Pain Practice Support from Occupational Therapy Australia
This is a landing page for pain resources from Occupational Therapy Australia – click (Source: HealthSkills Weblog)
Source: HealthSkills Weblog - March 11, 2024 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Uncategorized Source Type: blogs

“ Exercise ” – what does it do for people living with persistent pain?
No, I’m not going to assemble a bunch of papers and point out the effect sizes of exercise on pain and disability! In fact, I’m not even going to point to much research in this post. I want to pose some questions and put some thoughts out for discussion. See, the people I’ve seen over the years who live with pain have, by and large, not been great ‘exercisers’ before their pain came on, and many haven’t really changed their lifestyle a heap since their pain either. In fact, there is research showing that people with chronic pain don’t change the overall quantity of their activit...
Source: HealthSkills Weblog - March 10, 2024 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Assessment Chronic pain Clinical reasoning Occupational therapy Physiotherapy Psychology Resilience Science in practice Health Research Source Type: blogs

Acute chest pain and ST Elevation. CT done to look for aortic dissection.....
Written byWilly FrickA 67 year old man with a history of hypertension presented with three days of chest pain radiating to his back. He had associated nausea, vomiting, and dyspnea.What do you think?This ECG together with these symptoms is certainly concerning for OMI, but the ECG is not fully diagnostic, and another consideration could be acute pericarditis. Mistaking OMI for pericarditis is a much more harmful error than the converse. Still, in the interest of studying the ECG, here are some findings that could support pericarditis:Absence of large T-waves (flat ST segments)Absence of any STD in aVL (which is s...
Source: Dr. Smith's ECG Blog - March 9, 2024 Category: Cardiology Authors: Willy Frick Source Type: blogs

Young man with Gunshot wound to right chest with hemorrhagic shock, but bullet path not near heart
A young man presented with a gunshot wound to the right chest, with hemo-pneumothorax and hemorrhagic shock.He got a chest tube and intubation and massive transfusion and stabilized.CT of chest showed the bullet path through his right lung but nowhere near his heart.But he did get an EKG:What is this?  There were times when it would be usurped by sinus tachycardia, then return to this rhythm.There is a wide complex.  It is irregular.  It is not fast (cannot be VT).  There is no atrial activity to suggest atrial fibrillation.  There are whatcould be interpreted as delta wavesif, and only if, th...
Source: Dr. Smith's ECG Blog - March 7, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs

Young man with Gunshot wound to right chest with hemorrhagic shock, but bullet path not near heart. A case of irregular accelerated idioventricular rhythm (AIVR)
A young man presented with a gunshot wound to the right chest, with hemo-pneumothorax and hemorrhagic shock.He got a chest tube and intubation and massive transfusion and stabilized.CT of chest showed the bullet path through his right lung but nowhere near his heart.But he did get an EKG:What is this?  There were times when it would be usurped by sinus tachycardia, then return to this rhythm.There is a wide complex.  It is irregular.  It is not fast (cannot be VT).  There is no atrial activity to suggest atrial fibrillation.  There are whatcould be interpreted as delta wavesif, and only if, th...
Source: Dr. Smith's ECG Blog - March 7, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs

Ultrasound shows promise as new pain treatment, targeting a specific brain region
A recent study published in PhysicsWorld documented a possible new treatment for pain. Something most physicians would be surprised to hear. Ultrasound. That’s right, low-frequency ultrasound waves, when directed to a specific area of the brain called the insula, have been shown to give some pain relief to persons who were being subjected to a Read more… Ultrasound shows promise as new pain treatment, targeting a specific brain region originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 6, 2024 Category: General Medicine Authors: Tags: Conditions Pain Management Source Type: blogs

What do you know?
The next assumption on our list, on which the theory of the (non-existent) Free Market ™ depends, is the assumption of perfect information. Okay, it doesn ' t have to be absolutely perfect, but it has to at least be pretty good. In order for a transaction to really benefit both parties, they both have to know what they ' re getting and what they ' re giving for it. Once we ' re off the island of Bob and Alice, of course, what ' s normally happening is that one person is exchanging money for a good or service, so the transaction is asymmetrical pretty much by definition -- there ' s a seller and a buyer.Most people don ' ...
Source: Stayin' Alive - March 5, 2024 Category: American Health Source Type: blogs

RapidClaims Uses AI to Help US Healthcare Providers Address $250B in Denied Claims
RapidClaims Launches from Stealth with $3.1M Funding to Tackle the Core Issues Behind Claims Denial Healthcare organizations are turning to automation with “revenue cycle management” to protect operating margins and the increasing claim denials from the payors. Every year, close to $265B in claims made by US healthcare organizations are denied because of the way claims are coded on payor documentation and delayed submissions are two chief reasons for the denials. Coding errors account for over 40% of claim denials, while untimely submissions contribute to 35% of denials; eligibility and prior authorization being some o...
Source: EMR and HIPAA - March 5, 2024 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT Abhinay Vyas Ankit Jain Better Capital DeVC Dushyant Mishra Girish Mathrubootham Health IT Funding Health IT Fundings Health IT Investment Infinitus Jot Sarup Sahni Manav Garg Mass General Neon Source Type: blogs

From paralysis to possibility: an unexpected awakening [PODCAST]
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! Join us as we sit down with Olivia Ong, a pain and rehabilitation medicine physician based in Australia, as she opens up about her incredible journey of resilience and self-discovery. In 2008, Olivia experienced a traumatic spinal cord injury that left Read more… From paralysis to possibility: an unexpected awakening [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 4, 2024 Category: General Medicine Authors: Tags: Podcast Orthopedics Source Type: blogs

When the conventional algorithm diagnoses the ECG as COMPLETELY NORMAL, but there is in fact OMI, what does the Queen of Hearts PM Cardio AI app say? (with 10 case examples)
Conclusions Need Scrutiny.Proximal LAD Occlusion with STE in I and aVL, and hyperacute T-waves in V2-V6.Algorithm: Marquette 12 SL (GE)The Queen gets it rightCase 9 (prehospital and ED ECGs).  Echocardiography, even (or especially) with Speckle Tracking, can get you in trouble. The ECG told the story.  30 yo woman with trapezius pain. HEART Pathway = 0. Computer " Normal " ECG. Reality: ECG is Diagnostic of LAD Occlusion.Prehospital ECG:There are hyperacute T-waves in V3-V5.The Queen gets it rightFirst ED ECG:Hyperacute T-waves persist.  Called normal again! Algorithm: Veritas (on Mortara...
Source: Dr. Smith's ECG Blog - March 4, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs

poem
 A Different Kind of PainAfter the surgeryThe pain you used to have Will be goneBut something still remains —A different kind of painHere in the places Where I had to wound youTo heal you.3/4/24 (Source: Buckeye Surgeon)
Source: Buckeye Surgeon - March 4, 2024 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs

ACT plus exercise, vs exercise alone …
and what a shame there was no ACT alone group… No secret here, I like ACT (Acceptance and Commitment Therapy) as an approach for living well with chronic pain. I like it for many reasons, but probably the most compelling ones are that the hierarchy between therapist and person living with pain is minimised (we’re both humans finding our way through life) and that it doesn’t require the person to delve into challenging or disputing thoughts – this in turn enhances adherence to the core elements of ACT: living a life aligned with what really matters to this person. People seem to find using ACT mor...
Source: HealthSkills Weblog - March 3, 2024 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Chronic pain Pain conditions Physiotherapy Professional topics Psychology Research Science in practice pain management Therapeutic approaches Source Type: blogs

Are AI Clinical Protocols A Dobb-ist Trojan Horse?
By MIKE MAGEE For most loyalist Americans at the turn of the 19th century, Justice John Marshall Harlan’s decision in Jacobson v. Massachusetts (1905). was a “slam dunk.” In it, he elected to force a reluctant Methodist minister in Massachusetts to undergo Smallpox vaccination during a regional epidemic or pay a fine. Justice Harlan wrote at the time: “Real liberty for all could not exist under the operation of a principle which recognizes the right of each individual person to use his own, whether in respect of his person or his property, regardless of the injury that may be done to others.” What could ...
Source: The Health Care Blog - March 1, 2024 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Abortion AI Dobbs Forced Sterilization Mike Magee racial bias SCOTUS Vaccination Source Type: blogs

Exploring gene therapy for chronic pain [PODCAST]
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! Join L. Joseph Parker, a research physician, as we explore recent breakthroughs in gene editing, including its use in curing deafness and treating sickle cell anemia. Joseph discusses the ethical implications, accessibility challenges, and the potential of gene therapy in revolutionizing Read more… Exploring gene therapy for chronic pain [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 1, 2024 Category: General Medicine Authors: Tags: Podcast Pain Management Source Type: blogs

" Seizure " in a 60 year old male
This 60 yo male had an apparent tonic clonic seizure.  He had no history of seizures.  He was unconscious for 8 minutes and slowly awoke in the ambulance, complaining of nausea only.  First responders found him to bevery tachycardic, confused, perserverating and with no memory of the event.  There was tongue biting.  Lightheadedness continued.The tachycardia was gone by the time paramedics arrived.He had a prehospital ECG:What do you think?Interpretation.  There is terminal T-wave inversion in V2, highly suggestive of Wellens ' pattern.  But syncope or seizure alone, without chest pain, i...
Source: Dr. Smith's ECG Blog - March 1, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs