Adventure In Pain
Lots has happened since my last post, and this is a record of those events. I have to write it somewhere. It's interesting to me, part of the journey, but you'll be the judge. It's mostly whining.
Background for the reader: Last Wednesday I had an infusion of a study drug and an infusion of Zometa, and also began a week of oral Valtrex in case my back pain might be the prodrome for shingles. By Friday the pain in my back and abdomen was much more pronounced, continuing into Saturday. I posted about that here.
Saturday, February 20, 2016:
I have a new respect for people who are obliged...
Source: Myeloma Hope - February 24, 2016 Category: Cancer & Oncology Tags: DEX dexamethasone kidney pain Source Type: blogs
Adventure In Pain
Lots has happened since my last post, and this is a record of those events. I have to write it somewhere. It ' s interesting to me, part of the journey, but you ' ll be the judge. It ' s mostly whining.
Background for the reader: Last Wednesday I had an infusion of a study drug and an infusion of Zometa, and also began a week of oral Valtrex in case my back pain might be the prodrome for shingles. By Friday the pain in my back and abdomen was much more pronounced, continuing into Saturday. I posted about that here.Saturday, February 20, 2016:
I have a new respect for people who are obliged to ...
Source: Myeloma Hope - February 24, 2016 Category: Cancer & Oncology Tags: DEX dexamethasone kidney pain Source Type: blogs
Lots More Whining
Just can ' t get enough of it!Last Wednesday ' s visit to Mayo Clinic marked the end of the every-week 200-mile round trips, but the results didn ' t shed much light on my medical condition. Is the " flare " in my vertebrae due to the myeloma itself, or is it inflammation caused by my immune system attacking the myeloma? We ' re hoping for the latter, of course, and sticking with the current medication study, but this does require more than a little faith.Here is the whining: Last night I was quite uncomfortable for much of the night. The neuropathic pain on the right side of my back became much w...
Source: Myeloma Hope - February 20, 2016 Category: Cancer & Oncology Source Type: blogs
Lots More Whining
Just can't get enough of it!
Last Wednesday's visit to Mayo Clinic marked the end of the every-week 200-mile round trips, but the results didn't shed much light on my medical condition. Is the "flare" in my vertebrae due to the myeloma itself, or is it inflammation caused by my immune system attacking the myeloma? We're hoping for the latter, of course, and sticking with the current medication study, but this does require more than a little faith.
Here is the whining:
Last night I was quite uncomfortable for much of the night. The neuropathic pain on the right side of my back became much wo...
Source: Myeloma Hope - February 20, 2016 Category: Cancer & Oncology Source Type: blogs
A Nefarious Character with an Agenda
Every new advanced nurse practitioner, physician assistant, or resident gets his fair share of complex emergency department procedures during training. Seasoned providers, however, are just as excited to place a central line in a septic patient, LP a "rule-out meningitis," or swiftly fix a nursemaid's elbow.This month we hope to remind you of a few sweet and satisfying procedures that take only moments to do. Your skill in completing these procedures is imperative. Not only will you amaze your patient, but you'll shorten your door to dispo-time.The StyeThe stye is a nefarious character with an agenda. It starts o...
Source: The Procedural Pause - February 1, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
A ‘Patient-First’ Approach To Technical Assistance: Lessons From The RWJF’s Aligning Forces For Quality Program
Recent efforts to provide technical assistance to local organizations working on the front lines of health care innovation have shown me that grantees—like patients—want help that is timely, personalized, and “fits” with the way they live and work.
Back in 2007, when the Robert Wood Johnson Foundation (RWJF) launched Aligning Forces for Quality (AF4Q), we had an audacious goal: bringing together the key players—those people who give, get, and pay for care—in sixteen communities nationwide to improve the quality, equality, and value of health care in each region.
Each multistakeholder alliance worked on ways to ...
Source: Health Affairs Blog - September 22, 2015 Category: Health Management Authors: Anne Weiss Tags: GrantWatch Hospitals Payment Policy Quality Consumers Health Care Delivery Health Philanthropy Physicians Robert Wood Johnson Foundation Source Type: blogs
A New Diagnosis
On Monday, I awoke,took my child to the baby sitter(as schools were closed for the Jewish New Year) and came back to a voicemail on my phone."call us immeadietly." (Signed, Genetics Dept.of University)I called. I knew in my gut they were going to tell ME I was the reason for my child's genetic condition because that is how it is,my husband is the largely healthy one."we got the results back...Breathe.And you also have the 17Q12 deletion."Well, joy. And does this mean I have MODY as well?""yes,but we need to communicate with Dr.S (adult geneticist-it was J's genetic counselor who called me) to formulate a plan of actio...
Source: The D-Log Cabin - September 17, 2015 Category: Endocrinology Authors: HVS Source Type: blogs
The DRACO Fundraiser Site: killingsickness
This is a year of much grassroots fundraising for longevity science, it seems, with more new projects launched and more new faces joining the community of supporters. All of these developments are collectively, hopefully, yet another sign that faster growth and more publicity are yet to come: the tipping point for public acceptance of efforts to treat aging as a medical condition is somewhere near, just around the corner. Ten years from now, people will conveniently forget that they were ever opposed to the development of therapies for aging. How silly that would be, like opposing cancer research or heart disease treatment...
Source: Fight Aging! - August 25, 2015 Category: Research Authors: Reason Tags: Activism, Advocacy and Education Source Type: blogs
Reinventing Home Health
Accountable care is finally coming to home health.
The Centers for Medicare and Medicaid Services (CMS) is launching a value-based reimbursement (VBR) pilot program for Medicare home health care agencies. The model is part of the 2016 Home Health Prospective Payment System proposed rule, which was published in the Federal Register on July 10.
In the current reality of home health care, if you are a home health provider and not part of a hospital or health system, your world looks something like this:
A hospital discharge planner (your customer) chooses which agency will care for the homebound patient (also your customer)....
Source: Health Affairs Blog - August 11, 2015 Category: Health Management Authors: John Marchica Tags: Costs and Spending Health Professionals Long-term Services and Supports Medicare Payment Policy Population Health ACOs BAYADA CMS home healthcare triple aim value-based reimbursement Source Type: blogs
Super Docs
Guest post by Tane Eunson – A student of the game (5th year M.B.B.S.)
As a typical kiwi bloke, I’m a dyed-in-the-wool rugby fanatic (pardon the sheep reference). So when opportunities with two Super Rugby franchises arose for me in the past year, I picked the ball up and sprinted for the posts.
As an ‘intern’ with the franchises, I was part of the ‘athletic performance’ teams. The hierarchical structures differed subtly within each team, but they both comprised the team doctor, two physiotherapists, two strength and conditioning coaches and a number of other interns in the varying disciplines. With regards ...
Source: Life in the Fast Lane - June 19, 2015 Category: Emergency Medicine Authors: Mike Cadogan Tags: Medical Specialty Sports Medicine rugby Super Docs Super XV Tane Eunson Source Type: blogs
Will Governor Brown Take the Risk as the African-American Community Says NO to SB277?
Conclusion
Will Governor Jerry Brown think twice and really risk the wrath of the black community? Will he even read Mrs. Sullivan’s letter or care about the many religious groups opposing vaccinations due to their ingredients?
It appears that more governments worldwide are mandating vaccinations on a daily basis and parents are completely powerless to stop them. Who are these people who make all the decisions, and what right do they have to impose their largely unproven theories that ALL vaccinations are safe and effective for ALL children?
Let’s face it, it does make you wonder what their real agenda is, doesn’t it...
Source: vactruth.com - June 16, 2015 Category: Allergy & Immunology Authors: Christina England Tags: Christina England Logical Top Picks Mandatory Vaccination SB 277 vaccine mandate Source Type: blogs
A Truthful Vaccine Consent Form – That No Mom Could Ever Sign
The duty and responsibility for ascertaining the quality of the consent rests upon each individual who initiates, directs or engages in the experiment. It is a personal duty and responsibility which may not be delegated to another with impunity.(1)
Those are the closing words of the first tenet of the Nuremberg Code - informed consent – and make no mistake about it - from the most personal of parental perspectives, vaccination’s a macabre experiment, every time: no parent can be certain that a vaccine won’t permanently disable her child.(2) Egregiously, the administering doctor or nurse - or CVS pharmacist - in no wa...
Source: vactruth.com - May 25, 2015 Category: Allergy & Immunology Authors: Shawn Siegel Tags: Logical Shawn Siegel Top Stories informed consent Nuremberg Code Ronne study Vaccine Consent Form Source Type: blogs
Why Physicians Must Not Skimp On The Physical Exam
Like most physicians, I feel extremely rushed during the course of my work day. And every day I am tempted to cut corners to get my documentation done. The “if you didn’t document it, it didn’t happen” mantra has been beaten into us, and we have become enslaved to the quantitative. It’s tempting to rush through physical exams, assuming that if there’s anything “really bad” going on with the patient, some lab test or imaging study will eventually uncover it. Just swoop in, listen to the anterior chest wall, ask if there’s any new pain, and dash off to the next hospital b...
Source: Better Health - May 20, 2015 Category: American Health Authors: Dr. Val Jones Tags: Health Tips True Stories Diagnosis Don't Skimp Patient Satisfaction Physical Exam quality healthcare Respect Winning Confidence Source Type: blogs
Pregnancy and Chicken Pox and Shingles
By Roisin O’Connor,
After contacting their doctor, women who develop chickenpox in pregnancy should be referred to a foetal medicine specialist
Pregnant women who have not had chicken pox should be advised to avoid people who have the virus and be referred to a specialist if they develop the rash, the Royal College of Obstetricians and Gynaeocologists (RCOG) has said.
Estimates suggest chickenpox, which usually causes a mild infection in children, complicates three in every 1,000 pregnancies.
Published on Wednesday, the updated guidelines say that women should be asked...
Source: Cord Blood News - April 9, 2015 Category: Perinatology & Neonatology Authors: joyce at mazelabs.com Tags: babies blood disorder Cord Blood medical research parents pregnancy Chicken Pox Shingles Source Type: blogs
