Return to McAllen: A Father-Son Interview
By IAN ROBERTSON KIBBE
You are going to hear a little more about McAllen, TX on THCB Shortly. And before we dive into what’s happened there lately, I thought those of you who weren’t here back in the day might want to read an article on THCB from July 2009. Where then THCB editor Ian Kibbe interviewed his dad David Kibbe about what he was doing as a primary care doc in McAllen–Matthew Holt
By now, Dr. Atul Gawande’s article on McAllen’s high cost of health care has been widely read. The article spawned a number of responses and catalyzed a national discussion on cost controls and t...
Source: The Health Care Blog - January 27, 2023 Category: Consumer Health News Authors: matthew holt Tags: Uncategorized David Kibbe Ian Robertson Kibbe McAllen Physicians TX Source Type: blogs
High Court May Toughen Employers ’ Legal Duty To Accommodate Religion
Walter OlsonThe Supreme Court last week agreed to hearGroff v.DeJoy, a case on how stringently employers should be obliged to accommodate workers ’ religious practice and belief under Title VII of the Civil Rights Act of 1964. It will revisit the statutory interpretation standard it announced in 1977 inTrans World Airlines v. Hardison, in which employers can turn down religious accommodation requests that subject them to more thande minimis costs. The Court also agreed to revisit the question of whether the employer can justify a refusal of accommodation by pointing to costs inflicted on co ‐workers, ...
Source: Cato-at-liberty - January 20, 2023 Category: American Health Authors: Walter Olson Source Type: blogs
Case of the Week 707
This week ' s case features another muscle biopsy - this time from a middle aged man from China with recent visit to Pangkor island. Approximately 10 days after his trip, he presented with high fever, headache, and generalized myalgia. Light microscopic evaluation of H&E-stained sections of muscle showed the following parasites within muscle fibers. What is your diagnosis? (Source: Creepy Dreadful Wonderful Parasites)
Source: Creepy Dreadful Wonderful Parasites - January 17, 2023 Category: Parasitology Source Type: blogs
A teenager with chest pain, a troponin below the limit of detection, and " benign early repolarization "
Sent by anonymous, written by Pendell MeyersA male in his teens presented with complaints of chest discomfort and dyspnea beginning while exercising but without obvious injury. He immediately stopped exercising and symptoms started to improve. Later that evening he felt recurrent central chest discomfort, shortness of breath, and vomited. Symptoms have been constant since this second episode, and are still present on arrival, which seems to have been less than 1 to 2 hours from onset of symptoms. No similar symptoms in the past. No prior exertional complaints of chest pain, dizziness, lightheadedness, or undue shortness of...
Source: Dr. Smith's ECG Blog - January 9, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
A woman in her 50s with acute chest pain
Submitted and written by Anonymous, edits by Meyers and SmithA 50s-year-old patient with no known cardiac history presented at 0045 with three hours of unrelenting central chest pain. The pain was heavy, radiated to her jaw with an associated headache.Triage VS: 135/65 mmHg, 95 bpm, 94% on room air, 16/min, 98.6 FTriage ECG:ECG Interpretation:Sinus rhythm with normal QRS. There is slight STE in V1, V2, and aVR, with STD in V3-V6, I, aVL, and II. There are T waves in lead III which are suspicious for hyperacute T waves, with reciprocal negative large T wave inversions in aVL. I do not think this ECG is by itself diagnostico...
Source: Dr. Smith's ECG Blog - January 6, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
The S.O.A.P. Reporting Break Through
The objective portion of the report is the time when you state your case and tell everyone the stuff you found during your assessment. It’s time to become the CSI investigator and talk about your investigation and you findings.
This will tend to be almost entirely objective information, however, don’t be scared to throw in the occasional subjective tidbit if it helps to paint your picture. “She thinks this bruise may be old.” or “His ankles are always a bit swollen but not this much.” If a subjective addition adds to the picture, include it.
When telling my objective story I tend to start with the le...
Source: The EMT Spot - November 15, 2022 Category: Emergency Medicine Authors: Steve Whitehead Tags: EMT Source Type: blogs
What Are the Symptoms of High Blood Pressure in Women?
ConclusionThe Common Symptoms Of High Blood Pressure In Women
Numerous signs and symptoms in women can point to increased blood pressure. Visit your doctor immediately to check your blood pressure if you experience any of the following signs or symptoms.
Or read our article on Complete Blood Pressure Chart to understand the elevations.
Excessive fatigue
One of the major symptoms of high blood pressure is fatigue. Women with this condition often report feeling tired all the time, even when they get a full night’s sleep.
Fatigue can make it difficult to concentrate, and simple tasks seem overwhelming.
Thi...
Source: The EMT Spot - November 11, 2022 Category: Emergency Medicine Authors: Michael Kutryk Tags: Guides Blood Pressure Source Type: blogs
Types of Brain Hemorrhage
In our last post (part one) we introduced the subject of head injuries with an overview of trauma patterns typically found in head injury patients. Today let’s talk about bleeding inside the skull or intracranial hemorrhage.
Brain hemorrhage occurs when blood vessels inside the skull rupture. There are some non-traumatic causes as well. Ruptured aneurysms and hemorrhagic strokes would be a few examples of non-traumatic intracranial hemorrhages.
We classify bleeding in the skull by location, using the layers of the meninges as a guide. You may recall from EMT class that the meninges are fluid coated membranes that s...
Source: The EMT Spot - November 10, 2022 Category: Emergency Medicine Authors: Steve Whitehead Tags: EMT Source Type: blogs
Beyond The 1-10 Pain Scale
How bad does it hurt? I’m willing to go out on a limb and say that this is, quite possibly, the most common question we ask in EMS. And it can be a difficult question to answer. How bad compared to what? How do we reconcile the patient with significant pain who winces and says it only hurts a little. Or what about the patient who is relaxed and seemingly comfortable while reporting the worst pain they have ever felt?
Not everyone feels pain the same way. Some patients feel pain more than others. And, perhaps even more significant, some patients fear pain more than others. What’s a clinician to do?
You and I aren...
Source: The EMT Spot - November 10, 2022 Category: Emergency Medicine Authors: Steve Whitehead Tags: EMT Source Type: blogs
Treating Hypertension with Diuretics
This article will explore the types, uses and side effects of treating hypertension with diuretics as a supplement to other ways to lower blood pressure.
Quick Summary
Diuretics are prescribed to encourage kidney function and vascular health and regulate blood pressure.
There are several forms of diuretics with possible side effects and interactions with other drugs and supplements.
Doctors often prescribe them to complement medication or a combination for effective hypertension treatment.
Treating Hypertension and More with Diuretics
Diuretics are the most common medication to manage high b...
Source: The EMT Spot - November 8, 2022 Category: Emergency Medicine Authors: Michael Kutryk Tags: Guides Blood Pressure Source Type: blogs
Taking your brain vitals: Stories from a techno-optimist inventing the future of human performance
We examined how experts currently measured brain health—like the neurologist who met my dad, gave him some tests, and made a determination. No matter how gifted the neurologist may be, there was no way for him to know whether my dad’s cognition had declined, improved, or stayed the same over the past months or even years. Yet I’d expected that doctor to have all the answers.
We proposed a new approach. Rather than boil the ocean trying to characterize every aspect of cognition, we said, “Let’s track brain health as if it’s a vital sign.” To do this, we needed a tracking tool that was as easy to use as, say, a...
Source: SharpBrains - October 11, 2022 Category: Neuroscience Authors: Dr. Cori Lathan Tags: Brain/ Mental Health Technology & Innovation AnthroTronix brain health cognition cognitive changes Cognitive-tests concussions Dana dementia-diagnosis detect cognitive changes mild-cognitive-impairment neurologist neuropsychologi Source Type: blogs
President Biden Makes an Encouraging Announcement on Marijuana
Jeffrey A. SingerPresident Bidenannounced today that he is pardoning anyone convicted of federal crimes for simple possession of marijuana. The vast majority of such convictions happen at the state level. Therefore, the president asked states to consider pardoning their offenders.He also ordered the Department of Health and Human Services (HHS) to expedite a review of possibly rescheduling marijuana under theControlled Substances Act (CSA). Under the CSA, the Department of HHS, the Drug Enforcement Administration, or a petition from any interested party can start theprocess of rescheduling or de ‐schedu...
Source: Cato-at-liberty - October 6, 2022 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
October 06, 2022 Edition-----In the UK the current Tory Government appears to have totally lost the plot and failed to even move to fix things – a real disaster I fear for millions.In the US Hurricane Ian seems to have been of Biblical Scale that will take years to repair the damage.In Europe we see the recession arriving.In OZ we are coping with the Optus data breach, an imminent and difficult Budget and the new Integrity Commission being sorted out!-----Major Issues.-----https://www.afr.com/technology/manufacturers-turn-to-robots-as-job-ads-go-unanswered-20220920-p5bjilHow a $1m robot solved this company ’s labour sh...
Source: Australian Health Information Technology - October 6, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Managing migraine in women: How doctors can help women get back to living their lives
This article is sponsored by Biohaven Pharmaceuticals. While everyone has dealt with a headache at some time in their life, migraine is more than “just a headache.” This I can say from my own experience is true. As a headache specialist with a foundation in family medicine for 22 years, I know firsthand how the
Read more…
Managing migraine in women: How doctors can help women get back to living their lives originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 4, 2022 Category: General Medicine Authors: Susan Hutchinson, MD Tags: Sponsored Neurology Source Type: blogs
" And then a Plank in Reason, broke, "
“I am dead.” In terms of possible delusions in living human beings,Le d élire des négations—the nihilistic delusion that one is dead —evokes the most harrowing existence imaginable. The French neurologistJules Cotard first described the syndrome that bears his name (1882,English translation):I hazard the name ofdelirium of negations to designate the state of the patients ... in whom the negative disposition is carried to the highest degree. [They are] asked their name – they have no name; their age – they are ageless; where were they born – they were not born; ... if they have a headache, s...
Source: The Neurocritic - September 30, 2022 Category: Neuroscience Authors: The Neurocritic Source Type: blogs
