Myalgic encephalomyelitis/chronic fatigue syndrome and long COVID [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! “ME/CFS is a complex multi-system illness that destroys lives (essentially killing the person yet leaving them alive).  It leaves patients with unimaginable fatigue, post-exertional malaise (meaning that minor exertion makes them feel worse), cognitive deficits, cardiovascular dysfunction, gastrointestinal malfunctions, unrefreshing sleep, pain, and much Read more… Myalgic encephalomyelitis/chronic fatigue syndrome and long COVID [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - September 20, 2022 Category: General Medicine Authors: Tags: Podcast COVID Rheumatology Source Type: blogs

Focus on the rheumatoid arthritis patient, not on their disease
Medical school, residency, and fellowship taught me pathophysiology, diagnosis, and the most advanced treatments for autoimmune diseases like rheumatoid arthritis. As an attending physician, seeing my own patients, I noticed that targeted therapy is not able to control the disease in all patients with rheumatoid arthritis. The results varied. I could not stop asking myself, Read more… Focus on the rheumatoid arthritis patient, not on their disease originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - September 16, 2022 Category: General Medicine Authors: Tags: Conditions Rheumatology Source Type: blogs

Assessment of right ventricular diastolic function
Assessment of right ventricular diastolic function is often done by echocardiography, though not as commonly as for the left ventricle. An RV focussed apical four chamber view is used for the assessment of right ventricle. In RV focussed view, transducer is adjusted from the standard apical four chamber view to have right ventricle in the centre of the image than the usual image centered on the left ventricle. The left ventricular outflow tract should not come into the view and left ventricular apex should remain at the top of the image sector. In this adjusted view, the entire right ventricular free wall should be visibl...
Source: Cardiophile MD - September 13, 2022 Category: Cardiology Authors: Johnson Francis Tags: Echocardiography Source Type: blogs

Vitamin K antagonist superior to DOAC in RHD with AF – INVICTUS study
Vitamin K antagonist superior to DOAC in RHD with AF – INVICTUS study The INVICTUS program (INVestIgation of rheumatiC AF Treatment Using VKA) was designed as an open label parallel group trial comparing treatment with vitamin K antagonists or rivaroxaban, in rheumatic heart disease with atrial fibrillation [1]. It was an international multicentre randomized study. A registry of 17,000 patients was also planned to document the contemporary clinical course of patients with RHD, including a focused sub-study on pregnant women with RHD within the registry. RHD is considered as a neglected disease affecting 33 million pe...
Source: Cardiophile MD - September 10, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

The key to living with less pain is understanding what relieves pain, why it works, and how to achieve it
An excerpt from The Pain Solution: 5 Steps to Relieve and Prevent Back Pain, Muscle Pain, and Joint Pain without Medication. In a one-year period, more than 54 percent of Americans report musculoskeletal pain, including arthritis pain, low back pain, and neck pain. The search for relief has created a different kind of epidemic. The opioids Read more… The key to living with less pain is understanding what relieves pain, why it works, and how to achieve it originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - September 1, 2022 Category: General Medicine Authors: Tags: Conditions Pain Management Source Type: blogs

A paradigm of perseverance
At her Supreme Court confirmation hearing in front of the Senate Judiciary Committee, Judge Ketanji Brown Jackson recounted a story from her time as a college undergraduate. She recalled being a freshman at Harvard after having attended public school in Miami, Florida, and her transition to life at the university had been challenging, causing her Read more… A paradigm of perseverance originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 31, 2022 Category: General Medicine Authors: Tags: Physician Rheumatology Source Type: blogs

Adaptive Footwear Can Aid Comfort and Joint Health While Helping You Prevent Falls
While the average person is unlikely to do high jumps or run marathons, even daily life can wear out our joints. Over time, this wear may become apparent through pain. Age aside, diseases such as arthritis can eat away at our joints and cause inflammation, as well. The result of these assaults can be damaged hips and knees, and malformed feet and toes. Wise people learn that supportive, adjustable footwear can make or break our day, and that’s where Silverts can help.  Extra wide for inflamed and non-aligned toes: The pressure of shoes on sore or twisted joints can force even people who once had narrow feet ...
Source: Minding Our Elders - August 29, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

How To Communicate with Your Older Parents So They Hear You
“My mom is 81 and lives alone in her condo,” Judy Hanson writes. “Her arthritis is painful, but she gets around with a walker. Her mind is okay for now, though she is sometimes forgetful. I also feel that she is lonely. “I’m worried about her safety and have been telling her for several years that she needs help,” she continues. “I’m not proud to say that I’ve stooped to yelling at her, but I have done it. I hate the thought of her falling and not having help, and I also think she’d be happier with more company. There’s a nice assisted living close by me so that’s where I want her to move. Will she...
Source: Minding Our Elders - August 23, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

An Older Adult Skip ’s Bathing? Maybe there’s a Reason
A common complaint about older people, especially those who have health challenges, is that they “smell” or have other signs that they don’t shower or bathe often enough to stay fresh. Some of this may be driven by ageist stereotypes, but some of it can be based in truth. If you have a parent or other older adult in your family and you feel that poor hygiene is a realistic issue, the first thing you should do is try to determine why the person isn't keeping up with self-care.  Understand that we aren’t talking about someone who wasn’t smelling too fresh one day when you stopped in. There could be many rea...
Source: Minding Our Elders - August 17, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

An Older Adult Skips Bathing? Maybe there ’s a Reason
A common complaint about older people, especially those who have health challenges, is that they “smell” or have other signs that they don’t shower or bathe often enough to stay fresh. Some of this may be driven by ageist stereotypes, but some of it can be based in truth. If you have a parent or other older adult in your family and you feel that poor hygiene is a realistic issue, the first thing you should do is try to determine why the person isn't keeping up with self-care.  Understand that we aren’t talking about someone who wasn’t smelling too fresh one day when you stopped in. There could be many rea...
Source: Minding Our Elders - August 17, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

What a lifetime  of gaslighting by other doctors feels like [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! “Ehlers-Danlos syndrome patients take an average of 10 years to be diagnosed. In that time, the pain from microtrauma and joint instability can become unbearable. “Just exercising more” can backfire, causing injury and disability and creating a cycle of added stress from chronic illness. Read more… What a lifetime of gaslighting by other doctors feels like [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 12, 2022 Category: General Medicine Authors: Tags: Podcast Rheumatology Source Type: blogs

The Future of 3D Printing Drugs In Pharmacies Is Closer Than You Think
3D printing drugs is not a fantasy anymore. Unbelievable shapes and any kind of drug can be fabricated with groundbreaking technology. The UK biotech company, FabRx believes it could even appear as a regular technique in hospitals and pharmacies for creating personalised drugs in specific doses within 5-10 years. In February 2022 the company announced they developed a technology allowing them to 3D print tablets in 7-17 seconds, a huge improvement from earlier. Print out starfish-shaped drugs for your child at home Somewhere in the 2030s: Annie was called by her daughter’s teacher that she had a high fever...
Source: The Medical Futurist - August 9, 2022 Category: Information Technology Authors: berci.mesko Tags: 3D Printing Future of Medicine Future of Pharma Healthcare Innovation Personalized medicine GC1 pharmacies 3d printed drugs personalized drugs Source Type: blogs

Preventive, Proactive, Productive: Digital Care for Managing Cardiovascular Disease (CVD)
The following is a guest article by Subhro Mallik, SVP and Head of Life Sciences business unit at Infosys. Cardiovascular disease (CVD) claims more lives than any other ailment. In 2019, it accounted for about one-third of total deaths globally. CVD also takes an enormous economic toll – US$ 1 billion per day in the United States alone. What makes it worse is that more than 80 percent of cardiovascular disease is preventable. Patients have the biggest role in CVD prevention, by eliminating as many lifestyle-related risk factors as possible, such as smoking, unhealthy eating, and physical inactivity. But the healthcar...
Source: EMR and HIPAA - August 4, 2022 Category: Information Technology Authors: Guest Author Tags: Ambulatory Healthcare IT Hospital - Health System Telemedicine and Remote Monitoring Cardiovascular Disease CVD Detection Digital Healthcare Infosys Management prevention Subhro Mallik Source Type: blogs

Weekly Australian Health IT Links – 1 August, 2022.
Here are a few I have come across the last week or so. Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.General Comment-----Quite a lot this week – especially regarding the NBN and Labor trying to regain control of what it is actually for – service provision – and not making a huge profit – in their view. Love the new Minister has ambitions to be maximally photogenic and not a ‘techie’!Otherwise all sorts of fun things!-----https://www.ausd...
Source: Australian Health Information Technology - August 1, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The role of nutrition in rheumatology patients
Five years ago, I met a patient that changed my view on practicing traditional medicine, especially when it comes to rheumatology. For years, I was proud to be in a booming field that provided patients with a new therapy every few years. As a physician and scientist, I believe that targeted therapy offers tools to Read more… The role of nutrition in rheumatology patients originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 31, 2022 Category: General Medicine Authors: Tags: Conditions Nutrition Rheumatology Source Type: blogs