Viral symptoms, then acute chest pain and this ECG. What do you do?
A late 30 ' s male presented with fever, sore throat, headache, vomiting, and body aches ( " bones hurting " ) for 2 days.He presented to the ED because he developed sudden severe, sharp, pleuritic (but not positional), substernal and left mid to lower chest pain.He had this ECG at time 0What do you think?There was an old ECG for comparison:Very normalInterpretation:There is serious widespread ST elevation that could easily by due to a wraparound LAD with anterior and inferior MI.  It could also be due to pericarditis or myocarditis, but I always say that " you diagnose pericarditis at your peril. "If you thought...
Source: Dr. Smith's ECG Blog - January 9, 2020 Category: Cardiology Authors: Steve Smith Source Type: blogs

Vestibular migraine: Progress in the search for treatments
Nearly 15% of the world’s population has migraine, a condition in which moderate-to-severe headache is associated with neurological abnormalities such as visual dysfunction, sensitivity to light, disordered speech, nausea, vomiting, or dizziness. While we now have many options to treat the head pain associated with migraine, we are often helpless in treating these other associated neurological symptoms. One of the most bothersome neurological symptoms patients report is vertigo or dizziness-associated with migraine, a condition we call vestibular migraine, and in which patients feel as though they, or the environment aro...
Source: Harvard Health Blog - January 6, 2020 Category: Consumer Health News Authors: William Renthal, MD, PhD Tags: Headache Source Type: blogs

Do I Have an Alcohol Problem?
Is your alcohol use turning into something you are worried about? It can be hard for many people to determine whether or not they have a problem with alcohol, but chances are, you’re not happy with your current drinking habits. If you’re wondering “do I have an alcohol problem?’, keep reading for a few tell-tale signs, what is involved with treatment, and what can happen if you leave your alcohol problem untreated. Ask Yourself These Questions If you are asking yourself, “do I have an alcohol problem?”, as yourself the following questions first. If you answer yes to most or all of them, it could be time to con...
Source: Cliffside Malibu - January 3, 2020 Category: Addiction Authors: Jaclyn Uloth Tags: Alcohol Alcohol Rehab Information Alcoholism Detox Resources for Alcohol and Drugs/Opiates alcohol abuse alcohol detox alcohol treatment Source Type: blogs

Eating to Heal the Mind
Generations of moms and grandmothers have gone to their gardens and cupboards to heal ailments of all kinds. Herbs, medicinal recipes (including chicken soup), and vegetables are gaining the attention of doctors and scientists, who rely on controlled studies rather than anecdotal evidence to prove what works in the body reliably and safely. Today, just as throughout history, in every culture, there are foods that can be used as medicine, but can what you eat affect your mental health as well? Is it possible to treat things like anxiety and depression with food?  Research is showing the Mediterranean Diet and the DASH Diet...
Source: World of Psychology - December 26, 2019 Category: Psychiatry & Psychology Authors: Jan McDaniel Tags: Alternative and Nutritional Supplements Mental Health and Wellness Depression food Mood Disorder Mood Swings Source Type: blogs

Podcast: Stopping Psych Meds; What To Consider
 Medication for your brain – whether you’re newly diagnosed or have been in treatment for years, you may have doubts if drugs are right for you. You’re not alone. Jackie and Gabe get real about reasons people want to quit psych meds and why our brains convince us to quit despite the benefits of taking medication. They discuss consequences you may not be aware of from just stopping your meds and why you should always involve your doctors, no matter what your decision, when it comes to medication. (Transcript Available Below) SUBSCRIBE & REVIEW About The Not Crazy Podcast Hosts Gabe Howard is an award-w...
Source: World of Psychology - December 23, 2019 Category: Psychiatry & Psychology Authors: Not Crazy Podcast Tags: Antidepressant Antipsychotic Medications Not Crazy Podcast Psychology Stimulants Treatment Source Type: blogs

Chill Out Before You Burn Out
Our speedy, success-oriented culture pressures us to work faster, harder, better. This is troublesome for many, but it’s particularly tough for those who are pleasers. Why? Because pleasers are inclined to say “yes” to so much. Add on the cultural command to do, do, do, and life can easily spin out of control. Though others may think of you as a workaholic, the dizzying array of tasks you take on may not be because you can’t stop working but because it’s tough for you to say “no” to others. Though many media stories try to convince you that you can have it all and do it all, you can’t! Attempt to do too ...
Source: World of Psychology - December 20, 2019 Category: Psychiatry & Psychology Authors: Linda Sapadin, Ph.D Tags: Stress Burnout Calm Relaxation Source Type: blogs

Is There a Medication to Stop Drinking?
While there is no magic medication to stop drinking, there are medications to help you along your journey in early recovery. Overcoming alcoholism is much more than just abstaining from alcohol — it is a process that involves behavioral therapy, holistic therapy, evidence-based treatments, and medication. All of these things work together to put you on the best track toward long-term recovery. Medication-Assisted Detox Alcohol is one of the most dangerous substances from which to detox due to its potentially deadly withdrawal symptoms. According to MedLine, these withdrawal symptoms most often occur within 48 to 96 hour...
Source: Cliffside Malibu - December 18, 2019 Category: Addiction Authors: Jaclyn Uloth Tags: Alcohol Alcohol Rehab Information Alcoholism Detox Resources for Alcohol and Drugs/Opiates alcohol abuse alcohol detox alcohol treatment alcohol treatment center alcohol treatment facility Source Type: blogs

Inside Schizophrenia: Treatment Strategies for Schizophrenia
Medication, Therapy, Hospitalization, Electroconvulsive Therapy- what are the treatment strategies for schizophrenia? How do you convince someone they need help? What if someone refuses treatment? Schizophrenic Rachel Star Withers with co-host Gabe Howard reveal different treatments they have undergone over the years with various outcomes. Guest Barbara Thompson, with the National Alliance on Mental Illness, shares support options for people with schizophrenia and their family in the community. Highlights from “Treatment Strategies for Schizophrenia” Episode [02:00] How to bring up Schizophrenia to a loved one ...
Source: World of Psychology - December 18, 2019 Category: Psychiatry & Psychology Authors: Rachel Star Withers Tags: Caregivers Inside Schizophrenia Mental Health and Wellness Podcast Psychiatry Psychology Treatment Electroconvulsive Therapy getting help Living With Schizophrenia Mental Disorder Mental Illness Support Group Treatment For Schizo Source Type: blogs

How to Detoxify Alcohol from the Body
If you are having a hard time controlling your alcohol use, chances are you have recognized that enough is enough and you need to finally quit. Frequent hangovers during the day, blacking out, saying and doing embarrassing things, and letting down the people around you can be a terrible feeling. One of the first steps to recovery is getting your body healthy, which means taking the steps to detoxify alcohol from your body and learning how to stay sober. This process isn’t always easy, but the good news is that it is only a small inconvenience in the long, healthy, wonderful life that awaits you after you become sober. L...
Source: Cliffside Malibu - December 17, 2019 Category: Addiction Authors: Jaclyn Uloth Tags: Alcohol Alcohol Rehab Information Alcoholism Detox Resources for Alcohol and Drugs/Opiates alcohol dependence alcohol detox medical detox medicated-assisted detox Source Type: blogs

Lasmiditan: New first-in-class drug treatment approved for migraine
Migraine is a huge medical problem, accounting for half of the disability produced by all neurologic diseases worldwide. The medication sumatriptan (Imitrex) is well known for the treatment of a migraine attack. Sumatriptan is part of a group of medications known as the triptans. Triptan medications have been in use for over 20 years and are very effective for the acute treatment of headache (relieving migraine headaches that are already in progress). But they also have limitations; triptans can cause temporary narrowing of blood vessels in the heart and elsewhere that can result in side effects, such as chest pain or tigh...
Source: Harvard Health Blog - December 12, 2019 Category: Consumer Health News Authors: Paul Rizzoli, MD Tags: Drugs and Supplements Headache Health Source Type: blogs

The Best Treatment For Migraines Is Simple (M)
Around 36 million Americans suffer from migraine headaches. → Support PsyBlog for just $4 per month. Enables access to articles marked (M) and removes ads. → Explore PsyBlog's ebooks, all written by Dr Jeremy Dean: Accept Yourself: How to feel a profound sense of warmth and self-compassion The Anxiety Plan: 42 Strategies For Worry, Phobias, OCD and Panic Spark: 17 Steps That Will Boost Your Motivation For Anything Activate: How To Find Joy Again By Changing What You Do (Source: PsyBlog | Psychology Blog)
Source: PsyBlog | Psychology Blog - December 5, 2019 Category: Psychiatry & Psychology Authors: Jeremy Dean Tags: Migraine subscribers-only Source Type: blogs

Can monitoring blood pressure at home cut maternal mortality?
Worldwide, hypertension (high blood pressure) and complications that stem from it are the second leading cause of maternal mortality. In fact, it causes about one in six maternal deaths. Among pregnant women in the US, rates of both chronic high blood pressure and pregnancy-related high blood pressure are rising. One reason this is worrisome is that high blood pressure is a major factor in preeclampsia, a potentially life-threatening condition that may affect women late in pregnancy and in the early weeks after birth. Now a study in Obstetrics and Gynecology suggests that a team approach to monitoring blood pressure at hom...
Source: Harvard Health Blog - December 3, 2019 Category: Consumer Health News Authors: Huma Farid, MD Tags: Health Hypertension and Stroke Parenting Pregnancy Women's Health Source Type: blogs

The Numbered Pediatric Rashes Revisited
​I have been seeing a lot of second disease and fifth disease—it's that time of year. School is back in session, and winter is just around the corner.The rash-numbering system for these diseases is now a historical footnote, but fifth disease is still commonly used by physicians to refer to erythema infectiosum, a parvovirus. I suspect that this system was created as a memory device for similar names and the obscure Latin terms used for these diseases. Erythema infectiosum is also easy to confuse with the many other erythema rashes such as erythema migrans, erythema marginatum, erythema toxicum, and erythema multiforme...
Source: M2E Too! Mellick's Multimedia EduBlog - December 2, 2019 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Keeping Upbeat During Illness Is a Challenge
Do I still have a blog? You wouldn’t know it by how infrequently I’ve updated it lately. Sometimes life can overwhelm. When that happens, I like to believe that I will always be plucky enough to fend off the doldrums and shake my fist defiantly at the obstacles that beset me. However, when illness weakens your knees and keeps you motionless in bed, is there enough pluck to lift your fist, never mind keep your spirits up?I ’ve been incredibly sick this Fall. I started my journey on September 7th. I attended FanX in Salt Lake City, had a good time attending with my daughter, then came home and tried to fight of...
Source: The Splintered Mind by Douglas Cootey - December 2, 2019 Category: Psychiatry Tags: Depression Goodreads Journaling Somnambulating Source Type: blogs

Keeping Upbeat During Illness Is a Challenge
Do I still have a blog? You wouldn’t know it by how infrequently I’ve updated it lately. Sometimes life can overwhelm. When that happens, I like to believe that I will always be plucky enough to fend off the doldrums and shake my fist defiantly at the obstacles that beset me. However, when illness weakens your knees and keeps you motionless in bed, is there enough pluck to lift your fist, never mind keep your spirits up?I ’ve been incredibly sick this Fall. I started my journey on September 7th. I attended FanX in Salt Lake City, had a good time attending with my daughter, then came home and tried to fight of...
Source: The Splintered Mind by Douglas Cootey - December 2, 2019 Category: Psychiatry Tags: Depression Goodreads Journaling Somnambulating Source Type: blogs