Two Patients With More Than One Diagnosis
BY HANS DUVEFELT
I have written many times about how I have made a better diagnosis than the doctor who saw my patient in the emergency room. That doesn’t mean I’m smarter or even that I have a better batting average. I don’t know how often it is the other way around, but I do know that sometimes I’m wrong about what causes my patient’s symptoms.
We all work under certain pressures, from overbooked clinic schedules to overfilled emergency room waiting areas, from “poor historians” (patients who can’t describe their symptoms or their timeline very well) to our own mental fatigue after many hours on the...
Source: The Health Care Blog - March 16, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Medical Practice Hans Duvefelt neuralgia sinusitis Source Type: blogs
Special Education Cause Lawyers
Mark C. Weber (DePaul University), Special Education Cause Lawyers (2023): This Essay presents a study of leading United States lawyers who represent families in disputes involving the special education of children with disabilities. The research consists of structured interviews of... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - March 15, 2023 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs
Slideshow: Circles of Life
Every year on March 14, many people eat pie in honor of Pi Day. Mathematically speaking, pi (π) is the ratio of a circle’s circumference (the distance around the outside) to its diameter (the length from one side of the circle to the other, straight through the center). That means if you divide the circumference of any circle by its diameter, the solution will always be pi, which is roughly 3.14—hence March 14, or 3/14. But pi is an irrational number, which means that the numbers after the decimal point never end. With the help of computers, mathematicians have determined trillions of digits of pi.
To celebrate Pi ...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - March 14, 2023 Category: Research Authors: Chrissa Chverchko Tags: Cells Molecular Structures Cellular Imaging Cool Images Microbes Research Organisms Source Type: blogs
After 504: Training the Citizen-Enforcers of Disability Rights
Karen Tani (University of Pennsylvania), After 504: Training the Citizen-Enforcers of Disability Rights, Disability Stud. Q. (Forthcoming): This draft article, forthcoming in the Disability Studies Quarterly, chronicles and analyzes an underexplored episode in the history of civil rights law and... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - March 14, 2023 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs
Ruling out
People who, for ideological reasons, don ' t actually want to do what is necessary to solve the problem of excessive spending on health care often claim that the real problem is the cost of malpractice insurance. So they propose " tort reform " as the solution. The argument is that it isn ' t just the direct cost of insurance that ' s to blame, but also that physicians practice " defensive medicine, " ordering unnecessary tests and procedures, to avoid possible liability.First, let ' s just get the extent of the problem, if any, out of the way. The best estimate is that liability costs -- including both compone...
Source: Stayin' Alive - March 13, 2023 Category: American Health Source Type: blogs
Reducing Racial Disparities in VA Disability Compensation Decisions
Department of Veterans Affairs Secretary Denis McDonough recently announced formation of an equity team to examine and address racial differences in disability compensation grant rates. This is encouraging progress, particularly after years of reluctance on the part of the department to acknowledge there might be a problem. (Source: The RAND Blog)
Source: The RAND Blog - March 13, 2023 Category: Health Management Authors: Kayla M. Williams Source Type: blogs
N of 1 studies – great examples
This study examined whether it’s more fruitful to expose people to many activities they’ve previously avoided, or instead, to limit the number of activities each person was exposed to. This is SUCH an important component of therapy where people have avoided doing things that bother them because they anticipate either that their pain will go to untolerable levels (or interfere with other important things like sleep) or because they’re worried they’ll do harm to themselves. Why? Because doing things in one safe space is not life. We do lots of activities in lots of different spaces, and most of them a...
Source: HealthSkills Weblog - March 12, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Clinical reasoning Low back pain Research Science in practice pain management single case experimental design Source Type: blogs
The Americans with Disabilities Act's Unreasonable Focus on the Individual
Ruth Colker (Ohio State University), The Americans with Disabilities Act ' s Unreasonable Focus on the Individual, Ohio St. Res. Paper 742 (2022): In this Article, I argue that the requirement to claim status as an “individual with a disability” to seek... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - March 3, 2023 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs
Safe and wellbeing reviews: thematic review and lessons learned
NHS England -As part of the NHS response to the safeguarding adults review concerning the deaths of Joanna, Jon and Ben at Cawston Park, a national review has been undertaken to check the safety and wellbeing of all people with a learning disability and autistic people who are being cared for in a mental health inpatient setting. This document sets out the themes emerging from the review findings.ReportSafeguarding adults reviewNHS England - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - March 3, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: Mental health Patient safety Source Type: blogs
How to get ChatGPT to fix your website
I’ve been doing web stuff since 1995, but sometimes running several sites as subdomains I come unstuck with redirects. Change something on one and it makes the same change inadvertently happen on another. It happened today, I wanted to change the way the RSS feeds work for the Sciencebase site, but the changes I made to the .htaccess file in the domain root kept b0rking another of my sites that’s on the same server as a sub-domain.
The problem was that I was getting scraped at the page level by various bots but individual pages on my site don’t have feeds as comments are disabled. There is one main RSS fe...
Source: David Bradley Sciencebase - Songs, Snaps, Science - March 2, 2023 Category: Science Authors: David Bradley Tags: Artificial Intelligence Source Type: blogs
Addressing disparities in gynecological care for women with physical disabilities
I recently read a story in which a woman named H. Lee, who has muscular dystrophy, details a decade-long struggle to receive adequate cervical cancer screening. Providers have been unable to find her cervix due to the curvature of her spine, examined her in her wheelchair because there were no height-adjustable examination tables, and outright
Read more…
Addressing disparities in gynecological care for women with physical disabilities originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 1, 2023 Category: General Medicine Authors: Geffen Treiman Tags: Policy OB/GYN Primary Care Source Type: blogs
“Long COVID,” Bodily Systems as ADAAA Major Life Activities, and the Social Model of Disability
Leslie P. Francis (University of Utah), Michael Ashley Stein (Harvard Law School), “Long COVID,” Bodily Systems as ADAAA Major Life Activities, and the Social Model of Disability, 2022 U. Chicago Legal Forum 159 (2022): Long COVID claims for disability-related employment... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - February 27, 2023 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs
Fight Aging! Newsletter, February 27th 2023
This study tested the hypothesis that ischemic vascular repair in aging by Ang-(1-7) involves attenuation of myelopoietic potential in the bone marrow and decreased mobilization of inflammatory cells.
Young or Old male mice of age 3-4 and 22-24 months, respectively, received Ang-(1-7) for four weeks. Myelopoiesis was evaluated in the bone marrow (BM) cells by carrying out the colony forming unit (CFU-GM) assay followed by flow cytometry of monocyte-macrophages. Expression of pro-myelopoietic factors and alarmins in the hematopoietic progenitor-enriched BM cells was evaluated. Hindlimb ischemia (HLI) was induced by ...
Source: Fight Aging! - February 26, 2023 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
Tackling inequality and disadvantage: key actions policy makers, commissioners and provider organisations can take when developing an approach with a digital component
National Voices -This briefing, launched by members of the VCSE Health and Wellbeing Alliance, highlights how groups of people who experience the greatest barriers to accessing health and care are often the most likely to experience digital exclusion. It also contains additional, detailed insights into how digital exclusion affects groups who experience health inequalities, including people with learning disabilities, people seeking asylum, people in contact with the criminal justice system, people from Black, Asian and minority ethnic communities and others. The guidance also highlights the key actions people who design h...
Source: Health Management Specialist Library - February 24, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: Digital health and data Public health and health inequalities Source Type: blogs
Tightening The Leash on Housing Provider Loopholes: Protecting Disabled Texans By Amending The Texas Property Code To Prevent Constructive Denial of Emotional Support Animals
Diana Hernandez (Texas Tech University), Tightening The Leash on Housing Provider Loopholes: Protecting Disabled Texans By Amending The Texas Property Code To Prevent Constructive Denial of Emotional Support Animals (2022): Currently, Texas does not have any specific guidelines regarding responding... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - February 24, 2023 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs
