The Gazillion Of Health Data You Can Measure
From SWOLF through EDA until heart rate, heart rate variability, respiratory rate, single-lead ECG, period tracking, sleep pattern analyzing: dozens of vital signs demonstrate that there’s no single square centimeter of the human body without quantifiable data. As an experiment, we tried to collect every trackable parameter to draw the boundaries of your “health data self”. Let us know if there’s anything left out. Why is measurement useful? To know thyself The famous ancient Greek aphorism was inscribed on a wall in the Temple of Apollo at Delphi, the oracle, which was believed to tell human...
Source: The Medical Futurist - September 26, 2019 Category: Information Technology Authors: nora Tags: Health Sensors & Trackers Personalized Medicine Portable Diagnostics activity blood body brain breathing data fitness health data heart health heart rate lifestyle lung measure measurement meditation quantified self s Source Type: blogs

Breathtaking: The Future Of Respiratory Care And Pulmonology
Smoke-measuring smart shirts, breath sound analyzing algorithms, and smart inhalers pave the way of pulmonology and respiratory care into the future. As the number of patients suffering from asthma, COPD, or lung cancer due to rising air pollution and steady smoker-levels will unfortunately not decrease any time soon, we looked around what technology can do to help both patients and caregivers. The results are breathtaking. Attacks of breathlessness are too common The diseases which pulmonologists and respiratory care specialists attempt to fight are among the most common conditions in the modern world – and t...
Source: The Medical Futurist - September 25, 2019 Category: Information Technology Authors: nora Tags: Artificial Intelligence Future of Medicine Health Sensors & Trackers AI asthma cancer cancer treatment care COPD diagnostics inhaler lung lung cancer management medical specialty pulmonology respiratory respiratory care Source Type: blogs

Unusual: Troponin Trajectory to Help Determine Ongoing/Recurrent Infarction vs. Completed Infarction.
A 40-something male with no PMH of any kind presented  to urgent care on a weekend (cath team is at home) with cough starting 2 weeks prior and SOB one week prior.He underwent a chest x-ray:As this was consistent with " pulmonary edema vs. viral infection, " and he was transferred to the EDThe faculty physician did an immediate cardiac and lung ultrasound:Many B lines (probable pulmonary edema)Parasternal short axis cardiac ultrasound:The anterior wall is closest to the transducer and shows an obvious wall motion abnormalityFurther history:The patient denied chest pain but stated that he had had ab...
Source: Dr. Smith's ECG Blog - September 17, 2019 Category: Cardiology Authors: Steve Smith Source Type: blogs

Bad viruses travel fast: Measles vaccine important for travelers
(This post has been updated with relevant recent information.) The United States was declared free from ongoing measles transmission in 2000. But we may be at risk for joining the UK Greece, Albania, and the Czech Republic, four countries recently stripped of measles elimination status by the World Health Organization. Since the beginning of 2019, more than 1,234 measles cases have been reported in 31 states, with active outbreaks in upstate New York and El Paso, Texas. New York has just declared the end of its yearlong outbreak, which required a massive public health response to control. Minnesota had a major measles outb...
Source: Harvard Health Blog - September 8, 2019 Category: Consumer Health News Authors: John Ross, MD, FIDSA Tags: Health Infectious diseases Prevention Travel health Source Type: blogs

Bad viruses travel fast: Measles vaccine important for travelers
The United States was declared free from ongoing measles transmission in 2000. But we may be at risk for joining the U.K, Greece, Albania, and the Czech Republic, four countries recently stripped of measles elimination status by the World Health Organization. Since the beginning of 2019, more than 1,234 measles cases have been reported in 31 states, with active outbreaks in upstate New York and El Paso, Texas. New York has just declared the end of its yearlong outbreak, which required a massive public health response to control. Minnesota had a major measles outbreak in 2017. In 2015, 125 cases of measles occurred in ...
Source: Harvard Health Blog - September 5, 2019 Category: Consumer Health News Authors: John Ross, MD, FIDSA Tags: Health Infectious diseases Prevention Travel health Source Type: blogs

Fight Aging! Newsletter, September 2nd 2019
In conclusion, in the absence of obesity, visceral adipose tissue possesses a pronounced anti-inflammatory phenotype during aging which is further enhanced by exercise. Methods of Inducing Cellular Damage are Rarely Relevant to Aging, and the Details Matter https://www.fightaging.org/archives/2019/08/methods-of-inducing-cellular-damage-are-rarely-relevant-to-aging-and-the-details-matter/ One of the major challenges in aging research is determining whether or not models of cellular or organismal damage and its consequences are in any way relevant to the natural processes of aging. One can hit a brick with...
Source: Fight Aging! - September 1, 2019 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

MKSAP: 64-year-old woman with severe COPD
Test your medicine knowledge with the  MKSAP challenge, in partnership with the American College of Physicians. A 64-year-old woman is evaluated during a posthospital visit for severe COPD with an FEV1 of 30% of predicted. She has been admitted three times during the last year with acute exacerbations characterized by cough, increase d purulent sputum production, and dyspnea. She […]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 - August 31, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > < /span > Tags: Conditions Infectious Disease Pulmonology Source Type: blogs

A Large Polypill Clinical Trial Shows a Third Reduction in Cardiovascular Events
The research and medical communities are slow to undertake work on combination therapies. Regulation makes it exceedingly expensive to assess multiple combinations, and there are numerous other perverse incentives to challenge any effort to build combination therapies with components developed and manufactured by different groups. Short of working around the existing system of regulation, and methods of doing this at scale are lacking at the present time, this is a challenging problem to solve. People follow incentives. Given this, it it is entirely plausible that there are many largely unexplored instances in which existi...
Source: Fight Aging! - August 30, 2019 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs

MKSAP: 35-year-old man with persistent heartburn
Test your medicine knowledge with the  MKSAP challenge, in partnership with the American College of Physicians. A 35-year-old man is evaluated during a follow-up appointment for persistent heartburn with chronic cough. He has a 1-year history of gastroesophageal reflux disease and takes pantoprazole twice daily. He reports no nausea, vomiting, or dysphagia. Upper endoscopy performed 1 year […]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 - August 10, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > < /span > Tags: Conditions Gastroenterology Source Type: blogs

Kratom: Fear-worthy foliage or beneficial botanical?
Depending on what you read, kratom is a dangerous, addictive drug with no medical utility and severe side effects, including overdose and death, or it is an accessible pathway out of undertreated chronic pain and opiate withdrawal. How can the US Drug Enforcement Agency (DEA), medical professionals, and millions of regular kratom users have such divergent views of the same plant? What is kratom? Kratom (Mitragyna speciosa) is a tropical tree from the coffee family native to Southeast Asia, with properties that range from stimulant-like, energizing and uplifting, to opiate-like, causing drowsiness and euphoria. Kratom has d...
Source: Harvard Health Blog - August 7, 2019 Category: Consumer Health News Authors: Peter Grinspoon, MD Tags: Addiction Pain Management Vitamins and supplements Source Type: blogs

Possible Way to Avoid Some Unnecessary Visits to Emergency Departments
I recently encountered an article that quantifies the resources expended by unnecessary patient visits to emergency departments (EDs) (see:Diverting avoidable emergency department visits could save healthcare $32 billion annually). Many such visits could have achieved the same results and less expensively in a physician's office. Below is an excerpt from the article:Diverting avoidable emergency department visits could save healthcare $32 billion annually. Primary care services rendered by hospital EDs come with substantially higher price tags than in primary care settings. Avoidable visits to emergency department...
Source: Lab Soft News - August 5, 2019 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Diagnostics Healthcare Information Technology Healthcare Innovations Hospital Financial Medical Consumerism Medical Education Preventive Medicine Public Health Quality of Care Source Type: blogs

10 Health Benefits you should know about Himalayan Salt Lamps
You're reading 10 Health Benefits you should know about Himalayan Salt Lamps, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles. Natural Saltlampsare made up of pink crystalline salt naturally coming from the Himalayan Mountains. Himalayan ranges are a true source of pink crystalline salt with an orange hue touch naturally. These salt crystals are mined first then a hole is dug out to fit in a bulb. Himalayan Illuminated salt devices are not only night bulbs in your room they can also be placed for decoration purpose an...
Source: PickTheBrain | Motivation and Self Improvement - July 27, 2019 Category: Consumer Health News Authors: Hassanbukhary Tags: health and fitness Himalayan salt lamps Natural salt lamps Source Type: blogs

4 behavioral changes to tame urinary incontinence
Although urinary incontinence is not a life-threatening medical condition, it can significantly affect quality of life. When urinary incontinence becomes bothersome, people often stop traveling, exercising, visiting family and friends — in short, people stop doing the activities they enjoy. Surprisingly, approximately 70% of urinary incontinence can be significantly improved just by changing behavioral habits. This is called behavioral therapy. In a recent study published in Annals of Internal Medicine, behavioral therapy, either alone or in combination with medication therapy, was more effective than medication trea...
Source: Harvard Health Blog - July 10, 2019 Category: Consumer Health News Authors: May Wakamatsu, MD Tags: Health Healthy Aging Incontinence Women's Health Source Type: blogs

Thunderclap headache: The “worst headache of my life”
Not all headache disorders are the same. An excruciating, sudden-onset headache known as thunderclap headache (TCH) is a medical emergency, very different from more common headache disorders such as migraine and tension headache. If you develop TCH, you should call 911 or immediately go to the closest hospital. TCH is associated with a variety of causes, ranging from benign to potentially fatal. Urgent evaluation in an emergency setting is needed to quickly identify and treat any underlying condition. Diagnosing and treating secondary thunderclap headache When you arrive at the hospital, the medical team will want to confi...
Source: Harvard Health Blog - June 25, 2019 Category: Consumer Health News Authors: Aneesh Singhal, MD Tags: Headache Health Source Type: blogs

Segmental bronchial atresia-Case Report
Discussion –-       Bronchial atresia usually is benign and asymptomatic and is incidental finding& clinical manifestations may range from recurrent pulmonary infections to mild wheezing and dyspnea. Bronchial atresia is a congenital abnormality resulting from focal interruption of a lobar, segmental, or subsegmental bronchus with associated peripheral mucus impaction (bronchocele, mucocele) and associated hyperinflation of the obstructed lung segment. The apicoposterior segmental bronchus of the left upper lobe is most common site to be involved, followed by segmental bron...
Source: Sumer's Radiology Site - June 22, 2019 Category: Radiology Authors: Sumer Sethi Source Type: blogs

Ultrasound Case 097
Dr James Rippey Ultrasound Case 097 A 47 year old previously healthy man presents with sore throat / neck, dry cough and shortness of breath for 2 weeks. This had not improved despite inhalers and a course of antibiotics. He also describes widespread aches and pains including in both calves. There is some swelling in his right lower neck and you wonder whether it is lymphadenopathy, an abscess or something else. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - June 16, 2019 Category: Emergency Medicine Authors: Dr James Rippey Tags: TOP 100 Ultrasound André Lemierre André-Alfred Lemierre Armand Trousseau Fusobacterium necrophorum gastric malignancy Lemierre syndrome reniform Top 100 ultrasounds Trousseau syndrome visceral malignancy Source Type: blogs

Why IVF embryos don't fall out after the transfer.
One of the biggest worries IVF patients have is that the embryos whichare transferred into their uterus artificially after an embryo transfer will fall out , in case they cough , or sneeze or strain or lift weights.This is a myth.Remember that once an embryo is inside the uterus , it's safe ! It's like a pearl in an oyster , and the embryo really doesn't care how it got into the uterus - whether it spends five days in the IVF clinic's test tube, or five days in your fallopian tube.Once it's in the uterus , it's in its natural environment, just like any other natural pregnancy.Please remem...
Source: Dr.Malpani's Blog - June 4, 2019 Category: Reproduction Medicine Source Type: blogs

The Brain Stage: The Power & Promise of The Cephalic Phase for Health
Listen to the Podcast or Read the Transcript [00:00:03] Hi I’m Dr. Alan Greene pediatrician and I’d like to talk with you tonight about The Brain Stage. [00:00:10] I remember vividly when I was a pediatric resident in training go to a Grand Rounds about a surprising topic. [00:00:18] The function of the brain and the function of the skin and one of the things that dermatologists talked about was a common procedure freezing warts. Freezing warts was then, and is still, one of the most common ways to get rid of warts. What she talked about was how wildly different the results were in different studies. People use...
Source: Conversations with Dr Greene - May 23, 2019 Category: Child Development Authors: Dr. Alan Greene Tags: Dr. Greene's Blog Uncategorized Cephalic Phase Placebo The Brain Stage Source Type: blogs

Millions Take Gabapentin for Pain. But There ’s Scant Evidence It Works. - The New York Times
One of the most widely prescribed prescription drugs, gabapentin, is being taken by millions of patients despite little or no evidence that it can relieve their pain.In 2006, I wrote about gabapentin after discovering accidentally that it could counter hot flashes.The drug was initially approved 25 years ago to treat seizure disorders, but it is now commonly prescribed off-label to treat all kinds of pain, acute and chronic, in addition to hot flashes, chronic cough and a host of other medical problems.The F.D.A. approves a drug for specific uses and doses if the company demonstrates it is safe and effective for its intend...
Source: Psychology of Pain - May 22, 2019 Category: Anesthesiology Source Type: blogs

Why Measles Making the News Is a Sign of Progress
A set of  measles outbreaks in Washington state, New York City, and elsewhere, is making national headlines and frightening parents around the United States. Counter-intuitively, measles making the news is a sign of progress. Not long ago, measles was so common that it was simply not newsworthy. Suffer ing from the extremely infectious disease, which causes spotty rashes and a hacking cough, was widespread and often deadly.It was once the case that even royalty fell victim to diseases now easily preventable with routine shots given during childhood.  Measles killed the un-vaccin...
Source: Cato-at-liberty - May 15, 2019 Category: American Health Authors: Chelsea Follett Source Type: blogs

Potassium and Magnesium: how low is too low?
Conclusion: Adverse events in patients with hypoK were rare and not directly related to the K level.  But just one case of death is enough to affect patient management.Case continued:The patient felt better after treatment, including K supplementation, and wanted to go home.  She was told that this was a very bad idea and that she could die.Shortly thereafter, she became unresponsive and was found to be in ventricular fibrillation.She was defibrillated.All serial troponins were negative.Learning Point:Hypokalemia with associated ECG abnormalities is very dangerous.Here is a previous case of ventricular fibri...
Source: Dr. Smith's ECG Blog - May 15, 2019 Category: Cardiology Authors: Steve Smith Source Type: blogs

How Could Digital Tools Help Fight Against Anti-Vaccination?
Anti-vaccination movements lure increasingly more people into skipping potentially life-saving immunization against infectious diseases, such as measles, mumps, or rubella, highly impairing herd immunity for entire communities. Social media platforms could restrict the reach of anti-vax messages, groups, and activities, with algorithms recommending tailor-made content and health apps providing information about vaccinations. Here’s our collection of the most recent steps and digital tools supporting the fight against anti-vaccination and its believers. 300 percent increase in measles globally In a widely shared...
Source: The Medical Futurist - May 8, 2019 Category: Information Technology Authors: nora Tags: Empowered Patients Future of Medicine anti-vaccination anti-vax anti-vaxxer digital disease disease outbreak facebook figth Health Healthcare infection Innovation measles movement social media technology Source Type: blogs

Post #45 How to be Optimally Measles Immunized
Measles is a highly contagious disease caused by a virus. It spreads through the air when an infected person coughs or sneezes – the kicker is this can happen 2 hours AFTER said person has left the room. Measles starts with a fever; soon after, it causes a cough, runny nose, and red eyes. Then a rash of tiny, red spots breaks out which starts at the head and spreads to the rest of the body.It is important to recognize that fever and rash are extremely common in children and the vast majority of fever/rash cases will not be Measles.Unless you are reading about local cases of Measles in the news – it is high...
Source: A Pediatrician's Blog - April 30, 2019 Category: Pediatrics Source Type: blogs

4 Healthy Practices with High ‘Reward-To-Effort’ Ratio
You're reading 4 Healthy Practices with High ‘Reward-To-Effort’ Ratio, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles. We might have been able to dig the surface of Mars, build artificially intelligent robots and make virtual reality a new normal but everything comes with a price and in exchange of this technologically advanced era, we have traded our health. The modern-day lifestyle looks amazing from outside as we are now equipped with many scientific and technological marvels which a decade ago, were not ev...
Source: PickTheBrain | Motivation and Self Improvement - April 30, 2019 Category: Consumer Health News Authors: Saurabh64cloud Tags: featured health and fitness diet good habits Source Type: blogs

MitraClip: Valve repair device offers new treatment option for some with severe mitral regurgitation
Mitral valve regurgitation (MR), a condition in which the mitral valve does not close properly, allowing blood to leak back into the heart’s upper chamber, is the most common disease of the heart valves. It can cause symptoms such as cough, fatigue, and trouble breathing. The risk of MR increases with age. Until recently, there were only two methods of treatment for MR: medication and open-heart surgery. During this surgery, the surgeon accesses the heart by opening up the breastbone. He or she either repairs or replaces the mitral valve while a heart-lung machine takes over the job of the heart and lungs while the h...
Source: Harvard Health Blog - April 24, 2019 Category: Consumer Health News Authors: Tsuyoshi Kaneko, MD Tags: Health Heart Health Surgery Source Type: blogs

Measles, tuberculosis, and wheat
Humans have made many dietary mistakes over the years but two mistakes, in particular, stand out: close contact with animals, mostly ruminants, who conveyed their diseases to us and the adoption of the seeds of grasses as human food. These two practices not only changed the course of human history but also human disease. Over the last several centuries, Westerners have populated North America, South America, Pacific islands and other regions. Equipped with superior tools of warfare such as swords and muskets, contact with Westerners decimated indigenous people such as the millions of native Americans, Aztecs, and Amazonian...
Source: Wheat Belly Blog - April 17, 2019 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle gluten-free grain-free grains joint pain Source Type: blogs

Chocolate for coughs? Look beyond the headlines.
Everyone loves chocolate, and nobody likes to cough. So when headlines like these appeared, they made a big media splash: Apparently Chocolate Might Be Better for Treating Coughs than Honey and Lemon. Chocolate Fights Coughs Better Than Codeine, Says Science. Chocolate Is a Better Cough Suppressant than Medicine, Study Says. Looks good, huh? Chocolate for […]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 - April 14, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/roy-benaroch" rel="tag" > Roy Benaroch, MD < /a > < /span > Tags: Conditions Pulmonology Source Type: blogs

How much does an IVF cycle cost ?
IVF can be an expensive treatment, and cost is a major constraint for lots of patients, who need to be careful about how they spend their money.The problem is that lots of IVF clinics provide very misleading information about how much they charge for an IVF cycle. Many take out full-page ads , saying they charge only Rs 25000 for an IVF cycle, which seems like a very attractive bargain for infertile couples.However, it's only when the patient starts the cycle, that she realizes that there're all kinds of additional costs she has to pay for , which were hidden from her. However, once she's started the treatment, she forced ...
Source: Dr.Malpani's Blog - April 5, 2019 Category: Reproduction Medicine Source Type: blogs

An Amicable Discussion About Psychology and Neuroscience
DiscussionsThe role of semantic information in reading aloudMax Coltheart vs Mark Seidenberg2012: Panel DiscussionsWhat is the role of the insula in speech and language?Nina F. Dronkers vs Julius FridrikssonThis one-on-one format has been very rare at CNS. Last year we saw a panel of four prominent neuroscientist address/debate...Big Theory versus Big Data: What Will Solve the Big Problems in Cognitive Neuroscience?.@gallantlab" This debate is silly "#CNS2018pic.twitter.com/cpT7tKI0xa— CNS News (@CogNeuroNews)March 24, 2018Added-value entertainment was provided byDr. Gary Marcus, which speaks to the issue o...
Source: The Neurocritic - March 31, 2019 Category: Neuroscience Authors: The Neurocritic Source Type: blogs

Beyond Vaccination: New Measures Needed to Protect Hospitals and the Public Against the Flu
By MARC M. BEUTTLER, MD Every year at this time, you hear warnings that flu season has arrived. New data from the CDC indicates the season is far from over. So, you are urged by health authorities to get a flu shot. What you may not realize is how the flu can affect the hospitals you and your loved ones rely on for care.   In January, the large urban hospital where I am an intern faced the worst flu outbreak it has ever seen. Nearly 100 staff members tested positive for the flu. Residents assigned to back-up coverage were called to work daily to supplement the dwindling ranks of the sick. Every hospital vis...
Source: The Health Care Blog - March 22, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Hospitals Medical Practice Marc Beuttler Vaccination Source Type: blogs

Mapping the Social Space of the Face
See how it works in the BBC video below: How to Make Your Face More Likable: "cough out a laugh".The video was based on the work of the Bulgarian American psychology professor Alexander Todorov:https://psych.princeton.edu/person/alexander-todorovhttps://www.apa.org/science/about/psa/2010/03/sci-briefSee a few computer simulated models here:http://tlab.princeton.edu/demonstrations/ Posted atClinical Cases and Images. Stay updated andsubscribe, follow us onTwitter and connect onFacebook. (Source: Clinical Cases and Images - Blog)
Source: Clinical Cases and Images - Blog - March 22, 2019 Category: Universities & Medical Training Tags: Psychology Source Type: blogs

Tough germs
Well, well…well. I mean, you try to be oh soooo careful whenever you set foot outside your house, especially during the flu season…For example: you never go food shopping during peak times you avoid seeing friends if they have the slightest sniffle you never shake hands or kiss anyone, or, well, you try not to… My “try to avoid getting sick” list goes on and on…I repeat, I try to be sooo careful. I always carry a little bottle of hand sanitizer in my purse, for emergencies, such as, well, let’s say that, due to social circumstances, I’ve been forced to shake hands with ...
Source: Margaret's Corner - March 21, 2019 Category: Cancer & Oncology Authors: Margaret Tags: Blogroll germs and myeloma Source Type: blogs

Transfer of Learning and the Pervasiveness of Context: Overcoming the Effect of Context During Debriefing
Throughout my career as a simulation educator, I noticed that students would often return to the simulation center to go through a case that was very similar to previous cases they’d managed, whether or not they’d successfully managed the previous cases. Yet, despite our best efforts at providing feedback through quality debriefing, they could not apply the previously acquired knowledge and skills into this new, similar situation (i.e., transfer of learning would not occur). This is a constant finding in the cognitive psychology and transfer literature.1–3 We looked at this literature to come up with t...
Source: Academic Medicine Blog - March 19, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective debriefing learners teaching Source Type: blogs

The Cruelty of Managed Medicare
By HANS DUVEFELT MD Jeanette Brown had lost twenty pounds, and she was worried. “I’m not trying,” she told me at her regular diabetes visit as I pored over her lab results. What I saw sent a chill down my spine: A normal weight, diet controlled diabetic for many years, her glycosylated hemoglobin had jumped from 6.9 to 9.3 in three months while losing that much weight. That is exactly what happened to my mother some years ago, before she was diagnosed with the pancreatic cancer that took her life in less than two years. Jeanette had a normal physical exam and all her bloodwork except for t...
Source: The Health Care Blog - March 18, 2019 Category: Consumer Health News Authors: Matthew Holt Tags: Health Policy Medicare Hans Duvefelt Managed Care Source Type: blogs

Crystal Meth Addiction
What is a Crystal Meth Addiction? Crystal meth is the name for the street drug crystal methamphetamine. Crystal meth can also be known as ice or glass, and it can be either snorted, smoked or dissolved and injected. It is a very strong and highly addictive drug. It affects the central nervous system, and crystal meth addiction has dangerous life-threatening effects. Understanding Crystal Meth Crystal meth is a man-made stimulant drug that has no legal use. It is made with methamphetamine, pseudoephedrine and a combination of other chemicals. Methamphetamine has been around for a long time, originally created to keep soldie...
Source: Cliffside Malibu - March 14, 2019 Category: Addiction Authors: Jaclyn Uloth Tags: Addiction Drug Treatment Methamphetamines Substance Abuse crystal methamphetamine meth addiction Source Type: blogs

Three Weeks Broken
Here ’s a fun fact that I just recently learned. When they (the people who make up such things, almost certainly with a clipboard in hand) determine survival rates for people who survive procedures such as open heart surgery, they don’t just count those who made it off the table and back to their roo ms. For some major categories, they actually measure the rate of survival for thirty days, beginning with the surgery and ending with the cake decorated with“ONE MONTH DEATH-FREE, WOO!” in heart-healthy icing on top.So this is perhaps a bit premature. Watch for a posthumous“edited to add: Oops, ne...
Source: Schuyler's Monster: The Blog - March 9, 2019 Category: Disability Authors: Robert Rummel-Hudson Source Type: blogs

Pediatric Conjunctivitis a Simple Diagnosis Until It Isn’t
​Conjunctivitis is a common condition and easy enough to treat, but several uncommon conjunctivitis syndromes require more care and should not be missed.Conjunctivitis is either infectious (viral or bacterial) or noninfectious (allergic or nonallergic). Viral infections are more common in adults, bacterial ones in children, usually caused by Staphylococcus aureus, Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis. Adults tend to have more S. aureus infections, while the other pathogens are more common in children. An adenovirus is typically responsible for viral-associated infections in conjunct...
Source: M2E Too! Mellick's Multimedia EduBlog - March 1, 2019 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Can vaping help you quit smoking?
It’s hard to overstate the dangers of smoking. Nearly 500,000 people die of tobacco-related disease each year in the US. Over the next decade, estimates are that around eight million people will die prematurely worldwide each year due to tobacco use. The list of tobacco-related diseases and conditions is long and growing. It includes: cardiovascular disease, including heart attack and stroke emphysema, bronchitis, and asthma lung and other types of cancer tooth decay weathering of the skin having a low-birthweight baby diabetes eye damage (including cataracts and macular degeneration). And there are others. The poi...
Source: Harvard Health Blog - February 27, 2019 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Health Prevention Smoking cessation Source Type: blogs

Stuffy Nose and Cough Remedies for Kids
Kids are not small adults. That may seem like something so obvious that it goes without saying. Yet for decades the doses for many medicines, including over the counter cough and cold medicines were set by just starting with adult doses and reducing them according to children’s smaller size. It turns out, this often does not work. Before puberty, the hormonal environment within children’s bodies is significantly different than the hormonal environment in adults. Children’s bodies are set in the “rapid growth and development mode”. Young adults are in the “maintain and reproduce mode&rdqu...
Source: Conversations with Dr Greene - February 26, 2019 Category: Child Development Authors: Dr. Alan Greene Tags: Dr. Greene's Blog Colds Cough Remedies Stuffy Nose Source Type: blogs

Pennsylvania Department of Health Urges Parents to Lie to their Kids About the Dangers of E-Cigarettes
A basic principle of public health ethics is that we don't lie to people. Telling the truth is a critical component of the public health code of ethics. It is important not only because it is unethical to lie, but also because we greatly risk losing credibility and the public's trust if we are found to be lying. And once that public trust is lost, it is extremely difficult, if not impossible, to gain back.Therefore, it pains me today to have to report that the Pennsylvania Department of Health is urging parents to lie to their kids about e-cigarettes in order to dissuade them from vaping. In addition, the Pennsylvania Depa...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - February 24, 2019 Category: Addiction Source Type: blogs

Overheard: Using Respiratory Muscle Strength Training in Dysphagia
The objective data comes from what you measure as an outcome. The device is the trainer. Again, use pressure threshold and then set out to measure the outcomes, a scale, a swallow exam, a cough flow rate, a voice quality, etc. Participant: How do you establish goals? There are norms for peak cough, is this what you use? Kiourkas: Respiratory uses cough peak flow to qualify for noninvasive ventilation for ALS and neuromuscular patients. The norms are different for each person. Suggested ranges are used as a guide to assist in determining if the patient is getting worse at subsequent visits. We also use a SNIP (sniffing pres...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - February 22, 2019 Category: Speech-Language Pathology Authors: Renee Kiourkas Tags: Academia & Research Health Care Private Practice Schools Slider Speech-Language Pathology Dysphagia dyspnea muscle strength skilled nursing facility Swallowing Disorders Source Type: blogs

Chest pain and Convex ST Elevation in Precordial Leads
A 30-something y.o. male with PMH significant for anxiety, asthma, and alcohol use disorder presented with chest pain x 1 week.  Patient thinks he has an asthma flare, with wheezing. He subsequently developed fevers and chills, and then left-sided chest pain associated with a cough. His breathing and infectious sx then improved. Today, however, he developed constant chest pain radiating into left arm around 1345. He states the pain is improving now. He had associated " swimmy, head rush, " which is no longer present. He denies associated shortness of breath, sweating, numbness, tingling. Onset of pain was wh...
Source: Dr. Smith's ECG Blog - February 18, 2019 Category: Cardiology Authors: Steve Smith Source Type: blogs

4 things everyone needs to know about measles
We are in the midst of a measles outbreak here in the US, with cases being reported in New York City, New York state, and Washington state. In 2018, preliminary numbers indicate that there were 372 cases of measles — more than triple the 120 cases in all of 2017 — and already 79 cases in the first month of 2019 alone. Here are four things that everyone needs to know about measles. Measles is highly contagious This is a point that can’t be stressed enough. A full 90% of unvaccinated people exposed to the virus will catch it. And if you think that just staying away from sick people will do the trick, think ...
Source: Harvard Health Blog - February 5, 2019 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Children's Health Infectious diseases Parenting Vaccines Source Type: blogs

What to do if you think your child has the flu
We are in the thick of influenza season now, and so it’s natural that if you hear your child start coughing, you wonder: could this be the flu? The flu is different from the common cold, but it’s not always easy to tell them apart, especially at the beginning. The flu usually comes on suddenly, and its symptoms can include fever, runny nose, cough, sore throat, headache, muscle aches, feeling tired, and generally just feeling rotten. Some people have vomiting and/or diarrhea, too. Not everyone has all these symptoms, and the illness can range from mild to severe. So what do you do if you think your child might ...
Source: Harvard Health Blog - January 30, 2019 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Children's Health Cold and Flu Infectious diseases Parenting Source Type: blogs

A " Smart " Surveillance Wall Would Be Worse Than Trump's " Big, Beautiful " Wall
Last week President Trump lost his game of chicken with Congressional Democrats and signed a bill that will keep the government open until February 15th. The fight over the recent government shutdown centered on border security, with the president insisting that Congress provide funds for a border wall. Congress didn ’t provide the funds, and Democrats in Congress have been celebrating their victory over the president. Preventing the president from building the border wall is a clear political victory for Democrats. However, the border security legislation lawmakers in Congress eventually negotiate could inclu de the...
Source: Cato-at-liberty - January 29, 2019 Category: American Health Authors: Matthew Feeney Source Type: blogs

Immunotherapy: What you need to know
Not all that long ago, chemotherapy was the only option to treat most advanced (metastatic) cancers. Because these drugs work by destroying rapidly dividing cells, they harm some healthy cells — such as hair follicles — as well as cancer cells. In the past two decades, cancer treatment has been transformed by targeted drugs and the emergence of chemotherapy. Targeted drugs are designed to home in on specific genes or proteins that are altered or overexpressed on cancer cells. Immunotherapy has been very successful for certain types of advanced cancers, such as lung, bladder, and skin cancers. One form of immuno...
Source: Harvard Health Blog - January 22, 2019 Category: Consumer Health News Authors: Guru P. Sonpavde, MD Tags: Cancer Immunotherapy Managing your health care Source Type: blogs

The Perfect Office Note? SOAP, APSO or aSOAP?
By HANS DUVEFELT MD  I’ve been toying with this dilemma for a while: SOAP notes (Subjective, Objective, Assessment, Plan) are too long; APSO just jumbles the order, but the core items are still too far apart, with too much fluff in between. We need something better – aSOAP! Electronic medical record notes are simply way too cumbersome, no matter in what order the segments are displayed, to be of much use if we quickly want to check what happened in the last few office visits before entering the exam room. It is time we do something different, and I believe the solution is under our noses every day, at...
Source: The Health Care Blog - January 16, 2019 Category: Consumer Health News Authors: matthew holt Tags: Physicians EMR Hans Duvefelt Patient Notes Source Type: blogs

Podcast: Why New Year ’ s Resolutions Don ’ t Work
 Every year, millions of people make New Year’s Resolutions. And one of the most common resolutions is to lose weight and get in shape. It’s also one of the most commonly failed resolutions. In this episode, you’ll meet a man who lost over 130 pounds and went on to become a transformational coach helping others to achieve the same goals. His success was not because of a New Year’s Resolution, and shows just why such January promises don’t work. Subscribe to Our Show! And Remember to Review Us! About Our Guest After losing over 130lbs and conquering his addictions, Jeremy&n...
Source: World of Psychology - January 3, 2019 Category: Psychiatry & Psychology Authors: The Psych Central Show Tags: General New Year's Success & Achievement The Psych Central Show Gabe Howard Resolutions Vincent M. Wales Weight Loss Source Type: blogs

EMRs, APIs, App stores & all that: More data
Conclusion At Health 2.0 we’ve been trying to shine a light on this topic for some time, and the good folks at SMART on FHIR (the Mandel/Mandl twins, Zak Kohane et al) and the Argonaut/FHIR/CARIN crowd (Graeme Grieve, Aneesh Chopra & a cast of hundreds), have all been banging the drum as well as laying down great work for several years. And yet it’s health tech, so slow incremental progress is probably what we should expect. The state of play is that the big vendors are all now awake to the issue, but there’s lots to sort out before access to data and integration into APIs becomes as automatic as we s...
Source: The Health Care Blog - November 28, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health 2.0 Matthew Holt Allscripts API athenahealth Cerner EMR Epic health technology Source Type: blogs

Another Year, Another Birthday: Processing Getting Older
For the past few birthdays, I’ve been telling everyone I know that “I’m turning 24 again!” Huh. What are the odds? Now of course I’m kidding, but the reality is that as I’ve gone up in my 20’s the mentality of growing older becomes more and more evident. And before anyone wants to bite my head off (please don’t), I am aware that I’m still relatively young. But this year’s birthday stung just a tad — the number signifying my last year in this decade. The number that acknowledges adulthood in real, overt way with important responsibilities — a true marke...
Source: World of Psychology - November 24, 2018 Category: Psychiatry & Psychology Authors: Lauren Suval Tags: Aging Personal Success & Achievement Coping Skills growing older Milestones Source Type: blogs