictiveness, the complaint itself p...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - April 17, 2019 Category: Addiction Source Type: blogs

Visualizing the Cost of Age-Related Disease as Disability Adjusted Life Years
Disability adjusted life years (DALYs) are a statistical construct used in epidemiology to assess the harms caused by disease, particularly the chronic diseases of aging, as these are by far the greatest burden of disease that is inflicted upon the population as a whole. The costs of aging are huge, however they are measured. It is the greatest single cause of human suffering and death, and the economic effects of this constant destruction of human lives and capabilities are sized to match. The greatest good any of us can do in the world as it stands today is to work towards bringing aging under medical control. D...
Source: Fight Aging! - April 17, 2019 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

Spry Health Continuous Wrist-Worn Pulse Oximeter, Heart and Lung Meter FDA Cleared
Spry Health, a Silicon Valley company, won FDA clearance to introduce its Loop System continuous health monitor. The product, which consists of a wrist-band wearable device, charging cradle, and platform to analyze the readings, provides clinical-grade pulse oximetry, heart rate, and breathing rate of a patient over the entire day. Patients can have remote and real-time information about patient status, helping to monitor those with COPD and other chronic conditions. The patient doesn’t have to do anything except place the wearable on the charging pad when it’s asking to be recharged. After charging, simply put...
Source: Medgadget - April 16, 2019 Category: Medical Devices Authors: Editors Tags: Cardiology Medicine News Telemedicine Source Type: blogs

RejuvenAir Cryospray for Treating COPD with Chronic Bronchitis Going on Trial
The FDA has just issued a Breakthrough Device designation and an Investigational Device Exemption (IDE) to CSA Medical for its RejuvenAir system as a treatment option for patients with moderate to severe chronic obstructive pulmonary disease (COPD) that have chronic bronchitis. The company soon plans to start a prospective, multi-center, blinded randomized sham controlled trial, under the IDE, to evaluate the effectivness of the RejuvenAir system. The system features a metered cryospray that delivers liquid nitrogen at -320° Fahrenheit (-196° Celsius) to specific targeted spots within the lungs. It sprays in a circular ...
Source: Medgadget - April 3, 2019 Category: Medical Devices Authors: Editors Tags: Medicine Thoracic Surgery Source Type: blogs