Acute “ Corona ” syndrome : Glad to know plaques are also in lockdown mode !
The Country of mine with 140 crore population, is under complete lockdown mode. We are anxiously tense in one aspect,  but enjoying the free time due to the peculiar “Corona effect” on cardiac emergencies. Unable to understand you . . . please go away What happened to our 24/7 busy CCU ?  Does it happen only in my hospital? Can’t be.  Let me check it right now. I called my fellow, who has since become a leading cardiologist in the nearby town. I have since called many of my close contacts. In both Government and private hospitals. The pooled data were analyzed in a virtual cloud memory. I...
Source: Dr.S.Venkatesan MD - April 3, 2020 Category: Cardiology Authors: dr s venkatesan Tags: acute coronary syndrome Cardiology -guidelines Cardiology -Interventional -PCI cardiology -Therapeutics Ethics in Medicine Uncategorized Acute corona vs coronary syndrome ethics in cardiology evidence based cardiology Source Type: blogs

Older adults and medical marijuana: Reduced stigma and increased use
This study is consistent with other research, as well as with reports from physicians who recommend cannabis in their daily practices. What might be behind this trend? A confluence of factors seems to be responsible, including the decrease in stigma associated with cannabis use and the increased interest in the use of medical marijuana by older patients. Stigma is a complicated issue, but most would agree that the stigma associated with cannabis use is lessening, especially for medical cannabis. In a recent poll, 94% of Americans voiced support for legal access to medical marijuana, and most states have approved some form ...
Source: Harvard Health Blog - April 1, 2020 Category: Consumer Health News Authors: Peter Grinspoon, MD Tags: Health Healthy Aging Marijuana Pain Management Source Type: blogs

Part One: Tapping the Wrist
​The wrist is not commonly aspirated in the emergency department, but emergent arthrocentesis may be indicated for extreme or concerning cases, and tapping the wrist to determine the underlying pathology or relieve pain may be of great value. The synovial fluid from the joint space can be analyzed for crystals, infection, and blood. This information may help determine the overall plan and aid in decision-making and consultation. The ultimate treatment plan may include admission, intravenous antibiotics, multiple aspirations, and even surgical washout.A swollen, painful wrist that is hot to the touch is concerning for sep...
Source: The Procedural Pause - April 1, 2020 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Podcast: Smoking Weed for Anxiety – Fact vs Fiction
  Cannabis, weed, marijuana, pot. It goes by several names, but we all know what it smells like. As weed becomes more mainstream, we on the Not Crazy podcast want to know: Is marijuana really an effective treatment for anxiety? Is it just a coping mechanism? Or a vice? In today’s podcast, Gabe and Jackie look at the research and weigh out the evidence. They also interview Eileen Davidson, a rheumatoid arthritis patient who regularly uses marijuana as a medicine to see what she has to say. What’s your take? Tune in for an open-minded discussion about weed. (Transcript Available Below) SUBSCRIBE & RE...
Source: World of Psychology - March 30, 2020 Category: Psychiatry & Psychology Authors: Not Crazy Podcast Tags: Anxiety and Panic General Medications Not Crazy Podcast Source Type: blogs

Why is uncertainty so stressful?
Stress caused by uncertainty can be paralyzing. The information we are getting about the coronavirus seems to be changing by the hour — creating unprecedented uncertainty. There is a good reason your nerves are jangle, or you are feeling unsettled or anxious. Uncertainty is perceived as unsafe and potentially painful. Whether the situation is predictably positive or predictably negative, your brain prefers something familiar to something unfamiliar. Under stress, our brains depend on instinct rather than rational thought because the part of the brain responsible for critical thinking is busy dealing with the psycholo...
Source: Embrace Your Heart Wellness Initiative - March 25, 2020 Category: Cardiology Authors: Eliz Greene Tags: Stress Management uncertainty Source Type: blogs

Update: Four tips to practice good mental hygiene during the coronavirus outbreak
__ Time for a new edition of SharpBrains’ e‑newsletter, featuring this time 14 timely news and resources for mental health and brain health innovation. First of all, let’s remain safe, healthy, and centered during the current health crisis by following these tips provided by the Greater Good Science Center at UC Berkeley: 1. Stay calm and focused 2. Pay attention to those doing the right thing 3. Show gratitude 4. Remember our common bonds 1) “Of course, all of these guidelines don’t supplant the importance of practicing good hygiene. We need to continue to frequently wash our hands and avoid...
Source: SharpBrains - March 25, 2020 Category: Neuroscience Authors: SharpBrains Tags: Cognitive Neuroscience Education & Lifelong Learning Health & Wellness Technology adhd brain brain health Brain Teasers brain-functions chronic pain coronavirus outbreak cross-train the brain dementia innovation LivaNova Medt Source Type: blogs

The Voice and Role of Palliative Care in the Era of COVID-19
by Suzana Makowski (@suzanakm)Theguidelines outlined in the recent letter co-sponsored by Pallimed and Geripal serve as important reminders of key messages for clinicians: social distancing, handwashing, use of personal protective equipment to help flatten the curve of viral spread, adhering to protocols about screening, testing and even triaging.I would advocate for another layer of engagement in this effort. Palliative care as a specialty is uniquely positioned to address the people who are likely to be disproportionately affected by the disease: the chronically ill and the aged. After all, this population is the demogra...
Source: Pallimed: A Hospice and Palliative Medicine Blog - March 17, 2020 Category: Palliative Care Tags: covid emergency preparedness makowski Source Type: blogs

The Fantastic Autoimmune Beasts and Where to Find Them
Hairy, scary, funny looking or pretty cool. The beasts in the Harry Potter universe are quite the diverse bunch with unique abilities and qualities. Just like new digital health tech targeted to fight autoimmune diseases or for the main part: their symptoms. Source: Warner Bros. Framestore The common ground for completely different illnesses like type 1 diabetes, inflammatory bowel disease, rheumatoid arthritis, and multiple sclerosis is an immune system disfunction. Immune cells and mechanisms target the body’s own cells and structures, deconstructing it bit by bit and inducing inflammation. An estim...
Source: The Medical Futurist - March 17, 2020 Category: Information Technology Authors: szandra Tags: Biotechnology Future of Medicine chatbot diabetes digital health sleep optimization chronic pain chronic illness skin coronavirus autoimmune disease Source Type: blogs

Coronavirus (COVID19), catastrophising – and caution
I don’t often leap aboard a popular topic and blog about it, but I’m making an exception right now because, although COVID19 is new – catastrophising is not. There are a number of people who really do not like the term “catastrophising”. There are comments that this is a pejorative term, used to deny the validity of a person’s experience. That it means the person is exaggerating or being melodramatic or in some way not believable. But as I read the many, many headlines about COVID19, including the international toilet paper frenzy, reading about Vitamin C or “anti-inflammator...
Source: HealthSkills Weblog - March 15, 2020 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Clinical reasoning Resilience/Health Science in practice catastrophising COVID19 Source Type: blogs

Why Participate in Medicare Quality Reporting? (Even if You Don ’ t Have To)
If you treat Medicare Part B beneficiaries, you might be required to report quality measures to Medicare. But even if you are not required to participate this year, you could be included in the future—so it might be a good idea to voluntarily participate now just for practice. You may even choose to opt-in to the program to earn financial incentives if you can participate successfully. Some clarity Medicare’s quality reporting program, the Merit-Based Incentive Payment System (MIPS), requires some providers to report their compliance with certain patient interaction measures. A provider’s failure to parti...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - March 9, 2020 Category: Speech-Language Pathology Authors: Sarah Warren Tags: Audiology Health Care Slider Speech-Language Pathology medicare private practice Source Type: blogs

" Intuition " – and clinical reasoning
Intuition is one of two main modes of thinking, according to Daniel Kahneman. Intuition is fast, considers the whole rather than components of the whole, and intuition feels effortless. Intuition can also be wrong – but often isn’t (Gruppen, Woolliscroft & Wolf, 1988). We use intuition well when we’ve been exposed to many examples of the phenomenon under consideration – for example, if we’ve seen a lot of patients with similar health problems. We don’t use intuition well when we buy into biases or stereotypes. The alternative to intuition is slower thinking, that typically brea...
Source: HealthSkills Weblog - March 8, 2020 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Assessment Chronic pain Clinical reasoning Occupational therapy Pain conditions Physiotherapy Professional topics Psychology intution Source Type: blogs

“ Intuition ” – and clinical reasoning
Intuition is one of two main modes of thinking, according to Daniel Kahneman. Intuition is fast, considers the whole rather than components of the whole, and intuition feels effortless. Intuition can also be wrong – but often isn’t (Gruppen, Woolliscroft & Wolf, 1988). We use intuition well when we’ve been exposed to many examples of the phenomenon under consideration – for example, if we’ve seen a lot of patients with similar health problems. We don’t use intuition well when we buy into biases or stereotypes. The alternative to intuition is slower thinking, that typically brea...
Source: HealthSkills Weblog - March 8, 2020 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Assessment Chronic pain Clinical reasoning Occupational therapy Pain conditions Physiotherapy Professional topics Psychology intution Source Type: blogs

Podcast: Male Survivors of Sexual Assault and Abuse
 Did you know one in six males are sexually assaulted before their 18th birthday? Unfortunately, many victims are reluctant to come forward due to cultural conditioning. In today’s podcast, Gabe speaks with two psychologists about this very common but somewhat taboo issue. They tackle the prevalent myths surrounding male sexual assault and discuss why so many victims suffer in secrecy. What can be done? Where can survivors reach out for help? Join us for an in-depth talk on this very important and under-discussed topic. SUBSCRIBE & REVIEW Guest information for ‘Male Sexual Assault’ Podcast Episo...
Source: World of Psychology - March 5, 2020 Category: Psychiatry & Psychology Authors: The Psych Central Podcast Tags: Abuse Children and Teens General Interview Men's Issues Podcast The Psych Central Show Trauma Source Type: blogs

5 Ways We Invite Constant Conflict into Our Lives
You're reading 5 Ways We Invite Constant Conflict into Our Lives, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles. Some of us encounter jerks all the time. Perhaps an aggressive driver flipped us off on the way to work, a harried woman cut in front of us in the checkout line at Target, or a coworker said something rude about the new shoes we wore to work – all in one day! But while most of us will encounter rude behavior from time-to-time, if we are responding to jerks on a regular basis, then we need to take a clos...
Source: PickTheBrain | Motivation and Self Improvement - March 5, 2020 Category: Consumer Health News Authors: Mark Borg Tags: featured philosophy psychology relationships self-improvement success career conflict Source Type: blogs

Alcohol Damage to the Liver – What Happens?
Alcohol Damage to the Liver – What Happens? Alcohol use disorder and heavy drinking present many harmful health risks. They can include everything from high blood pressure to fatal seizures. One of the most well-known health risks that come along with prolonged heavy drinking is liver damage. How does alcohol impact the liver, and what types of alcohol damage to the liver are there? In order to better understand alcohol damage to the liver, it is important to learn how the liver processes alcohol. According to MyDr, there are 2 ways that alcohol can be processed by your liver: Most alcohol is broken down, or metabol...
Source: Cliffside Malibu - March 4, 2020 Category: Addiction Authors: Jaclyn Uloth Tags: Alcohol Alcohol Rehab Information Alcoholism Detox Resources for Alcohol and Drugs/Opiates alcohol abuse alcohol dependence alcohol detox alcohol treatment alcohol treatment center alcohol treatment facility Source Type: blogs

Pain and neuromodulation: What ’s all the “buzz” about?
Chronic pain is an enigma for both pain doctors and their patients: difficult to understand (as everyone’s pain is different), challenging to treat effectively, and frustrating to live with. Desperate patients sometimes turn to drastic and irreversible surgical procedures, like amputating nerves to relieve pain, and unfortunately even those procedures may fail to provide the hoped-for results. Fortunately there have been great strides in research related to pain perception and our nervous system’s reaction to various pain treatments, and we’ve been able to develop novel devices that provide many people wi...
Source: Harvard Health Blog - March 3, 2020 Category: Consumer Health News Authors: Shafik Boyaji, MD Tags: Back Pain Pain Management Source Type: blogs

10 Ways Technology Is Changing Healthcare
The future of healthcare is shaping up in front of our very eyes with advances in digital technologies, such as artificial intelligence, VR/AR, 3D-printing, robotics or nanotechnology. We have to familiarize with the latest developments in order to be able to control technology and not the other way around. The future of healthcare lies in working hand-in-hand with technology and healthcare workers have to embrace emerging technologies in order to stay relevant in the coming years. Be bold, curious and informed! Are you afraid that robots will take over the jobs of nurses, doctors and other healthcare professionals? Are y...
Source: The Medical Futurist - March 3, 2020 Category: Information Technology Authors: berci.mesko Tags: Future of Medicine 3d printing AI artificial intelligence augmented reality genetics Health Healthcare nanotechnology Personalized medicine pharma pharmacology robotics virtual reality wearables GC1 Source Type: blogs

Episode 20: How To Cope With Pain
This is Episode 20 of PsychCrunch, the podcast from the British Psychological Society’s Research Digest, sponsored by Routledge Psychology. Download here. http://traffic.libsyn.com/psychcrunch/PsychCrunch_Ep20.mp3   What can psychology teach us about dealing with pain? Our presenter Ginny Smith learns that swearing can have a pain-reducing effect, and puts the theory to the test with an experiment on editor Matthew Warren. Ginny also hears about how virtual reality could provide a welcome distraction to patients suffering from chronic pain. Our guests, in order of appearance, are: Dr Richard Step...
Source: BPS RESEARCH DIGEST - March 2, 2020 Category: Psychiatry & Psychology Authors: BPS Research Digest Tags: Emotion Health Podcast Technology Source Type: blogs

Undergraduate pain curriculum: What needs to be included and what doesn't?
One of the prominent themes in social media discussions about pain is that the subjects are not given sufficient attention at undergraduate level. The results of this omission are that many entry-level clinicians don’t have the necessary knowledge, skills or attitudes for working with people who experience pain. (As an aside, it also makes my job as a postgraduate Academic Leader much more difficult: where do I start when developing a programme?!) Luckily there is an IASP Pain Curriculum. Actually there are many of them, for many disciplines, and they provide educators with great guidance. The problem is, however,...
Source: HealthSkills Weblog - March 1, 2020 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Education/CME Pain conditions Professional topics Research Science in practice Source Type: blogs

Undergraduate pain curriculum: What needs to be included and what doesn ’ t?
One of the prominent themes in social media discussions about pain is that the subjects are not given sufficient attention at undergraduate level. The results of this omission are that many entry-level clinicians don’t have the necessary knowledge, skills or attitudes for working with people who experience pain. (As an aside, it also makes my job as a postgraduate Academic Leader much more difficult: where do I start when developing a programme?!) Luckily there is an IASP Pain Curriculum. Actually there are many of them, for many disciplines, and they provide educators with great guidance. The problem is, however,...
Source: HealthSkills Weblog - March 1, 2020 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Education/CME Pain conditions Professional topics Research Science in practice Source Type: blogs

Trammpolin, A Meniscus Prosthesis to Improve Knee Surgeries: Interview with CEO Jan Hunik
Meniscus tears are a fairly common knee injury. Treatment typically involves complete or partial removal of the damaged meniscus. Without shock-absorbing role of the meniscus, however, patients are at risk for accelerated wear of the knee joint and osteoarthritis. Currently, patients have to wait for many years until they are eligible for a total knee replacement (TKR). Orthopedic surgeons lack options during this period, what they call the “treatment gap.” ATRO Medical is working on another option for patients: a meniscus prosthesis. The Netherlands-based company was founded in 2016 and has been developing ...
Source: Medgadget - February 28, 2020 Category: Medical Devices Authors: Cici Zhou Tags: Exclusive Orthopedic Surgery Source Type: blogs

Are these Wellens' waves?
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. "Witting et al. looked at consecutive patients with PE, ACS, or neither. They found that only 11% of PE had 1 mm T-wave inversions in both lead III and lead V1, vs. 4.6% of controls.  This does not contradict the conclusions of Kosuge et al., who studied a select population of patients who were known to haveeither PE or ACS -- that is, all were indeed ill.  Of those select patie...
Source: Dr. Smith's ECG Blog - February 28, 2020 Category: Cardiology Authors: Steve Smith Source Type: blogs

Let ’s anticipate the potential misuse of neurological data to minimize the risks–and maximize the benefits
__ The perils of opening the mind (Boston Globe): “Forget the joystick. Today you can use your mind alone to navigate virtual environments or fly real-world drones. You can buy sleek headbands that read your brain signals and help you meditate or stay focused. Or you can get them for your kids to make sure they’re working, not daydreaming… WHAT COULD BE done with information derived from the brain? Large stores of data at the population level could advance neurological research. Long-term information about your brain activity could help you make lifestyle choices — like identifying the best methods...
Source: SharpBrains - February 27, 2020 Category: Neuroscience Authors: SharpBrains Tags: Cognitive Neuroscience Health & Wellness Technology aggression brain signals brain-activity impulsivity mind Neuroethics neurological neurological data neurological problems perils Source Type: blogs

Back Pain Treatment Under the Watchful Eye of Your SmartPhone Camera | Konstantine Mehl, Kaia Health
By JESSICA DaMASSA, WTF HEALTH With a holistic mind-body approach to treating chronic back pain and COPD, Kaia Health is a digital therapeutics startup gaining a lot of attention from some really big players, including Optum Ventures (the venture arm of U.S. health insurance giant United Healthcare) which recently made an $8M follow-on investment to the startup’s Series A. What makes Kaia standout in a crowded field of digital health solutions focused on chronic pain? CEO Konstantin Mehl points to their proprietary tech, which uses a smartphone camera to provide real-time corrections to patients as they complete t...
Source: The Health Care Blog - February 26, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Health Tech Health Technology Jessica DaMassa Start-Ups WTF Health COPD Kaia Health Source Type: blogs

Puffing away sadness
Ask a smoker what they get out of cigarettes and they are likely to talk about pleasure, contentment, and an overall good feeling. Nicotine, the active ingredient in cigarettes, is a stimulant. Used in low doses like those delivered by combustible cigarettes, stimulants activate the nervous system, resulting in enhanced arousal and alertness. Nicotine binding in the limbic system — the part of the brain that houses the pleasure and reward center — releases dopamine, resulting in feelings of euphoria. These effects combine to give smokers a boost in their mood. In this context, new research from a team at Harvar...
Source: Harvard Health Blog - February 24, 2020 Category: Consumer Health News Authors: Sharon Levy, MD, MPH Tags: Addiction Adolescent health Mental Health Smoking cessation Source Type: blogs

Did you miss me?
It’s been a while since I last posted on my blog, as I’ve had other projects on the go this summer. Over this time I’ve been pondering, as I usually do, why pain management/rehabilitation has so many problems. Conceptually, I can understand that pain is a complex experience that we’re a long way from understanding. I get that it’s a philosophically challenging subject. That because it’s subjective (like love, disgust, fatigue or hunger) it’s difficult to examine dispassionately. I also get that it’s big business. Pain is one aspect of being human that captures the entrepr...
Source: HealthSkills Weblog - February 23, 2020 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Low back pain Pain conditions Professional topics Science in practice Source Type: blogs

Post #47 How to Optimally Utilize Tamiflu
Every year in the United States, the CDC estimates that influenza results in between 9 million – 45 million illnesses, between 140,000 – 810,000 hospitalizations, and between 12,000 – 61,000 deaths (approximately 100  – 200 being pediatric fatalities). In the United States, the immense disease burden of the flu is unparalleled with any other pathogen, but fortunately there is a vaccine and antiviral medications which help to mitigate the yearly morbidity and mortality wrought by influenza.Because the flu changes its shape every year by a process called antigenic shift&n...
Source: A Pediatrician's Blog - February 22, 2020 Category: Pediatrics Source Type: blogs

The Body Map Of Health Trackers: Infographic
The health tracking market is booming. What with smart bracelets, smart beds and smart chest straps, the tracking industry has penetrated the lives of old and young from the time they wake up in the morning to the time they hit the bed at night (and beyond). It’s no wonder that user penetration is projected to reach 25% of the adult population by 2022 in the US alone and that these devices are being adopted by over 30% of individuals across all age groups. Naturally, I count among those adopters. I call myself a data geek, using the data accumulated from myriads of health trackers to help me make more informed hea...
Source: The Medical Futurist - February 20, 2020 Category: Information Technology Authors: Prans Tags: Health Sensors & Trackers digital health digital technology health data digital health sensors Source Type: blogs

Two Ways to Help Other People Understand What You ’ re Going Through
What are you going through? Do you have health issues that are invisible to other people? Have you wished for a way to communicate how friends and family members can help you? Wish granted. In this article, you will read about two ways you can let people know what you need and when you need it. Choose the one that suits you best, or use both at different times. It may be that these ideas prompt new courses of action that can heal misunderstandings between you and those you care about most. Understanding Cards Use card stock to print what you want to say. Make several cards on one page and as many pages as you need. Then cu...
Source: World of Psychology - February 18, 2020 Category: Psychiatry & Psychology Authors: Jan McDaniel Tags: Anxiety and Panic Chronic Pain Depression Grief and Loss Stigma Communication Source Type: blogs

Burned out on Burnout?
Conclusion Learning how to pay attention to our attention (meta-attention) can be transformative. Using principles from cognitive science, we can create a comprehensive approach (attention capital theory in medicine) to reclaim the meaning and joy that has been depleted from our profession. Increasing the difficulty of our work to match our skill level, delegating low-level tasks to help us focus on critical steps in our physician zone, creating rules to eliminate distractions, and noticing both the wonder and suffering around us may be more important than resilience training or wellness modules. Although well-intention...
Source: The Health Care Blog - February 12, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Physicians Burnout physician burnout physician wellness Sanj Katyal Source Type: blogs

How to be Self-Aware in a Troubled World
You're reading How to be Self-Aware in a Troubled World, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles. Right now, it’s a challenging thing to stay connected, listening, and loving. To have a tender heart and an alive intelligence. From global to personal, so many issues press in from all sides. Admitting to yourself that sometimes no matter what you do, it all feels impotent. This can leave you feeling powerless and somewhat devastated. But we can remember that we have a deeper, real power at our disposal. Thi...
Source: PickTheBrain | Motivation and Self Improvement - February 12, 2020 Category: Consumer Health News Authors: Kiran Trace Tags: featured happiness philosophy psychology self improvement awareness mental health pickthebrain self-aware Source Type: blogs

Mind-body therapies can reduce pain and opioid use
Our ability to feel pain and react to it is both a boon and a curse, simultaneously. The International Association for the Study of Pain (IASP) defines pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage.” This means that pain is highly subjective, and it is informed by a mix of past experiences, our current emotional state, and future expectations. Since pain is an emotional and sensory experience it affects our quality of life immensely, and treatment is complex. Chronic pain management with opioids is not ideal Opioids...
Source: Harvard Health Blog - February 11, 2020 Category: Consumer Health News Authors: Subramaniam Balachundhar, MD, MPH, FASA Tags: Complementary and alternative medicine Mind body medicine Pain Management Source Type: blogs

Syncope and Prehospital Cath Lab activation -- What do you think?
A 61 y.o. male with a history of HTN and ETOH developed squeezing epigastric abdominal pain with associated vomiting and diaphoresis, followed by a syncopal episode which lasted about 10 seconds.When medics arrived, he denied any chest pain, shortness of breath, or palpitations prior to the syncopal episode.They recorded a prehospital ECG and diagnosed STEMI and activated the cath lab prehospital.I heard that a prehospital cath lab activation was on its way.The patient arrived and we viewed the prehospital ECG:There is ST elevation in V1 and V2There is ST depression in II, III, aVFThere is ST depression and T-wave inversio...
Source: Dr. Smith's ECG Blog - February 6, 2020 Category: Cardiology Authors: Steve Smith Source Type: blogs

The Social Context and Vulnerabilities that Challenge Health Care in the San Joaquin Valley of California
By ALYA AHMAD, MD Call it what you want, white privilege and health disparity appear to be two sides of the same coin. We used to consider ethnic or genetic variants as risk factors, prognostic to health conditions. However, the social determinants of health (SDOH) have increasingly become more relevant as causes of disease prevalence and complexity in health care. As a pediatric hospitalist in the San Joaquin Valley region, I encounter these social determinants daily. They were particularly evident as I treated a 12-year old Hispanic boy who was admitted with a ruptured appendix and developed a complicated abscess,...
Source: The Health Care Blog - February 4, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Health disparities Medical Practice Patients Alya Ahmad California health disparity health equity San Joaquin Valley SDoH Social Determinants of Health Source Type: blogs

Express Scripts Throws Lifeline to Some Digital Health Startups
I have blogged extensively about pharmacy benefit managers (PBMs) in the past (see, for example:Pharmaceutical Companies and PBMs Helped to Create Our Opioid Crisis;CVS's Caremark Expands Its Diabetes Care Program with Analytics and Coaching;Amazon-PillPack Pushes Against CVS with Prescription Deliveries; Also Seeking PBM Status). Now comes news thatExpress Scripts is taking some measures to assist selected digital start-ups with apps and devices that can be used to optimize the use of prescription drugs (see:Express Scripts throws a lifeline to digital health start-ups). Below is an excerpt from the article:...
Source: Lab Soft News - February 4, 2020 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Healthcare Innovations Healthcare Insurance Medical Consumerism Pharmaceutical Industry Quality of Care Source Type: blogs

Podcast: Is Loneliness a Mental Health Issue?
  America is facing a loneliness epidemic, according to research. But what exactly is loneliness? Is it social isolation? A lack of intimacy? And importantly — is loneliness a choice? In today’s podcast, Gabe and Jackie tackle these difficult questions and share their own thoughts on loneliness and how it relates to mental health. Gabe also unveils the 7 different types of loneliness — one of these being “no-animal loneliness.” But is there really such a thing? Jackie is doubtful. Tune in to hear a thoughtful and nuanced discussion of what it means to be lonely, and see if you can relate...
Source: World of Psychology - February 3, 2020 Category: Psychiatry & Psychology Authors: Not Crazy Podcast Tags: General LifeHelper Mental Health and Wellness Not Crazy Podcast Psychology Self-Help Source Type: blogs

Talking about opioids can lead to strong emotions
About three years ago, I was chatting about pain with a friend at a social function, and she told me she was taking a prescribed opioid for her chronic pain. I quickly got the uncomfortable feeling in my stomach that comes from discussing and prescribing opioids in clinical practice. I responded with my concerns, based […]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 - February 3, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/hector-r-perez" rel="tag" > Hector R. Perez, MD < /a > < /span > Tags: Physician chronic pain Pain Management Source Type: blogs

Fight Aging! Newsletter, February 3rd 2020
In conclusion, this study suggests that epigenetic age acceleration is significantly associated with lung function in women older than 50 years. We hypothesised that this could be due to menopause. However, we have observed that menopause has minimal effect and therefore there is possibility of other unknown physiological factors at older age in females mediating the epigenetic age acceleration effect on lung function. While, it is still unknown what exactly epigenetic aging from DNA methylation measures, this study suggests it can be utilised as one of the important factors to assess women's lung health in old age. DNA me...
Source: Fight Aging! - February 2, 2020 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Test yourself: Which of the following 6 ECGs of patients with chest pain represent inferior OMI?
Which of the following 6 ECGs of patients with chest pain represent inferior OMI?The answer could be 1 or more than 1.1.2.3.4.https://hqmeded-ecg.blogspot.com/2011/10/inferior-st-elevation-what-is-diagnosis.html5.https://hqmeded-ecg.blogspot.com/2018/05/is-there-delayed-activation-wave.html6.https://hqmeded-ecg.blogspot.com/2013/04/a-40-year-old-male-with-several-chronic.htmlAnswer:3. and 5. are inferior OMI1., 2., 4., and 6. are limb lead early repolarizationIs it really possible to differentiate these?Yes.  Pendell did it easily getting 6/6 correct.I put this post up because I just received number 3 from a former gr...
Source: Dr. Smith's ECG Blog - February 2, 2020 Category: Cardiology Authors: Steve Smith Source Type: blogs

Sickness, then Celebration – Putting Suicide Behind Me
Even despite the worst sickness in years, I’ve maintained an even keel. Come celebrate with me. Today is the 650th day since I was last suicidal. Keeping track of this stat is only something I began six hundred and fifty days ago. Before that was a hard spell in 2013, and before that was the two year rollercoaster at the end of my marriage. I thought about ending things quite a bit back then. I ’m grateful that I was able to ignore those urges, but as I marvel at the number of days free from suicidal ideation, I am more grateful that I have retained my positivity through almost five months of being housebound w...
Source: The Splintered Mind by Douglas Cootey - February 1, 2020 Category: Psychiatry Tags: Depression Family Goodreads Suicide Source Type: blogs

Ouchie , a Chronic Pain Management App Mapping “ Pain Journeys ” | Rachel Trobman, Upside Health
BY JESSICA DAMASSA, WTF HEALTH Not only is ‘Ouchie’ what you say when you’re in pain, but now it’s also what you say when you need to find relief! Rachel Trobman, CEO of Upside Health, introduces us to Ouchie, a remote patient monitoring and treatment tool for chronic pain that patients can download onto their phones. Central to the patient experience of the app is the focus on documenting the patient’s “pain journey” where they answer a series of important lifestyle questions that inform the platform to come up with ways to receive support and other health resources. Not only d...
Source: The Health Care Blog - January 31, 2020 Category: Consumer Health News Authors: Grishma Reddy Tags: Health Tech Jessica DaMassa WTF Health chronic disease chronic pain Frontiers Health Ouchie Rachel Trobman remote patient monitoring Upside Health Source Type: blogs

Ouchie, a Chronic Pain Management App Mapping “ Pain Journeys ” | Rachel Trobman, Upside Health
BY JESSICA DAMASSA, WTF HEALTH Not only is ‘Ouchie’ what you say when you’re in pain, but now it’s also what you say when you need to find relief! Rachel Trobman, CEO of Upside Health, introduces us to Ouchie, a remote patient monitoring and treatment tool for chronic pain that patients can download onto their phones. Central to the patient experience of the app is the focus on documenting the patient’s “pain journey” where they answer a series of important lifestyle questions that inform the platform to come up with ways to receive support and other health resources. Not only d...
Source: The Health Care Blog - January 31, 2020 Category: Consumer Health News Authors: Grishma Reddy Tags: Health Tech Jessica DaMassa WTF Health chronic disease chronic pain Frontiers Health Ouchie Rachel Trobman remote patient monitoring Upside Health Source Type: blogs

Neuroscience tips about gratitude, aging, pain and the brain: An interview with Dr. Daniel Levitin
___ About 13 years ago, I watched my very vital mother die a slow death from Lewy-Body dementia. For me, it was a wakeup call. If there were anything I could do to stay healthy myself—to avoid the slow decline of an aging brain—I wanted to do it. But what really helps us stay sharp longer? And how can we separate fad ideas from solid, evidence-based advice around aging? Enter Daniel Levitin’s new book, Successful Aging: A Neuroscientist Explores the Power and Potential of Our Lives. Levitin is a neuroscientist, psychologist, professor emeritus at McGill University in Montreal, and faculty fellow at U...
Source: SharpBrains - January 30, 2020 Category: Neuroscience Authors: Greater Good Science Center Tags: Cognitive Neuroscience Education & Lifelong Learning Health & Wellness aging cognitive strengths conscientiousness dementia diet exercise failing memory hippocampus memory decay neuroscientist openness successful aging tips Source Type: blogs

Combination Gene Therapy for α-Klotho and TGFβR2 Improves Osteoarthritis in Mice
Researchers here report that upregulation of α-Klotho and TGFβR2 together, via gene therapy, can modestly reverse osteoarthritis in a rat model in which untreated animals progress to a more severe stage of the condition. Inhibiting TGF-β receptors such as TGFβR2 is known to suppress chronic inflammation, and likely functions by interfering in the inflammatory TGF-β signaling produced by senescent cells. The evidence for cellular senescence to drive the progression of osteoarthritis is quite compelling at this point. Meanwhile, α-Klotho declines with age and upregulation of this protein is kn...
Source: Fight Aging! - January 29, 2020 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

When sponsored CDS is a crime …
Today, The Department of Justice issued an announcement that was “the first ever criminal action against an EHR vendor.” Criminal action The core of the criminal action was something inevitable:  the tension between better health and better profit.  Here’s what I saw … all of which caused me to be not-so-surprised today when the news broke. In 2008 I was the CMIO at Allscripts.  Much of my work was focused on how our customers could use our products to improve the health of our patients.  We implemented clinical practice guidelines in the software as a way to help clinical teams...
Source: Docnotes - January 28, 2020 Category: Primary Care Authors: Jacob Tags: Uncategorized Source Type: blogs

Caregiver with Chronic Pain Must Be Clear About Limits
Photo credit Kat-J Dear Carol: My 80-year-old mother had a stroke two years ago and lives in a close-by nursing home. I’m happy to visit her and make sure that her needs are met, but that’s not enough for her. She says it’s my duty to take her to the mall and other places to shop. She’s a large woman and taking her out in this way means getting her in and out of the car as well as wrestling a wheelchair in and out of my car trunk. I have fibromyalgia and body-wide arthritis, but she’s never accepted my health challenges.  I’ve offered to take her for drives since the nursing home st...
Source: Minding Our Elders - January 26, 2020 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

A Letter to Ms. Judy Faulkner & Mr. Tommy Thompson
By GRACE CORDOVANO PhD, BCPA Being a patient or a carepartner can be a lonely, powerless place. There’s no high powered legal or lobbying team to help support you in your or your loved one’s health care journey. There’s no PR team at your beck and call. There’s no advisory board, no executive committee, no assistants, no chatbots or AI-powered technology coming to the rescue. There’s no funding or a company sponsoring your efforts. There’s no course in how to be a professional patient or carepartner. There’s no one there in the stillness and dark of the night, when you ...
Source: The Health Care Blog - January 24, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Patients caregivers carepartner Grace Cordovano Judy Faulkner patient advocacy Patient advocates Tommy Thompson Source Type: blogs

Inside Schizophrenia: Comorbidity with Schizophrenia
Comorbidity is the presence of one or more additional conditions co-occurring with a primary condition. In this episode, host schizophrenic Rachel Star Withers with her cohost Gabe Howard will be discussing comorbidity with schizophrenia. Comorbidity is associated with worse health outcomes, more complex clinical management and increased health care costs. Occupational therapist and host of the podcast Occupied, Brock Cook, will be joining us to discuss ways that he works with people with schizophrenia to manage multiple health issues.  Highlights from “Comorbidity with Schizophrenia” Episode [01:28] What ...
Source: World of Psychology - January 22, 2020 Category: Psychiatry & Psychology Authors: Rachel Star Withers Tags: Antipsychotic Inside Schizophrenia Mental Health and Wellness Psychiatry Psychology Psychotherapy Bipolar disorder and schizophrenia comorbid comorbid psychiatric conditions Comorbidities Comorbidity Diagnosis Of Schizophrenia Livi Source Type: blogs

This is a real problem in our ER. This is a real problem nationwide.
One of the largest problems in our ER, it seems, is that there is a subset of patients who visit us on a routine basis. Commonly known as“the regulars,” these familiar faces are sprinkled throughout our day between all our other patient visits. Whether it be for chronic pain, for chronic illness, for companionship, […]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 - January 22, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/storytellerdoc" rel="tag" > StorytellERdoc, MD < /a > < /span > Tags: Physician chronic pain Emergency Medicine Source Type: blogs