The powerful bond that overcomes the toughest challenges
Towards the end of a busy clinic afternoon, I felt my phone buzz with a page in my jacket pocket. It is rare to receive pages on our phones in the middle of the day because we usually get messages through the EMR or direct calls to the office. I called back the number to
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The powerful bond that overcomes the toughest challenges originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - May 2, 2023 Category: General Medicine Authors: LaBianca Wright, MD Tags: Physician Emergency Medicine Pain Management Source Type: blogs
“ … someone needs to find the cause of my pain, then fix it. ” What to do with sticky beliefs
I think most clinicians, and certainly a lot of people living with pain, want to know ‘what’s going on’ – with the hope that, once identified, ‘something’ can be done. Tricky stuff to navigate both as a person living with pain, and as a clinician – because for so many chronic pains, a diagnosis does very little.
Having a label has some benefits, for sure: it acts as a short-hand when talking about what’s going on with others; it can validate that the mysterious problems a person has been having are ‘real’ (though I could say more about that!); it can help peop...
Source: HealthSkills Weblog - April 30, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Chronic pain Clinical reasoning Coping strategies Occupational therapy Physiotherapy Professional topics Psychology Research Science in practice biopsychosocial pain management Therapeutic appr Source Type: blogs
Removing barriers to shared decision-making
This report, developed with input from My Life Choices, outlines the key findings and recommendations. It also shares the co-produced resources developed throughout the project.ReportMore detail (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - April 27, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: Patient involvement, experience and feedback Source Type: blogs
‘ Women ’ s pain ’ – not just ‘ women ’ s pain ’
Women really do get a rough deal when it comes to pain. We live with the myth that because women experience pain in childbirth and (often) with periods of course women can ‘deal with it.’
Until recently women and female animals haven’t been included in pain research, and guess what? Women and female animals don’t have the same biological system for processing nociception.
Men are told ‘don’t be a girl’ about their pain.
Women are told they ‘look too good’ to be experiencing pain.
Women don’t get taken seriously when they ask for help with their pain &#...
Source: HealthSkills Weblog - April 20, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Pain Pain conditions Chronic pain gender gender disparity Health healthcare Research sex women Source Type: blogs
Words matter: Caring for pain patients with suspected opioid use disorder
“We need an urgent pain consult for patient Lucy Bee in room 5621. She’s a 17-year-old drug addict and is screaming and wanting morphine,” I was told. Lucy Bee is not a real patient, but a composite of patients I have cared for either when providing pain management services on our inpatient floors, or in
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Words matter: Caring for pain patients with suspected opioid use disorder originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 20, 2023 Category: General Medicine Authors: Rita Agarwal, MD Tags: Physician Pediatrics Source Type: blogs
XRHealth and Amelia Virtual Care Announce Merger, Creating the Largest XR Therapeutics Platform in the World
Both Companies will Be merged Under the XRHealth Brand Name and By the End of the Year Are Forecasted to Have over 500K VR Treatments, Exceed 25K Patients Treated, and Be Deployed by Over 2500 Clinicians
XRHealth, a Boston-based developer and operator of virtual treatment rooms, and Amelia Virtual Care, a global leading virtual reality platform for mental health professionals based in Barcelona, Spain, today announced their intention to merge into one company, which will remain called XRHealth. The union aims to create an XR therapeutic powerhouse, uniquely capable of addressing both physical and mental health issues. The...
Source: EMR and HIPAA - April 18, 2023 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT 2023 HIMSS Global Health Conference & Exhibition Amelia Virtual Care Amelia VR Asabys Asabys Partners Augmented Reality CBT Cognitive Behavioral Therapy Cognitive-Behavioral VR Therapy Eran Orr Guill Source Type: blogs
Compare these two ECGs. Do either, neither, or both show anything important?
One case sent by Dr. Sean Rees MD, written by Pendell Meyers, other case by Sam Ghali and Steve SmithTake a look at these two ECGs below from two patients in the ED, first without any clinical context. Full case details and outcomes are below.Case 1:Case 2: Case 1:What do you think?This was sent to Dr. Smith by SamGhali (@EM_RESUS) with zero other info. Smith ' s response was: " OMI Mimic. "Later, this info was supplied by Sam:This
ECG was recorded in a 23-year-old African American man with a history
of psychiatric illness, acute alcohol/drug intoxication, brought in by
police officers status post being ...
Source: Dr. Smith's ECG Blog - April 17, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
When life happens … .
Most of my writing comes from mulling over recent events as played out either in social media or research findings. Today’s post is a little different. It’s no secret that I live with persistent pain, fibromyalgia to be exact. I’ve found that being open about my diagnosis, and that all the strategies I advise to others are also strategies I employ, and that none of them are ‘the secret.’
I posted recently about a struggle I have dealing with reviewer’s comments on papers I submit for publication. Now peer review is a thing, I think it’s a good thing though somewhat exploitative ...
Source: HealthSkills Weblog - April 16, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Uncategorized Source Type: blogs
A man in his 60s with acute chest pain and high voltage
Sent by Anonymous, written by Pendell MeyersA man in his 60s with history of CAD and 2 prior stents presented to the ED complaining of acute heavy substernal chest pain that began while eating breakfast about an hour ago, and had been persistent since then, despite EMS administering aspirin and nitroglycerin. There was associated diaphoresis, but no dyspnea, nausea, or vomiting. He reported having covid 2 weeks ago, but had seemingly fully recovered.Triage 1104:What do you think?The triage ECG was sent to me with no history (I did not have access to baseline ECGs), and I said that I thought this was just LVH causing the an...
Source: Dr. Smith's ECG Blog - April 14, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
Rethinking Medication and Information Technology
Previous articles in this series looked at barriers to taking medication and possible solutions, including special conditions that produce challenges. This final article in the series turns the question on its head. Can patients get better without the medications?
Dr. Omar Manejwala, CMO of DarioHealth, goes so far as to use the terms “paternalistic” and “infantilizing” to label claims that people fail to take medication solely out of ignorance or forgetfulness. To all the other factors that hold people back from taking their meds, he adds social and religious factors, concerns about side effects an...
Source: EMR and HIPAA - April 6, 2023 Category: Information Technology Authors: Andy Oram Tags: Ambulatory Clinical Communication and Patient Experience EMR-EHR Health IT Company Healthcare IT Hospital - Health System LTPAC AdhereHealth Bryan Hill Carium Caroline E. Ortiz Charles Lee Cognizant DarioHealth FDB fee-for- Source Type: blogs
On not being a arse
Humans are judgemental beings. All of us are. It’s part of having a big brain and wanting to know who’s ‘in’ and who’s ‘out’. Judgements help us make decisions, they’re surprisingly resistant to change, and they can inadvertently trap us into doing things we would never countenance were we able to stand back from what our minds want us to know (and feel).
My post today is prompted by a couple of conversations recently. One was with a clinician, new to a pain team, who found that experienced members of that team thought actions taken by a person with pain were a sign of ...
Source: HealthSkills Weblog - April 2, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Clinical reasoning Coping strategies Interdisciplinary teams Occupational therapy Physiotherapy Professional topics Psychology Research Science in practice healthcare pain management Source Type: blogs
On not being an arse
Humans are judgemental beings. All of us are. It’s part of having a big brain and wanting to know who’s ‘in’ and who’s ‘out’. Judgements help us make decisions, they’re surprisingly resistant to change, and they can inadvertently trap us into doing things we would never countenance were we able to stand back from what our minds want us to know (and feel).
My post today is prompted by a couple of conversations recently. One was with a clinician, new to a pain team, who found that experienced members of that team thought actions taken by a person with pain were a sign of ...
Source: HealthSkills Weblog - April 2, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Clinical reasoning Coping strategies Interdisciplinary teams Occupational therapy Physiotherapy Professional topics Psychology Research Science in practice healthcare pain management Source Type: blogs
Fight Aging! Newsletter, April 3rd 2023
Fight Aging! publishes news and commentary relevant to the goal of ending all age-related disease, to be achieved by bringing the mechanisms of aging under the control of modern medicine. This weekly newsletter is sent to thousands of interested subscribers. To subscribe or unsubscribe from the newsletter,
please visit:
https://www.fightaging.org/newsletter/
Longevity Industry Consulting Services
Reason, the founder of Fight Aging! and Repair Biotechnologies, offers strategic consulting services to investors, entrepreneurs, and others interested in the longevity industry and its complexities. To find out m...
Source: Fight Aging! - April 2, 2023 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
A 50-something with chest pain. what to do? And get the PM Cardio app for your own use here!
This was sent to me by a friend.It is from a 50-something with chest pain:What do you think?This was marked as " Not a STEMI " by the physicians. It is not a STEMI, but it isdiagnostic of an LAD OMI (Occlusion MI). There is subtle ST Elevation in V1-V4 and hyperacute T-waves in V2-V6.There is also subtle but diagnostic INFERIOR ST Elevation, with reciprocal ST Depression in aVL.I uploaded this to our new PM Cardio AI Bot app. We call the app the " Queen of Hearts "First, it transforms it to a digital file and standardizes the image. Here is the result:Next, it interprets the digital data:A...
Source: Dr. Smith's ECG Blog - March 31, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
Reactive Astrocytes in Neurodegenerative Conditions
Chronic, unresolved inflammation in brain tissue is a feature of age-related neurodegenerative conditions, and may even be the most important mechanism in these very complex conditions. The supporting cells of the brain, primarily microglia and astrocytes, become more active and inflammatory in later life. This overlaps with a rising count of senescent cells in these populations. Senescent cells produce an outsized contribution to inflammatory signaling, belying their relatively small numbers compared to non-senescent cells. Active microglia and astrocytes are largely not senescent, however. They are reacting to inflammato...
Source: Fight Aging! - March 27, 2023 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs
