<?xml version="1.0" encoding="iso-8859-1"?>
<!-- generator="FeedCreator 1.7.2" -->
<rss version="2.0">
    <channel>
        <title>MedWorm Tags: difficult</title>
        <description>MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'difficult'.</description>
        <link><![CDATA[http://www.medworm.com/rss/search.php?qu=%22difficult%22&t=%22difficult%22&r=Exact&o=d&f=tag]]></link>
        <lastBuildDate>Sat, 03 Sep 2011 02:04:21 +0100</lastBuildDate>
        <item>
            <title>Happy Mother’s Day, 2011</title>
            <link>http://www.medworm.com/index.php?rid=4803235&amp;cid=t_158257_109_f&amp;fid=34750&amp;url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F05%2F08%2Fhappy-mothers-day-2011%2F</link>
            <description>Happy Mother&amp;#8217;s Day! For all the moms out there today, I wish you a very warm and thoughtful day full of the love and appreciation from your daughters and sons. I&amp;#8217;m eternally thankful for my mom and try and let her know throughout the year of my appreciation.
Because, after all, you don&amp;#8217;t need a special day once a year to let your loved ones know how much you care about them. While you don&amp;#8217;t need to let them know every day, just remembering to let them know from time to time is all that&amp;#8217;s needed. People just need to know &amp;#8212; and hear &amp;#8212; they are loved and appreciated (even if they&amp;#8217;re &amp;#8220;supposed&amp;#8221; to know it).
Each year, our writers and bloggers put together some great entries for Mother&amp;#8217;s Day. Here&amp;#8217;s the batch from this year...</description>
            <author>World of Psychology</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4803235</comments>
            <pubDate>Sun, 08 May 2011 14:30:04 +0100</pubDate>
            <guid isPermaLink="false">4803235</guid>        </item>
        <item>
            <title>Best of Our Blogs: April 15, 2011</title>
            <link>http://www.medworm.com/index.php?rid=4714825&amp;cid=t_158257_109_f&amp;fid=34750&amp;url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F04%2F15%2Fbest-of-our-blogs-april-15-2011%2F</link>
            <description>When I reflect back on my life, when I recall the really hard times, I think about how I was mere moments away from a breakthrough. If I was worried about a lack of work, I would get an assignment a few days later. If I was feeling upset and lonely, a friend would call that I needed to talk to. Sometimes ambiguity and uncertainty were hours away from answers. I just needed the patience and faith to wait those difficult times through.
Although it&amp;#8217;s a struggle to see hope in the midst of heartache, sorrow and pain, there is a light at the end of the tunnel. In fact, I am certain you already walked through that door before. This week take some time and reflect on your darkest moments and then think about how you were able to get through it. Maybe the memory of your past struggles and ho...</description>
            <author>World of Psychology</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4714825</comments>
            <pubDate>Fri, 15 Apr 2011 09:57:11 +0100</pubDate>
            <guid isPermaLink="false">4714825</guid>        </item>
        <item>
            <title>Choose Your Own Resus Adventure!</title>
            <link>http://www.medworm.com/index.php?rid=4653345&amp;cid=t_158257_88_f&amp;fid=38129&amp;url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FYyCwSBM_XLk%2F</link>
            <description>Get ready for an insanely edutaining roller-coaster ride through the perils of ruling the resus... Oh, and try to stay out of the courtroom if you can. (Source: Life in the Fast Lane)</description>
            <author>Life in the Fast Lane</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4653345</comments>
            <pubDate>Mon, 28 Mar 2011 23:00:16 +0100</pubDate>
            <guid isPermaLink="false">4653345</guid>        </item>
        <item>
            <title>Seizing and No Access!!!</title>
            <link>http://www.medworm.com/index.php?rid=4622252&amp;cid=t_158257_88_f&amp;fid=38129&amp;url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2F_Ppf0Pv89xM%2F</link>
            <description>A review of the effectives and use of intraosseous devices in the emergency department. (Source: Life in the Fast Lane)</description>
            <author>Life in the Fast Lane</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4622252</comments>
            <pubDate>Tue, 22 Mar 2011 00:00:44 +0100</pubDate>
            <guid isPermaLink="false">4622252</guid>        </item>
        <item>
            <title>“Difficult” Patients</title>
            <link>http://www.medworm.com/index.php?rid=4450294&amp;cid=t_158257_87_f&amp;fid=39187&amp;url=http%3A%2F%2Fgetbetterhealth.com%2Fdifficult-patients%2F2011.02.08</link>
            <description>Physicians see nearly one in five patients as &amp;#8220;difficult,&amp;#8221; report researchers. Not surprisingly, these patients don&amp;#8217;t fare as well as others after visiting their doctor.
Researchers took into account both patient and clinician factors associated with being considered &amp;#8220;difficult,&amp;#8221; as well as assessing the impact on patient health outcomes. They reported results in the Journal of General Internal Medicine.
Researchers assessed 750 adults prior to their visit to a primary care walk-in clinic for symptoms, expectations, and general health; for how they functioned physically, socially and emotionally; and whether they had mental disorders. Immediately after their visit, participants were asked about their satisfaction with the encounter, any unmet expectations, and...</description>
            <author>Better Health</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4450294</comments>
            <pubDate>Tue, 08 Feb 2011 16:00:00 +0100</pubDate>
            <guid isPermaLink="false">4450294</guid>        </item>
        <item>
            <title>Best of Our Blogs: December 21, 2010</title>
            <link>http://www.medworm.com/index.php?rid=4275389&amp;cid=t_158257_109_f&amp;fid=34750&amp;url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F12%2F21%2Fbest-of-our-blogs-december-21-2010%2F</link>
            <description>As a child, I used to be so afraid of saying how I felt, that I would rather go cold than complain the air conditioner was too high.
As a young adult, I still struggled with being completely honest with how I felt. There were moments in the past when annoyances would get stuffed down so deep that they would surprise me some time down the line when I was hit with its volcano of emotion.
But recently, and in this holiday especially, I&amp;#8217;m learning about the importance of being true to myself. That saying what I need is a virtue instead of a character flaw. And that being honest about who I am and what I believe will not be a hindrance to those I love or make those who don&amp;#8217;t know me dislike me.
It&amp;#8217;s amazing what the holiday season can bring out.
Maybe it&amp;#8217;s all this ample...</description>
            <author>World of Psychology</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4275389</comments>
            <pubDate>Tue, 21 Dec 2010 12:03:57 +0100</pubDate>
            <guid isPermaLink="false">4275389</guid>        </item>
        <item>
            <title>Best of Our Blogs: December 3, 2010</title>
            <link>http://www.medworm.com/index.php?rid=4225372&amp;cid=t_158257_109_f&amp;fid=34750&amp;url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F12%2F03%2Fbest-of-our-blogs-december-3-2010%2F</link>
            <description>I think one of the greatest self-inflicted suffering comes from comparing our own lives to the one we think we should be living. Instead of focusing on accepting who we are in this moment, it&amp;#8217;s easy to get sucked into what everyone else is doing and how much better they are at doing it. It&amp;#8217;s a lot easier, for example, to focus on the presents you can&amp;#8217;t afford or the job/relationship you don&amp;#8217;t have. But tough times also give us an opportunity. It challenge us to be and do better.
If you&amp;#8217;re going through a personal struggle right now, remember to take care of yourself, find people (therapists/friends/family) to support you, find peace and solace in your religion or spirituality and discover something hopeful in your life, no matter how small, to help lift you up...</description>
            <author>World of Psychology</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4225372</comments>
            <pubDate>Fri, 03 Dec 2010 13:07:08 +0100</pubDate>
            <guid isPermaLink="false">4225372</guid>        </item>
        <item>
            <title>On Mourning the Death of a Pet</title>
            <link>http://www.medworm.com/index.php?rid=4142808&amp;cid=t_158257_109_f&amp;fid=34750&amp;url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F11%2F06%2Fon-mourning-the-death-of-a-pet%2F</link>
            <description>My friend, Priscilla, just lost her best friend (okay, after her husband, Jimmy). On her blog, she writes:
Our beloved golden retriever died this morning, peacefully, after spending a wonderful week by our side on Martha&amp;#8217;s Vineyard, at the beach, where she ran into the ocean, and in the woods, where she took a long walk with me. She was 14 years old, my zen teacher, and my most constant meditation partner. We loved her so much.
I know how traumatic losing a pet can be. I&amp;#8217;m bracing for it myself, as one or both of our two Retriever-Chow mutts could go in the next two years. I found the Pet Loss Support Page online, which includes &amp;#8220;Ten Tips on Coping with Pet Loss&amp;#8221; from Moira Anderson Allen, M.Ed. I&amp;#8217;ve excerpted the first five below.

Anyone who considers a pet ...</description>
            <author>World of Psychology</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4142808</comments>
            <pubDate>Sat, 06 Nov 2010 16:01:32 +0100</pubDate>
            <guid isPermaLink="false">4142808</guid>        </item>
        <item>
            <title>Best of Our Blogs: October 15, 2010</title>
            <link>http://www.medworm.com/index.php?rid=4074149&amp;cid=t_158257_109_f&amp;fid=34750&amp;url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F10%2F15%2Fbest-of-our-blogs-october-15-2010%2F</link>
            <description>Do you smell it? That&amp;#8217;s change in the air. There may have been slight shifts and evidence lurking for some time now, but now here it is.
If you resist change, life feels so much harder. Like walking uphill or swimming against the current, for example. But accepting something unfamiliar can be so anxiety provoking that we&amp;#8217;d rather look the other way.
Instead, you may forget about that looming bill and stuff it in a drawer. Or your dog&amp;#8217;s illness may be so overwhelming that the thought of his death is too much to handle. A few months later the bills are piling up and your best pet pal dies.
How do you deal with the change?
These are difficult times. Yet, there is hope. The light at the end of the tunnel is nearby and there are resources that can get you through it. Here&amp;#821...</description>
            <author>World of Psychology</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4074149</comments>
            <pubDate>Fri, 15 Oct 2010 13:56:18 +0100</pubDate>
            <guid isPermaLink="false">4074149</guid>        </item>
        <item>
            <title>6 More Steps to Better Communication</title>
            <link>http://www.medworm.com/index.php?rid=4001710&amp;cid=t_158257_109_f&amp;fid=34750&amp;url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F09%2F25%2F6-more-steps-to-better-communication%2F</link>
            <description>In a recent job interview, I was asked, &amp;#8220;How would you get your client to see things your way?&amp;#8221;
I said, &amp;#8220;By seeing things his way first.&amp;#8221;
The associate looked a little confused, so I continued.
&amp;#8220;You aren&amp;#8217;t going to get anywhere if you don&amp;#8217;t listen first, right? You can&amp;#8217;t make him come around to your plan, if you don&amp;#8217;t understand the purpose and intention behind his plan.&amp;#8221;

In their insightful book, We Need to Talk: Steps to Better Communication, Paul Donoghue, PhD and Mary Siegel, PhD discuss how a few tweaks in how we approach difficult conversations can save relationships.
Whether it be confrontations between spouses, parents and children, work colleagues, or friends, knowing a few basic skills of expressing ourselves can lead t...</description>
            <author>World of Psychology</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4001710</comments>
            <pubDate>Sat, 25 Sep 2010 11:50:22 +0100</pubDate>
            <guid isPermaLink="false">4001710</guid>        </item>
        <item>
            <title>Change Of Shift: The Best Of Nursing Shared (Vol. 5, No. 4)</title>
            <link>http://www.medworm.com/index.php?rid=3899394&amp;cid=t_158257_87_f&amp;fid=39187&amp;url=http%3A%2F%2Fgetbetterhealth.com%2Fchange-of-shift-the-best-of-nursing-shared-vol-5-no-4%2F2010.08.24</link>
            <description>Welcome to Change of Shift!
We have some old friends and some new additions. Our submissions cover the best of nursing and the most difficult moments. Some share successes, others could use some collegial support.
So grab a latte, put your feet up, and enjoy&amp;#8230;
 
********************
Change of Shift: Volume 5, Number 4
I love adding nursing blogs to my blogroll! This week, thanks to his CoS submission, I’ve found Stephen at  A Nurse Practitioner’s View, where he presents Team Work. When it comes to patient care, check our egos at the door.
Some teams we chose and some we’re born into, as noted in this heart-warming story from Keith at Digital Doorway, We’re All in This Together.
Nurses are expected to be super-humanly objective and non-judgmental. As this honest post from Nu...</description>
            <author>Better Health</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3899394</comments>
            <pubDate>Tue, 24 Aug 2010 16:00:32 +0100</pubDate>
            <guid isPermaLink="false">3899394</guid>        </item>
        <item>
            <title>How To Deal With Unhappy Or Difficult Patients</title>
            <link>http://www.medworm.com/index.php?rid=3625503&amp;cid=t_158257_87_f&amp;fid=39187&amp;url=http%3A%2F%2Fgetbetterhealth.com%2Fhow-to-deal-with-unhappy-or-difficult-patients%2F2010.06.02</link>
            <description>There&amp;#8217;s a nice article in the May issue of Plastic Surgery Practice that discusses how to deal with unhappy or difficult patients. No matter the area of medicine or surgery, you&amp;#8217;re bound to have one or two of these patients over the years. It never hurts to learn or review tips in dealing with them.
In the article, Rima Bedevian interviews Julie Ann Woodward, M.D., chief of the oculoplastic and reconstructive surgery service at Duke University:
&amp;#8230;how to successfully deal with them -– with compassion and humanity without allowing them to “run you over” or manipulate a difficult situation into a potentially litigious one.
Dr. Woodward provides a helpful checklist for doctors. (more&amp;#8230;)

			
			*This blog post was originally published at Suture for a Living* (S...</description>
            <author>Better Health</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3625503</comments>
            <pubDate>Wed, 02 Jun 2010 16:00:00 +0100</pubDate>
            <guid isPermaLink="false">3625503</guid>        </item>
        <item>
            <title>Spirituality and Prayer Relieve Stress</title>
            <link>http://www.medworm.com/index.php?rid=3386910&amp;cid=t_158257_109_f&amp;fid=34750&amp;url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F03%2F21%2Fspirituality-and-prayer-relieve-stress%2F</link>
            <description>The last thing I think of when I&amp;#8217;m stressed out with work deadlines and complicated homework projects with the kids is to get on my knees or attend Mass. But a growing body of research suggests prayer and religion rank high among the best stress busters.
In her new book, &amp;#8220;The SuperStress Solution,&amp;#8221;, Dr. Roberta Lee devotes a section to the topic of spirituality and prayer. 
&amp;#8220;Research shows that people who are more religious or spiritual use their spirituality to cope with life,&amp;#8221; notes Dr. Lee. 
&amp;#8220;They&amp;#8217;re better able to cope with stress, they heal faster from illness, and they experience increased benefits to their health and well-being. On an intellectual level, spirituality connects you to the world, which in turn enables you to stop trying to cont...</description>
            <author>World of Psychology</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3386910</comments>
            <pubDate>Sun, 21 Mar 2010 12:22:46 +0100</pubDate>
            <guid isPermaLink="false">3386910</guid>        </item>
        <item>
            <title>Characteristics of Workaholics</title>
            <link>http://www.medworm.com/index.php?rid=3259274&amp;cid=t_158257_151_f&amp;fid=35818&amp;url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FRecoveryIsSexycom%2F%7E3%2Fb8KIc93kKXM%2F</link>
            <description>Always more work to be done

 It is very difficult to relax. We often, if not always, feel the need to get just a few more tasks done before we can feel good about ourselves and allow ourselves to relax. When we do complete these tasks we find just a few more that we need to complete, and then a few more&amp;#8230;. These uncontrollable desires often result in frantic, compulsive working. We are powerless to control this pattern.
We are so used to doing what we are expected to do that we are often unable to know what it is that we really want to do and need to do for ourselves.
We often feel that we must complete certain tasks, even though we do not want to, yet we are too scared to stop.
We often feel resentment about having to complete tasks when we would rather relax or play. At these times...</description>
            <author>Recovery Is Sexy.com</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3259274</comments>
            <pubDate>Tue, 09 Feb 2010 15:16:31 +0100</pubDate>
            <guid isPermaLink="false">3259274</guid>        </item>
        <item>
            <title>Asthma Probs May Be Due to Non-Compliance</title>
            <link>http://www.medworm.com/index.php?rid=2920271&amp;cid=t_158257_111_f&amp;fid=36048&amp;url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FAHeartyLife%2F%7E3%2F5PTP1wszArM%2F</link>
            <description>In this study, researchers were looking at how patients managed their inhaled and oral medications. They evaluated 182patients who were experiencing difficulties in managing their asthma symptoms.
The researchers found that:

35% filled fewer than half their inhaled combination medications
21% filled more than inhaled medications they were supposed to
45% filled between half and all the inhaled medications they were supposed to
45% didn&amp;#8217;t take their oral prednisolone as prescribed
the majority admitted not taking their oral medications as prescribed
65% of those who didn&amp;#8217;t take their oral medications properly also didn&amp;#8217;t take their inhaled medications properly

In this study, it was women were more likely to not follow their medications than men. The researchers admit, ho...</description>
            <author>A Hearty Life</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2920271</comments>
            <pubDate>Fri, 23 Oct 2009 10:09:31 +0100</pubDate>
            <guid isPermaLink="false">2920271</guid>        </item>
        <item>
            <title>Never Give Up in a Life of Chronic Pain</title>
            <link>http://www.medworm.com/index.php?rid=2778567&amp;cid=t_158257_129_f&amp;fid=36035&amp;url=http%3A%2F%2Fwww.everydayhealth.com%2Fblog%2Flife-with-chronic-pain%2Fnever-give-up-in-a-life-of-chronic-pain%2F</link>
            <description>The other day I was down in our basement taking out the trash. Much to my surprise I was smacked in the face by a very long branch from a rosebush. It was about six feet in length, pale yellow with only a hint of green, yet still very thorny. I’m always intrigued by events such as this because they are so unusual. It seems that very old, extremely tall climbing pale golden rose that grows on the side of our house, had found its way through two boards on the side of the house. There it was, tiny leaves intact as it sought space, air and sunlight which it was definitely not going to find in a usually dark basement.
I remember something similar happening years ago when my children were young and we lived in a large double-wide mobile home. The skirting around the bottom portion could not ke...</description>
            <author>Life with Chronic Pain</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2778567</comments>
            <pubDate>Tue, 08 Sep 2009 22:00:05 +0100</pubDate>
            <guid isPermaLink="false">2778567</guid>        </item>
        <item>
            <title>Doing Something Difficult</title>
            <link>http://www.medworm.com/index.php?rid=2741637&amp;cid=t_158257_180_f&amp;fid=38610&amp;url=http%3A%2F%2Fwww.productivity501.com%2Fdoing-something-difficult%2F85%2F</link>
            <description>Increasing your personal abilities is just like increasing your strength. You have to exercise in order to get stronger. If you want to grow as an individual, you have to do things that are hard in order to make it easier for you to do difficult things in the future.

They Stop Growing
Many people graduate from college, have a few years of growth and then stop growing. Maybe they don&amp;#8217;t stop growing entirely, but they stop attempting things where they might fail. After all, they now have a mortgage and family to think about! They may still continue to grow incrementally in their area of specialty, but they aren&amp;#8217;t going to experience any exponential gains in their capabilities.
This path is safe and that is why most people choose it. Being average is safe because you&amp;#8217;ll be ...</description>
            <author>Productivity501</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2741637</comments>
            <pubDate>Thu, 27 Aug 2009 18:00:18 +0100</pubDate>
            <guid isPermaLink="false">2741637</guid>        </item>
        <item>
            <title>29 Years Today</title>
            <link>http://www.medworm.com/index.php?rid=2376603&amp;cid=t_158257_134_f&amp;fid=35187&amp;url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FDiabetesDaily%2F%7E3%2FGSsPIs9MJVo%2F29-years-today.php</link>
            <description>I finally received my discharge records, and now have &quot;My Date&quot;.&amp;nbsp; Saturday, April 26, 1980.&amp;nbsp; That makes today my 29th year of living with type 1 diabetes.First and foremost, I want to thank my dad, who picked up the ball for me.&amp;nbsp; In my search for my discharge records, I got frustrated from running into dead end after dead end.&amp;nbsp; He picked up the phone and started making some calls,... (Source: Diabetes Daily)</description>
            <author>Diabetes Daily</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2376603</comments>
            <pubDate>Sun, 26 Apr 2009 12:00:00 +0100</pubDate>
            <guid isPermaLink="false">2376603</guid>        </item>
        <item>
            <title>A Child’s ADHD Can Stress Your Marriage</title>
            <link>http://www.medworm.com/index.php?rid=2240888&amp;cid=t_158257_109_f&amp;fid=34750&amp;url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F03%2F06%2Fa-childs-adhd-can-stress-your-marriage%2F</link>
            <description>This article describes some of the research that&amp;#8217;s been done that looks at the connection between ADHD and marital relationships. 
In one of the experiments, the researcher videotaped interactions between parents with difficult children and non-difficult children:

Regardless of whether they had children with ADHD, [...] the parents asked to work with difficult children were four times as likely to exchange negative criticism and questions, or to ignore each other and trade nonverbal barbs, than the parents in the other group.
And regardless of whether they were dealing with easy or difficult children, parents who had ADHD children at home were three times as likely to be negative toward each other as parents who did not. Put another way, the parents of children with ADHD simply had ...</description>
            <author>World of Psychology</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2240888</comments>
            <pubDate>Fri, 06 Mar 2009 21:19:11 +0100</pubDate>
            <guid isPermaLink="false">2240888</guid>        </item>
        <item>
            <title>Eluano Englara's &quot;Gentle Death&quot;</title>
            <link>http://www.medworm.com/index.php?rid=2182385&amp;cid=t_158257_87_f&amp;fid=34825&amp;url=http%3A%2F%2Fwww.wesleyjsmith.com%2Fblog%2F2009%2F02%2Feluano-englaras-gentle-death.html</link>
            <description>We keep hearing from those who support dehydration that taking food and water away from cognitively disabled patients leads to a &quot;gentle death.&quot; I have written debunking this fallacy, but here is a reporter's take on Eluana's death so you can judge for yourself. From the story: Twenty-four hours later came the first complications. On Saturday afternoon, Eluana had difficulty breathing and her mucous membranes were dry. Nurses sprayed water with a nebuliser. On Sunday, the situation got worse. The nurses turned her over every two hours and sprayed her mucous membranes with more water. Marinella Chirico, a RAI journalist who saw Eluana, reported that she was &quot;unrecognisable, there are abrasions on her ears&quot;. Eluana was already under sedation with Delorazepam, injected subcutaneously. On Mond...</description>
            <author>Secondhand Smoke</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2182385</comments>
            <pubDate>Thu, 12 Feb 2009 22:30:00 +0100</pubDate>
            <guid isPermaLink="false">2182385</guid>        </item>
        <item>
            <title>Difficult Airway – Morbidely Obese with Huge Goiter</title>
            <link>http://www.medworm.com/index.php?rid=2615510&amp;cid=t_158257_82_f&amp;fid=38206&amp;url=http%3A%2F%2Falowe.medbrains.net%2F2008%2F10%2F16%2Fdifficult-airway-morbidely-obese-with-huge-goiter%2F</link>
            <description>Following on from some cases presented by other doctors 1, 2, 3. Here&amp;#8217;s one of my own.
A 51-year-old female patient presented to our hospital with shortness of breath due to huge goiter compromising the airway. Her body weight 100 Kg with body mass index (BMI) of 50 Kg/m2. She is known diabetic on treatment and also she has hypertensive disease on treatment. The biochemical analysis data including thyroid function tests were within normal ranges. Chest x-ray showed widening of the mediastinum and narrow tracheal aerograph due to tracheal compression by the goiter (Figure 1).

Fig 1.
ECG was normal. Pulmonary function tests showed picture of restrictive pattern with FEV1 71% of the predicted, FVC 63% of the predicted and FEV1/FVC ratio of 112. CT scan showed severe narrowing of the up...</description>
            <author>Anthony Lowe : Anesthesiologist</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2615510</comments>
            <pubDate>Thu, 16 Oct 2008 20:39:22 +0100</pubDate>
            <guid isPermaLink="false">2615510</guid>        </item>
        <item>
            <title>Difficult Airway - Morbidely Obese with Huge Goiter</title>
            <link>http://www.medworm.com/index.php?rid=2019583&amp;cid=t_158257_82_f&amp;fid=38206&amp;url=http%3A%2F%2Falowe.medbrains.net%2F2008%2F10%2F16%2Fdifficult-airway-morbidely-obese-with-huge-goiter%2F</link>
            <description>Following on from some cases presented by other doctors 1, 2, 3. Here&amp;#8217;s one of my own.
A 51-year-old female patient presented to our hospital with shortness of breath due to huge goiter compromising the airway. Her body weight 100 Kg with body mass index (BMI) of 50 Kg/m2. She is known diabetic on treatment and also she has hypertensive disease on treatment. The biochemical analysis data including thyroid function tests were within normal ranges. Chest x-ray showed widening of the mediastinum and narrow tracheal aerograph due to tracheal compression by the goiter (Figure 1).

Fig 1.
ECG was normal. Pulmonary function tests showed picture of restrictive pattern with FEV1 71% of the predicted, FVC 63% of the predicted and FEV1/FVC ratio of 112. CT scan showed severe narrowing of the up...</description>
            <author>Anthony Lowe : Anesthesiologist</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2019583</comments>
            <pubDate>Thu, 16 Oct 2008 20:39:22 +0100</pubDate>
            <guid isPermaLink="false">2019583</guid>        </item>
        <item>
            <title>Dealing with Uncertain Economic Times</title>
            <link>http://www.medworm.com/index.php?rid=1825584&amp;cid=t_158257_109_f&amp;fid=34750&amp;url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2008%2F09%2F23%2Fdealing-with-uncertain-economic-times%2F</link>
            <description>I find a strange melancholic amusement to learn that many of these investment banks&amp;#8217; CEOs and boards of directors &amp;#8212; people being paid millions of dollars every year to purportedly know what their own companies are doing and how they make money &amp;#8212; didn&amp;#8217;t have a clue as to how deep their companies were into questionable financial practices. It&amp;#8217;s like Enron all over again, except this time on a much more disastrously large scale.
	Now they turn to the U.S. government &amp;#8212; the taxpayers such as you and I &amp;#8212; to &amp;#8220;rescue&amp;#8221; their firms, all the while receiving large payouts (severance packages) and continued bonuses. And will any of this affect their ability to score a new position in a year&amp;#8217;s time? Not one bit. These things will simply be chal...</description>
            <author>World of Psychology</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1825584</comments>
            <pubDate>Tue, 23 Sep 2008 20:00:00 +0100</pubDate>
            <guid isPermaLink="false">1825584</guid>        </item>
        <item>
            <title>Want to Control Your Teens? Don’t</title>
            <link>http://www.medworm.com/index.php?rid=1658118&amp;cid=t_158257_109_f&amp;fid=34750&amp;url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2008%2F07%2F27%2Fwant-to-control-your-teens-dont%2F</link>
            <description>Parents often have a difficult time letting go of their children. After all, parents spend a significant amount of time raising their children for 12 or 14 years and can&amp;#8217;t just wake up one day and say, &amp;#8220;Sure, you can do whatever you want. Have fun!&amp;#8221; Most parents have invested a lot &amp;#8212; emotionally, psychologically, financially &amp;#8212; into their childrens&amp;#8217; lives. Just because that child hits teenage years doesn&amp;#8217;t change how many parents feel toward their children and their expectations of control in their child&amp;#8217;s life. 
	However, that expectation of control becomes more and more of an illusion as a child ages. At around age 11 or 12 for most children, they begin to understand that while there may be consequences for violating one of their parents&amp;#82...</description>
            <author>World of Psychology</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1658118</comments>
            <pubDate>Sun, 27 Jul 2008 20:18:05 +0100</pubDate>
            <guid isPermaLink="false">1658118</guid>        </item>
        <item>
            <title>5 Ds to Mental Dividends</title>
            <link>http://www.medworm.com/index.php?rid=1593969&amp;cid=t_158257_109_f&amp;fid=35677&amp;url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FBrainBasedBusiness%2F%7E3%2F329092698%2F5_ds_to_mental_dividends.html</link>
            <description>Five&amp;nbsp;side streets lead to remarkable mental dividends that&amp;nbsp;can be easily bypassed on&amp;nbsp;today&amp;#39;s&amp;nbsp;conjested, fast-paced business highways. Ready to shift&amp;nbsp;pace&amp;nbsp;for a smoother ride? Try&amp;nbsp;five mental gears that increase&amp;nbsp;brainpower and efficiency at the same time:1. Difficult: Challenges stretch and exercise your brain, like hiking or swimming build bodily well-being. The opposite is also true, brainpower shrinks with lack of new challenges.&amp;nbsp; &amp;nbsp;2. Different: Diversity ratchets up mental power and in turn can lift your firm&amp;rsquo;s bottom line. Why then do so many firms miss diversity&amp;rsquo;s benefits?&amp;nbsp; Look for a new way to work, invite a person from another culture to lunch, or wear a color you rarely wear, and you&amp;rsquo;ve already stepped i...</description>
            <author>BrainBasedBusiness</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1593969</comments>
            <pubDate>Mon, 07 Jul 2008 19:12:48 +0100</pubDate>
            <guid isPermaLink="false">1593969</guid>        </item>
        <item>
            <title>Difficult Tubal Reversal Situations</title>
            <link>http://www.medworm.com/index.php?rid=2513570&amp;cid=t_158257_177_f&amp;fid=38133&amp;url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2FU4modoO-tgM%2Fdifficult-tubal-reversal-situations.html</link>
            <description>Experience is the most important indicator of whether successful tubal reversal surgery can be performed when a woman has a difficult tubal reversal situation due to short tubes, missing tubal segments, fimbriectomy, or inherent diseases of the tubes. While most doctors would be unwilling – or unable - to perform a reversal procedure in one of these situations, Dr. Gary Berger is able to repair the tubes in 98% of cases, regardless of the type of sterilization that has been performed or whether difficult situations are encountered. (Source: Tubal Reversal Blog)</description>
            <author>Tubal Reversal Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2513570</comments>
            <pubDate>Tue, 20 May 2008 23:43:35 +0100</pubDate>
            <guid isPermaLink="false">2513570</guid>        </item>
        <item>
            <title>6 Difficult Types of People and How to Deal With Them</title>
            <link>http://www.medworm.com/index.php?rid=1373424&amp;cid=t_158257_109_f&amp;fid=34750&amp;url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2008%2F04%2F15%2F6-difficult-types-of-people-and-how-to-deal-with-them%2F</link>
            <description>Pages: 1 2 Next &amp;raquo; &amp;nbsp;&amp;nbsp;&amp;nbsp; Single Page 	We all have difficult people we need to deal with in our lives on a daily basis. While such characteristics may be exaggerations, you may find traits of them in a few of the people in your workplace, amongst your friends, or even a loved one. Psychological research has suggested several ways of coping with difficult people in your life, e.g. hostile co-workers or bosses, complainers, super-agreeables, know-it-all experts, pessimists, and stallers.
	1. The Hostile Co-worker or Boss
	Dealing with hostile people requires both tact and strength. Since persons who feel they have been wronged are more likely to be belligerent and violent, you should first try to be sure they have been dealt with fairly.
	In addition, it would be wise to hel...</description>
            <author>World of Psychology</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1373424</comments>
            <pubDate>Tue, 15 Apr 2008 16:29:41 +0100</pubDate>
            <guid isPermaLink="false">1373424</guid>        </item>
        <item>
            <title>Flying Into Headwinds?</title>
            <link>http://www.medworm.com/index.php?rid=1107116&amp;cid=t_158257_109_f&amp;fid=35677&amp;url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FBrainBasedBusiness%2F%7E3%2F203177505%2Fflying_into_headwinds.html</link>
            <description>Fly headlong into headwinds &amp;hellip; and suddenly you&amp;#39;re faced with instant choices to navigate your brain toward or away from your target. It just happened to a good friend. The phone rang two weeks after&amp;nbsp;he&amp;#39;d invested heavily ... in what promised to be the deal of the year.&amp;nbsp;His project partner simply pulled out. No explanations &amp;hellip; just a mumbled apology ... and awkward pauses.&amp;nbsp;My highly respected colleague&amp;nbsp;watched his chief revenue stream vanish - and with it his income for the entire term. What do you do to survive such storms? Unfortunately,&amp;nbsp;most people&amp;#39;s&amp;nbsp;brains&amp;nbsp;tend to&amp;nbsp;work against&amp;nbsp;them&amp;nbsp;in these tough times &amp;hellip;.&amp;nbsp;&amp;nbsp;Luckily though, you can deliberately redirect&amp;nbsp;brainpower back&amp;nbsp;toward new goals.Di...</description>
            <author>BrainBasedBusiness</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1107116</comments>
            <pubDate>Thu, 20 Dec 2007 04:21:59 +0100</pubDate>
            <guid isPermaLink="false">1107116</guid>        </item>
        <item>
            <title>Neck mobility</title>
            <link>http://www.medworm.com/index.php?rid=947297&amp;cid=t_158257_82_f&amp;fid=34667&amp;url=http%3A%2F%2Flaryngoscope.blogspot.com%2F2007%2F10%2Fneck-mobility.html</link>
            <description>I was in preop anesthesia clinic yesterday. I saw a patient that had been in a car accident and had his neck fused c2-c5 (I believe) and he had very little neck movement at all.In anesthesia there are markers to predict or at least suggest it may be difficult to place a breathing tube in someone. These include mouth opening, dentition, mallampatti score, which assesses the favorablity of the anatomy of the oral cavity (i.e. mouth), hyoid to mentum distance (essentially chin size), neck thickness/anatomy, neck extension and flexion. No one predictor predicts a difficult intubation, but together they form a picture of how easy or difficult you think it might be.Someone with very limited neck movement would be very difficult to visualize the vocal cords generally, so I was worried a bit in th...</description>
            <author>i'm so sleepy</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=947297</comments>
            <pubDate>Fri, 12 Oct 2007 13:50:00 +0100</pubDate>
            <guid isPermaLink="false">947297</guid>        </item>
    </channel>
</rss>

