Pelvic Pain After Tubal Clips, Free Reversal Surgery Helps!
This year's winner has experienced pelvic pain after tubal clips. We are optimistic our reversal surgery will help her!
The post Pelvic Pain After Tubal Clips, Free Reversal Surgery Helps! appeared first on A Personal Choice. (Source: Tubal Reversal Blog)
Source: Tubal Reversal Blog - October 12, 2023 Category: Reproduction Medicine Authors: Dr. Monteith Tags: Post Tubal Ligation Syndrome clip migration clip problems clip side effects clip symptoms Filshie clips pain after tubal clips ptls tubal ligation symptoms Source Type: blogs
What clinical scenario fits best?
Below are 4 ECGs from the same patient. Accompanying the ECGs is some clinical information. Look at the ECGs and consider the timeline and other information. At the bottom will be five alternative clinical scenarios to explain the findings.Which one do you think fits better with the ECGs and their timeline? The patient is a 60 something female. She was admitted to the hospital with clinical signs of infection. She was febrile and hypotensive at presentation. As part of her work up in the ED an ECG was recorded.What do you think?ECG#1 - day 1The above ECG shows sinus rhythm with a narrow QRS and normal axis. There is B...
Source: Dr. Smith's ECG Blog - October 12, 2023 Category: Cardiology Authors: Magnus Nossen Source Type: blogs
Bonus Features, HLTH Edition – October 11, 2023 – Announcements from Best Buy, General Catalyst, Google Cloud, Microsoft, Walgreens, and more
This article will be a roundup of interesting stories, product announcements, partnerships, research studies, company launches, and more from the annual conference. Because there’s so much happening out there at HLTH that we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job.
Top Headlines
VC firm General Catalyst is creating Health Assurance Transformation Corp., which will partner with 20+ health system partners to guide their transition to value-based care and potentially acquire a health ...
Source: EMR and HIPAA - October 11, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT Acuity aidoc athenahealth b.well Best Buy BrightInsight care.ai Circadian Health CLEAR ClearDATA DatosX DAX Copilot DeepScribe Dexcom DUOS Elation Health Evernorth Health Services General Catalyst Google Source Type: blogs
Balancing medical ethics in opioid treatment
What is a legitimate medical reason to prescribe an opioid medication today? For pain or addiction? Who decides which patients are worthy of treatment? This question is not just of academic interest. Any prescribing medical provider today must constantly live in fear that a law enforcement agent somewhere will disagree with the prescriber’s answer to
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Balancing medical ethics in opioid treatment originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 9, 2023 Category: General Medicine Authors: L. Joseph Parker, MD Tags: Physician Pain Management Source Type: blogs
The Mindful Body argues against mindlessly accepting age-related decline in cognition and health as inevitable
In 1979, Harvard researcher Ellen Langer invited elderly men to spend a week at a retreat designed to remind them of their younger days, surrounded by the art, music, food, games, décor, and more from the late 1950s. Afterward, the men were tested and found to have made significant gains in hearing, memory, dexterity, posture, and general well-being. It was as if being in a place signaling their younger days made them physiologically “younger.”
Maybe you, too, have had an experience where your mind seemed to affect your health. It turns out there’s a reason for that, according to Langer, author of the new book The M...
Source: SharpBrains - October 9, 2023 Category: Neuroscience Authors: Greater Good Science Center Tags: Brain/ Mental Health Education & Lifelong Learning anti-anxiety medication anti-depressants book cognition cognitive change cognitive-abilities Ellen Langer mind mindfulness-meditation mindlessly physiology placebo studies Th Source Type: blogs
Self-management, coping – or living with?
After a weekend relaxing by the beach, I’m once again pondering the nature of how people live well with persistent pain. It’s called variously ‘self-management’ or ‘coping’ or, in my life, ‘living with’ pain, and as I pointed out last week, it’s not well-defined. I’m not even sure that people with pain get a look-in at what to call these ‘ways of living’ because it’s typically an academic discussion that excludes the very people who are expected to comply with them!
That gripe aside, what’s wrong with the terms ‘coping’ or &#...
Source: HealthSkills Weblog - October 8, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Coping strategies Pain conditions Resilience/Health biopsychosocial pain management Therapeutic approaches Source Type: blogs
Should we activate the cath lab? A Quiz on 5 Cases.
Imagine you just started your ED shift. It ' s a busy Friday afternoon. Triage is backed up, and 10 minutes into your shift one of the ED nurses brings your several ECGs that has not been overread by a physician. All of the patients presented with chest pain, and they are all in triage.Which, if any, of these patients has OMI, with myocardium at risk and need for emergent PCI?ECG#1ECG#2ECG#3ECG#4ECG#5See outcomes of all 5 below, with the Queen of Hearts AI Bot interpretation.YOU TOO CAN HAVE THE PM Cardio AI BOT!! (THE PM CARDIO OMI AI APP)If you want this bot to help you make the early diagnosis of OMI and...
Source: Dr. Smith's ECG Blog - October 8, 2023 Category: Cardiology Authors: Magnus Nossen Source Type: blogs
Don ’ t put off medical care: X-ray for minor knee pain finds tumor
My fiancée had been complaining on and off about minor knee pain and swelling for months. She kept putting off doing anything about it, because she’s a former college basketball player who had already had two surgeries on that knee, and she assumed it was residual effects from those injuries. But I was having a
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Don’t put off medical care: X-ray for minor knee pain finds tumor originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 6, 2023 Category: General Medicine Authors: Jennifer Wood, MD Tags: Conditions Oncology/Hematology Orthopedics Source Type: blogs
Mechanism of Troponin release in “ Marathon runners ” ?
Can you believe that 68% of marathon runners show elevated Troponin levels after crossing the finish line? . 11% of them have significant levels that could lead to a diagnosis of ACS if they experience chest pain and end up in the hospital. (Fortescue EB 2007 )
Clinical experience suggest, that it doesn’t require a marathon race to bring troponins into the bloodstream. Any heavy, prolonged physical exertion can potentially release these biomarkers.
How much Troponins are released in these runners ? (Ref 3)
Most runners (68%) had some degree of troponin increase (troponin T > or = 0.01 ng/mL or t...
Source: Dr.S.Venkatesan MD - October 6, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized cardaic biomarkers free cytosolic troponin mechansim troponin release non cardiac troponin troponin in marathon runners troponin t vs i Source Type: blogs
What is the infarct artery? What does the post PCI ECG show? What does the convalescent ECG show?
What is the infarct artery? I usually don ' t ask this question, as it is rarely relevant to the decision to activate the cath lab. This is one case where it made a difference: Right Ventricular MI seen on ECG helps Angiographer to find Culprit LesionNevertheless, it is sometimes a fun academic exercise to try to predict the infarct artery:An elderly patient had onset of chest pain one hour prior. He called 911. Here is the prehospital ECG.What do you think?I think it looks like an inferior posterior OMI. The medics thought so too and activated the cath lab from the prehospital.The Qu...
Source: Dr. Smith's ECG Blog - October 6, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
Addressing dual diagnosis needs in addiction treatment
An excerpt from Slow Dancing with the Devil: A Son’s Substance Use Disorder, A Mother’s Anguish. The only time my anxiety was gone, or at least on pause, was when Luke was in a treatment center or sobriety house. I knew he was safe and surrounded by those who understood the game. Neurobiology is a
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Addressing dual diagnosis needs in addiction treatment originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 3, 2023 Category: General Medicine Authors: Susan Hertz Berrick, EdD Tags: Conditions Pain Management Source Type: blogs
poem
New TheologyIn the new theology faith is simply an acceptance of the world as it is. Nothing more than that. No complex creeds to wrestle with. No painful initiation rites. God doesn ’t play a role in our system. And truth is something only rarely stumbled upon. So one must nevertheless exercise discernment and prudence at all times. Take the emotion out of it, wring it out, hang it out to dry in the warm summer wind, then put it crinkled and damp back in. Many people hear abo ut our teachings and say it trivializes faith, as if it were easy. The sky is blue. That boy is my son. But they’re wrong. The ancient rel...
Source: Buckeye Surgeon - October 3, 2023 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
Shhhhh! The secret we don ’ t talk about …
For all my writing about ACT, there are some things that ACT doesn’t directly deal with: what do people use to help them do what matters in their life? OK we do discuss actions, values, perspective-taking, mindfulness, willingness and defusion, but we don’t talk about the specifics of what people living with pain might do to live well. The skills or ways of going about daily life, using things that help people with pain do things. *Scroll to the bottom to see my totally unscientific survey for people with pain*
So for a few weeks I’m exploring self-management: this is one of those poorly-defined terms ...
Source: HealthSkills Weblog - October 1, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Back pain Chronic pain Clinical reasoning Coping Skills Coping strategies Low back pain Occupational therapy Research Science in practice biopsychosocial Health pain management self-management Therapeutic approaches Source Type: blogs
Expert human ECG interpretation and/or the Queen of Hearts could have saved this patient's anterior wall
This is a re-post of an excellent case from 2021. See it again now, along with our new Queen of Hearts functionality. We ' ve come a long way in 2 years! And the pace only quickens.A man in his mid 60s with history of CAD and stents experienced sudden onset epigastric abdominal pain radiating up into his chest at home, waking him from sleep. He called EMS who brought him to the ED. He had active chest pain at the time of triage at 0137 at night, with this triage ECG:What do you think?I sent this ECG, without any text at all, to Dr. Smith, and he replied: " LAD OMI with low certainty. V3 is the one that is convincing. "&nbs...
Source: Dr. Smith's ECG Blog - October 1, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
A man in his 40s with acute chest pain. What do you think?
Sent by anonymous, written by Pendell Meyers, reviewed by Smith and GrauerA man in his 40s presented to the ED with HTN, DM, and smoking history for evaluation of acute chest pain. He was eating lunch when he had sudden onset chest pressure, 9/10, radiating to his back, with sweating and numbness in both hands.Triage ECG:What do you think?It ' s a very " fun " ECG, with initial ectopic atrial tachycardia (negative P waves in inferior leads conducting 1:1 with the QRSs), followed by spontaneous resolution to sinus rhythm. In the available view of the sinus rhythm, we see normal variant STE which probably meets STEMI criteri...
Source: Dr. Smith's ECG Blog - September 29, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
