A New and Better Option for Ventilating Children
​You know the scenario: Someone in your department identifies a need for managing a child who can't be intubated or oxygenated. He assembles a 14-gauge catheter, a 3.0 ET tube adapter, and maybe a 3 mL syringe with some oxygen tubing and a Y adaptor or some other variation. Then he stuffs everything in a plastic bag and hangs it on the resuscitation room wall. Months or years go by, and eventually someone throws out the makeshift kit without inquiring why the yellowed, dusty plastic bag with assorted odds and ends of equipment was hanging on the wall.The truth is that needle transtracheal jet ventilation is almost ne...
Source: M2E Too! Mellick's Multimedia EduBlog - June 1, 2022 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

The unheard cries: an obstetrician ’s nightmare
Her image captured the world: mangled hip, jutting belly, stretcher, war, a woman carried out of a bombed maternity hospital. She ’s gray, contrasted against a colorful beach towel, among the smoldering ruins of Mariupol. The outcome was bad; neither she nor the baby survived despite the perimortem Cesarean. News stories reported that she gasped and,Read more …The unheard cries: an obstetrician’s nightmare originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 2, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/post-author/yuliya-malayev" rel="tag" > Yuliya Malayev, DO, MPH < /a > < /span > Tags: Physician OB/GYN Source Type: blogs

3 Things You Need to Stop Doing to Live a Simpler Life
This article is about a few mistakes I've made. About a few destructive habits that can make life quite messy and unhappy. And it's about what you can do instead to replace those mistakes and habits with something better. This article is all about uncovering simplicity if you find yourself having overcomplicated your life. 1. Stop overthinking things. Few habits and mistakes are as common as getting stuck in overthinking. I used to do it all the time. And it led to a lot of analysis paralysis, to little action being taken on what I deep down wanted and to so much time and energy wasted. What to do instead: Set short deadl...
Source: Practical Happiness and Awesomeness Advice That Works | The Positivity Blog - March 9, 2022 Category: Consumer Health News Authors: Henrik Edberg Tags: Happiness Personal Development Relaxation Source Type: blogs

Why MDMA-assisted psychotherapy may become an FDA-approved treatment for PTSD within 2 years
This article was originally published on The Conversation. To Learn More: Study: Psychedelics can promote neural plasticity in the prefrontal cortex and expand pathways for mental health FDA-approved, Cybin-sponsored clinicial trial to measure ketamine’s impact on the brain via Kernel Flow neuroimaging helmet The post Why MDMA-assisted psychotherapy may become an FDA-approved treatment for PTSD within 2 years appeared first on SharpBrains. (Source: SharpBrains)
Source: SharpBrains - December 21, 2021 Category: Neuroscience Authors: The Conversation Tags: Brain/ Mental Health antidepressants Cannabidiol cannabis CBD Ecstasy MDMA MDMA-assisted psychotherapy neural plasticity Physical assault post-traumatic-stress-disorder psilocybin PTSD Sexual assault street drugs substance-ab Source Type: blogs

Wednesday Bible Study: Treason and necromancy
For Biblical literalists, there is obviously more than enough embarrassment. The Bible is a torrent of contradictions, absurdities, and moral depravity. But 1 Samuel 28 has got to be right up there with the biggest of them. That David, who will soon become king of Judah and then of all Israel agrees to commit treason seems problematic. I suppose the apologists have an interpretation that explains why this is theologically salutary.  Then we come to the raising of the dead. Judaism as a whole is not very interested in the afterlife, although Christianity is obviously obsessed with it. But this passage does mean th...
Source: Stayin' Alive - December 8, 2021 Category: American Health Source Type: blogs

Ejuhmuhcayshun
One of the strangest responses to the recent phony culture war flapdoodle is that schools should be limited to teaching basic skills -- reading and math, I suppose, and maybe shop and home economics. If public schools teach history, science, social studies and literature, students might learn something their parents don ' t want them to.It seems to me there are really  two or three separate phenomena going on here. We need to keep them straight. The first is people who don ' t believe certain objective truths, of science or history. An example which the courts have already dealt with is evolution.  In 2004, ...
Source: Stayin' Alive - October 29, 2021 Category: American Health Source Type: blogs

Physician suicide: Where are the leaders? [PODCAST]
“As a mother, a physician, and an educator, I refuse to accept this as normal. It is not! What should we tell the parents of these young physicians? How do we explain to them that their dream of being a doctor became a nightmare with a tragic ending? What do we tell their children whenRead more …Physician suicide: Where are the leaders? [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 24, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Psychiatry Source Type: blogs

Sunday Sermonette: Glad I wasn't a letter carrier back then . . .
1 Samuel 11 is fundamentally another Groundhog Day story: Saul was anointed king in the previous chapter but it doesn ' t really count until he musters the troops and massacres some people.  But it does have some twists. It also has a major continuity problem -- actually two. All the people of Jabeshgilead, with the exception of the virgin women, were massacred in Judges 21. But here they are, miraculously resurrected so that they can make a deal with Nahash the Amonnite to have their right eyes poked out. Why exactly Nahash wants to do this is not explained. A second major continuity error is the division in the...
Source: Stayin' Alive - October 10, 2021 Category: American Health Source Type: blogs

COVID-19 In 2022 – An Unexpected Reality
Last April, at the top of lockdowns and the pandemic we forecasted When And How COVID-9 Will End. Within these projections, we looked at how the pandemic can unfold – and when we could finally declare it’s over. Among the 3 scenarios we projected for 2021 last October, the most optimistic seemed the most unlikely (hence its name, the fairy-tale scenario), and everyone hoped for the second. At that time, wearing masks in 2022 did not seem likely – at all. And still, here we are, heading towards a pessimistic scenario, living a future we should not have – let’s see how that is possible and where we are at. ...
Source: The Medical Futurist - October 7, 2021 Category: Information Technology Authors: Judit Kuszkó Tags: Covid-19 Forecast future lockdown vaccine virus Source Type: blogs

Adam ’ s slow recovery
Not long ago I wrote about Adam Meakins back pain, and the astonishing response he’s had from fellow clinicians as he’s documented his recovery. Sadly, the polarised views of how therapists should approach a person with low back pain show me just how appallingly badly we adhere to low back pain guidelines… and worse, the kind of language and attitudes shown to a colleague who knows what he’s doing, demonstrates why change is so very slow. What do I mean? Well, Adam has been following evidence-based low back pain guidelines that haven’t really changed a great deal since the advent of New Zea...
Source: HealthSkills Weblog - August 22, 2021 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Back pain Clinical reasoning Coping strategies Low back pain Occupational therapy Physiotherapy Professional topics Psychology Research Science in practice healthcare pain management Source Type: blogs

Physicians: Stop dreading call
Even though I completed residency almost 15 years ago, it is easy to remember the dread I experienced before taking hospital call. The sinking feeling in my stomach as the call date loomed near, the hypervigilance and terror every time my beeper went off in the middle of the night, the fear of imagined catastrophesRead more …Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 10, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/karen-leitner" rel="tag" > Karen Leitner, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Source Type: blogs

poem
Without GodHow long can a man go without god?  What about food or drink or sex?  Use it or lose it.  You know it when you see it.  How long can the piano sit in the dining room untuned?  Cut the strings so the pieces unplayed never had a chance.  What about the apple rotting on the ground, untasted.  How long can its mealy flesh hold flavor while bees bore holes into its core.  How long can a baby go without crying? Even when all its obvious needs are met.  When the diaper is dry and his belly sloshes with warm milk.  Won ’t you wake up in terrors to the silence? Would yo...
Source: Buckeye Surgeon - March 28, 2021 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs

As One Licensed NC Physician To Another Unlicensed One (Dr. Mary Johnson to Dr. Mandy Cohen/NC DHHS Secretary): PROTECT MEDICAL WHISTLEBLOWERS NOW!
Related to mylast post - which went up (after much soul-searching and trepidation) on 2/28/20201 one of the biggest complaints (coming largely from folks reading on mobile phones) was that the post was " so long " .  They wanted something more " concise " . The post relates my own horrific pandemic experience with Central Carolina Hospital/ApolloMD and Duke Lifepoint in Sanford, North Carolina.  It ' s my third dance as a medical whistle-blower in 23 years.  And much like the first two cases (Asheboro in 1998, and ETSU/Ballad Health in 2017), it ' s really NOT " soundbite " material (it would ...
Source: Dr.J's HouseCalls - March 4, 2021 Category: American Health Tags: ApolloMD Central Carolina Hospital CMS Dr. Seuss Duke Lifepoint HIPAA Mandy Cohen Medicaid Medical Whistleblower NCDHHS Pandemic Pediatric Hospitalist Source Type: blogs

A North Carolina Pediatric Hospitalist Tells Her Pandemic Story to Senator Richard Burr: Thirteen Months (And Counting) In Medical Whistle-blower Hell - Courtesy Of Private Equity/For-Profit Healthcare And Cruelly-Indifferent/Morally-Bankrupt State & Federal Oversight
Author ' s Note:  I cannot " sound-bite " the last year - and perhaps it ' s time to write the book. Scroll about half-way down to read the letter to Senator Burr.  The bottom line is that for thethird time in 23 years, as a Pediatrician staffing a community hospital, I was fired " with-out cause " immediately after intervening in a neonatal ( " bad baby " ) case, rescuing the situation/ " saving " the baby, and reporting it INTERNALLY to Peer Review.  NO discussion.  NO recourse.  NO review.  A total cover-up.  And EVERY SINGLE TIME I ' ve asked the state/Federal government to enfor...
Source: Dr.J's HouseCalls - February 28, 2021 Category: American Health Tags: ACA Apollo Global Management ApolloMD Ballad Heath Central Carolina Hospital CMS Duke Lifepoint ETSU Medicaid Medical Whistleblower NCDHHS Pandemic Quality Assruance Randolph Health Richard Burr Trump Source Type: blogs

Midlife ADHD? Coping strategies that can help
Trouble staying focused and paying attention are two familiar symptoms of attention deficit hyperactivity disorder (ADHD), a common health issue among children and teens. When ADHD persists through early adulthood and on into middle age, it presents many of the same challenges it does in childhood: it’s hard to stay organized, start projects, stay on task, and meet deadlines. But now life is busier, and expectations from work and family often are even higher. Fortunately, there are lots of strategies that can help you navigate this time in your life. Staying organized Organizational tools are a must for people with adult...
Source: Harvard Health Blog - February 5, 2021 Category: Consumer Health News Authors: Heidi Godman Tags: Behavioral Health Brain and cognitive health Memory Source Type: blogs