A physician ’s poignant election thoughts
I took a long walk with my dog today, and then I took a shower.
I like showers. I’ve always found them soothing and comforting. I can think in there. I can relax. I can’t hear the phone ring. I can’t see a television. Generally, no one bugs me while I’m in there. I come out clean, refreshed, and smelling and feeling good.
A shower can relieve aching muscles while removing the dirt and sweat from a long hike or a hard workout or a stint fighting weeds, raking leaves, or shoveling snow. Showers are powerful for me, so much so that the combination of just a single 200 mg ibuprofen with a long hot shower will knock o...
Source: Kevin, M.D. - Medical Weblog - November 12, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/abigail-schildcrout" rel="tag" > Abigail Schildcrout, MD < /a > Tags: Physician Primary care Source Type: blogs
MKSAP: 30-year-old woman is evaluated for difficult-to-treat migraine
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 30-year-old woman is evaluated for difficult-to-treat migraine. She has had severe headaches, usually on the first day of menses, since menarche. The pain is hemicranial, pulsatile, and associated with severe nausea and vomiting but no aura. She frequently awakens with the attack already in progress. Ibuprofen was helpful in controlling migraine pain during her teenage years and early 20s but was replaced 5 years ago by oral eletriptan after the pain was no longer controlled; this drug now also is ineffective ...
Source: Kevin, M.D. - Medical Weblog - November 5, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Neurology Source Type: blogs
Water, water everywhere
Follow me on Twitter @RobShmerling
Water bottles are everywhere.
It’s a relatively recent development. Whether at work, working out, watching a movie, or just about anything else, it’s as if there’s been an epidemic of dehydration that can only be warded off by constant access to water. It seems strange to me; almost no one did this a decade or two ago. Were people in the past less healthy or did they feel less well because they drank when they were thirsty or with meals, rather than throughout the day?
Water is important
Clearly, water is a necessity. Without it, a person can only survive a few days. Water serves ...
Source: Harvard Health Blog - November 3, 2016 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Health Healthy Eating Source Type: blogs
Solutions for Difficult Problems: Pediatric Nail Bed Laceration Basics – Part 3
Our pediatric patient population is special, small humans with distinctive needs, medication doses, and unexpected challenges. The more you use the simple approach to pediatric emergency department procedures, the more you will experience faster, smoother, and better results.You don't have to get fancy unless of course you have a Child Life Program in your department. The materials are simple and the skill is straightforward. Adding a sense of humor, learning the words to "Frozen," and laughing with your pediatric patient (whenever possible) will also help ease the tension.A 4-year-old with pediatric nail b...
Source: The Procedural Pause - November 1, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
How to Control Pain with Your Mind
Most of us believe that we have no control over pain/discomfort in our body. If we feel pain we might use painkilling medicine or some type of ice or heat or other analgesic topical treatment. But most of us would not consider using our mind to control pain.
I’d like to share with you something I have learned that is very cool. You CAN in fact use your mind to reduce and in some cases eliminate pain, discomfort, and other body annoyances.
Let’s see how this works.
The Foundation of Efficacy : Belief
The first step in being able to use this natural tool of your mind for pain relief it is to believe that it’...
Source: Life Learning Today - October 27, 2016 Category: Consumer Health News Authors: AgentSully Tags: Featured FUN Happy Healthy Living How To Ideas Solving Problems mind mind control natural pain management Source Type: blogs
Staying active at “that time of the month”
Follow me on Twitter @RobShmerling
This past August, her exuberance, emotion and enthusiasm had already made Fu Yuanhui the most famous Chinese athlete at the Olympics. After winning a bronze medal in the women’s 100-meter backstroke with a personal best, she nearly exploded with excitement: “I was so fast! I’m really pleased! I’ve already… expended my primordial powers!” Her interview went viral with millions of hits worldwide.
Then she said something truly shocking: she was having her period. Noticing that the swimmer was grimacing after her relay team narrowly missed medaling, an interviewer asked if she had...
Source: Harvard Health Blog - October 5, 2016 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Exercise and Fitness Women's Health Source Type: blogs
3 Miracles Steps For Eliminating All Stress in 5 Days (Without Tricks)
Conclusion
Tactics can help you with stress reduction. But these should only be used when you have found a job that you love that happens to have stress that cannot be avoided, like being an entrepreneur.
Otherwise, you want to solve the root issue of your stress rather than cover up the symptoms because it is what will truly fix the problem.
If you have any further questions, feel free to contact me and I will help out for free.
To get more articles like this, sign up for my email newsletter at willyoulaugh.comYou've read 3 Miracles Steps For Eliminating All Stress in 5 Days (Without Tricks), originally posted...
Source: PickTheBrain | Motivation and Self Improvement - August 22, 2016 Category: Consumer Health News Authors: WillChou Tags: featured self education self improvement success anxiety best depression blogs happiness how to reduce stress meditation pickthebrain Source Type: blogs
NYTimes: Minorities Suffer From Unequal Pain Treatment
Roslyn Lewis was at work at a dollar store here in Tuscaloosa, pushing a heavy cart of dog food, when something popped in her back: an explosion of pain. At the emergency room the next day, doctors gave her Motrin and sent her home.Her employer paid for a nerve block that helped temporarily, numbing her lower back, but she could not afford more injections or physical therapy. A decade later, the pain radiates to her right knee and remains largely unaddressed, so deep and searing that on a recent day she sat stiffly on her couch, her curtains drawn, for hours.The experience of African-Americans, like Ms. Lewis, and other mi...
Source: Psychology of Pain - August 9, 2016 Category: Anesthesiology Source Type: blogs
Finding the right balance in pain relief: A physician ’s story
After surgery for my broken tibia, I realized that there were only four points on the pain scale that really mattered to me:
I’m OK. This acetaminophen/ibuprofen/whatever is enough.
I wouldn’t mind a little something more, preferably something that binds mu
Um, could you please hurry that up?
NOW! NOW! I need it NOW!
On the 0 to 10 pain scale, who really cares if you are at a 2 or a 3, a 3 or a 4? What does that really mean? Either we want or need additional drugs, or we don’t. Either I am OK with oral opioids, or please give me something faster, stronger, and better. As a patient, I answered with whatever number...
Source: Kevin, M.D. - Medical Weblog - August 7, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/rita-agarwal" rel="tag" > Rita Agarwal, MD < /a > Tags: Physician Pain management Source Type: blogs
The day a young patient took charge and grew up
Dustin Ouellete grew up a bit the other day.
I had known Dustin as an infant, and his mother before that. Several years ago, the Ouellete family moved away to the big city, but last summer they came back.
Dustin came in a few times with his father, and his main concern was migraines. Dustin’s father, a quiet man who seldom smiles, was concerned that the headaches were keeping his son from excelling in sports, and Dustin seemed overwhelmed with the idea of taking daily medication.
It seemed clear that physical exertion beyond a certain intensity was a trigger for Dustin’s s migraines, and at first, he thought he might b...
Source: Kevin, M.D. - Medical Weblog - July 21, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/a-country-doctor" rel="tag" > A Country Doctor, MD < /a > Tags: Physician Pediatrics Source Type: blogs
How do you explain these inferior hyperacute T-waves?
Alberto Pinsino, a cardiology fellow from Milan, Italy, sent this case:Dr. Smith,I would be interested in knowing your opinion about this case..The CaseA 59-year-old Asian woman with hypertension and hypercholesterolemia and no past history of CAD came to the ED of a major teaching hospital with waxing and waning chest pain worsened by minimal efforts which had been ongoing for 5 days. She had visited the same ED two days before for the same reason. The EKG is not available but described by the on-call cardiologist as “non specific repolarization abnormalities.” The troponin was negative and she was d...
Source: Dr. Smith's ECG Blog - June 9, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs
Advil Increases Social Pain (if you're male)
Headache, Guillaume DELEBARRE (Guigui-Lille)A recent neuroessay in the New York Times asked, Can Tylenol Help Heal a Broken Heart?What’s crazy about the pain of a broken heart is that your body perceives it as physical pain.No it does not. Do you feel heartbroken every time you stub your toe?Well... I guess the social pain = physical pain isomorphism is a one way street. Anyway, the author continued:In research published in 2010, scientists found that acetaminophen can reduce physical and neural responses associated with the pain of social rejection, whether in romantic relationships, friendships or otherwise.The pain re...
Source: The Neurocritic - June 5, 2016 Category: Neuroscience Authors: The Neurocritic Source Type: blogs
Advil Increases Social Pain (if you're male)
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Source: The Neurocritic - June 5, 2016 Category: Neuroscience Authors: The Neurocritic Source Type: blogs
