Health > Care, Border Runs
November will mark the beginning of the 24th year of this blog.  While my posts are far from frequent, I hope that each one is helping others in some way.  That’s always been my goal.  Along these lines, I’ll offer the answer to a question I was asked by a start-up health IT company yesterday, and will also outline the process for the Costa Rica ==> Nicaragua ==> Costa Rica border run, which is both necessary and relatively easy.   Health > Care “Dr. Reider – why are you interested / willing to help out little company?”Some context – and then my response.  (After – ...
Source: Docnotes - October 21, 2023 Category: Primary Care Authors: Jacob Tags: Uncategorized Source Type: blogs

Consciously Exploring Your Relationship with Drugs
Humanity has a complex, long-term relationship with a wide variety of drugs. In this article let’s delve into your personal relationship with drugs, how you frame them, and how you might upgrade these relationships to be more conscious and aligned with your path of self-development. Let’s include common drug sources like coffee, tea, and chocolate too, so this will be very inclusive. My purpose here isn’t to encourage or discourage you from using any particular substances but rather to invite you to take a more conscious and honest look at your current frames, attitudes, biases, and behaviors, and dete...
Source: Steve Pavlina's Personal Development Blog - July 21, 2023 Category: Psychiatry & Psychology Authors: Steve Pavlina Tags: Creating Reality Emotions Health Lifestyle Relationships Values Source Type: blogs

My Most Intense Psychedelic Journey So Far
I blocked off Friday evening for another magic mushroom journey. For the two experiences last month, I used about 1.5g of dried mushrooms each time. This time I opted to take 4.2g, eating the dried mushrooms plain, starting at 5pm. I trust my intuition regarding how much to take, figuring this much could invite a fairly intense experience. It was actually super intense, way beyond what I experienced with ayahuasca and my two prior mushroom trips. It really started kicking in after about 40 minutes. I put on an eye mask and laid back on the couch while listening to music. It flowed nicely at first with lots of red-orange...
Source: Steve Pavlina's Personal Development Blog - July 17, 2023 Category: Psychiatry & Psychology Authors: Steve Pavlina Tags: Creating Reality Lifestyle Source Type: blogs

My First Two Magic Mushroom Journeys
At the end of our Denver trip for the Psychedelic Science 2023 conference (see my earlier full conference review if that interests you), I played a game at one of the afterparties and won a magic mushroom (shown below). It weighed about 3 grams. Magic mushrooms were decriminalized in Colorado last year, including for personal use and gifting but not for selling. Saturday Night The afterparty only went till 1am, and it wasn’t the right setting for a deep mushroom journey. I thought about my intention for this little guy and decided that for my first experience, I just wanted to energetically shake hands with...
Source: Steve Pavlina's Personal Development Blog - July 11, 2023 Category: Psychiatry & Psychology Authors: Steve Pavlina Tags: Creating Reality Health Lifestyle Source Type: blogs

poem
 Taylor SwiftAt the Taylor Swift show in PittsburghMost of the restrooms were reserved femaleWhen I finally found a men ’s roomIt was near empty and very cleanAs I pissed a pleasant tropical fragrance Wafted around me in heady swirls.It struck me the pains we take to mitigateThe foul, the ugly, the reeking, the distastefulMy own piss, via complex chemical reactionsWith the lime green slab at the baseWas creating a Costa Rican faunaOf sweet citrusy florality It ’s just piss, I thoughtIt ’s just me and my own pissI didn ’t need this Funeral home perfumes, deodorants and antiperspirantsThe way we d...
Source: Buckeye Surgeon - June 18, 2023 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs

La Conexi ón: Global connections for better health
How La Conexión Works Our goal is to make connections between eager expert clinicians* and local resources. We do that by: Establishing a relationship between an individual expert clinician and a local underserved community Training expert clinicians on the best practices in telemedicine Providing telemedicine tools to local community health leaders Setting up open communication between expert clinicians and remote care teams Providing ongoing access to expert clinicians so local community health leaders can help community members obtain expert, personalized health information and education on an as-needed basis La Cone...
Source: Conversations with Dr Greene - May 2, 2023 Category: Child Development Authors: Alan Greene MD Tags: Dr. Greene's Blog La Conexión Public Health Telehealth Source Type: blogs

Forgiveness
Mrs. Dalai was the love of my life, and I had the great honor of sharing the past 36 years with her. I will miss her more than I can possibly describe. She was often a contradiction in terms. She could be shy, she could be brash. She was retiring, she was outgoing. She felt the presence of God, but she didn ’t much like dealing with religion. She was easy to love, and she could be hard to love. But we loved her anyway. Mrs. Dalai and I met on a blind date on July 19, 1986. For me, it was love at first sight. For her, it took a little longer. She didn’t know what to do with me. She kept telling me to go away, and I kept...
Source: Dalai's PACS Blog - November 24, 2022 Category: Radiology Source Type: blogs

Insights From a Plant Medicine Journey
I had a fascinating weekend of plant medicine journeying that involved taking several different substances: kanna, white lily, psilocybin (mushrooms), and ayahuasca… mostly the latter two. I had only done ayahuasca before (3 years ago for 4 nights in a row in Costa Rica). I shared the insights from that previous experience here: Lessons From Ayahuasca. In this post I’ll share my experience of this recent journey while it’s still fresh in mind and heart. If you’re short on time and only want to skim the insights instead of reading the details about what it was like, feel free to scroll down to the sectio...
Source: Steve Pavlina's Personal Development Blog - November 14, 2022 Category: Psychiatry & Psychology Authors: Steve Pavlina Tags: Creating Reality Health Source Type: blogs

TLC Todd-versations: Todd Linsky in Conversation with Dr. Alan Greene
Todd Linsky, a food and organic industry veteran, hosts the podcast Todd-versations. He interviews guests from around the globe — influencers, leaders, and innovators in their respective fields. In this episode, Todd and Dr. Greene discuss the pediatric roots of longevity, the importance of nutrition in health, Dr. Greene’s reasons for creating DrGreene.com, his next projects, and a whole host of side topics. Transcript of Todd-versation Podcast with Todd Linsky and Dr. Greene 0:00 this conversation is brought to you in part by Calavo Growers the family of fresh! 0:19 hey there everybody good ...
Source: Conversations with Dr Greene - October 6, 2022 Category: Child Development Authors: Alan Greene MD Tags: Dr. Greene's Blog Source Type: blogs

#HealthTechDeals Episode 25: Biofourmis, Reify Health, Nex Health, and Amae Health
In this week’s episode of Health Tech Deals, everyone cheats on each other: Eugene Borukhovich is the guest host replacing Jess! Eugene is cheating on Jim Joyce, while I cheat on Jess; though Jess has cheated on me with Eugene before! Jess is on a cult retreat in Costa Rica, but Eugene and I have some deals to discuss: Biofourmis raises $300 million; Reify Health raises $220 million; Nex Health raises $125 million; and Amae Health raises “several million.” -Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - April 27, 2022 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Uncategorized Source Type: blogs

Eight Reasons For Ending Joe Biden ’s Travel Bans
Ryan Bourne and Brad SubramaniamBack in July, Ioutlined why Joe Biden ’s crude COVID-19 travel bans on non-Americans coming from Europe, India, and a few other countries no longer made any sense from a public health perspective.Talk in Washington at the time was of lifting these restrictions by September. Well, here we are, mid-way through that month and the restrictions are going strong. Officials and diplomats now seem to think October or even Thanksgiving are the earliest potential dates for their removal. Some ponder whether the political incentives might point towards inactionuntil the mid-terms...which would mean b...
Source: Cato-at-liberty - September 16, 2021 Category: American Health Authors: Ryan Bourne, Brad Subramaniam Source Type: blogs

Costa Rica Leads the Way in Cutting Carbon Emissions
Almost every country has pledged to slash carbon emissions to slow the gears of global warming. Costa Rica ' s plan provides a glimpse of what a carbon-neutral future will look like. It shows how nations can take action and make investments that hold up, regardless of what future comes to pass. (Source: The RAND Blog)
Source: The RAND Blog - August 30, 2021 Category: Health Management Authors: RAND Corporation Source Type: blogs

Case of the Week 647
 The following objects were seen on Giemsa-stained touch preps of a skin biopsy from a patient with a slowly enlarging ulcer. He had recently travelled to Costa Rica. Identification? What additional testing is indicated? (Source: Creepy Dreadful Wonderful Parasites)
Source: Creepy Dreadful Wonderful Parasites - July 27, 2021 Category: Parasitology Source Type: blogs

Answer to Case 647
 Answer:Leishmaniaspecies amastigotes within a host phagocytic cell. Note the characteristic " dot-dash " morphology of the amastigotes, representing the nucleus and rod-shaped kinetoplast:Given the travel history to Costa Rica, additional testing is indicated to determine the species ofLeishmaniapresent. Some species in Latin America are capable of causing mucocutaneous leishmaniasis - a destructive form of disease that is difficult to treat. If the patient is infected with one of these species (e.g.,L braziliensis), then more aggressive treatment is warranted. Species identification is best accomplished by firs...
Source: Creepy Dreadful Wonderful Parasites - July 25, 2021 Category: Parasitology Source Type: blogs

Feel the musicality: A surgeon explores how he learns
My friends and I spent Thanksgiving 2018 attending surf school in Jac ó, Costa Rica. We spent that week fully immersed in twice-daily surf sessions interspersed with conditioning, balance exercises, and of course, downtime to explore the town and rainforests of Jacó. Having been on a surfboard only a handful of times previously, this was aRead more …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 - May 23, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/vivek-sant" rel="tag" > Vivek Sant, MD < /a > < /span > Tags: Physician Surgery Source Type: blogs