I am stupid
Conclusion: Isaac Asimov is stupid(Sorry, no post yesterday because I was doing some heavy cerebral processing.)He ' d have been the first to admit it. All of us are susceptible to cognitive errors and biases. I ' d like to think that Asimov was less susceptible than most, but he must have had his own foibles. It ' s a constant struggle to be mindful and think straight. For my own part, I once had a romanticized view of the Chinese revolution, I was an anthropogenic climate change skeptic, and I entertained the likelihood that medical intervention, on balance, did more harm than good. (Viz Illich, Medical Nemesis.)&nb...
Source: Stayin' Alive - October 28, 2022 Category: American Health Source Type: blogs
All data suggest unstable angina, but the angiogram is normal. Ken Grauer on stress testing.
A 50-something woman who has a gastric ulcer was experiencing epigastric pain for which she decided to come to the ED. Then, approxiately one hour prior to arrival, she experienced some chest discomfort which was sharp, central, 10/10, with SOB, diaphoresis, dizziness, and nausea. Since that time it has been intermittent. She called 911 and still had pain when the medics arrived, but it resolved with sublingual NTG x 2. On arrival she was chest pain free, but still had the epigastric pain.Prehospital vitals:We could not find the prehospital EKG.Here is the first ED ECG, recorded while asym...
Source: Dr. Smith's ECG Blog - July 2, 2022 Category: Cardiology Authors: Steve Smith Source Type: blogs
Mirage of Health
My personal update is that I ' m recovering day by day, but it ' s taking a while. I get a little stronger, a little more stamina each day and I expect to get back to my previous full strength in time to put in a solid week of work starting Monday. Meanwhile a little down time isn ' t the worse thing that could have happened.I ' ve gotten some very odd comments which show that some people harbor very basic misunderstandings about heath, illness and medicine. As I have noted here many times, medical intervention was largely ineffective until the 20th Century. It has grown more effective over the past 100+ years, but you nee...
Source: Stayin' Alive - June 17, 2022 Category: American Health Source Type: blogs
CBD Oil for Depression, Schizophrenia, ADHD, PTSD, Anxiety, Bipolar & More
In conclusion, the studies presented in the current review demonstrate that CBD has the potential to limit delta-9-THC-induced cognitive impairment and improve cognitive function in various pathological conditions.
Human studies suggest that CBD may have a protective role in delta-9-THC-induced cognitive impairments; however, there is limited human evidence for CBD treatment effects in pathological states (e.g. schizophrenia).
In short, they found that CBD may help alleviate the negative impact of a person with schizophrenia from taking cannabis, both in the psychotic and cognitive symptoms associated with schizophrenia. T...
Source: World of Psychology - February 8, 2019 Category: Psychiatry & Psychology Authors: John M. Grohol, Psy.D. Tags: Alternative and Nutritional Supplements Disorders General Research Treatment cannabidiol Cannabis cbd cbd oil Marijuana THC Source Type: blogs
FDA permits marketing of new endoscopic device for treating gastrointestinal bleeding
The U.S. Food and Drug Administration permitted marketing of Hemospray, a new device used to help control certain types of bleeding in the gastrointestinal (GI) tract.“The device provides an additional, non-surgical option for treating upper and lower GI bleeding in certain patients, and may help reduce the risk of death from a GI bleed for many patients,” said Binita Ashar, M.D., director, division of surgical devices, in the FDA’s Center for Devices and R adiological Health.GI bleeding can occur in the upper GI tract (esophagus, stomach or small intestine) or the lower GI tract (colon and rectum). Causes of GI blee...
Source: Medical Hemostat - September 23, 2018 Category: Medical Devices Authors: hemostatguy at gmail.com (hemostat guy) Source Type: blogs
Funtabulously Frivolous Friday Five 183
LITFL: Life in the Fast Lane Medical Blog
LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 183.
Question 1
The restaurant preparation of fugu is strictly controlled by law in Japan, and only chefs who have qualified after three or more years of rigorous training are allowed to prepare the fish. What dish in Egypt is less well controlled and has resulted in deat...
Source: Life in the Fast Lane - March 31, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five albert stevens bacon boil botfly botulism fesikh furuncular myiasis manhattan project obecalp placebo plutonium radiation second fracture Source Type: blogs
Stem Cells from Young Mice Heal Stomach Ulcers in Old Mice
When it comes to the question of whether young stem cells and a young tissue environment are necessary for the success of stem cell therapies, there is evidence to support all of the possible answers. It is a confusing picture at the moment, and it is very possible that the answer varies by cell type. Since the best option for therapy is to use the patient's own cells, it would be good to find that cell therapies can work effectively and produce meaningful benefits even when both cells and patient are old. In some studies researchers have seen little difference in short term outcomes between young and old individuals, whic...
Source: Fight Aging! - June 17, 2016 Category: Research Authors: Reason Tags: Daily News Source Type: blogs
Harvard Medical School Teams Up with Makers of Bacardi Rum, Smirnoff Vodka, Jim Beam Bourbon, and Jack Daniels Whiskey, Providing Great PR at Bargain Rates
Last July, Harvard Medical School and its Cambridge Health Alliance accepted $3.3 million from the Foundation for Advancing Alcohol Responsibility to create an endowed chair in behavioral sciences research at Harvard Medical School and the Cambridge Health Alliance. The Dean of the Harvard Medical School proudly announced the acceptance of this money and praised the Foundation for Advancing Alcohol Responsibility, while acknowledging a long-standing alliance between the two entities: "The Foundation for Advancing Alcohol Responsibility has long been a strong supporter of the research program at Cambridge Health Alliance, ...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - May 4, 2016 Category: Addiction Source Type: blogs
Anheuser Busch "Smart Drinking" Initiative is a Complete Farce
Last December, Anheuser-Busch InBev (AB InBev) announced its commitment of more than $1 billion over ten years to promote "Smart Drinking," whose major purported purpose is to "reduce the harmful use of alcohol" by reducing "binge drinking, underage drinking and drink-driving." The company claims that this represents "Doing Right, While Doing Well." A major goal is to reduce the "harmful use of alcohol" by at least 10% in six cities within 10 years.The Rest of the StoryThe truth is that this initiative is essential a huge scam designed to promote alcohol use, to divert attention away from the alcohol industry's culpability...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - May 3, 2016 Category: Addiction Source Type: blogs
MKSAP: 50-year-old man with a large bleeding gastric ulcer
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 50-year-old man is evaluated in follow-up after hospitalization 6 months ago for a large bleeding gastric ulcer. Tests performed for Helicobacter pylori infection at that time were negative. However, for the 3 months before hospitalization he had been taking ibuprofen for chronic back pain. He was discharged from the hospital on omeprazole, and his ibuprofen was discontinued. Owing to the large size of the ulcer and increased suspicion for underlying malignancy, follow-up upper endoscopy was performed 3 month...
Source: Kevin, M.D. - Medical Weblog - January 16, 2016 Category: Journals (General) Authors: mksap Tags: Conditions GI Source Type: blogs
Why are you here?
{walking into a patient's room}Me: "Hi Mr. Smith, I'm Dr. Gilman and will be taking care of you today in the ER. So, I reviewed your chart, and I don't see any significant past medical history. The nurses tell me you don't feel well. Tell me, what's the matter today?"Smith: "I'm sick"Me: "Okay, but what's wrong"Smith: "I don't f*ckin' know, you're the doctor."I hate,hate, it when a patient doesn't have a chief complaint when they come to the ER.Why are you here? Today? Right now? (i.e.why couldn't this wait until you could see your primary doctor). What changed? What are you afraid of? Specifically, what part of your body ...
Source: EM Physician - Backstage Pass - September 8, 2015 Category: Emergency Medicine Authors: Taylor Source Type: blogs
Why are you here?
{walking into a patient's room}Me: "Hi Mr. Smith, I'm Dr. Gilman and will be taking care of you today in the ER. So, I reviewed your chart, and I don't see any significant past medical history. The nurses tell me you don't feel well. Tell me, what's the matter today?"Smith: "I'm sick"Me: "Okay, but what's wrong"Smith: "I don't f*ckin' know, you're the doctor."I hate, hate, it when a patient doesn't have a chief complaint when they come to the ER.Why are you here? Today? Right now? (i.e. why couldn't this wait until you could see your primary doctor). What changed? What are you afraid of? Specifically, what part of your bod...
Source: EM Physician - Backstage Pass - September 8, 2015 Category: Emergency Medicine Authors: Taylor Source Type: blogs
Sacubitril - Valsartan, a "New Threshold of Hope" or Hype for Heart Failure?
Summer must be over, because the next new blockbuster drug appears to be here. At the end of August, the media heralded the results of a study of a new product for congestive heart failure (CHF) from Novartis.Novartis' New "Game Changer" The New York Times article was fairly restrained, simply saying ithas shown a striking efficacy in prolonging the lives of people with heart failureThe Reuters article's headline saidNew Novartis drug may upend heart failure treatmentIn Forbes, Matthew Herper called it aGame ChangerThe accompanying editorial in the New England Journal of Medicine (1) suggested the drugmay well repres...
Source: Health Care Renewal - September 3, 2014 Category: Health Management Tags: CHF clinical trials evidence-based medicine manipulating clinical research Novartis sacubitril Source Type: blogs
Lessons from Haiti: Don’t Take Hot Showers and Drinkable Water for Granted
By Scott Kurpiel, MD
Practicing medicine in Port-au-Prince, Haiti, was an amazing experience that gave me a tremendous amount of perspective on health care and life. I was fortunate as the trip leader to recruit a well-rounded team of health care professionals, including 10 nurses, six doctors, two EMTs, and one sports rehabilitation therapist. We worked in a gated hospital that was secured by armed guards. The complex contained Haiti’s only full-body CT scanner, which was only available from 9 a.m. to 5 p.m. Most patients were seen urgently, and were dispositioned from a two- to four-person triage tent.
Arriving a...
Source: Going Global - August 7, 2013 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Lessons from Haiti: Don’t Take Hot Showers and Drinkable Water for Granted
By Scott Kurpiel, MD
Practicing medicine in Port-au-Prince, Haiti, was an amazing experience that gave me a tremendous amount of perspective on health care and life. I was fortunate as the trip leader to recruit a well-rounded team of health care professionals, including 10 nurses, six doctors, two EMTs, and one sports rehabilitation therapist. We worked in a gated hospital that was secured by armed guards. The complex contained Haiti’s only full-body CT scanner, which was only available from 9 a.m. to 5 p.m. Most patients were seen urgently, and were dispositioned from a two- to four-person triage tent.
Arriving at th...
Source: Going Global - August 7, 2013 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
