Gen Z ’s Mid-Life Crisis
By KIM BELLARD These are not happy times in America. Now, I’m not thinking about the increasing cultural wars, the endless political bickering, the troubles in the Med-East or Ukraine, the looming threat of climate crisis, or the omnipresent campaigning for the November 2024 elections, although all those play a part. I’m talking about quantifiable data, from the latest World Happiness Report. It found that America has slipped out of the top 20 countries for the first time, falling to 23rd – behind countries like Slovenia and the U.A.E. and barely ahead of Mexico or Uruguay. Even worse, the fall in U.S. score...
Source: The Health Care Blog - March 27, 2024 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Happiness Kim Bellard Mental Health Social Media Source Type: blogs

A man in his 50s with shortness of breath
Sent by Tom Fiero, written by Pendell Meyers A man in his 50s presented with acute shortness of breath. Unfortunately we do not have access to the patients presenting vital signs.Here is his ECG:Original image, suboptimal qualityQuality improved with PM Cardio digitizationThe ECG is highly suggestive of acute right heart strain, with sinus tachycardia, S1Q3T3, and T wave inversions in anterior and inferior with morphology consistent with acute right heart strain. There is also STE in lead III with reciprocal depression in aVL and I, as well as some subendocardial ischemia pattern with STD in V5-V6 and STE in aVR. Thus...
Source: Dr. Smith's ECG Blog - March 26, 2024 Category: Cardiology Authors: Pendell Source Type: blogs

Important Normal Values for ECG
Transcript of the video: Normal values for ECG will depend on the age, body size, gender, as well as the population being assessed. So there is a wide variation. Still, in a normal adult population, some normal values are useful, while assessing an ECG. These are the normal waves which you expect on the ECG and normal heart rate in an adult is 60 to 100 per minute. P wave, the atrial activation, PR segment, QRS complex – ventricular activation, ST segment, and T wave, ventricular repolarization. Atrial repolarization wave is usually not seen in a standard surface ECG. It will somewhere in the ST segment (error: PR se...
Source: Cardiophile MD - March 25, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

3 Ways Depressed People Can Access Happy Memories (M)
Autobiographical memory, crucial for self-concept and emotion regulation, is often impaired in depression. (Source: PsyBlog | Psychology Blog)
Source: PsyBlog | Psychology Blog - March 22, 2024 Category: Psychiatry & Psychology Authors: Jeremy Dean Tags: Depression subscribers-only Source Type: blogs

A 50-something with chest pain. Is there OMI? And what is the rhythm?
Written by Willy FrickA man in his 50s with history of hypertension, hyperlipidemia, and a 30 pack-year smoking history presented to the ER with 1 hour of acute onset, severe chest pain and diaphoresis. His ECG is shown:What do you think?The history thus far is highly suggestive of OMI, so we must study the ECG very closely to see if we can confirm this. Looking at the rhythm strip, we see there is more going on than simple sinus rhythm, and in fact there are two different morphologies of QRS complexes. Take a closer look at the rhythm by itself and see if you can figure out what ' s going on before scrolling further....
Source: Dr. Smith's ECG Blog - March 22, 2024 Category: Cardiology Authors: Willy Frick Source Type: blogs

This Psychological Epidemic Is Killing Millions Worldwide
One-third of people over 45 have this chronic psychological problem -- as do many who are younger. (Source: PsyBlog | Psychology Blog)
Source: PsyBlog | Psychology Blog - March 21, 2024 Category: Psychiatry & Psychology Authors: Jeremy Dean Tags: Depression Source Type: blogs

Discover The Ultimate Depression-Busting Exercises — Backed By 200+ Studies (M)
Over 200 studies confirm it: exercise is a powerful tool against major depressive disorder. But which are best, and for whom? (Source: PsyBlog | Psychology Blog)
Source: PsyBlog | Psychology Blog - March 20, 2024 Category: Psychiatry & Psychology Authors: Jeremy Dean Tags: Depression Exercise subscribers-only Source Type: blogs

The Vitamin Deficiency That ’ s Putting Your Mental Health At Risk
The deficiency is linked to depression and poorer brain function, lower verbal fluency and even dementia. (Source: PsyBlog | Psychology Blog)
Source: PsyBlog | Psychology Blog - March 20, 2024 Category: Psychiatry & Psychology Authors: Jeremy Dean Tags: Depression Source Type: blogs

An Unusual Depression Symptom Most People Don ’ t Notice (M)
Not all depression symptoms are easy to spot. (Source: PsyBlog | Psychology Blog)
Source: PsyBlog | Psychology Blog - March 19, 2024 Category: Psychiatry & Psychology Authors: Jeremy Dean Tags: Depression subscribers-only Source Type: blogs

Assisted suicide: Safeguards debated as bioethicist warns of unintended consequences
At a time when many states are considering assisted suicide legislation, I was interested to encounter the perspective of the well-known bioethicist Arthur Caplan who recently expressed his support for these laws on these pages. While I appreciate Caplan’s endorsement of protecting doctors’ ability to refuse, as a matter of conscience, to participate in assisted death, I Read more… Assisted suicide: Safeguards debated as bioethicist warns of unintended consequences originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 19, 2024 Category: General Medicine Authors: Tags: Conditions Palliative Care Source Type: blogs

An 80 year old woman with Left Bundle Branch Block (LBBB) and pleuritic chest pain
This case was sent by Amandeep (Deep) Singh at Highland Hospital, part of Alameda Health System.The patient presented to an outside hospitalAn 80yo female per triage “patient presents with chest pain, also hurts to breathe”PMH: CAD, s/p stent placement, CHF, atrial fibrillation, pacemaker (placed 1 month earlier), LBBB.HPI: Abrupt onset of substernal chest pain associated with nausea/vomiting 30 min PTA.  She reports associated SOB but no dizziness or LOC.  She was given NTG at home before coming to the hospital. This was the ECG obtained at triage.This ECG was recorded and was reviewed remotely by a...
Source: Dr. Smith's ECG Blog - March 19, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs

Postpartum depression: 40 years of insights [PODCAST]
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! We sit down with Alan Lindemann, an obstetrics-gynecology physician, to delve into the intricate world of postpartum depression (PPD). With over four decades of experience in the field, Alan offers invaluable perspectives and advice on navigating the complexities of PPD and Read more… Postpartum depression: 40 years of insights [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 17, 2024 Category: General Medicine Authors:
The largest study yet to examine the link between body temperature and depression. (Source: PsyBlog | Psychology Blog)
Source: PsyBlog | Psychology Blog - March 17, 2024 Category: Psychiatry & Psychology Authors: Jeremy Dean Tags: Depression subscribers-only Source Type: blogs

Why is the angiogram normal?
Written byWilly FrickA man in his 50s with a 15 pack-year smoking history presented to his primary care physician ' s office complaining of intermittent headache. He also complained of intermittent mild chest pain radiating into into both shoulders and his back, as well as occasional unexplained sweating. (Although radiation into the left arm is most classic for coronary ischemia, radiation into both arms is actually modestly more predictive). The primary care physician ' s note indicates low suspicion for cardiac ischemia, but " for completion, check troponin and ECG. " If an ECG was obtained in the office,...
Source: Dr. Smith's ECG Blog - March 17, 2024 Category: Cardiology Authors: Willy Frick Source Type: blogs

3 Simple Steps That Really Help Depressed People (M)
Three steps that will help you stop brooding. (Source: PsyBlog | Psychology Blog)
Source: PsyBlog | Psychology Blog - March 16, 2024 Category: Psychiatry & Psychology Authors: Jeremy Dean Tags: Depression subscribers-only Source Type: blogs