Adventure In Pain
Lots has happened since my last post, and this is a record of those events. I have to write it somewhere. It's interesting to me, part of the journey, but you'll be the judge. It's mostly whining.
Background for the reader: Last Wednesday I had an infusion of a study drug and an infusion of Zometa, and also began a week of oral Valtrex in case my back pain might be the prodrome for shingles. By Friday the pain in my back and abdomen was much more pronounced, continuing into Saturday. I posted about that here.
Saturday, February 20, 2016:
I have a new respect for people who are obliged...
Source: Myeloma Hope - February 24, 2016 Category: Cancer & Oncology Tags: DEX dexamethasone kidney pain Source Type: blogs
Adventure In Pain
Lots has happened since my last post, and this is a record of those events. I have to write it somewhere. It ' s interesting to me, part of the journey, but you ' ll be the judge. It ' s mostly whining.
Background for the reader: Last Wednesday I had an infusion of a study drug and an infusion of Zometa, and also began a week of oral Valtrex in case my back pain might be the prodrome for shingles. By Friday the pain in my back and abdomen was much more pronounced, continuing into Saturday. I posted about that here.Saturday, February 20, 2016:
I have a new respect for people who are obliged to ...
Source: Myeloma Hope - February 24, 2016 Category: Cancer & Oncology Tags: DEX dexamethasone kidney pain Source Type: blogs
Research and Reviews in the Fastlane 120
Welcome to the 120th edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature.
This edition contains 6 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Anand Swaminathan and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R project or check ou...
Source: Life in the Fast Lane - February 3, 2016 Category: Emergency Medicine Authors: Soren Rudolph Tags: Anaesthetics Clinical Research Education General Surgery Ophthalmology Pediatrics Pharmacology Pre-hospital / Retrieval R&R in the FASTLANE Resuscitation Trauma critical care emergency Emergency Medicine recommendations resea Source Type: blogs
A Nefarious Character with an Agenda
Every new advanced nurse practitioner, physician assistant, or resident gets his fair share of complex emergency department procedures during training. Seasoned providers, however, are just as excited to place a central line in a septic patient, LP a "rule-out meningitis," or swiftly fix a nursemaid's elbow.This month we hope to remind you of a few sweet and satisfying procedures that take only moments to do. Your skill in completing these procedures is imperative. Not only will you amaze your patient, but you'll shorten your door to dispo-time.The StyeThe stye is a nefarious character with an agenda. It starts o...
Source: The Procedural Pause - February 1, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
LITFL Review 215
Discussions. [SR]
In the UK, junior doctors (equivalent of interns/residents) have just staged a walkout due to unfair working conditions. Dr Helgi (@traumagasdoc) sums up some of the issues for anaesthetist/critical care trainees in this blog post. [SO]
The Best of #FOAMed Emergency Medicine
Fantastic podcast on UK Trauma Units from the St Emlyns Team and Tim Coates. [SL]
Cliff Reid discusses prehospital dogma focusing on our resuscitation approach to crush injuries. [AS]
The Best of #FOAMcc Critical Care
Another great SMACC podcast as Manoj Saxena discusses temperature control in TBI. [SO]
The Best of #FOAMtox Toxic...
Source: Life in the Fast Lane - January 17, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
LITFL R&R – Best of 2015
This article is one more piece of the mounting evidence demonstrating a clear call to change what is the usual care in many institutions in the U.S. Stop the madness!
Chest pain is tough — it’s the second most ED common chief complaint, and it scares the heck out of us and our patients – partially because missed MI is one one of the top causes of litigation. But we also see a ton of resources spent on a terribly low yield from chest pain workups. This new study in JAMA-IM including Mike Weinstock (of Bounceback fame), Scott Weingart and David Newman looked at the bad outcomes of patients with normal ECG...
Source: Life in the Fast Lane - January 9, 2016 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Airway Anaesthetics Cardiology Education Emergency Medicine Intensive Care Pre-hospital / Retrieval R&R in the FASTLANE Respiratory Resuscitation Trauma critical care examination research and reviews Source Type: blogs
Opioid Drugs for Mental Anguish: Basic Research and Clinical Trials
The prescription opioid crisis of overdosing and overprescribing has reached epic proportions, according to the North American media. Just last week, we learned that 91% of patients who survive opioid overdose are prescribed more opioids! The CDC calls it an epidemic, and notes there's been “a 200% increase in the rate of overdose deaths involving opioid pain relievers and heroin.” A recent paper in the Annual Review of Public Health labels it a “public health crisis” and proposes “interventions to address the epidemic of opioid addiction” (Kolodny et al., 2015).In the midst of this public and professional outc...
Source: The Neurocritic - January 7, 2016 Category: Neuroscience Authors: The Neurocritic Source Type: blogs
Stealth Public Relations and Health Advocacy, Special Pleadings and the Opposition to Guidelines Discouraging Overuse of Narcotics
As I have written before as a physician who saw too many dire results of intravenous drug abuse, I was amazed how narcotics were pushed as the treatment of choice for chronic pain in the 1990s, with the result that the US was once again engulfed in an epidemic of narcotic abuse and its effects. In mid-December, 2015, as reported in the Washington Post,The nation continues to suffer through a widespread epidemic to prescription opioids and their illegal cousin, heroin. The CDC estimated that 20 percent of patients who complain about acute or chronic pain that is not from cancer are prescribed opioids. Health-care prov...
Source: Health Care Renewal - January 4, 2016 Category: Health Management Tags: CDC Cephalon conflicts of interest deception Endo Health Solutions Johnson and Johnson narcotics public relations Purdue Pharma stealth health policy advocacy Source Type: blogs
Mallinckrodt Diversifies Hospital Growth Portfolio, Acquiring Three Commercial-Stage, Global Specialty Hemostasis Brands From The Medicines Company
CHESTERFIELD, United Kingdom, Dec. 18, 2015 /PRNewswire/ -- Mallinckrodt plc (NYSE: MNK), a leading global specialty biopharmaceutical company, today announced that it has entered into a purchase agreement with The Medicines Company (NASDAQ: MDCO) under which subsidiaries of Mallinckrodt plc will acquire a global portfolio of three commercial-stage topical hemostasis drugs – RECOTHROM® Thrombin topical (Recombinant), PreveLeak™ Surgical Sealant, and RAPLIXA™ (Fibrin Sealant) – for an initial payment of approximately $175 million, inclusive of existing inventory. Th...
Source: Medical Hemostat - December 19, 2015 Category: Medical Equipment Authors: hemostatguy at gmail.com (hemostat guy) Source Type: blogs
Annual NIDA Survey Shows Declines in Teen Drug Use
The kids are all right.Every year, the National Institute of Drug Abuse (NIDA), under the auspices of the National Institutes of Health, conducts its Monitoring the Future survey of drug use among American young people in the 8th, 10th, and 12th grades.This year, students got very good marks. “We are heartened to see that most illicit drug use is not increasing, non-medical use of prescription opioids is decreasing, and there is improvement in alcohol and cigarette use rates,” said Dr. Nora Volkow, Director of NIDA. Here are some highlights from this year’s study:— Despite nationwide concerns over prescription opio...
Source: Addiction Inbox - December 15, 2015 Category: Addiction Authors: Dirk Hanson Source Type: blogs
Patients in the Himalayas Grateful for Care
BY RACHEL EDWARDS, MD
I traveled to India in August 2014 with Himalayan Health Exchange (HHE), which organizes groups of attending physicians, residents, medical students, and nurses from around the world to travel to one of the most remote parts of the world, deep in the Himalayan Mountains. Our route took us to the Pangi Valley of Northern India, where the road we traveled has only existed for a decade and is impassable during the winter months when the road is covered in snow. The people who live there are resilient and hardened by their environment of mountainous terrain and harsh climate.
Our group, escorted...
Source: Going Global - November 18, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Patients in the Himalayas Grateful for Care
BY RACHEL EDWARDS, MD
I traveled to India in August 2014 with Himalayan Health Exchange (HHE), which organizes groups of attending physicians, residents, medical students, and nurses from around the world to travel to one of the most remote parts of the world, deep in the Himalayan Mountains. Our route took us to the Pangi Valley of Northern India, where the road we traveled has only existed for a decade and is impassable during the winter months when the road is covered in snow. The people who live there are resilient and hardened by their environment of mountainous terrain and harsh climate.
Our group, es...
Source: Going Global - November 18, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Acetaminophen for Fevers in the Critically Ill: Good for...
Acetaminophen for Fevers in the Critically Ill: Good for Patients, or Are We Treating Ourselves? via Now@NEJM Posted on infosnack. (Source: Kidney Notes)
Source: Kidney Notes - November 11, 2015 Category: Urology & Nephrology Authors: Joshua Schwimmer Source Type: blogs
Indiana Baby Dies in His Sleep Days After Receiving 6 Vaccine Doses
Conclusion
When other families were celebrating Halloween festivities, Michael’s parents were attending his funeral. He was buried on October 30, 2015.
If you've never learned about vaccine reactions before, this may be a lot of information to take in, but it is crucial to know. Our hearts go out to these children and their families. Please research what is in any vaccine you plan to allow yourself or your child to receive.
Spend the time learning what you will do if your child suffers a vaccine injury. Spend time getting a copy of your child’s medical records and viewing the vaccines your child has already recei...
Source: vactruth.com - November 6, 2015 Category: Allergy & Immunology Authors: Augustina Ursino Tags: Augustina Ursino Human Top Stories adverse reactions Michael Whitesell MMR vaccine truth about vaccines Vaccine Death VAERS Source Type: blogs
