Insurance struggles in pediatric headache care
Most of the time, I enjoy my job as a pediatric nurse practitioner working with chronic headache and pain patients. I enjoy the relationships with the families, figuring out what can help manage the headaches and life issues best to allow optimal functioning. I enjoy performing certain procedures, like Botox for chronic migraines or injection Read more… Insurance struggles in pediatric headache care originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - September 11, 2023 Category: General Medicine Authors: Tags: Conditions Neurology Pediatrics Source Type: blogs

Dancing around the hexaflex: Using ACT in practice 4
Acceptance and commitment therapy (ACT) can be slippery to describe. It’s an approach that doesn’t aim to change thought content, but instead to help us shift the way we relate to what our mind tells us. It’s also an approach focused on workability: pragmatic and context-specific analysis of how well a strategy is working to achieve being able to do what matters. Over the next few posts I want to give some examples of how non-psychologists can use ACT in session (remember ACT is open for anyone to use it!). Willingess (Acceptance) – Choosing to experience it all Do you remember the poignancy of a beloved ...
Source: HealthSkills Weblog - September 10, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Chronic pain Coping strategies Occupational therapy Physiotherapy Professional topics Psychology Science in practice acceptance and commitment therapy pain management Therapeutic approaches Source Type: blogs

Dancing around the hexaflex: Using ACT in practice  4
Acceptance and commitment therapy (ACT) can be slippery to describe. It’s an approach that doesn’t aim to change thought content, but instead to help us shift the way we relate to what our mind tells us. It’s also an approach focused on workability: pragmatic and context-specific analysis of how well a strategy is working to achieve being able to do what matters. Over the next few posts I want to give some examples of how non-psychologists can use ACT in session (remember ACT is open for anyone to use it!). Willingess (Acceptance) – Choosing to experience it all Do you remember the poignancy of a beloved ...
Source: HealthSkills Weblog - September 10, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Chronic pain Coping strategies Occupational therapy Physiotherapy Professional topics Psychology Science in practice acceptance and commitment therapy pain management Therapeutic approaches Source Type: blogs

Dancing around the hexaflex: Using ACT in practice 3
Acceptance and commitment therapy (ACT) can be slippery to describe. It’s an approach that doesn’t aim to change thought content, but instead to help us shift the way we relate to what our mind tells us. It’s also an approach focused on workability: pragmatic and context-specific analysis of how well a strategy is working to achieve being able to do what matters. Over the next few posts I want to give some examples of how non-psychologists can use ACT in session (remember ACT is open for anyone to use it!). Cognitive defusion I’m guessing that for psychologists and those who primarily work wit...
Source: HealthSkills Weblog - September 4, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Chronic pain Clinical reasoning Coping strategies Occupational therapy Pain conditions Physiotherapy Psychology Science in practice acceptance and commitment therapy cognitive fusion pain managem Source Type: blogs

Bonus Features – September 3, 2023 – 60% of cybersecurity incidents impact patient care, the average medical device has six or more security vulnerabilities, and more
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job. News and Research ONC renewed its contract for The Sequoia Project to be the Recognized Coordinating Entity for TEFCA implementation. That process will involve working with seven current Qualified Health Information Network can...
Source: EMR and HIPAA - September 3, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT AION Biosystems Akshay Sharma Alexander Group American Telemedicine Association Asimily ATA Atropos Health BeMe Health Carenet Health Claroty Cognizant Craig Hovda Digital Medicine Society eClinicalWorks eCW E Source Type: blogs

Dancing around the hexaflex: Using ACT in practice 2
Acceptance and commitment therapy (ACT) can be slippery to describe. It’s an approach that doesn’t aim to change thought content, but instead to help us shift the way we relate to what our mind tells us. It’s also an approach focused on workability: pragmatic and context-specific analysis of how well a strategy is working to achieve being able to do what matters. Over the next few posts I want to give some examples of how non-psychologists (remember ACT is open for anyone to use it!) can use ACT in session. Self as context From my experience, this process is possibly the least well understood of the ACT hexafle...
Source: HealthSkills Weblog - August 27, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Chronic pain Coping strategies Pain conditions Professional topics Science in practice acceptance and commitment therapy Clinical reasoning Occupational therapy Therapeutic approaches Source Type: blogs

Dancing around the hexaflex: Using ACT in practice  2
Acceptance and commitment therapy (ACT) can be slippery to describe. It’s an approach that doesn’t aim to change thought content, but instead to help us shift the way we relate to what our mind tells us. It’s also an approach focused on workability: pragmatic and context-specific analysis of how well a strategy is working to achieve being able to do what matters. Over the next few posts I want to give some examples of how non-psychologists (remember ACT is open for anyone to use it!) can use ACT in session. Self as context From my experience, this process is possibly the least well understood of the ACT hexafle...
Source: HealthSkills Weblog - August 27, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Chronic pain Coping strategies Pain conditions Professional topics Science in practice acceptance and commitment therapy Clinical reasoning Occupational therapy Therapeutic approaches Source Type: blogs

Gene Therapy Targets Chronic Pain
Scientists at New York University have developed a gene therapy for chronic pain. The technology works by targeting the NaV1.7 sodium ion channel present on neurons, which is an important component of the pain response. The researchers encoded a version of a peptide that allows a modulatory protein, called CRMP2, to bind to NaV1.7 sodium ion channels and modulate their activity. Treating neurons so that they now express this peptide interfered with the ability of CRMP2 to affect the sodium channel, reducing the transmission of pain. As chronic pain affects a large number of patients, new treatments such as this could be se...
Source: Medgadget - August 25, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Genetics Medicine Pain Management chronic pain nyu Source Type: blogs

Dancing around the hexaflex: Using ACT in practice 1
Acceptance and commitment therapy (ACT) can be slippery to describe. It’s an approach that doesn’t aim to change thought content, but instead to help us shift the way we relate to what our mind tells us. It’s also an approach focused on workability: pragmatic and context-specific analysis of how well a strategy is working to achieve being able to do what matters. Over the next few posts I want to give some examples of how non-psychologists (remember ACT is open for anyone to use it!) can use ACT in session. Mindfulness – messing about with attention Thanks to Kevin Vowles, I’m adopting t...
Source: HealthSkills Weblog - August 20, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Back pain Chronic pain Clinical reasoning Coping strategies Low back pain Occupational therapy Physiotherapy Psychology Research Resilience Resilience/Health Science in practice mindful movem Source Type: blogs

What does the ECG show in this patient with chest pain, hypotension, dyspnea, and hypoxemia?
Written by Pendell Meyers, with some edits by SmithA man in his 40s with many comorbidities presented to the ED with chest pain, hypotension, dyspnea, and hypoxemia.The bedside echo showed a large RV (Does this mean there is a pulmonary embolism as the etiology?)Here is his triage ECG:What do you think? Lots of info here.The rhythm is 2:1 atrial flutter.  The flutter waves can conceal or mimic ischemic repolarization findings, but here I don ' t see any obvious findings of OMI or subendocardial ischemia.The QRS is around 100 msec wide (narrow), but with very abnormal morphology including a large R-wave in V1, dee...
Source: Dr. Smith's ECG Blog - August 14, 2023 Category: Cardiology Authors: Pendell Source Type: blogs

Acceptance and Commitment Therapy: It ’ s not about giving up
Last week someone asked how I can reconcile using Acceptance and Commitment Therapy (ACT) alongside hypnosis, because ACT is all about giving up on pain reduction. This belief is common I suppose because ‘acceptance’ is in the name, and acceptance means ‘giving up’ (Biguet et al., 2015). It might also come about because ACT is so often helpful for people with chronic or persistent pain, though I’ve heard some commentators argue that ACT is unhelpfully used with people who may still have pain resolution or reduction available to them. I can’t comment on when or how ACT is used, but I c...
Source: HealthSkills Weblog - August 13, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Chronic pain Clinical reasoning Coping strategies Pain conditions pain management Therapeutic approaches Source Type: blogs

Clinical indications for hypnosis
Who might benefit from learning hypnosis – and when might you suggest it? I’m a person who doesn’t really try changing my own pain intensity very often, and most of the people I’ve worked with in therapy are also in the stage of wanting to learn how to live alongside their pain. However, there are some times when modulating pain intensity can be a really helpful part of even this phase of learning to live well with pain. I haven’t found any clinical guidelines suggesting when it might be good to introduce hypnosis, so this is my own clinical reasoning. Remember I work with a particular g...
Source: HealthSkills Weblog - August 6, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Coping Skills Coping strategies Resilience/Health Science in practice Clinical reasoning hypnosis Occupational therapy self-hypnosis Source Type: blogs

Ehlers-Danlos Syndrome and regenerative injection therapy [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join Francisco M. Torres, an interventional physiatrist, and Felix S. Linetsky, a pain management physician, as they delve into the world of chronic pain and its often misunderstood connection to Ehlers-Danlos Syndrome (EDS). They discuss the challenges of diagnosing and treating EDS, the limitations Read more… Ehlers-Danlos Syndrome and regenerative injection therapy [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 5, 2023 Category: General Medicine Authors: Tags: Podcast Rheumatology Source Type: blogs

… you are feeling sleepy …
Hypnosis could be one of the least respected yet most effective self-help pain reduction strategies we know of. Surprised? You shouldn’t be! Hypnosis has such a lot of baggage, most of it completely unrelated to the way it is used in the clinic. Once we dig just a little more deeply into how it can be used and the effects it has on a person’s pain (and as shown in fMRI studies and experimental studies) we can see that there are some things our mind can do that are literally mind-boggling! What is hypnosis? Simply put it’s a state of focused attention that allows us to be open to suggestions for changes...
Source: HealthSkills Weblog - July 30, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Coping strategies pain management Therapeutic approaches Source Type: blogs

Fight Aging! Newsletter, July 31st 2023
In conclusion, an SBP level below 130 mmHg was found to be associated with longevity among older women. The longer SBP was controlled at a level between 110 and 130 mmHg, the higher the survival probability to age 90. Preventing age-related rises in SBP and increasing the time with controlled BP levels constitute important measures for achieving longevity. « Back to Top (Source: Fight Aging!)
Source: Fight Aging! - July 30, 2023 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs