A Middle Aged Male diagnosed with Gastroesophageal Reflux
This middle aged male with h/o GERD but also h/o stents presented to the ED with chest pain. He had been at a clinic that day where he had complained of worsening GERD. An EKG was recorded and interpreted as normal by the computer, the clinician, and by the overreading cardiologist.He had an ECG recorded in triage (I am not certain whether the patient had active pain at this time; I believe he didnot):What do you think?Here is the patient ' s ECG from several hours ago (which was essentially the same):This shows minimal inferior ST Elevation that is howeverall but diagnostic of inferior ischemia. There is the o...
Source: Dr. Smith's ECG Blog - July 16, 2022 Category: Cardiology Authors: Steve Smith Source Type: blogs
Celebrating Hospice and Palliative Medicine as the Fifth Largest Medical Subspecialty
by Christian Sinclair (@ctsinclair)We have entered a new age! Spread the word!Hospice and palliative medicine (HPM) is the fifth largest medical subspecialty!You may have sensed we have been climbing the ranks, but I bet you are still surprised. A close look at the fellowship match data from Dec 2021, shows that HPM has the fifth highest number of matched applicants, behind the big 4: Cardiovascular, Pulmonary and Critical Care, Hematology and Oncology, and Gastroenterology.When I share this good news with HPM colleagues, few put us anywhere near fifth.I did an informal poll on Twitter and less than half of respondents ran...
Source: Pallimed: A Hospice and Palliative Medicine Blog - July 11, 2022 Category: Palliative Care Tags: fellowship sinclair The profession Source Type: blogs
Carbon Monoxide-Loaded Foam as Inflammatory Disease Treatment
Researchers at MIT have created a carbon monoxide-loaded foam intended for therapeutic use against inflammatory disease. While the gas is toxic if inhaled in large quantities, in small doses it has potent anti-inflammatory effects. However, delivering it to the gastrointestinal tract to treat inflammatory diseases, such as colitis, is a challenge. In response, these researchers emulated the edible foams available at high-end restaurants and loaded them with small amounts of carbon monoxide. The foam can be eaten or delivered rectally, and in preliminary studies in rodents the delivery technology showed therapeutic efficacy...
Source: Medgadget - July 8, 2022 Category: Medical Devices Authors: Conn Hastings Tags: GI Materials Medicine 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
Parenteral Diarrhea: Medical Myth or Reality?
Researchers have described parenteral diarrhea's association with extraintestinal infections for more than a century, but the evidence is impressively limited, which perpetuates claims that it is a medical myth and not an actual clinical entity.But it matters that noninfectious diarrhea and vomiting are sometimes associated with bacterial infections such as acute urinary tract infections because this can create diagnostic confusion. Diarrhea and vomiting in a girl or woman with a febrile UTI could lead to a misdiagnosis of acute gastroenteritis. Febrile UTIs are often pyelonephritis, so missing the diagnosis has significan...
Source: M2E Too! Mellick's Multimedia EduBlog - July 1, 2022 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Are you guilty of anchoring bias?
As doctors, we have all been guilty of anchoring bias, which means we put too much weight on the first complaint. When a patient presents to the clinic with a complaint that sounds vaguely like a headache due to a sinus infection, we whip out the script pad and write a script for Augmentin. WeRead more …Are you guilty of anchoring bias? originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - June 30, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/post-author/janet-tamaren" rel="tag" data-wpel-link="internal" > Janet Tamaren, MD < /a > < /span > Tags: Physician Gastroenterology Primary Care Source Type: blogs
The epidemic of work dread
Work dread. Even if you didn’t know it had a name, you know the feeling. It is that sensation in the pit of your stomach when you realize that the start of your workday or workweek is fast approaching, and you don’t want it to come. Sometimes it begins on Sunday afternoon when you wantRead more …The epidemic of work dread originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - June 17, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/post-author/michael-hersh" rel="tag" data-wpel-link="internal" > Michael Hersh, MD < /a > < /span > Tags: Physician Gastroenterology 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
A call to action for my medical colleagues
Modern medicine, a system originally designed to fix acute health care problems, now creates more chronic health care problems than helping to solve them. I see the dangers of over-testing and over-prescribing taking place each day in my day-to-day pediatric clinical practice. It scares me to see how many doctors reflexively prescribe pills designed toRead more …A call to action for my medical colleagues originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - May 10, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/post-author/uma-pisharody" rel="tag" data-wpel-link="internal" > Uma Pisharody, MD < /a > < /span > Tags: Conditions Cardiology Gastroenterology Primary Care Source Type: blogs
Fight Aging! Newsletter, April 4th 2022
Fight Aging! publishes news and commentary relevant to the goal of ending all age-related disease, to be achieved by bringing the mechanisms of aging under the control of modern medicine. This weekly newsletter is sent to thousands of interested subscribers. To subscribe or unsubscribe from the newsletter,
please visit:
https://www.fightaging.org/newsletter/
Longevity Industry Consulting Services
Reason, the founder of Fight Aging! and Repair Biotechnologies, offers strategic consulting services to investors, entrepreneurs, and others interested in the longevity industry and its complexities. To find out m...
Source: Fight Aging! - April 3, 2022 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
The Mysteries of Patella Dislocations
The patella, the largest sesamoid bone of the body, resides within the patellar tendon and gives the quadriceps muscle mechanical advantage during knee extension. It also protects the knee joint. The flat triangular-shaped patella with its apex pointed downward consists of dense trabecular bone covered with a thin compact lamina.The patella develops embryologically from six ossification centers that ultimately fuse around ages 4 to 6. The patellar tendon attaches to the patella inferiorly, and the vastus medialis and lateralis attach medially and laterally. The quadricep muscle attaches at the top and anterior aspects o...
Source: M2E Too! Mellick's Multimedia EduBlog - April 1, 2022 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Gastrointestinal Pressure Sensor Inspired by Incan Communication Technology
Researchers at MIT have designed a gastrointestinal pressure sensor that is inspired by the ancient Incan practice of quipu, which involves adding knots to a length of string to record information.
The knotted string approach has been put to good use by these MIT researchers, who discovered that introducing knots into an inexpensive gastrointestinal pressure sensor they had developed increased its sensitivity.
Gastrointestinal motility issues underlie various GI conditions, but current techniques to measure gastrointestinal pressure are cumbersome and expensive. This new approach provides an inexpensive sensor ...
Source: Medgadget - March 30, 2022 Category: Medical Devices Authors: Conn Hastings Tags: GI Source Type: blogs
Aging of the Intestinal Barrier as a Driving Cause of Chronic Inflammation
Chronic inflammation is a feature of aging, and causes disruption of cell and tissue function throughout the body. Short term inflammation is a necessary feature of regeneration from injury and defense against pathogens, but when inflammatory signaling is maintained for the long term it becomes very harmful. The risk of suffering all of the common diseases of aging is strongly connected to raised inflammation. Given this, we might ask what causes age-related systemic inflammation, and thus where should the research community seek to intervene, in order to reverse this undesirable aspect of degenerative aging.
A grow...
Source: Fight Aging! - March 29, 2022 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs
Weekly Overseas Health IT Links – 26th March, 2022.
Here are a few I came across last week.Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.-----https://mhealthintelligence.com/news/55-of-telehealth-providers-frustrated-with-overblown-patient-expectations55% of Telehealth Providers Frustrated With Overblown Patient ExpectationsProviders also cited their ability to provide quality care and technical difficulties as among their top frustrations with telehealth, a new survey shows.ByAnuja VaidyaMarch 18, 202...
Source: Australian Health Information Technology - March 26, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
More on why we Stay Alive
A couple of days ago I referred to the doubling of human life expectancy in 100 years, and the importance of pasteurization of milk in making that happen. Our next installment is about water. There ' s nothing more basic than good old H2O, but it used to kill city dwellers about as often as milk. People actually figured this out even before Pasteur and Koch came up with the germ theory of disease.Cholera is an intestinal infection caused by a bacterium called Vibrio cholera, which is spread through contaminated water or food. The disease causes severe diarrhea that can last for several days. Depending on the strain of bact...
Source: Stayin' Alive - March 21, 2022 Category: American Health Source Type: blogs
