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A heartfelt plea: the power of emotions in health care
I leaned over the bed’s railing, straining to hear the morphine-slurred words spilling out of his chapped lips. “Make them stop laughing,” he said, referring to the cohort of young nurses giggling around the code cart in the hallway. “I’m in here suffering, in pain, and I shouldn’t have to hear laughter. Tell them to Read more… A heartfelt plea: the power of emotions in health care originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 19, 2024 Category: General Medicine Authors: Tags: Physician Emergency Medicine Source Type: blogs

How community health needs assessments can assist emergency providers in tackling social determinants of health
Dr. Gray is a young, bright emergency medicine physician who recently relocated to Austin, Texas, to start his first job as an attending. Nervous and excited, Dr. Gray is eager to explore the lively city of Austin and start practicing emergency medicine on his own. After a few months in the city, he noticed higher Read more… How community health needs assessments can assist emergency providers in tackling social determinants of health originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 17, 2024 Category: General Medicine Authors:

Two patients with chest pain, with QRS obscured: which was STEMI positive, and which had Occlusion MI?
Written by Jesse McLaren Two patients presented with acute chest pain, and below are the precordial leads V1-6 for each. Patient 1 (ECG on the left) was a 45 year-old male, and patient 2 (ECG is on the right) was a 70 year-old male. The limb leads have been removed because there was no ST elevation in those leads, the QRS complexes have been obscured because this is irrelevant to STEMI criteria, and red lines have been added to measure ST segment elevation. Using the current paradigm, can you tell which patient had an acute coronary occlusion? Using T wave amplitude, can you tell which ECG has hyperacute T waves?...
Source: Dr. Smith's ECG Blog - January 17, 2024 Category: Cardiology Authors: Jesse McLaren Source Type: blogs

Noisy, low amplitude ECG in a patient with chest pain
Written by Colin Jenkins. Colin is an emergency medicine resident beginning his critical care fellowship in the summer with a strong interest in the role of ECG in critical care and OMI. Edits by Willy Frick.A patient in their 40s with type 1 diabetes mellitus and hyperlipidemia presented to the emergency department with 5 days of “flu-like” illness. They had difficulty describing their symptoms, but complained of severe weakness, nausea, vomiting, headache, and chest pain. They denied fever, cough, dyspnea, and sick contacts. They described the chest pain as severe, crushing, and non-radiating. It was not wo...
Source: Dr. Smith's ECG Blog - January 15, 2024 Category: Cardiology Authors: Willy Frick Source Type: blogs

Fight Aging! Newsletter, January 15th 2024
In conclusion, FMD cycles have high potential to be effective in increasing the toxicity of a range of therapies against ALL and other blood cancers and should be tested in randomized clinical trials, especially in combination with immunotherapy and low toxicity cancer therapies. In summary, we present a new strategy for improving leukemia treatment by combining FMD with chemotherapy to promote the killing of ALL cells in part by an immune-dependent mechanism. Fasting/FMD has been shown to reduce chemotherapy-associated toxicity in pre-clinical and clinical studies and thus represents a safe and potentially effectiv...
Source: Fight Aging! - January 14, 2024 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

An unusual query in Wellen ’ s syndrome ?
What will happen if you happen to thrombolyse Wellen syndrome? Will evolve into STEMI by prothrombotic trigger of lytic agent ECG will get normalised with clinical stability in some Nothing happens. ECG will remain same. Worsen the situation in majority Will be severely reprimanded by your consultant and peers. Answer: 4 will be answer for most of us , while 2 and 3 is a lesser, but distinct possibility. I have never seen 1 happen .Whatever is the correct answer , response 5 will always be correct. What is the criteria to diagnose Wellen syndrome ? The criteria used to diagnose Wellen...
Source: Dr.S.Venkatesan MD - January 14, 2024 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs

An unusual query in Wellen ’ s syndrome
What will happen if you happen to thrombolyse Wellen syndrome? Will evolve into STEMI by prothrombotic trigger of lytic agent ECG will get normalised with clinical stability in some Nothing happens. ECG will remain same. Worsen the situation in majority Will be severely reprimanded by your consultant and peers. Answer: 4 will be answer for most of us , while 2 and 3 is a lesser, but distinct possibility. I have never seen 1 happen .Whatever is the correct answer , response 5 will always be correct. What is the criteria to diagnose Wellen syndrome ? The criteria used to diagnose Wellen...
Source: Dr.S.Venkatesan MD - January 14, 2024 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs

How health systems are improving preparedness for winter surges
Winters often bring a surge in sicknesses that can overwhelm many health systems. More specifically, a winter-related uptick in the flu, COVID-19, and other illnesses can create overcrowding in physician offices and emergency departments (EDs), which then decreases a health system’s ability to provide timely access to care for non-urgent issues, such as chronic and Read more… How health systems are improving preparedness for winter surges originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 13, 2024 Category: General Medicine Authors: Tags: Tech Health IT Source Type: blogs

Orthostatic hypotension onset after invasive procedure?
Written by Willy FrickA man in his 70s with a history of HFrEF and sick sinus syndrome s/p dual chamber pacemaker placement was admitted for overnight observation following outpatient placement of a mitral valve clip. The procedure note indicates uncomplicated clip placement. The next morning, the following ECG was obtained.What do you think?The tracing shows sinus rhythm with PVCs and non-specific ST&T wave abnormality. But there is something more important to notice, which is the pacer spikes. They do not make sense. Some of them are in the middle of or after P waves, and there ' s even one that falls at the end...
Source: Dr. Smith's ECG Blog - January 13, 2024 Category: Cardiology Authors: Willy Frick Source Type: blogs

Stress Temporarily Increases Epigenetic Age
This study used DNA methylation (DNAm)-based aging clocks to measure changes in biological age in response to diverse forms of stress. The researchers began with a laboratory experiment known to produce aged physiology in young mice or restore youthful physiology to old mice by surgically joining young, 3-month-old mice with older, 20-month-old mice, which allowed them to share their blood. At the molecular level, they found that the biological age of the young mice increased when measured with most aging clocks. Once the young mice were separated from the old mice and therefore were no longer experiencing the older mouse ...
Source: Fight Aging! - January 11, 2024 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

Healthcare Workforce – 2024 Health IT Predictions
As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions.  We asked the Healthcare IT Today community to submit their predictions and we received a wide ranging set of responses that we grouped into a number of themes.  In fact, we got so many that we had to narrow them down to just the best and most interesting.  Check out our community’s predictions below and be sure to add your own thoughts and/or places you disagree with these predictions in the comments and on social media. All of this year’s 2024 health IT predictions (updated as they’re shared): John and ...
Source: EMR and HIPAA - January 10, 2024 Category: Information Technology Authors: John Lynn Tags: Administration Ambulatory Analytics/Big Data C-Suite Leadership Clinical Health IT Company Healthcare IT Hospital - Health System LTPAC Revenue Cycle Management 2024 Health IT Predictions Amy Amrick Ashish Shah Aspirion Benjami Source Type: blogs

A fascinating electrophysiology case. What is this wide complex tachycardia, and how best to manage it?
The patient is female in her 80s with a medical hx of previous MI with PCI and stent placement. She also has a hx of paroxysmal atrial fibrillation and is on oral anticoagulant treatment. She had a single chamber ICD/Pacemaker implanted several years prior due to ventricular tachycardia. The last echocardiography 12 months ago showed HFmrEF.She presented to the emergency department after a couple of days of chest discomfort. The ECG below was recorded. What is your assessment? How would you manage this patient?The ECG was interpreted as showing atrial flutter with 2:1 conduction. The patient was deemed stable and...
Source: Dr. Smith's ECG Blog - January 10, 2024 Category: Cardiology Authors: Magnus Nossen Source Type: blogs

The 6 Most Exciting Medical Technology Breakthroughs Of Recent Years
Amidst the flurry of hyped technologies, it’s not easy to pinpoint which specific technological breakthroughs will have the most impact in the coming years. Dr. Meskó, The Medical Futurist, reviews multiple reports, studies, and articles daily. Consequently, our days are filled with awe-inspiring developments. However, our aim here is to offer more than just a compilation of “wow, look how fascinating” stories. To achieve this, we have selected technologies that: Have undergone significant breakthroughs in recent years, be it in regulatory, technological, or scientific aspects Are anticipate...
Source: The Medical Futurist - January 9, 2024 Category: Information Technology Authors: Andrea Koncz Tags: TMF artificial intelligence digital health future Healthcare Source Type: blogs

Navigating medical uncertainty: a patient ’ s perspective [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join Ana María Caballero, a poet, artist, and author. Ana María delves into her book, A Petit Mal, and we delve into an unexpected encounter in the emergency room, with Ana María shedding light on both the medical and emotional dimensions of her narrative. Read more… Navigating medical uncertainty: a patient’s perspective [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 9, 2024 Category: General Medicine Authors: Tags: Podcast Emergency Medicine Pediatrics Source Type: blogs

Leaders advise us to accept it as a job norm: violence and abuse in the health care workplace
Violence and assaults against health care workers are now reported at an all-time high. While health care workers comprise just 13% of the U.S. workforce, they experience 60% of all workplace assaults. Health care has been declared America’s most dangerous profession due to workplace violence. Health care and social service industries experience the highest rates Read more… Leaders advise us to accept it as a job norm: violence and abuse in the health care workplace originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 7, 2024 Category: General Medicine Authors: Tags: Physician Emergency Medicine Source Type: blogs