A Name That Will Live Forever
Discussion1. What is the purpose of riches?2. What is the purpose of personal power?3. Why is it important for a society to have a fair justice system?4. How is information that makes you feel sad important for describing Malvolio?5. Explain what about the story helps you understand that one of the most ancient recommendations of philosophers is, “Know Yourself.”6. The common people pretended to like Malvolio during his reign, but openly despised him after his death. Isn ’t that hypocrisy? Were the commmoners right or wrong to behave that way>? Discuss. Literary EnhancementA figure of speech uses langua...
Source: The Virtual Salt - January 4, 2021 Category: Neurology Authors: Robert Harris Source Type: blogs
No, Young Adults Should Not Live in Fear from Coronavirus
What follows is an OpEd that I co-authored with Andrew Foy, MD, from Penn State University. Andrew is an academic cardiologist who studies the quality of scientific evidence.
Two outlets have declined to publish our piece. This is not surprising given that we critique a research letter written by prominent academic leaders. As you read our take, please keep in mind that we oppose only the ideas expressed in the interpretation of data.
***
The Journal of the American Medical Association recently published a research letter that reported an excess of nearly 12,000 deaths among younger adults th...
Source: Dr John M - December 29, 2020 Category: Cardiology Authors: Dr John Source Type: blogs
The Year When Everything Changed: Covid, Self Care and High Tech Innovation In Medicine
By HANS DUVEFELT
Life as we knew it and medicine as we had viewed it shapeshifted so dramatically in the past year that it is still hard to believe.
Medicine has started to move from an in-person only profession to one that finally recognizes that clinical assessment and treatment have fewer boundaries than people assumed. A patient of mine with newly diagnosed mastocytosis had a productive first consultation with an immunologist hundreds of miles away right from her own living room.
Efficiency increased when we could handle straightforward clinical issues electronically, even over the telephone, and still get...
Source: The Health Care Blog - December 14, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Medical Practice Hans Duvefelt Source Type: blogs
What I Got Wrong (and Right) about COVID19
In May, I wrote a column about COVID19 that got some attention.
My reason for writing was the change in messaging about the strategy of flatten-the-curve. We were first told to flatten-the-curve to prevent overwhelming hospitals. But then the thinking changed to flatten-the-curve to save lives.
I made eight assertions about COVID19. Let’s see how I did.
Assertion 1: The virus will not be contained. Verdict: Correct.
You might argue that New Zealand and Australia contained the virus, but I would counter that these are not fair comparisons to the US, Canada, and the EU.
Assertion 2: Tests...
Source: Dr John M - December 12, 2020 Category: Cardiology Authors: Dr John Source Type: blogs
Social connectedness, volunteerism, and the remedy for COVID fatigue
The screen of my laptop brightened up as the next patient appeared in time for her telemedicine visit. The attending physician and I smiled and greeted this typically genial 73-year-old woman —let’s call her “Mariana”—as she forced a reciprocal grin. Mariana’s husband passed away from pneumonia three months prior, shortly after recovering from COVID-19. She spoke […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 11, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/ashten-duncan" rel="tag" > Ashten Duncan < /a > < /span > Tags: Conditions COVID-19 coronavirus Infectious Disease Source Type: blogs
" Pay me now, or pay me later "
This patient presented with acute pulmonary edema without chest pain.A bit of history prior to showing the ECG:The patient had been hospitalized at a different hospital for pneumonia and NonSTEMI for a week. The troponin I had peaked at 40 ng/mL, and echo showed multiple wall motion abnormalities and EF of 35%. The patient suffered third degree heart block with bradycardia and required permanent pacemaker placement. A troponin that high is usually associated with Occlusion.I reviewed the ECGs from that hospital and they donot show OMI. But many ECGs in patients with OMI do not reveal the OMI, even when I ...
Source: Dr. Smith's ECG Blog - December 10, 2020 Category: Cardiology Authors: Steve Smith Source Type: blogs
Smart Stethoscope Helps Monitor and Diagnose Respiratory Conditions: Interview with Helena Binetskaya, CEO of Healthy Networks
LungPass, an AI-powered Bluetooth stethoscope has been developed by Healthy Networks, a company based in Talinn, Estonia. The device can analyze sounds from the lungs and help to diagnose or monitor a variety of respiratory conditions, with an initial focus on pneumonia and COPD.
The aim was to create a low-cost (the device costs as little as $45) technology that people could keep at home and use if they suspect to be were a respiratory illness or to monitor a pre-existing condition. With many respiratory illnesses, such as pneumonia, timely diagnosis and intervention is critical to avoid serious illness or death.
Ha...
Source: Medgadget - December 9, 2020 Category: Medical Devices Authors: Conn Hastings Tags: Cardiology Diagnostics Exclusive Geriatrics Pediatrics Source Type: blogs
Common cold, flu, or coronavirus?
In the early days of the outbreak, the novel coronavirus (COVID-19) was repeatedly compared to the flu (influenza) and even to the common cold (rhinoviruses, et al). This was due to an initial impression of shared symptoms.
The differences between these conditions are particularly important as we kick off National Influenza Vaccination Week (NIVW) and the ‘flu season’. So, how can we tell which of these diseases we are dealing with in a given patient?
Common cold
Let’s start with the common cold, a condition that can be caused by over 200 different strains of viruses. On average, an adult wil...
Source: GIDEON blog - December 8, 2020 Category: Databases & Libraries Authors: Kristina Symes Tags: Diagnosis Identify News Source Type: blogs
Fight Aging! Newsletter, December 7th 2020
In this study, except for the reduction in body weight, the aging characteristics related to epidermal and muscle tissue in mice were significantly ameliorated in the CR group compared with the control group. Additional studies have indicated that not stem cells themselves but the stem cell microenvironment is the key factor mediating stem cell activation, proliferation and differentiation.
Mitochondrial dysfunction is an important factor leading to age-related muscular atrophy. Considering the dependence of skeletal muscle on ATP, loss of mitochondrial function, which can lead to a decrease in strength and enduranc...
Source: Fight Aging! - December 6, 2020 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
Mechanisms by which Calorie Restriction Delays the Onset of Sarcopenia
In this study, except for the reduction in body weight, the aging characteristics related to epidermal and muscle tissue in mice were significantly ameliorated in the CR group compared with the control group. Additional studies have indicated that not stem cells themselves but the stem cell microenvironment is the key factor mediating stem cell activation, proliferation and differentiation.
Mitochondrial dysfunction is an important factor leading to age-related muscular atrophy. Considering the dependence of skeletal muscle on ATP, loss of mitochondrial function, which can lead to a decrease in strength and enduranc...
Source: Fight Aging! - December 4, 2020 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs
Don't Just Rely on X-Rays
A woman in her 50s reported
four days of left-sided pleuritic chest pain in her lower ribs. No other symptoms:
no fever, trauma, shortness of breath, cough, or wheezing. It's COVID times, so
who knows? A chest x-ray and labs were ordered. The x-ray appeared clear.
Perhaps it was pleurisy. The white blood count was more than 17 mL! Still no fever:
99.2°F.Then the D-dimer came back
elevated. A chest CT angiogram was obviously the next step. Maybe it was a pulmonary
embolism.Surprise! It was pneumonia,
and it wasn't a little one!Chest x-rays are used as a
screening tool for pneumonia. They require le...
Source: Lions and Tigers and Bears - November 30, 2020 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Why spiritual health is so important [PODCAST]
“Around the time of the coronavirus outbreak, 2019 also marked a full century since the death of Sir William Osler, who revolutionized medical training. Despite some lingering debate over whether Dr. Osler ’s pneumonia-related death should be counted among the 50 million lost to the 1918 influenza pandemic, his notes suggest that he believed the flu […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 22, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/elizabeth-j-berger" rel="tag" > Elizabeth J. Berger, APBCC < /a > < /span > Tags: Podcast Medical school Source Type: blogs
A Covid patient with cough and Fever. Why does the ST-T wave look so abnormal?
I was reading through a stack of ECGs and saw this one. What is going on here?At first glance, it looks like a low atrial rhythm, with a negative P-wave in inferior leads. There appear to be inferior QS-waves and and intraventricular conduction delay (computer measure QRS at 120 ms).There appear to be very strange down up T-waves.On closer inspection, the P-wave in V1 appears biphasic, which should not happen in a low atrial rhythm.Then we see that there is another P-wave inbetween, superimposed on the T-wave, in V1.Then we see that in lead II, the negative P-waves have another negative P-wave between...
Source: Dr. Smith's ECG Blog - November 15, 2020 Category: Cardiology Authors: Steve Smith Source Type: blogs
Pneumonia – “a disease of the ancients”
Doctor examining a lung radiography
The COVID-19 pandemic has been a painful reminder of how important lung health is. But there are many other threats to this very vital organ. Numerous lung diseases have plagued the human race throughout history, and doctors have been working tirelessly to find effective means of beating them – a battle that continues to the present day.
While many diseases cause symptoms in the lung, several of them attack this organ directly. “Pneumonia” is not a single disease, but rather a generic term for inflammatory conditions affecting the lungs. Pneumonias affect hundreds of milli...
Source: GIDEON blog - November 12, 2020 Category: Databases & Libraries Authors: Kristina Symes Tags: Epidemiology News Source Type: blogs
