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Knee osteoarthritis and Pavarotta
Well, earlier this week we had to say goodbye to our eldest cat, Pavarotta. She was 19 years old. Here, in brief, is what happened: last Monday, November 27, I heard a scary, very loud howl coming from the dining room, where the kitties have their water fountain. I got there in time to see Pavarotta fall on the floor and begin scrambling about, trying to get up. A few of our other cats came running and sat around her…I think they wanted to help. After hearing my reassuring voice (but I was freaking out, truth be told), she finally lay down and rested for about a half hour, then got up and seemed almost normal. She ev...
Source: Margaret's Corner - December 1, 2023 Category: Cancer & Oncology Authors: Margaret Tags: Blogroll death of a cat gonoartrosi knee osteoarthritis Source Type: blogs

Quiz post: 2 similar patients with similar ECGs. Which, if any, or both, are OMI? Will you outperform the Queen of Hearts?
 Written by Pendell MeyersTwo adult patients in their 50s called EMS for acute chest pain that started within the last hour. Both were awake and alert with normal vital signs. Both cases had an EMS ECG that was transmitted to the ED physician asking " should we activate the cath lab? "What do you think? Here they are:Patient 1, ECG1:Zoll computer algorithm stated: " ***STEMI***, Anterior Infarct "Patient 2, ECG1:Zoll computer algorithm stated: " ST elevation, probably benign early repolarization... "Queen of hearts interpretations:Patient 1, ECG1:Patient 2, ECG1:Patient 1 Clinical Course and Outcome:The EM physician d...
Source: Dr. Smith's ECG Blog - November 29, 2023 Category: Cardiology Authors: Pendell Source Type: blogs

Government surveillance: How electronic prescription records are changing medicine
Every time an American fills a prescription, a searchable electronic database record is made. This record is kept, like the paper records of a few decades ago, to allow for verification of medications dispensed in the U.S. But in the past, to access these records, enforcement agencies had to get a search warrant signed by Read more… Government surveillance: How electronic prescription records are changing medicine originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 28, 2023 Category: General Medicine Authors: Tags: Physician Pain Management Source Type: blogs

Cannabis compounds and fracture healing [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join L. Joseph Parker, a research physician, as we explore a recent study published in the Journal of Bone and Mineral Research. Discover how two compounds found in cannabis, cannabidiol (CBD) and cannabigerol (CBG), may revolutionize fracture healing and pain management. We’ll delve into Read more… Cannabis compounds and fracture healing [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 28, 2023 Category: General Medicine Authors: Tags: Podcast Medications Source Type: blogs

Chest pain and new regional/reciprocal ECG changes compared to previous ECGs: code STEMI?
 Written by Jesse McLaren A 45 year old presented with two weeks of recurring non-exertional chest pain, now constant for an hour. Below is old and then new ECG (old on top; new below). What do you think?Both ECGs have normal sinus rhythm, normal conduction and normal voltages. There ’s a change in axis that may interfere with direct lead-to-lead comparison, but there appear to be larger T waves in I/aVL and new TWI in III/aVF. But do they represent acute coronary occlusion? Because of the ECG changes in a patient with chest pain, and with inferolateral hypokinesis on POCUS, the cath lab was activated. But...
Source: Dr. Smith's ECG Blog - November 27, 2023 Category: Cardiology Authors: Jesse McLaren Source Type: blogs

What are the most commonly used pain self-management strategies?
This study also demonstrates how novel interventions can be examined in groups with small numbers, but still allowing us to measure important changes. As an exploratory design, single case study design replicated with several participants is a method we need to use more. In a systematic review and meta-analysis, Blasco-Belled and colleagues (2023) found that positive psychology interventions do enhance positive affect and reduce anxiety but didn’t alter depression. There were not many studies included in this analysis suggesting that we still have a hang-up on promoting joy and compassion and all the good things i...
Source: HealthSkills Weblog - November 26, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Clinical reasoning Coping Skills Coping strategies Occupational therapy Resilience Resilience/Health Science in practice biopsychosocial pain management Research Therapeutic approaches Source Type: blogs

Pain medicine realities: beyond the opioid crisis
In 1990, Ronald Melzack published a paper in Scientific American titled “The Tragedy of Needless Pain.” Many would regard Melzack as the “father” of pain science and the treatment of pain. In that paper, he described the science behind several observations that many clinicians and public health policy decision-makers would find startling in today’s hostile and fraught Read more… Pain medicine realities: beyond the opioid crisis originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 23, 2023 Category: General Medicine Authors: Tags: Conditions Medications Source Type: blogs

The brain science behind acupuncture
There are those who believe acupuncture to be a bunch of mumbo jumbo. I’m convinced it works, though. Acupuncture was first performed thousands of years ago, and it’s still being done today. That alone should tell you there’s something to it. Early practitioners believed they were balancing life force and rhythm. Modern science has proven Read more… The brain science behind acupuncture originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 22, 2023 Category: General Medicine Authors: Tags: Conditions Pain Management Source Type: blogs

Infection and DKA, then sudden dyspnea while in the ED
To learn more about Occlusion MI, join us in thisFree Webinar on November 27 12 noon US Central Time:Sign up at this link: https://zoom.us/webinar/register/2216945975176/WN_7HuMRHNxREKifGgQvy70lg#/registrationInfection and DKA, then sudden dyspnea while in the EDA 63 year old male with a PMH of CAD and peripheral vascular disease from type 1 DM presented to clinic and was found to have a very high blood sugar and so was sent to the emergency department.Patient stated that he has had glucose over 400 even though he has not missed any doses of insulin.  He also endorses fatigue, upset stomach, frequent urination, i...
Source: Dr. Smith's ECG Blog - November 22, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

It ’ s not our time for the sea – a song
Andrea T from C5 the band, mentioned in passing that she’d had a dream where she wrote a song, but she could only remember the following line – “She said, it’s not my time for the sea”. Hipgnosis-style generative art cover Well, having worked with co-founder and erstwhile member of our Arts Night collective Simon Oliver on a song last week (My Light, My Sky), I felt like I was on a roll and came up with some lyrics to hang around Andrea’s phrase. The words evolved over the course of a couple of days with input from Andrea as well as a beautiful additional verse from her. I then set about...
Source: David Bradley Sciencebase - Songs, Snaps, Science - November 21, 2023 Category: Science Authors: David Bradley Tags: Music Source Type: blogs

Will We All Have To Become Biologically Enhanced Superhumans?
Okay, hands up who can tell who’s the most famous biologically enhanced superhuman in the world? True, it’s a quite close call between Captain America and The Incredible Hulk (sorry Spidey, you’re not even close). But are human-invented superhumans just a thing of a Stan Lee comic, or is it an actual scientific idea from a real laboratory? As a matter of fact, enhancing human capabilities has been on the minds of people for ages, but it has come a long way from ancient training methods to exoskeletons. Enhancing our abilities, be it permanently or temporarily is a tempting but risky matter. Will it be possibl...
Source: The Medical Futurist - November 21, 2023 Category: Information Technology Authors: berci.mesko Tags: Forecast Artificial Intelligence in Medicine Augmented Reality Bioethics Biotechnology Cyborgization Digital Health Research E-Patients Genomics Health Sensors & Trackers Healthcare Policy Medical Education Robotics Science Ficti Source Type: blogs

What are the most commonly used pain self-management strategies?
In a very unscientific vox populi survey conducted via my blog, I asked people with pain to tell me the FIVE self-management strategies they’d used over the week prior. If you’re interested in completing this yourself, click here: click. (Scroll down that page to the survey). My reason for asking the question is that we have a list of self-management strategies, but the definitions and the way strategies are used in daily life are quite murky. For example, we don’t have a clear definition of ‘activity pacing’ though we are starting to investigate it. We also don’t know whether strateg...
Source: HealthSkills Weblog - November 19, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Coping strategies Research Resilience/Health pain management Therapeutic approaches Source Type: blogs

Are clinicians complicit in the Fentanyl epidemic?
I have a friend. He is non-medical, just a person who knows a lot of people. He grew up on the rough side of town. He has lost five friends or relatives this past year, he tells me. All to Fentanyl overdoses. Most were young, in their twenties or thirties. Two were friends of his Read more… Are clinicians complicit in the Fentanyl epidemic? originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 19, 2023 Category: General Medicine Authors: Tags: Meds Pain Management Source Type: blogs

Sunday Sermonette: A few shorties
We have some mercifully short psalms on the menu for today, so we can plow through a few of them and work toward getting this over with. These mostly seem to have been written in response to the composer ' s personal circumstances or experience, so they may be theologically suspect. Sometimes God seems to misbehave or get moody.Psalm 10 is the longest of today ' s offerings. It seems to have been written in response to someone -- a chieftan, perhaps, a landlord or a plutocrat of some sort -- oppressing poor people. The writer is essentially complaining that God is allowing this to happen. (My advice: Don ' t waste time com...
Source: Stayin' Alive - November 19, 2023 Category: American Health Source Type: blogs

Adolescent exposure to alcohol may predispose to addiction
Have you ever wondered why some people always seem to be in pain? Or why someone can receive a prescription for a minor procedure and immediately feel drawn to drug use? Scientists may have recently figured out one of the reasons for these behaviors, and they may start early in life. The developing neuron is Read more… Adolescent exposure to alcohol may predispose to addiction originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 18, 2023 Category: General Medicine Authors: Tags: Conditions Psychiatry Source Type: blogs