Oldie but Goodie Pediatric Clinical Concepts
A number of older clinical concepts may be unfamiliar to younger clinicians, but these clinical concepts are useful in pediatric medicine. Some of these concepts showed up in the medical literature for the first time nearly a century ago. Physicians should feel free to question the potential value and validity of older clinical concepts that aren't at the forefront of medical education, but my experience of more than 30 years practicing pediatrics and emergency medicine has repeatedly affirmed to me that these are valuable in emergency medicine.Parenteral DiarrheaThe concept of parenteral diarrhea has been around for...
Source: M2E Too! Mellick's Multimedia EduBlog - March 1, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Oldie but Goodie Pediatric Clinical Concepts
A number of older clinical concepts may be unfamiliar to younger clinicians, but these clinical concepts are useful in pediatric medicine. Some of these concepts showed up in the medical literature for the first time nearly a century ago. Physicians should feel free to question the potential value and validity of older clinical concepts that aren't at the forefront of medical education, but my experience of more than 30 years practicing pediatrics and emergency medicine has repeatedly affirmed to me that these are valuable in emergency medicine.Parenteral DiarrheaThe concept of parenteral diarrhea has been around for...
Source: M2E Too! Mellick's Multimedia EduBlog - March 1, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Bad bug, no drugs: The real end of antibiotics?
Follow me on Twitter @JohnRossMD
In September 2016, a woman in her 70s died of septic shock in Reno, Nevada, from an infection which was fully resistant to 26 different antibiotics. She had spent much of the previous two years in India, where she was treated for a hip fracture. The hip became infected, and after several more hospital stays, she returned to her home in Nevada.
Within weeks, she was desperately ill, and back in a hospital in Reno. A sample from her hip wound revealed a strain of the bacteria Klebsiella pneumoniae which was not sensitive to any antibiotics. It was even resistant to a drug called colistin, an ...
Source: Harvard Health Blog - February 27, 2017 Category: Consumer Health News Authors: John Ross, MD, FIDSA Tags: Drugs and Supplements Health Infectious diseases Source Type: blogs
Telemedicine encounters inherenty sacrifice quality
The boom in telemedicine is here, and understandably so. The “consumer” is in control now, and they sure don’t want to be “patient” anymore. When Americans want care, they want it cheap, and they want it now. Telemedicine has grown to accommodate 7 million annual patient encounters, up from 350,000 five years ago. What savvy health care administrator doesn’t see numbers like that and get dollar signs in his eyes? Couple telemedicine’s growth with its low overhead, and it is clearly an up-and-coming source of low-cost revenue. Still yet, questions remain. Isn’t “clinician” accuracy negati...
Source: Kevin, M.D. - Medical Weblog - February 19, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/thomas-paine" rel="tag" > Thomas Paine, MD < /a > Tags: Physician Emergency Source Type: blogs
Telemedicine encounters inherently sacrifice quality
The boom in telemedicine is here, and understandably so. The “consumer” is in control now, and they sure don’t want to be “patient” anymore. When Americans want care, they want it cheap, and they want it now. Telemedicine has grown to accommodate 7 million annual patient encounters, up from 350,000 five years ago. What savvy health care administrator doesn’t see numbers like that and get dollar signs in his eyes? Couple telemedicine’s growth with its low overhead, and it is clearly an up-and-coming source of low-cost revenue. Still yet, questions remain. Isn’t...
Source: Kevin, M.D. - Medical Weblog - February 19, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/thomas-paine" rel="tag" > Thomas Paine, MD < /a > Tags: Physician Emergency Source Type: blogs
My cats
I know it’s been a while since I last posted, but that’s just…how it goes. Everything is fine with me, pretty much…I’ve been very busy…working (teaching English, translating; even this past weekend), and so on…
My post on our Austrian Xmas holiday is taking forever, mainly because I have to decide which–of my two billion photos!–to use. But the post is coming along…should be done soon.
I also received the negative curcumin review (see previous post), yes, the entire shebang, but I haven’t gone beyond a couple of pages. For one thing, reading something like...
Source: Margaret's Corner - February 13, 2017 Category: Cancer & Oncology Authors: Margaret Tags: Blogroll Source Type: blogs
The new cat tower
I know it’s been a while since I last posted, but that’s just…how it goes. Everything is fine with me, pretty much…I’ve been very busy…working (teaching English, translating; even this past weekend), and so on…
My post on our Austrian Xmas holiday is taking forever, mainly because I have to decide which–of my two billion photos!–to use. But the post is coming along…should be done soon.
I also received the negative curcumin review (see previous post), yes, the entire shebang, but I haven’t gone beyond a couple of pages. For one thing, reading something like...
Source: Margaret's Corner - February 13, 2017 Category: Cancer & Oncology Authors: Margaret Tags: Blogroll Source Type: blogs
Not just for women: Kegel exercises good for men too
Most exercises are considered gender neutral. Except for kegels — those exercises that strengthen pelvic floor muscles. They have long been tagged as “just for women,” but older men may be wise to reconsider as they can help with some common unpleasantries that can come with age. “Men can also have issues with these muscles, which can cause urinary leakage, bowel issues, and even erection problems,” says physical therapist Celia Brunette with Harvard-affiliated Spaulding Rehabilitation Center.
What is the pelvic floor?
Your pelvic floor area is made up of thin layers of muscle and tissues that stretch like a slin...
Source: Harvard Health Blog - February 6, 2017 Category: Consumer Health News Authors: Matthew Solan Tags: Health Healthy Aging Men's Health Source Type: blogs
13 Things Every Alzheimer's Caregiver Needs to Know
The biggest challenge we face as Alzheimer's caregivers is learning how to understand, cope, and communication with a person living with dementia.By Bob DeMarcoAlzheimer's Reading RoomThe task of caring for a person living with dementiais often overwhelming.I took care of my mom, Dotty, for eight and a half years, 3,112 days,so I know how you feel. I understand how you feel.Dementia and Difficult BehaviorThe articles below offersolutions to some of the problems we face each day. They have been tested over timeby thousands of caregivers and they work. Most times it takes a littlepractice and a lot of patience. Some work imm...
Source: Alzheimer's Reading Room, The - January 25, 2017 Category: Neurology Tags: alzheimer communication alzheimers awareness alzheimers care alzheimers caregiving dementia help for caregivers family caregiving help alzheimer's help with dementia memory care facility Source Type: blogs
An Undetected Urinary Tract Infection Can Kill an Alzheimer's Patient
Urinary tract infections can be the "bane" of our existence as caregivers of people living with dementia.UTIs are a cause of great distress. This happens to caregivers becauseurinary tract infection often go undetected even by doctors and physician assistants.Urinary tract infections in dementia patients don't always come with signs and symptoms.In dementia patients the signs and symptoms of a UTI are oftensilent.Persons living with dementia rarely tell us they have a UTI. Why? Because they don't know it.UTIs often cause dementia patients to become mean. Death by Complications from Alzheimer's, What does this mean?By ...
Source: Alzheimer's Reading Room, The - January 18, 2017 Category: Neurology Tags: alzheimer's awareness care of dementia patients care of dementia patients at home dementia care elderly dementia care health help alzheimer's help with dementia care urinary tract infection UTI Source Type: blogs
Dementia Care The Constipation Problem
What happens if a patient with Alzheimer's has constipation? What can you do?By Bob DeMarcoAlzheimer's Reading RoomIt not unusual for me to receive emails asking me how to deal with bowel movements and constipation in persons living with Alzheimer's and dementia.Here is a good example of a recent email I received from our reader Julieta.Alzheimer's Care and CommunicationBob,"What happens if a patient with Alzheimer's starts to have constipation. I know they some times forget, but how can we direct them or remind them they the need to go?I do not mean to seat them on the toilet or give them laxative but a command , a word o...
Source: Alzheimer's Reading Room, The - December 2, 2016 Category: Neurology Tags: alzheimer's bowel movement alzheimer's care alzheimer's caregiving care of dementia patients at home care of dementia patients care dementia care dementia constipation help alzheimer's memory care Source Type: blogs
How to Get An Alzheimer's Patient to Take a Bath
Doctors recommend older adults shower or bathe a minimum of twice a week to reduce the chance of infection including urinary tract infection.By Carole B. LarkinAlzheimer's Reading RoomManyAlzheimer's caregivers face this common problem, how do you get a recalcitrant dementia patient to bathe or shower?How to Get a Dementia Patient to CooperateManyAlzheimer's caregivers face this common problem, how do you get a recalcitrant dementia patient to bathe or shower?Subscribe to the Alzheimer's Reading RoomEmail:It is not uncommon for a caregiver to want to "pull their hair out over this one".The Secret of Getting a Person Living...
Source: Alzheimer's Reading Room, The - November 26, 2016 Category: Neurology Tags: alzheimer's bath Alzheimer's shower alzheimers bathing bathing elderly care of dementia patients at home dementia care elderly dementia care health memory care facility Source Type: blogs
3 Examples of How to Use the Hook In Alzheimer's Care and Dementia Care
Ever try to convince, cajole, or explain to a person living with dementia why they should do what you want them to do and have them refuse? Why not use a hook?By Bob DeMarcoAlzheimer's Reading RoomThe "hook". What is it?In this case I am using the word hook to mean -a communication strategy designed to catch a persons' attention.The word hook is often used in branding, advertising, and marketing. How do you get a person to buy something, orbuy into something?The Best Way to Find Solutions to the Problems that Caregivers Face Each DayThe hook is one of the most important and most powerful communication tools in Alzheimer's ...
Source: Alzheimer's Reading Room, The - November 14, 2016 Category: Neurology Tags: alzheimer awareness alzheimer caregiviing alzheimer communication family caregiving help alzheimer's help with dementia help with dementia care memory care memory care facility senior care Source Type: blogs
Lessons in medicine can help America understand what it needs
The day after the 2016 election I went to work, and from medicine, I better understood the outcome of the election and the next goal of America.
Driving into the hospital, I called the ICU of an acute rehabilitation hospital to check on a patient. He had sepsis from a very complex urinary tract infection which exacerbated his chronic hypotension. He already had renal failure on dialysis and was on chronic oxygen from chronic respiratory failure. He already had cycled into the hospital several times. Each time he cycled through the hospital he was bedridden for days then deconditioned. Now his dialysis catheter was not func...
Source: Kevin, M.D. - Medical Weblog - November 11, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/jean-robey" rel="tag" > Jean Robey, MD < /a > Tags: Physician Primary care Source Type: blogs
NxThera ’s Rezūm Provides a New Treatment Option for Patients with BPH: Interview with CEO of NxThera
Benign prostatic hyperplasia (BPH), or enlargement of the prostate gland, affects about half of men between the age of 51 and 60 and up to 90% of men over the age of 80. Symptoms include difficulty with initiating urination, weak urine flow, post-void dribbling, and the need to wake up frequently during the night to urinate. Not only are these symptoms bothersome and negatively affect an individual’s quality of life, they may also lead to more serious conditions like bladder stones, urinary tract infections, or bladder and kidney damage. Unfortunately, many people with BPH choose to live with their symptoms due to the li...
Source: Medgadget - November 10, 2016 Category: Medical Equipment Authors: Kenan Raddawi Tags: Exclusive Urology Source Type: blogs
