poem
 Op Note VThe patient had broken his heart.  Or at least that ’s what he claimed.  So we cracked his chest and slit the hazy film of pericardium.  The restless red muscle thrashed about within its cage like a trapped animal.  Cardioplegia solution was infused and we packed  it in crushed ice until it went still and gray.  I searched every chamber.  Examined the atria and ventricles, front and back.  Nary a scratch or fissure to be found. Even the coronaries were soft and pliable. This was a good heart.  It wasn ’t broken.  It just needed to rest.  The potassiu...
Source: Buckeye Surgeon - October 12, 2021 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs

What causes kidney stones (and what to do)
Stone disease has plagued humanity since ancient times. Kidney stones have been identified in Egyptian mummies. The Hippocratic oath describes their treatment: “I will not use the knife, not even verily, on sufferers from stone, but I will give place to such as are craftsmen therein.” Who gets kidney stones and why? The lifetime risk of kidney stones among adults in the US is approximately 9%, and it appears that global warming may be increasing that risk. (As the climate warms, human beings are more likely to get dehydrated, which increases the risk of stone formation.) There are four major types of kidney stones: cal...
Source: Harvard Health Blog - May 17, 2019 Category: Consumer Health News Authors: Kevin R. Loughlin, MD, MBA Tags: Health Healthy Aging Kidney and urinary tract Source Type: blogs

Isagenix. – Diet Review
Conclusion – Does Isagenix Work? Isagenix Isalean’s shake is marketed well, but it’s loaded with sugar and calories. There’s also a lot of protein added, but once you research what kinds of ingredients are included, you realize it’s not a quality meal replacement. The protein added is cheap and can be found for a reduced price elsewhere. Many customers have also complained about the taste, lack of weight loss, and the hard to drink consistency. There are better options which have only 1 gram of sugar, no added fructose, only high quality whey protein, and great reviews to back up their weight loss claims.  T...
Source: Nursing Comments - March 30, 2018 Category: Nursing Authors: M1gu3l Tags: Weight Loss Source Type: blogs

Isagenix. – Diet Review
Conclusion – Does Isagenix Work? Isagenix Isalean’s shake is marketed well, but it’s loaded with sugar and calories. There’s also a lot of protein added, but once you research what kinds of ingredients are included, you realize it’s not a quality meal replacement. The protein added is cheap and can be found for a reduced price elsewhere. Many customers have also complained about the taste, lack of weight loss, and the hard to drink consistency. There are better options which have only 1 gram of sugar, no added fructose, only high quality whey protein, and great reviews to back up their weight loss claims.  T...
Source: Nursing Comments - March 30, 2018 Category: Nursing Authors: M1gu3l Tags: Weight Loss Source Type: blogs

MKSAP: 28-year-old man is evaluated for recurrent nephrolithiasis
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 28-year-old man is evaluated for recurrent nephrolithiasis. Medical history is significant for Crohn disease complicated by multiple small bowel strictures requiring resection. He began developing kidney stones 3 years ago following his last bowel surgery. Analysis of the stones has consistently shown calcium oxalate, and he has been adherent to a low oxalate diet, oral hydration to maintain urine output of at least 2 L/d, and intake of 2 g of calcium carbonate with each meal. However, he has continued to have...
Source: Kevin, M.D. - Medical Weblog - May 13, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Nephrology Source Type: blogs