One good tern …
Yesterday, I spotted a Sandwich Tern, Thalasseus sandvicensis patrolling the open river lock at Brownshill Staunch on the Great River Ouse. It flew back and forth over a stretch of about 100 metres for 20 minutes or so before heading off downstream.
The river cuts through the RSPB Ouse Fen nature reserve (I’d walked in from the Over end rather than Needingworth). I’ve seen several Common Terns and even a Black Tern on this reserve. But, a Sandwich seemed unusual so I posted my spot to the local patch’s birding WhatsApp group when I first saw it. There was a flurry of interest and one member, Richard Thoma...
Source: David Bradley Sciencebase - Songs, Snaps, Science - April 18, 2024 Category: Science Authors: David Bradley Tags: Birds Source Type: blogs
Elite access vs. public scrutiny: Medication disparities exposed
A recent New York Times opinion piece detailed a lack of available pain medications. While the DEA claims that it is not purposefully restricting legitimate medication availability, even the names of its own operations belie this statement. On Halloween 2023, the DEA launched Operation “Bottleneck,” serving immediate suspension orders to six large pharmaceutical supply companies.
Read more…
Elite access vs. public scrutiny: Medication disparities exposed originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 16, 2024 Category: General Medicine Authors: L. Joseph Parker, MD Tags: Meds Pain Management Source Type: blogs
Need High Awareness of Symptoms of Heart Attack
High degree of awareness of heart attack symptoms in the community will go a long way in seeking early treatment. For life threatening diseases like heart attack, early recognition of symptoms and prompt reporting to the emergency department is highly desirable.
But a study from United States showed that 47% were not able to recognize some heart attack symptoms while 6% were not able to recognize any heart attack symptoms.
The main heart attack symptoms assessed by the study were:
Chest pain or discomfort
Shortness of breath
Pain or discomfort in arms or shoulders
Feeling weak, lightheaded, or faint
Jaw, neck, or back pai...
Source: Cardiophile MD - April 16, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
The current STEMI paradigm: Because STEMI criteria are not met, let's wait until the myocardium is dead!!
This was sent to me by an inpatient nurse who reads this blog but wants to remain anonymous.An inpatient rapid response was called for a patient with hypotension. The patient was originally admitted for pneumonia and had been transferred out of
the ICU a day prior. He had a history of HFrEF, HTN, and AML. " When I
arrived his blood pressure was 70s/40s and he was pale and profusely
diaphoretic. " " He spoke Spanish but we did deduce that he had 7/10 chest pain radiating to the
back. " " We couldn ’t initially get a hold of the primary physician but our
hospital allows the rapid response nur...
Source: Dr. Smith's ECG Blog - April 16, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs
Supported self-management – what are we managing, actually?
One of the words that has been in my vocabulary for decades is ‘management.’ No, I don’t mean the proliferative middle management layer infesting healthcare for about as long as I’ve been working in health. I mean ‘pain management’ or ‘supported self-management.’ As ever, what pops up for me is about what, exactly, is being managed?
Is it pain? Well – not exactly. After all, pain does what it does, and if we focus on pain reduction alone just look where that gets us (Ballantyne & Sullivan, 2015; Cutler & Glaeser, 2021). And quickly, lest anyone think I’...
Source: HealthSkills Weblog - April 14, 2024 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Uncategorized Source Type: blogs
56 year old male had 5/10 chest pain for several hours, then presented to the ED in the middle of the night with 1/10 pain.
A 56 year old male with PMHx significant for hypertension had chest pain for several hours, then presented to the ED in the middle of the night.He reported chest pain that developed several hours prior to arrival and was 5/10 in intensity. The pain was located in the mid to left chest and developed after riding his bike. There was associated fatigue when symptoms developed and mild shortness of breath at onset of chest pain however that has since resolved. The patient states he experienced similar 7/10 chest pain 2 days prior when he had to hurry to catch the bus. He states he experience...
Source: Dr. Smith's ECG Blog - April 14, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs
Weight Loss: Awareness Of This Emotion Helps People Eat Less
Head and neck pain and problems sleeping are common signs of this emotion. (Source: PsyBlog | Psychology Blog)
Source: PsyBlog | Psychology Blog - April 13, 2024 Category: Psychiatry & Psychology Authors: Jeremy Dean Tags: Stress Weight Loss Source Type: blogs
ECG in LMCA Stenosis
ECG in a person with persistent anginal pain for the past several hours showing significant ST segment depression anterolateral leads along with sinus tachycardia. ST segment elevation is noted in aVR. Such a pattern is consistent with significant left main coronary artery stenosis.
Clinical evaluation and X-Ray chest showed features of pulmonary edema. Angiography done after initial stabilization showed severe stenosis of distal left main coronary artery. In addition, there were multiple lesions in all three vessels, making a standard indication for an urgent coronary artery bypass grafting.
A similar ECG pattern can also...
Source: Cardiophile MD - April 13, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Differentiating Between Cardiac and Non-Cardiac Chest Pain
It is not always possible to be certain about the origin of chest pain just by its characteristics as the variation between individuals is quite a bit. A medical opinion should be sought in case of any significant chest pain so that important ailment is not missed. There can be a lot of overlap between symptoms due to heart disease and disease of other nearby organs.
Still some general observations are possible regarding chest pain originating from the heart. The typical pain of cardiac origin is a central chest pain which occurs on walking or other forms of exercise, known as effort angina. This pain is caused by insuffic...
Source: Cardiophile MD - April 10, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Suspicions of medical child abuse delayed my child ’ s cancer diagnosis
It was November 2014. I was leaving the parking structure of my local children’s hospital when I realized, “They don’t believe us.” I didn’t know it at the time, but it would take seven more months to find the cause of my eight-year-old daughter’s unremitting abdominal pain. An ultrasound ultimately revealed a malignant mass on
Read more…
Suspicions of medical child abuse delayed my child’s cancer diagnosis originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 10, 2024 Category: General Medicine Authors: Holly Cantley Tags: Conditions Oncology/Hematology Psychiatry Source Type: blogs
The overlooked impact of childbirth: hidden pelvic floor damage
Most women, about 60 percent of us, have a biological child. And while the birth of a child is often eagerly anticipated at the end of pregnancy, there are common concerns about the impact and process of delivery. Women worry about all kinds of things. We worry about poor pain control, long labor, deviating from
Read more…
The overlooked impact of childbirth: hidden pelvic floor damage originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 9, 2024 Category: General Medicine Authors: Sarah Boyles, MD, MPH Tags: Conditions OB/GYN Source Type: blogs
CodaMetrix Announces $40M Series B Financing to Advance Medical Coding Quality and Clinically Enrich Claims Data Through AI
CodaMetrix, the leading artificial intelligence (AI) solution for transforming healthcare and revenue cycle management, today announced that it has closed its $40 million Series B funding round. Transformation Capital led the financing with continued support from existing investors SignalFire, Series A lead, and Frist Cressey Ventures. Todd Cozzens, Co-Founder and Managing Partner at Transformation Capital, will join CodaMetrix’s Board of Directors. Series B financing will be used to further advance CodaMetrix’s AI-powered solutions which improve medical coding quality, produce clinically comprehensive data sets, reduc...
Source: EMR and HIPAA - April 9, 2024 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT CMX CodaMetrix Frist Cressey Ventures Hamid Tabatabaie Health IT Funding Health IT Fundings Health IT Investment Henry Ford Health Mass General Brigham Mount Sinai Health System SignalFire Todd Coz Source Type: blogs
8 Mindblowing Examples Of Technology Innovation In Healthcare
Medical innovations often conjure images of sterile labs, high-tech equipment, and complex procedures. But every now and then, remarkable breakthroughs come with a dash of ‘why didn’t I think of that?’ ingenuity. From reimagined everyday objects to solutions inspired by the natural world, these innovations prove that effective healthcare doesn’t always need to be complicated.
Let’s see some medical innovations that are as surprising as they are effective. We collected eight of our favorites that show how a little out-of-the-box thinking is leading to big changes in healthcare.
1. Zip-up ...
Source: The Medical Futurist - April 9, 2024 Category: Information Technology Authors: Andrea Koncz Tags: TMF creative healthcare healthcare innovation Source Type: blogs
A 29 year old male with chest pain, ST Elevation, and very elevated troponin T
By Magnus NossenThis ECG is from a young man with no risk factors for CAD, he presented with chest pain. How would you assess this ECG? How confident are you in your assessment? What is your next step? Note: lead format is CabreraI was sent this ECG in real time. The patient is a young adult male with chest pain. The chest pain was described as pressure like and radiation to both arms and the jaw. Symptoms were on and off. The pain was worse in the night and better when moving. The patient sought medical attention when the pain recurred for a second straight night accompanied by arm numbness as well as radiating pain. The ...
Source: Dr. Smith's ECG Blog - April 9, 2024 Category: Cardiology Authors: Magnus Nossen Source Type: blogs
Complexity and chronic pain*
*Persistent didn’t alliterate so well!
I’ve been pondering what makes persistent pain so complicated? What is it about this problem that means clinicians use terms like ‘heart-sink’, or ‘problematic’, or ‘difficult’ when they talk about people living with pain?
While nociception and all the associated neurobiological processes associated with pain are undoubtedly complex (and poorly understood), I don’t think this is what people mean when they describe chronic pain is complex. After all, there are loads of body systems and disease processes that are complex.
I...
Source: HealthSkills Weblog - April 7, 2024 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Professional topics Science in practice healthcare pain management Source Type: blogs
