MS Symptom Thesaurus: Balance Issues
As we continue our monthly offering of a place for you to help describe symptoms, we move into a bit of an odd one. While MS balance issues can, on occasion, be caused directly by the disease, our balance problems can often be due to a combination of other symptoms. While MS balance problems are a real thing unto themselves, symptoms like vertigo, muscle weakness, foot drop, limb fatigue, or even numbness also can cause one to feel off balance. MS-affected balance can make us feel like we’re walking in the wrong shoes or that the wall is actually the only thing keeping us from the floor. Heavy feeling on one side or the...
Source: Life with MS - July 21, 2014 Category: Other Conditions Authors: Trevis Gleason Tags: multiple sclerosis MS balance issues multiple sclerosis symptoms Multiple Sclerosis Thesaurus Source Type: blogs

Sunday night call check out
Dr. Grumpy: "Next one, in room 734 is Mr. Spin, admitted for severe vertigo. I think it's peripheral, but ordered an MRI and..."Dr. Nerve: "What kind of vertigo?"Dr. Grumpy: "Positional vertigo. It happens when he turns his head left."Dr. Nerve: "Which of the semicircular vestibular canals is involved?"Dr. Grumpy: "Are you serious?"Dr. Nerve: "Yes. Which canal is involved? Superior, Horizontal, or Posterior? They taught you that in residency, didn't they?'Dr. Grumpy: "I have no f.ing clue. I had 29 consults this weekend, and breaking that down isn't going to change my management."Dr. Nerve: "I think these things are import...
Source: Doctor Grumpy in the House - July 7, 2014 Category: Neurologists Authors: Grumpy, M.D. Source Type: blogs

Before March Slips Away; How’s Your MS Today?
I am in New York City – the Big Apple – for meetings of a new MS Task Force this week.  My body is trying to adjust to a 4-hour time change and going from a quiet town of 1,300 souls to, well, New York City! We ask you every month to check in with yourself and with others in the Life With MS Blog community.  It’s a way of gauging how our MS is progressing, how we’re coping and just to have a good ‘chin-wag’ with one another. Since our January post on the topic, we’ve been using our new Life with Multiple Sclerosis Self-Evaluation Scale (LWM3S).  This 1-10 scale (where 1= the best you’ve felt since your d...
Source: Life with MS - March 23, 2014 Category: Other Conditions Authors: Trevis Gleason Tags: MS multiple sclerosis life with MS Living with MS MS fatigue Source Type: blogs

Before March Slips Away, How’s Your MS Today?
I am in New York City – the Big Apple – for meetings of a new MS Task Force this week.  My body is trying to adjust to a 4-hour time change and going from a quiet town of 1,300 souls to, well, New York City! We ask you every month to check in with yourself and with others in the Life With MS Blog community.  It’s a way of gauging how our MS is progressing, how we’re coping and just to have a good ‘chin-wag’ with one another. Since our January post on the topic, we’ve been using our new Life with Multiple Sclerosis Self-Evaluation Scale (LWM3S).  This 1-10 scale (where 1= the best you’ve felt since your d...
Source: Life with MS - March 23, 2014 Category: Other Conditions Authors: Trevis Gleason Tags: multiple sclerosis life with MS Living with MS MS fatigue Source Type: blogs

Mal de debarquement: Vertigo and dizziness after a cruise
I have a patient with very unusual visual symptoms and sense of imbalance that has persisted for more than a year.  She describes very unusual and concerning symptoms including true diplopia, a sense of major visual disturbances like the floor buckling in her visual fields, vertigo, severe sense of imbalance and swaying, headache, memory fog and concentration difficulty. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 21, 2014 Category: Family Physicians Tags: Conditions Primary care Source Type: blogs

Tramadol: Uses, Side-Effects, and Interactions
When it comes to pain pills, tramadol is one of the most common prescription painkillers currently prescribed by doctors. It is often used to manage severe pain and it is readily available.  In fact, you can even buy tramadol online in the UK without a prescription.  At least, you don’t need a prescription when you start the process. In reality, however, the legitimate sites that let you buy tramadol with no prescription have doctors who issue a prescription for the purchase. I found out that some pharmacies in the UK even include a doctor’s prescription in the cost of the medication.  Visit this site for more infor...
Source: Mental Nurse - March 7, 2014 Category: Nurses Authors: Author037 Tags: Health Source Type: blogs

Things Jeremy wanted me to remember.
“You know this sucks,” Jeremy scowled. “You know it, and I know that you know it.”At first I wasn’t sure if this was intended to bridge some gap between us, or if I was just a convenient target for some anger. I was only a couple years older than Jeremy and still trying to understand what it meant to be an occupational therapist. I barely had the corners of my own life tucked in properly, and here I was needing to find some headspace to help Jeremy. Every day he made it a point to tell me that his life sucked, and that I knew it more than anyone else.Jeremy had been riding dirt bikes since he was 5 years ...
Source: ABC Therapeutics Occupational Therapy Weblog - January 13, 2014 Category: Occupational Therapists Tags: OT practice OT stories Source Type: blogs

Video: Five More Things You Shouldn’t Say to Someone Who Is Having A Panic Attack
If you’ve never had a panic attack before, you can only imagine what it feels like. Of course, you’ve probably experienced the individual components of panic in isolation – you’ve most certainly felt your heart beat rapidly while exercising, right? And maybe you’ve dealt with vertigo before after a few drinks, or shortness of breath during spring allergy season. But when severe anxiety starts piling each of these symptoms in a giant heap on your chest, coupled with frightening thoughts, an uncomfortable synergy is born: the whole of the panic is more than the sum of its parts. And I should certainly know. After a...
Source: World of Psychology - October 14, 2013 Category: Psychiatrists and Psychologists Authors: Summer Beretsky Tags: Anxiety and Panic General Podcast Video Agoraphobia Panic Attack Panic Disorder Severe Anxiety what not to say Source Type: blogs

People are objects, too
On of the (many) issues when trying to think about object agency (as I’m trying to do at the moment – read more here, here and also here and here) is that it necessitates thinking about what consciousness and intentionality are and that leads down a rabbit hole of philosophical debates spanning decades, multiple traditions and an endless number of publications. I get dizzy spells and vertigo just thinking about it. Speaking of rabbits, this NY Times piece entitled ‘Dogs are People, Too’ popped up on my fb feed. Neuroscience determines that dogs have feelings of sorts, and the immediate move is to say ‘wel...
Source: Biomedicine on Display - October 8, 2013 Category: Medical Scientists Authors: Adam Bencard Tags: Do things act? material studies Source Type: blogs

Medical Mispronunciations and Misspelled Words: The Definitive List.
Hearing medical mispronunciations and seeing misspelled words are an under appreciated  joy of working in healthcare.  Physicians often forget just how alien the language of medicine is to people who don't live it everyday.  The best part about being a physician is not helping people recover from critical illness. The best part is not  about  listening and understanding with compassion and empathy.  Nope, the best part about being a physician is hearing patients and other healthcare providers butcher the language of medicine and experiencing great entertainment in the process.   Doctors c...
Source: The Happy Hospitalist - October 2, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

just the two of us
I'm in a Starbucks with a pumpkin spice latte and my laptop now like some goddamn stereotype. Man, even I hate myself right now.Starbucks always makes me think of working hard. I studied for all my board exams in Starbucks-es, from Step I at that Starbucks on 103nd and Broadway all the way up through my Anesthesia Oral Boards at the location on Monroe and 8th. The difference between Starbucks-es in New York and Atlanta, by the way? The Starbucks-es in New York serve you much, much faster. I also wrote my entire book at the Starbucks on 29th and Park, which if you need to do work is (or at least was five years ago) an ideal...
Source: the underwear drawer - September 11, 2013 Category: Anesthetists Authors: Michelle Au Source Type: blogs

Stairs with a touch of vertigo
(Source: bookofjoe)
Source: bookofjoe - July 11, 2013 Category: Anesthetists Authors: bookofjoe Source Type: blogs

Numbers fail to answer that one vital question
When I visited Allan in the hospital yesterday, I told him to get up and stroll the hall. However, when I checked in on him this afternoon, the nurses informed me that he refused to get up, even to the chair.  When I asked why, Allan told me he could not walk.  I was concerned, but when I examined him, I found his vital signs were fine, he had no vertigo, and, most importantly, his legs were very strong (5 out of 5, as we say).  I inquired further.  What made Allan think he could not get up?  Oh, he told me, his blood count test had come back and he was too anemic to move. Continue reading ... Your patients are ratin...
Source: Kevin, M.D. - Medical Weblog - June 16, 2013 Category: Family Physicians Tags: Physician Cancer Source Type: blogs

Signs & Symptoms of Hearing Loss
By Thomas Tedeschi, AuD Vice President, Franchise Development Sonus It usually starts with the small things. You may not notice them, but chances are people around you do. The TV volume is just a few notches louder than usual. The coworker two cubicles down calls your name, and you miss it. Your cell phone shows missed calls even though the ringer's on. The alarm doesn't wake you, but it woke your spouse.   At some point, someone -- a friend, a family member, maybe even a coworker or your boss -- might point out that you may need to get your hearing checked. If you've found yourself in that situation, or maybe y...
Source: R&D Blog - May 3, 2013 Category: ENT & OMF Tags: Blog Posts Source Type: blogs

Signs & Symptoms of Hearing Loss
By Thomas Tedeschi, AuD Vice President, Franchise Development Sonus It usually starts with the small things. You may not notice them, but chances are people around you do. The TV volume is just a few notches louder than usual. The coworker two cubicles down calls your name, and you miss it. Your cell phone shows missed calls even though the ringer's on. The alarm doesn't wake you, but it woke your spouse.   At some point, someone -- a friend, a family member, maybe even a coworker or your boss -- might point out that you may need to get your hearing checked. If you've found yourself in that situation, or maybe you've...
Source: R&D Blog - May 3, 2013 Category: ENT & OMF Tags: Blog Posts Source Type: blogs