Role of the Vestibular System in the Construction of Self
How do we construct a unified self-identity as a thinking and feeling person inhabiting a body, separate and unique from other entities? A “self” with the capacity for autobiographical memory and complex thought? Traditionally, the field of cognitive science has been concerned with explaining the mind in isolation from the body.The growing field ofembodied cognition, on the other hand, seeks to rejoin them. One major strand has focused ongrounding higher-order semantics and language understanding inperceptual and sensory-motor representations. This view is distinct from theories of knowledge based on abstract, amodal r...
Source: The Neurocritic - July 16, 2017 Category: Neuroscience Authors: The Neurocritic Source Type: blogs
MS and Vertigo: When the Earth Moves, but Not in a Good Way
This past fortnight I’ve been hit with some episodes of vertigo that made me think of the earthquakes I experienced when living in Alaska and on the American West Coast. It’s as if the earth beneath me is rolling like a wave, or I’m standing on an underinflated air mattress.
The sensation only lasts for a few moments to a few minutes, but when it happens, I have to wonder if I’m going to be able to stay upright, even if I’m using a forearm crutch.
While I don’t feel nauseated when these episodes hit, I can see how someone might. For me, it’s like the world is moving in a way I’m not used to, and I am tryin...
Source: Life with MS - June 14, 2017 Category: Neurology Authors: Trevis Gleason Tags: multiple sclerosis Living with MS MS Blog HIstory multiple sclerosis clinical trials Multiple Sclerosis Thesaurus trevis gleason Source Type: blogs
The 10,000-Foot View of Your Nursing Career
A few weeks ago, I was speaking with a career coaching client, and we were discussing how scary it can be to make a big change. In talking about the minutiae as well as the big picture, I encouraged her to always come back to the 10,000-foot view. "However, " I said, "while the 10,000-foot view is a great thing to keep in mind, it can also give you vertigo. " Clouds, thousands of feet over Santa Fe, NMThe DetailsWhen contemplating your career, there ' s a lot of detail to consider: your resume, cover letters, thank you letters, Linked In profile, interview skills, the employers you ' re interested in contacting, etc. ...
Source: Digital Doorway - April 22, 2017 Category: Nursing Tags: career nurse nurse careers nurses nursing nursing careers Source Type: blogs
Virtual Reality Is Used in Clinical Practice
Dr. Brennan M. Spiegel and his research team at the Cedars-Sinai Medical Center have been experimenting with virtual reality (VR) for years. I had a fruitful and very exciting correspondence with him about moments of immersion, virtual pharmacies or how to travel to Iceland without leaving your hospital bed. Read on!
VR is an area of endless possibilities
VR has not just moved the imagination of science-fiction fans, but also clinical researchers and real life medical practitioners. As a doctor, you could assist in the OR without ever lifting a scalpel. If you are a medical student, you could study the human body more clo...
Source: The Medical Futurist - April 20, 2017 Category: Information Technology Authors: nora Tags: Virtual Reality in Medicine clinical practice future GC1 Healthcare Innovation technology VR Source Type: blogs
Climbing steps with myeloma
Yesterday Stefano and I drove to Siena with a couple of our best friends and their dog. Ah, what a glorious day! Sunny but not too sunny, cool but not too cool. In short, perfect weather.
When we first arrived, we went to have an espresso at Nannini (you simply have to do that…it’s practically the law in Siena…just kidding! ), then ambled down to Piazza del Campo, Siena’s most famous, shell-shaped square…certainly one of the most lovely squares in Italy.
We’ve been to Siena before, many times, and I’ve posted photos of these day trips, but yesterday we had a different perspective...
Source: Margaret's Corner - March 13, 2017 Category: Cancer & Oncology Authors: Margaret Tags: Blogroll myeloma Siena Torre del Mangia Source Type: blogs
Climbing steps with smoldering myeloma
Yesterday Stefano and I drove to Siena with a couple of our best friends and their dog. Ah, what a glorious day! Sunny but not too sunny, cool but not too cool. In short, perfect weather.
When we first arrived, we went to have an espresso at Nannini (you simply have to do that…it’s practically the law in Siena…just kidding! ), then ambled down to Piazza del Campo, Siena’s most famous, shell-shaped square…certainly one of the most lovely squares in Italy.
We’ve been to Siena before, many times, and I’ve posted photos of these day trips, but yesterday we had a different perspective...
Source: Margaret's Corner - March 13, 2017 Category: Cancer & Oncology Authors: Margaret Tags: Blogroll myeloma Siena Torre del Mangia Source Type: blogs
The Best-Laid Plans For Health Care
Editor’s note: These issues and more will be discussed at the 5th Annual Health Law Year in P/Review conference, to be held on January 23, 2017, at Harvard Law School in Cambridge, MA. The event is free and open to the public, but registration is required. Conference presenters will participate in a blog series to follow here on Health Affairs Blog. Stay tuned. In the meantime, you can check out last year’s Health Law Year in P/Review blog series here.
“The best-laid plans of mice and men often go awry.” This phrase, adapted from the 1785 Robert Burns Poem “To a Mouse” and made as the source of the title o...
Source: Health Affairs Blog - January 5, 2017 Category: Health Management Authors: I. Glenn Cohen Tags: Drugs and Medical Technology Following the ACA Health Policy Lab Organization and Delivery Payment Policy Public Health 21st Century Cures Act Supreme Court The Health Law Year in P/Review Source Type: blogs
Spinning out of control: Vertigo
Vertigo isn’t just a catchy song by the band U2, but is also a common symptom that has multiple potential causes. Although most people think that vertigo has to involve a spinning sensation, vertigo is actually the sensation the one is moving or that one’s surroundings are moving in the absence of any actual movement. To understand vertigo, one must understand that our sense of balance comes from multiple different systems in the body.
A balancing act: processing system inputs
There is your visual system, which tells you where your body is in space and time in relation to your surroundings. There is the sensory system,...
Source: Harvard Health Blog - December 27, 2016 Category: Consumer Health News Authors: Paul G. Mathew, MD, FAAN, FAHS Tags: and throat Brain and cognitive health Source Type: blogs
Funtabulously Frivolous Friday Five 169
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 169
Question 1
Children in Ladakh in the Himalayas never seem to get neonatal tetanus. What explanation is given for this?
+ Reveal the Funtabulous Answer
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The effects of high altitude prevents the organism living in the soil. [Reference]
Question 2
In 1667, a human received one of the first blood transfusions. Wh...
Source: Life in the Fast Lane - December 9, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five blood transfusion Charcot laryngeal vertigo cornflakes Cough syncope dancing mania Jean-Baptiste Denys kellogg masturbation neonatal tetanus st vitus Source Type: blogs
Hemiplegic Migraine and Paraspinous Cervical Injections with Bupivacaine
I recently treated a patient with hemiplegic migraines successfully with bupivacaine cervical injections, a novel therapeutic technique using paraspinous cervical injections. The technique employs deep intramuscular injections of 1.5 mL of 0.5% bupivacaine bilaterally into the paraspinous muscles of the lower neck. (Read more in my October 2012 blog and see it demonstrated in a video at http://bit.ly/2ewC5n1.)This headache and orofacial pain treatment was first described in 1996 by my twin brother, Gary Mellick, DO, a neurologist who did a pain fellowship. The exact mechanism is unknown, but the treatment appears to...
Source: M2E Too! Mellick's Multimedia EduBlog - December 1, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
The Impact of Hearing Loss on Alzheimer ’s and Dementia
Diminished hearing can quickly isolate a person. It ’s exhausting to focus on the minutia of a conversation just to ensure processing the important points. It takes concentration, focus and considerable energy!By Elaine C PereiraAlzheimer's Reading RoomMy mother, Elizabeth Ward whose story is profiled in my memoirI Will Never Forget, died from Alzheimer ’s in 2011.If the ravages of brain cell gobbling Alzheimer ’s Disease weren’t enough, she was also stone deaf from Meniere’s Disease.How to Listen to an Alzheimer's PatientSubscribe to the Alzheimer's Reading RoomEmail:Meniere ’s is a disorder of the inner ear c...
Source: Alzheimer's Reading Room, The - November 12, 2016 Category: Neurology Tags: alzheimer care caring for dementia patients at home dementia care dementia help for caregivers family caregiving health HEARING LOSS help alzheimer's help with dementia care Source Type: blogs
A medical student’s accidental internship in empathy
My “aha” moment wouldn’t come at the signing of my leave of absence contract. Nor would it awaken me at night with the chair-gripping dizziness I had come to expect.
When the vertigo started in early December during my third block of clerkship, I chalked the symptoms up to stress.
Over the December break, I met with my family doctor and casually recounted my symptoms. The vertigo had worsened, and seemed questionably sound-induced. The quiet noises became louder. The louder noises became unbearable. And the loudest noises set off nystagmus.
Handing me a pile of differentials and a wealth of associated req...
Source: Kevin, M.D. - Medical Weblog - April 2, 2016 Category: Journals (General) Authors: Kayla A. Simms Tags: Education Medical school Neurology Source Type: blogs
How common is syncope in cervical spondylosis ?
Dizzines , giddiness , light headedness , fear of fall or true fall (Syncope) are the most common symptoms beyond middle age .They usually end up with consulting physicians , neurologists and cardiologists .Cervical disc is commonly blamed for this.While all these symptoms can be a manifestation of cervical disc , true syncope seems to be rare with cervical spinal disorder.
Why true is syncope rare with cervical spinal narrowing ?
There is a fundamental ignorance here. We are not yet clear whether giddiness /dizziness is neural or vascular .(Or combinations of both ) in cervical spinal disease.
Many of the patie...
Source: Dr.S.Venkatesan MD - January 31, 2016 Category: Cardiology Authors: dr s venkatesan Tags: Syncope cervical vertigo mechansim of syncope in cervical spondylosis syncope evaluation syncope in neck compression Source Type: blogs
Guideline-Centered Care
By JOHNATHON TOMLINSON, MD
Doreen, Ahmed and Henry have recently had their medication changed in response to a new guideline for prescribing Statins, cholesterol-lowering drugs.
None of them came to ask for a change in their medication. In each case the change was recommended by a clinician in response to a new guideline against which our practice will be judged and financially rewarded or penalised.
Here are the NICE guidelines 2015:
The NICE guideline on lipid modification recommends that the decision whether to start statin therapy should be made after an informed discussion between the clinician and the person about ...
Source: The Health Care Blog - January 30, 2016 Category: Consumer Health News Authors: John Irvine Tags: Featured NHS Source Type: blogs
