poem
A History of AnxietyThe ER wanted me to admit the patient to my service. Young, otherwise healthy male with appendicitis. No medical problems except for a history of anxiety. Anxiety? I asked. Is he anxious right now? Well yes, Dr. Parks, I just told him you would be his operating surgeon. Better admit him to psych then, I said. His sigh whistled through the phone like a sirocco wind. I just mean that feelings are weird. Your mom or your pet dies and you ’re sad and that’s ok, everybody understands. But if you’re sad all the time, for no particular reason, you now have a history of sadness. Which doesn’t seem...
Source: Buckeye Surgeon - April 2, 2024 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
Clinical plagiarism: the problem of copy and pasting in EMRs
It is all too common for a section in a progress note to look something like this:
# Aspiration pneumonia:
Continue vancomycin 1 g bid
Continue Zosyn 3.325 g q6h
Follow-up blood cultures
Follow-up sputum cultures
MRSA nares screen negative
Blood cultures negative
Discontinue vancomycin
Yesterday, a version of this note (lines 1 to 5 to be precise) had my name on it. Today, it is signed by someone else. Read it again if you did not see the problem.
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 26, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/eric-r-gottlieb" rel="tag" > Eric R. Gottlieb, MD < /a > Tags: Tech Health IT Hospital-Based Medicine Source Type: blogs
Vancomycin in combination with zosyn increased the risk of AKI
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - March 24, 2017 Category: Internal Medicine Tags: infectious disease nephrology Source Type: blogs
Things that bug me 3 – vanc and pip/tazo
This study shows clearly that vanc & pip/tazo have a negative synergistic impact on the kidney. The most interesting point in the article (to me) is that vanc trough levels predict AKI in vanc/cefepime but NOT in vanc/pip-tazo.
So in 2017 I fear vanc/pip-tazo. Patients on this combination had a length of stay averaging 2 days longer!
The housestaff with whom I work know my fear, and work hard to avoid the combination. Perhaps they are actually being more thoughtful about antibiotic choices. That would be good for our patients. (Source: DB's Medical Rants)
Source: DB's Medical Rants - February 16, 2017 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
LITFL Review 264
Welcome to the 264th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
Another great set of talks from SMACCDub released this week: John Greenwood discussing assault on the RV and Haney Mallemat on the PEA Paradox. [AS]
The Best of #FOAMed Emergency Medicine
Rob Orman talks to a number of EPs about the prac...
Source: Life in the Fast Lane - January 8, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
The Lemierre Syndrome – 2014 survey data
Recently, 79 members of Facebook’s Lemierre’s Syndrome Survivor group (which has 813 members) answered a hastily written survey. I wrote this survey to get a rough idea of their experiences. Over the years I have probably talked with at least 10 patients or families about their disease. Two of the discussions occurred after the teenager had died. As I talk with patients or families I have learned much about the devastation that this syndrome causes. This informal survey did not have IRB approval, as it really represents some pilot data and information to inform the struggle to prevent this horrible disease...
Source: DB's Medical Rants - January 20, 2015 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Ebola Virus Mutates On Entry Into United States. Responds To Antibiotics
Atlanta, GA - The Centers for Disease Control and Prevention (CDC) is reporting two American aid workers who contracted Ebola hemorrhagic fever while treating others in West Africa have started responding to treatment with antibiotics. "Never in my wildest dreams did I imagine Ebola would respond to antibiotics," Dr. Feldor Baldink, a public health physician with the CDC, said in a statement Sunday. Dr. Kent Brantley and Nancy Writebol were flown urgently back to the United States and transferred to Emory University, one of just a handful of American medical centers that are specially equipped to do nothing...
Source: The Happy Hospitalist - August 3, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous 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
Continuous infusion Zosyn (Pip/Tazo)
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - February 3, 2013 Category: Internists and Doctors of Medicine Tags: pharmacology infectious disease Source Type: blogs
