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Accountability
I am a strong believer in accountability. I also often think that big pharma is not held accountable for the costs of their medications to patients and only to their stockholders. I have been following two cases on-going in the media. The first is the idiot Shkreli who raised prices on medications and smirked at Congress when asked about it.The second case is the one of the CEOs of New England Compounding Center who is on trial for 25 counts of second degree murder as a result of thenational outbreak of fungal meningitis in 2012 which killed 64 people." In 2014, federal prosecutors charged 14 former owners, pharmacists and...
Source: Caroline's Breast Cancer Blog - January 9, 2017 Category: Cancer & Oncology Tags: accountability crime pharmaceutical manufacturers Source Type: blogs

The Soto Saline Sign for Pseudoseizures
Conversion reactions are commonly seen conditions in health care and come in various forms and presentations. Two common conversion reactions seen in the emergency department are conversion coma and psychogenic nonepileptic seizures (PNES). Both mimic life-threatening conditions and require rapid differentiation. Premature anchoring and wrong diagnoses can result in potentially harmful outcomes or expensive and unnecessary procedures, workups, and evaluations.Conversion disorder, or functional neurological symptom disorder, is categorized under the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, (...
Source: M2E Too! Mellick's Multimedia EduBlog - January 4, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Cryptococcal Meningoencephalitis: RadioPath Correlation
MRI in cryptococcal meningitis shows dilated perivascular spaces and basal ganglia pseudocysts. Here is teaching video regarding radiological and pathological correlation of cryptococcal meningitis.Famous Radiology Blog http://www.sumerdoc.blogspot.com TeleRad Providers at www.teleradproviders.com Mail us at sales@teleradproviders.com (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - December 19, 2016 Category: Radiology Authors: Sumer Sethi Source Type: blogs

Funtabulously Frivolous Friday Five 166
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 166 Question 1 Young’s syndrome is associated with which symptoms? + Reveal the Funtabulous Answer expand(document.getElementById('ddet1572406364'));expand(document.getElementById('ddetlink1572406364')) Bronchiectasis, rhino-sinusitis and reduced fertility Individuals with this syndrome have notably thick secretions which cause the above syndromes. It was noted by Donald Young a urologist in...
Source: Life in the Fast Lane - November 19, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five bronchiectasis Christopher Wren epiglottitis George Washington HSV1 HSV2 hypovolaemic shock infertility IV therapy Mollaret's meningitis rhinosinusitis Varicella VSV Young's syndrome Source Type: blogs

Aluminium Adjuvants Have Never Been Approved For Use In Vaccination
Conclusion Over the years, hexavalent vaccinations have been responsible for many deaths and disabilities worldwide, and yet they remain in use today. It is shocking to know that a leading pharmaceutical company such as GlaxoSmithKline has known of the danger of these vaccines for years, and yet they continue to portray them as safe and effective. This is just one of the many papers that have been hidden over the years. How many more scholarly papers that reveal similar adverse reactions have the pharmaceutical industries and governments hidden in their archives? To learn more about hidden documents, read At Last! Governm...
Source: vactruth.com - November 17, 2016 Category: Allergy & Immunology Authors: Christina England, BA Hons Tags: Christina England Physical Top Stories adjuvants Aluminum truth about vaccines Vaccine Death Source Type: blogs

Metals in Medicine
.rig img {width:80px;height:60px;} An exhibit called “Minerals in Medicine” opened at the NIH Clinical Center last month (see slideshow). The display features a fascinating overview of how dozens of minerals are used to create drugs and medical instruments useful in treating disease and maintaining health. The minerals ranged from commonplace ones like quartz, which is used to make medical instruments, to more exotic ones like huebnerite, a source of the metal tungsten, which is used in radiation shielding. Inspired by this collection, which is co-sponsored by NIH and the Smithsonian Institution, we highlight here exa...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - November 14, 2016 Category: Research Authors: Chris Palmer Tags: Chemistry and Biochemistry Cell Biology Cellular Imaging Cellular Processes Cool Images Metals Source Type: blogs

Naturopaths have no place providing health care to children
Naturopaths hate it when I draw attention to examples of patient harm resulting from naturopaths failing to uphold medical standards of care. The Ezekiel Stephan case was a prime example of the harm that can come from naturopaths trying to play doctor. Nineteen-month-old Ezekiel Stephan died in 2012 from bacterial meningitis after his parents sought medical advice from naturopath Tracey Tannis. Per Tannis’s recommendation, Ezekiel’s parents treated him with echinacea. Tannis’s prescription fit right alongside the assortment of natural therapies Ezekiel’s parents had already been giving him. Further details about th...
Source: Kevin, M.D. - Medical Weblog - November 13, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/britt-marie-hermes" rel="tag" > Britt Marie Hermes, ND < /a > Tags: Physician Pediatrics Source Type: blogs

Answer to Case 420
Answers:Rachael is wearing a fish costume and is infected with an adultDiphyllobothrium latum,commonly known as the broad fish tapeworm. Yes, she technically would have the larval form rather than the adult worm, but hey, she gets extra bonus points for the excellent morphology of her worm. Note the ' spoon-shaped ' scolex and the wide proglottids with central rosette-like uterine structures. Each proglottid was attached using Velcro, so she could ' shed ' whole segments of proglottids at a time.HerGiardia duodenaliscupcakes were delicious, just like her botfly andDracunculus medinensiscupcakes fromlast year.Heather delive...
Source: Creepy Dreadful Wonderful Parasites - October 30, 2016 Category: Parasitology 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

The Dangerous Expansion of Adult Vaccinations
Conclusion The vaccination comprises a misguided and unsafe national health care program which claims to prevent disease. Many significant health injuries are associated with vaccinating adults. Government resources are being spent researching and developing new and different vaccinations. Subjecting adults to more vaccinations is likely to cause more health injury and illness. References: http://www.vaccinationcouncil.org/2012/07/05/herd-immunity… http://www.cdc.gov/chronicdisease/overview/ http://www.vaccinationcouncil.org/2011/02/18/60-lab-studies… http://www.cdc.gov/vaccines/schedules/hcp/adult.html http:...
Source: vactruth.com - September 10, 2016 Category: Allergy & Immunology Authors: Michelle Goldstein Tags: Logical Michelle Goldstein Recent Articles Top Stories adult vaccination adult vaccines new vaccines shingles vaccine truth about vaccines Source Type: blogs

Faculty Procedural Supervision and Expertise: An Endangered Species
Editor’s Note: This post is one of two pieces on the topic of procedural competency. Check back next week for the other piece. A few days ago I was working with a new resident and she came to me for help with a procedure. She had a patient with a severe headache and fever and she wanted to do a spinal tap. We had previously discussed the differential diagnosis and the possibility of meningitis. Now it was clear the resident was not at all confident in her ability to do the procedure and that I might have to do it. I took a deep breath. Although there had been a time when I was confident about doing a spinal tap, that was...
Source: Academic Medicine Blog - September 6, 2016 Category: Universities & Medical Training Authors: David P. Sklar, M.D. Tags: Featured From the Editor Editor in Chief faculty procedural competency resident Source Type: blogs

LITFL Review 247
Welcome to the 247th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chuck of FOAM. The Most Fair Dinkum Ripper Beauts of the Week Simulationists, join Ben Symon’s Simulcast Journal Club discussion, reviewing recently published reporting guidelines for simulation research. [JS] The Best of #FOAMed Emergency Medicine Uterine inversion is rare and life-threatening, the per...
Source: Life in the Fast Lane - September 4, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Branded as Well As Unbranded Vaccine Ads Are the Scariest!
WhenSTATnews reporter Rebecca Robbins (@rebeccadrobbins) interviewed me about what's behind ominous unbranded"disease awareness" ads, I opined that if you ’re a drug maker, “you don’t want to attach a dark image to the brand — so you’re attaching this dark imagery to a medical condition instead,” which leaves room for a branded ad that shows “the bright side: that there’s this product that can save the day” (Read"#Pharma'Disease Awareness' Ads: Are They'Stealthy' Fear Mongering Set Pieces?").That"conventional wisdom" or"rule" -- if it is one -- o...
Source: Pharma Marketing Blog - August 31, 2016 Category: Pharmaceuticals Tags: Gardasil GSK HPV Meningitis B Pfizer Trumenba Vaccine Source Type: blogs

Narrative Matters: On Our Reading List
Editor’s note: “Narrative Matters: On Our Reading List” is a monthly roundup where we share some of the most compelling health care narratives driving the news and conversation in recent weeks. In this month’s Narrative Matters essay, former Department of Health and Human Services (HHS) Secretary Louis Sullivan writes about growing up in rural Georgia and entering medical school as the only black student in his class. Sullivan graduated from Boston University School of Medicine in 1958 with only $500 in debt — hard to fathom when, today, med students might finish school owing some $150,000 to $250,000. Sulli...
Source: Health Affairs Blog - August 12, 2016 Category: Health Management Authors: Jessica Bylander Tags: Elsewhere@ Health Affairs Featured Narrative Matters On Our Reading List opioids Veterans Source Type: blogs