Patients Occasionally Experience Sexual Hallucinations While Under Conscious Sedation
By Emma L. Barratt Since anaesthetics were first used in 1846 there have been reports of sexual hallucinations during medical procedures. And, though there’s been much discussion about the relationship between anaesthesia and these hallucinations, awareness of this side effect amongst both clinicians and academics remains somewhat low. The consequences of clinicians being accused of sexual misconduct that was in actuality a hallucination can extremely be serious; some have lost their licenses to practice, despite being acquitted. But even with the high-stakes consequences of sexual hallucinations, there has been r...
Source: BPS RESEARCH DIGEST - November 16, 2021 Category: Psychiatry & Psychology Authors: BPS Research Digest Tags: Health Perception Sex Source Type: blogs

What's new in midwifery - COVID vaccinations and pregnancy
The Guardian, and I am sure other sources, are reporting theproportion of critically ill patients with COVID that are unvaccinated pregnant women, and thatpregnant women are not taking the vaccine, orbeing turned away from vaccination clinics despite official advice.The Guardian has also reported somepersonal experiences of pregnant women about the vaccine.So what is the guidance?  Here are three things specific to the UK (or England, in one case, I guess):Royal College of Obstetricians and Gynaecologists, last updated in October 2021, Royal College of Midwives vaccines Q and APublic Health England advice on...
Source: Browsing - October 27, 2021 Category: Databases & Libraries Tags: COVID-19 midwifery Source Type: blogs

Cancer
I sometimes like to open my posts with a joke. But not this time. There isn ' t a joke for this.Mrs. Dalai has cancer.How ' s that for a kick in the ass? I am neither vain nor arrogant enough to think that I could write the ultimate treatise on dealing with a loved one ' s cancer. There are any number of engaging stories out there on Caring Bridge and the like. You don ' t want to read a tear-jerker anyway, nor do you want to endure every last boring and/or gory detail. Mrs. Dalai would be very upset with me if I shared all that. Hell, she ' s probably going to be upset with me for writing this at all. She is a very p...
Source: Dalai's PACS Blog - September 4, 2021 Category: Radiology Source Type: blogs

Does Our Healthcare System Work for the Most Vulnerable Americans?
By DEBORAH AFEZOLLI, CARL-PHILIPPE ROUSSEAU, HELEN FERNANDEZ, ELIZABETH LINDENBERGER “Why did you choose this field?” Most physicians are asked this question at some point in their early careers. We are geriatrics and palliative medicine physicians, so when that question is posed to us, it is invariably followed by another: “Isn’t your job depressing?” No, our job is not depressing. We are trained in the care of older adults and those with serious illness, and we find this work very rewarding.  What truly depresses us is how many vulnerable patients died during the pandemic, and how the scourge of COVI...
Source: The Health Care Blog - September 3, 2021 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Medical Practice Patients Physicians Carl-Philippe Rousseau Deborah Afezolli Elizabeth Lindenberger Geriatrics Health policy Helen Fernandez Palliative Care Source Type: blogs

Pregnancy in Hypertrophic cardiomyopathy : LSCS or vaginal delivery ?
Hypertrophic cardiomyopathy is a specific genetic disorder of myocyte (myosin and others) within the sarcomere. Though uncommon in pregnancy it raises considerable anxiety to the patient, family, and the obstetrician.  Hemodynamics Though we tend to worry more about dynamic LVOT obstruction, it is actually the restrictive physiology of LV myocardium that might cause more concern. Three key variables operate in this entity namely preload, afterload, and contractility that determine the cardiac hemodynamics and possibly the symptoms. We know the classical consequence of pregnancy is a fall in systemic vascular resistance(...
Source: Dr.S.Venkatesan MD - August 27, 2021 Category: Cardiology Authors: dr s venkatesan Tags: Pregnancy and heart pregnancy and heart disease Uncategorized esc ropac zahara pregnancy heart disease complicating pregnancy indication for lscs in hcm hocm lscs or normal delivery in hocm hcm pregnancy in hocm pregnancy in hypertrophic c Source Type: blogs

Pregnancy and the COVID vaccine: What expecting mothers should know
“Is it safe for a pregnant woman to receive the COVID-19 vaccine?” This is the biggest question being asked of OB/GYNs right now. The short answer is “yes.” The American College of Obstetricians and Gynecologists and the Society for Maternal and Fetal Medicine have come out with strong recom mendations that pregnant and lactating women receiveRead more …Pregnancy and the COVID vaccine: What expecting mothers should know originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 18, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/hoag-memorial-hospital-presbyterian" rel="tag" > Hoag Memorial Hospital Presbyterian < /a > < /span > Tags: Conditions COVID-19 coronavirus Infectious Disease OB/GYN Source Type: blogs

This obstetrician recommends midwifery care
In 2014 I learned about the worsening maternal mortality statistics in the U.S. and the racial disparities in maternal health, which socioeconomic or medical risk factors could not explain away. I decided a community-based solution was necessary because, as an African American obstetrician, I had no expectation that my fellow obstetricians would soon recognize howRead more …This obstetrician recommends midwifery care originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 30, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/leslie-farrington" rel="tag" > Leslie Farrington, MD < /a > < /span > Tags: Physician OB/GYN Source Type: blogs

Helping young brains fight off anxiety by training and raising cognitive control
This article was originally published by AIM Youth Mental Health, a non-profit dedicated to finding and funding promising youth mental health research that can identify solutions to make a difference in young people’s lives today, which contributed to funding Kate Fitzgerald’s research. Related articles: What are cognitive abilities and how to boost them? Can brain training work? Yes, if it meets these 5 conditions New book on how to practice mindfulness meditation with humor and playfulness Six tips to build resilience and prevent brain-damaging stress The post Helping young brains fight off anxiety by training...
Source: SharpBrains - July 23, 2021 Category: Neuroscience Authors: Greater Good Science Center Tags: Education & Lifelong Learning anxiety brain markers brain training childhood cognitive-behavioral-therapy cognitive-capacities cognitive-control cognitive-skills Cognitive-Training frontal-lobes Kate Fitzgerald Kid Power program Source Type: blogs

Arizona Lawmakers Underperform on Pharmaceutical Freedom for Women
Jeffrey A. SingerMy home and surgical practice are in Phoenix, Arizona. One hundred eighty miles to the west of Phoenix, a women can walk into aCalifornia pharmacy and ask the pharmacist to prescribe her hormonal contraceptives, bypassing the doctor ’s office and the $100+ fee for an office visit (and possibly an afternoon off from work). Drive 248 miles due east and a woman can get a prescription for hormonal contraceptives from a pharmacist inNew Mexico. Three hundred miles to the north, and 373 miles to the northeast, pharmacists can prescribe hormonal contraceptives to women inUtah andColorado respectively. And if a ...
Source: Cato-at-liberty - July 6, 2021 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs

What's new in midwifery - 15th June 2021
So much for helping you keep on top of recent research.   A bit of a gap (again), so have been a bit selective.CQC inspectionThe CQC conducted an unannounced inspection of the Jessop Wing, Sheffield ' s maternity hospital, following information received.  They gave the service an overall rating of Inadequate, making comments about staff skills and patient safety.  Read the CQC report at COVIDA systematic review looking atdifferences in presentation, management and prognosis of COVID in pregnant women and women who were not pregnant.Theincidence, characteristics and outcomes of pregnant wo...
Source: Browsing - June 15, 2021 Category: Databases & Libraries Tags: midwifery Source Type: blogs

The weight of the pager
I have heard from more than one retired anesthesiologist about becoming aware of the weight of the pager after it is relinquished. I imagine other physicians engaged in critical care, trauma (physical and emotional), other emergencies, and obstetrical care might have heard similar descriptions. Have I left anyone out? We do a pretty good jobRead 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 - June 14, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/maire-daugharty" rel="tag" > Maire Daugharty, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Psychiatry Source Type: blogs

#PedsMatch22 and the social media imperative
The 2020-2021 residency application cycle was profoundly altered as a result of coronavirus disease 2019 (COVID-19) in the United States which led to a completely virtual season for nearly all specialties. At the time of this publication, pediatrics, obstetrics and gynecology, and ophthalmology have announced virtual interviews for the upcoming 2021-2022 cycle. Using lessons fromRead 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 - May 25, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/nicholas-m-heitkamp-lucas-e-morgana-mekala-k-neelakantan" rel="tag" > Nicholas M. Heitkamp, MD, Lucas E. Morgana, MD, and Mekala K. Neelakantan, MD < /a > < /span > Tags: Education Pediatrics Twitter Source Type: blogs

Ebstein ’ s anomaly and pregnancy
Ebstein’s anomaly and pregnancy Ebstein’s anomaly of tricuspid valve was first described by Wilhelm Ebstein in 1866 [1]. It is characterized by distal displacement of the septal and posterior leaflets of tricuspid valve. Anterior leaflet is elongated and sail like. A portion of the right ventricle is ‘atrialized’ due to the distal displacement of the tricuspid valve. Right atrium is often grossly dilated. Right to left shunting occurs across a patent foramen ovale producing cyanosis of variable extent. Ebstein’s anomaly is one of the cyanotic congenital heart diseases in which survival to adul...
Source: Cardiophile MD - May 14, 2021 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Cardiology Source Type: blogs

COVID-19 Vaccine & Pregnancy
The coronavirus pandemic has had long lasting implications for everyone worldwide. For those pregnant, attempting pregnancy, or pursuing fertility treatment, there are many new questions to be considered, and answers can vary by region and situation. The vaccines available in the US for protection against the SARS-CoV-2 virus that causes COVID-19- produced by Pfizer, Moderna, and Johnson & Johnson, have not been specifically tested for safety in pregnancy. For drug trials to deliberately include pregnant women is ethically complicated, as we want to avoid any remote possibility of causing harm to the pregnancy or the i...
Source: Cord Blood News - April 20, 2021 Category: Perinatology & Neonatology Authors: Chaya Rothschild, Andrologist Tags: Cord Blood medical research pregnancy safety vaccines Source Type: blogs

Does J & J ’s Covid‐​19 Vaccine Pose Fewer Risks than Oral Contraceptives?
Michael F. CannonEarlier today, I wrote about the U.S. Food and Drug Administration ’srecommendation that federal and state governments stop administering Johnson& Johnson ’s Covid‐​19 vaccine because the agency was “reviewing data involving six reported U.S. cases of a rare and severe type of blood clot …called cerebral venous sinus thrombosis (CVST).” Here, I thought I would do a back ‐​of‐​the‐​envelope comparison of this risk to that of another category of products on which the FDA has not placed a hold: oral contraceptives.According to oneliterature revi...
Source: Cato-at-liberty - April 13, 2021 Category: American Health Authors: Michael F. Cannon Source Type: blogs