progress and next steps
I had an MRI a couple of weeks ago and got the results last week. There has been slight progression in all three tumours in the brain.That ' s the bad news.The good news is that there are no new tumours and that my spine and cerebrospinal fluid remain clear, with no detectable cancer. This means that the Herceptin must be doing something for things to be progressing relatively slowly.We just have to figure out how to make it better at its job.There is very little research, when it comes to leptomeningeal disease (orleptomeningeal carcinomatosis), so in lots of ways we are making things up as we go along. The first thing we...
Source: Not just about cancer - November 30, 2016 Category: Cancer & Oncology Tags: brain metastasis breast cancer chemotherapy health care herceptin metastatic things i do for my health weird Source Type: blogs
Research and Reviews in the Fastlane 159
This article is one I highly recommend you find full text and read the methods.
Recommended by Clay Smith
Read more: Buccal O2 in Obese Patients: 12.5 Minutes of Apnea (EM Topics)
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Source: Life in the Fast Lane - November 9, 2016 Category: Emergency Medicine Authors: Jeremy Fried Tags: Airway Clinical Research Education Emergency Medicine Pediatrics R&R in the FASTLANE Trauma EBM literature recommendations research and reviews Source Type: blogs
Meningitis FAQ
You know when they say the symptoms of meningitis are commonly a headache and a stiff neck and perhaps purple blotches on the skin that don’t pale when pressed…well…it can be far worse than that and can kill. If you’re in a vulnerable group, make sure you’re vaccinated. It is highly recommended that new university and college students are vaccinated because meningitis is far worse than a spot of “fresher’s flu” (usually just a cold) and can be passed on through coughs and sneezes, close contact and kissing infected people and even just sharing kitchen utensils. If it doesn...
Source: David Bradley Sciencebase - Songs, Snaps, Science - October 6, 2016 Category: Science Authors: David Bradley Tags: Science Source Type: blogs
Would Our Procedural Competence in Medicine Stand Up to the Same Level of Scrutiny as … a Hockey Goalie?
Editor’s Note: This post is one of two pieces on the topic of procedural competence. Read the other piece here.
By: Martin Pusic, MD, PhD, assistant professor, Emergency Medicine, and director, Division of Learning Analytics, New York University School of Medicine Institute for Innovations in Medical Education, New York, New York.
When I read Vaisman and Cram’s thoughtful Perspective on academic faculty procedural competence, I agreed with most of what they had to say. Academic faculty are certainly having to adapt to a myriad of dislocations as our health systems adapt to new realities. What doesn’t change is the b...
Source: Academic Medicine Blog - September 13, 2016 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective big data deliberate practice faculty procedural competency Source Type: blogs
Research and Reviews in the Fastlane 148
Welcome to the 148th 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, Justin Morgenstern 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 o...
Source: Life in the Fast Lane - August 24, 2016 Category: Emergency Medicine Authors: Justin Morgenstern Tags: Education Emergency Medicine Infectious Disease Neurosurgery R&R in the FASTLANE EBM literature recommendations research and reviews Source Type: blogs
Can a Smell Test Predict Early Stages of Alzheimer ’s Disease?
< h3 style="text-align: center;" > Researchers report that an odor identification test may prove useful in predicting cognitive decline and detecting early-stage Alzheimer ’s disease. < /h3 > < br / > < div class="separator" style="clear: both; text-align: center;" > < a href="https://2.bp.blogspot.com/-U-WwVJn-3ps/V5uY1ewtclI/AAAAAAAAyRE/yjJSIQ9nWXUuPMjqPfmeam2G5iHwX0_VQCLcB/s1600/Alzheimer%2527s%2BSmell%2BTest.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;" > < img alt="Could a smell test be a useful tool in memory care and dementia care?" border="0" height="185" src="https...
Source: Alzheimer's Reading Room, The - July 29, 2016 Category: Neurology Tags: alzheimer's and dementia alzheimers care dementia care family caregiving help alzheimer's memory care odor identification smell test Source Type: blogs
Research and Reviews in the Fastlane 144
Welcome to the 144th 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, Justin Morgenstern, 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 ...
Source: Life in the Fast Lane - July 28, 2016 Category: Emergency Medicine Authors: Jeremy Fried Tags: Cardiology Education Intensive Care Neurology R&R in the FASTLANE EBM Emergency Medicine literature recommendations research and reviews Source Type: blogs
Medtech Innovator 2016 Semi-Finalists Announced
MedTech Innovator, the medtech industry’s annual start-up competition and virtual accelerator, has just announced their 20 semi-finalists. 430 companies from around the globe applied for these coveted spots, and were reviewed by 90 reviewers from 50 different companies. These ground-breaking semi-finalists will undergo a four month virtual accelerator before attending AdvaMed 2016. There, four finalists will be selected to present and compete for $250,000 in cash prizes, with the winner being selected by audience vote. In addition, throughout the year there will be additional awards given in three areas: Value, Ex...
Source: Medgadget - July 6, 2016 Category: Medical Equipment Authors: Justin Barad Tags: Exclusive News Source Type: blogs
Research and Reviews in the Fastlane 133
This study certainly suggests a benefit to using Dexmedetomidine in these patients.
Recommended by: Nudrat Rashid
The Best of the Rest
Emergency Medicine
Beadle KL et al. Isopropyl alcohol nasal inhalation for nausea in the Emergency Department: A randomized controlled trial. Ann Emerg Med. 2015. PMID: 26679977
This is a small double-blinded RCT comparing inhaled isopropyl alcohol to saline placebo for short-term relief of nausea in the ED. Although it is hard to believe patients (and possibly investigators) were truly blinded to the odor of isopropanol, this study found isopropanol superior to placebo for improvement...
Source: Life in the Fast Lane - May 4, 2016 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Education Emergency Medicine Intensive Care Neurology Neurosurgery critical care examination R&R in the FASTLANE recommendations research and reviews Resuscitation Source Type: blogs
Staff at work
One of the great pleasures of being ex-CEO of a hospital is to visit other places around the world and see the staff in action. Whatever you might have heard about the stresses and problems faced by doctors and nurses and others, there remains an underlying sense of purpose and commitment that often shines through.Here's a example, from the theatre in which young patients at Royal Children's Hospital receive lumbar punctures and bone marrow tests to receive chemotherapy and/or to assess their progress with regard to leukemia treatments. I offer the explanation totally in pictures, which pretty well tell the sto...
Source: Not running a hospital - March 4, 2016 Category: Hospital Management Source Type: blogs
Do you know about behcet’s syndrome?
I was reading some medical records the other day and came upon a condition known as Behcet’s syndrome. It is actually a rare disease, but more frequent and severe in patients from the Eastern Mediterranean and Asia. Inherited (genetic) and environmental factors, such as microbe infections, are suspected to be factors that contribute to the development of Behcet’s. The syndrome is not proven to be contagious. The symptoms of Behcet’s syndrome depend on the area of the body affected. Behcet’s syndrome can involve inflammation of many areas of the body. These areas include the arteries that supply blood to the body’...
Source: Nursing Comments - January 24, 2016 Category: Nursing Authors: Stephanie Jewett, RN Tags: Advice/Education Caregiving General Public Nursing/Nursing Students Patients/Specific Diseases Behcet's disease Behcet's syndrome cortisone genital ulcers inflammation mouth ucerations skin test Source Type: blogs
Do you know about behcet ’s syndrome?
I was reading some medical records the other day and came upon a condition known as Behcet’s syndrome. It is actually a rare disease, but more frequent and severe in patients from the Eastern Mediterranean and Asia. Inherited (genetic) and environmental factors, such as microbe infections, are suspected to be factors that contribute to the development of Behcet’s. The syndrome is not proven to be contagious. The symptoms of Behcet’s syndrome depend on the area of the body affected. Behcet’s syndrome can involve inflammation of many areas of the body. These areas include the arteries that supply blood to the body’...
Source: Nursing Comments - January 24, 2016 Category: Nursing Authors: Stephanie Jewett, RN Tags: Advice/Education Caregiving General Public Nursing/Nursing Students Patients/Specific Diseases Behcet's disease Behcet's syndrome cortisone genital ulcers inflammation mouth ucerations skin test Source Type: blogs
This is critical advice for doctors today: “You’ve gotta like your patients”
Although I didn’t think much of the statement when I first heard it from my residency director, now, nearly twelve years later, I realize its value. I learned so much during those three years. I learned to prepare for success prior to every procedure I started to avoid clumsily searching for needed equipment mid-procedure. I learned what an eternity of time I gained during an intubation if I could be calm and conscientious enough to pre-oxygenate the patient. I learned how to adjust the angle of the spinal needle when it met bone during a lumbar puncture. I learned a lot about how to give bad news (a skill I ha...
Source: Kevin, M.D. - Medical Weblog - November 19, 2015 Category: Journals (General) Authors: Thomas Paine, MD Tags: Physician Emergency Source Type: blogs
IDEA Labs: Medical Students Take The Lead In Healthcare Innovation
The post below originally ran on the Better Health blog on May 5th.
It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately, one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors and had the courage to tackle the problem head-on. Three years ago, Avik Som organized “Problem Day” at his medical school (Washington University School of Medicine in St. Louis, MO) and invited his professors to an unres...
Source: Disruptive Women in Health Care - May 12, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Innovation Source Type: blogs
IDEA Labs: Medical Students Take The Lead In Healthcare Innovation
People's Choice Winning Idea: NephroZip
It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately, one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors and had the courage to tackle the problem head-on. Three years ago, Avik Som organized “Problem Day” at his medical school (Washington University School of Medicine in St. Louis, MO) and invited his professors to an unrestricted “open mic” v...
Source: Better Health - May 5, 2015 Category: American Health Authors: Dr. Val Jones Tags: Expert Interviews Research American Resident Project Collaboration DemoDay Engineers Healthcare Innovation IdeaLabs Medical Students Washington University School of Medicine Source Type: blogs
