November 2022: More than Broken
"I have this older patient who fell on his buttock at home," said my resident. “He has shoulder pain, but didn't come down on the shoulder and was here within the month with an adhesive capsulitis. He had x-rays and is to see the orthopedist this week. I was only going to x-ray the hips. What do you think?" "Let me take a look," I said while pulling up the old images.The glenohumeral joint space looked rough and narrow. Perhaps there was a calcific tendonitis seen between the acromion and the humeral head. Given the extent of degenerative joint disease, certainly this patient could have chro...
Source: Lions and Tigers and Bears - October 31, 2022 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
I am stupid
Conclusion: Isaac Asimov is stupid(Sorry, no post yesterday because I was doing some heavy cerebral processing.)He ' d have been the first to admit it. All of us are susceptible to cognitive errors and biases. I ' d like to think that Asimov was less susceptible than most, but he must have had his own foibles. It ' s a constant struggle to be mindful and think straight. For my own part, I once had a romanticized view of the Chinese revolution, I was an anthropogenic climate change skeptic, and I entertained the likelihood that medical intervention, on balance, did more harm than good. (Viz Illich, Medical Nemesis.)&nb...
Source: Stayin' Alive - October 28, 2022 Category: American Health Source Type: blogs
The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
October 27, 2022 Edition-----In the UK we have a political farce running with only a day or so to run when you read this, with a new PM (Rishi Sunak) in place..In the US the mid-term elections are coming in a week or so, thus some concern as to where the US is going!In China Xi has his third 5 year term so we all wonder how that will turn out!In OZ we have has a Budget with floods, inflation, data leaks, the threat of recession, Medicare concerns and other issues just rolling on! At least the Budget does not seem to have broken anything!Overall an ‘omnishambles’ as they say!-----Major Issues.-----https://www.afr.com/wo...
Source: Australian Health Information Technology - October 27, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Rheumatic heart disease – Cardiology Basics
Rheumatic heart disease – Cardiology Basics
Rheumatic heart disease is a group diseases which occur secondary to heart valve damage from rheumatic fever. Rheumatic fever is a disease in which antibodies produced by the body against streptococci cross react with different tissues in the body, especially the heart.
Group A beta hemolytic streptococci causing sore throat are involved in the pathogenesis of rheumatic fever. Most of the long term damage following rheumatic fever is caused by damage to heart valves . Initial manifestation of rheumatic fever is with polyarthritis, usually of the large joints.
But it does no...
Source: Cardiophile MD - October 22, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
What do occupational therapists add to pain management/rehabilitation?
Coming from a small profession that has side-stepped (more or less) a conventional biomedical model, I’ve found my inclusion in pain management and rehabilitation is not always easily understood by other clinicians. It doesn’t help that occupational therapists practice in very diverse settings, and what we do may look superficially like handing out raised toilet seats, playing with kids, doing work-site assessments or hand therapy!
Today I hope to remedy this a bit, and extend a challenge to clinicians from other professions to sum up what your profession adds in 25 words or less (the first sentence in this...
Source: HealthSkills Weblog - October 16, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Interdisciplinary teams Occupational therapy Professional topics Therapeutic approaches Source Type: blogs
Fight Aging! Newsletter, October 17th 2022
This study investigated whether multimorbidity is associated with incident dementia and whether associations vary by different clusters of disease and genetic risk for dementia. The study used data from the UK Biobank cohort, with baseline data collected between 2006 and 2010 and with up to 15 years of follow-up. Participants included women and men without dementia and aged at least 60 years at baseline. The presence of at least 2 long-term conditions from a preselected list of 42 conditions was used to define multimorbidity.
A total of 206,960 participants (mean age 64.1 years) were included in the final sample, of...
Source: Fight Aging! - October 16, 2022 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
Better Living Through Better Design
BY KIM BELLARD
We’re almost two weeks past Hurricane Ian. Most of us weren’t in its path and so it just becomes another disaster that happened to other people, but to those people most impacted it is an ongoing challenge: over a hundred people dead, hundreds of thousands still without power, tens of thousands facing a housing crisis due to destroyed/damaged homes, and estimated $67b in damages. It will take years of rebuilding to recover.
In the wake of a natural disaster like a hurricane – or a tornado, a flood, even a pandemic – it’s easy to shrug our shoulders and say, well, it’s Mother Nature, wh...
Source: The Health Care Blog - October 11, 2022 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Policy Public Health Babcock Ranch Hurricane Ian Kim Bellard Source Type: blogs
A man in his 30s with cardiac arrest and STE on the post-ROSC ECG
Conclusions: outpatients with witnessed cardiac arrest and primary PEA carry a high probability of Massive Pulmonary Embolism________________Case Continued:" Initial ROSC EKG showed what appeared to be in atrial fibrillation with inferior ST elevations, depressions in aVL, concerning for STEMI. "He had multiple cardiac arrests with ROSC regained each time. " Endotracheal tube re-intubation was confirmed multiple times, bilateral breath sounds, yet O2 saturation remained in the 50s and 60s. I was able to visualize the ETT on initial intubation pass through the cords however given his continued hypoxemia, I felt it...
Source: Dr. Smith's ECG Blog - October 10, 2022 Category: Cardiology Authors: Pendell Source Type: blogs
We cannot ignore nutrition ’ s impact on both pain and obesity
An excerpt from Epigenetics and the Psychology of Weight Loss: How to Lose More Weight with Less Effort. We know that people with chronic pain are more likely to be obese; but does this happen because people with chronic pain struggle to exercise and suffer from a high load of stress hormones which promote stress
Read more…
We cannot ignore nutrition’s impact on both pain and obesity originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 9, 2022 Category: General Medicine Authors: Francisco M. Torres, MD Tags: Conditions Nutrition Pain Management Source Type: blogs
Fight Aging! Newsletter, October 10th 2022
Fight Aging! publishes news and commentary relevant to the goal of ending all age-related disease, to be achieved by bringing the mechanisms of aging under the control of modern medicine. This weekly newsletter is sent to thousands of interested subscribers. To subscribe or unsubscribe from the newsletter,
please visit:
https://www.fightaging.org/newsletter/
Longevity Industry Consulting Services
Reason, the founder of Fight Aging! and Repair Biotechnologies, offers strategic consulting services to investors, entrepreneurs, and others interested in the longevity industry and its complexities. To find out m...
Source: Fight Aging! - October 9, 2022 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
October 2022: A Case of Ankle Annihilation
“Has your ankle been a problem for a long time?"I felt a sense of déjà vu looking at my patient's foot. I had seen this before: Someone with diabetes who had worsening, long-standing ankle pain, and had seen various doctors over the years.As before, my patient's foot was swollen, without ulcerations or signs of cellulitis or acute trauma. Perhaps we would do better this time. We could optimize our resource utilization, have him spend less time in the emergency department, and offer better care.Still, we began with an x-ray, and predicted that this symptom was one that some people with diabetes develop chronica...
Source: Lions and Tigers and Bears - October 6, 2022 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Acute chest pain: " Activate the Cath Lab!!!!! " Or not?
I was called to the resuscitation room to manage a STEMI patient.I walked into the resuscitation area and was handed this ECG:What did I say?Within 3 seconds, I said: " That is a Fakeout " . (i.e., a STEMI mimic) Everyone was perplexed. This patient had presented with chest pain and had ST Elevation and they were certain this was a STEMI and they were going to activate the cath lab.Interestingly, my very smart partner Richard Gray who also reads all my blog posts, was working in triage and had already seen this ECG just as it was recorded, and immediately recognized this as a STEMI mimic. He went to the ch...
Source: Dr. Smith's ECG Blog - October 6, 2022 Category: Cardiology Authors: Steve Smith Source Type: blogs
The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
October 06, 2022 Edition-----In the UK the current Tory Government appears to have totally lost the plot and failed to even move to fix things – a real disaster I fear for millions.In the US Hurricane Ian seems to have been of Biblical Scale that will take years to repair the damage.In Europe we see the recession arriving.In OZ we are coping with the Optus data breach, an imminent and difficult Budget and the new Integrity Commission being sorted out!-----Major Issues.-----https://www.afr.com/technology/manufacturers-turn-to-robots-as-job-ads-go-unanswered-20220920-p5bjilHow a $1m robot solved this company ’s labour sh...
Source: Australian Health Information Technology - October 6, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
DiGA: How Germany Channeled Digital Health Apps Into Its Healthcare System
Digital health applications and solutions are increasingly becoming part of our healthcare experience. Partially because they offer fast and convenient solutions for problems arising from capacity shortages of the traditional medical systems (like skin checking apps), or because they enhance the capabilities of doctors, medical personnel, or hospitals (like sepsis watch algorithms or A.I. diagnostics models).
While these apps are available in a large number of medical specialities, channelling them into state-run healthcare systems to harness the benefits on population-wide scales is challenging.
Germany’s Di...
Source: The Medical Futurist - October 4, 2022 Category: Information Technology Authors: Andrea Koncz Tags: TMF Digital Health Research Healthcare Policy healthcare system germany digital health apps DIGA Source Type: blogs
