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The Doctors Club
By  ANISH KOKA, MD Vatsal Thakkar, a psychiatrist, recently wrote of the perks doctors are afforded in everyone’s favorite instrument of social justice – the New York Times. Dr. Thakkar speaks effectively and correctly about a broken health care system navigated best by pulling the ‘doctor’ card. Some on the progressive left have seized on this blatant disregard for egalitarianism as yet another example of a broken healthcare system, despite the fact that a two tiered system is exactly what they have been building over the last eight years. To be clear, there has always been special treatment accorded fellow doct...
Source: The Health Care Blog - July 19, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Words are never enough – but does that stop us?
Pain may be said to follow pleasure as its shadow; but the misfortune is that in this particular case, the substance belongs to the shadow, the emptiness to its cause. CHARLES CALEB COLTON, Lacon I can bear any pain as long as it has meaning. HARUKI MURAKAMI, 1Q84 But pain … seems to me an insufficient reason not to embrace life. Being dead is quite painless. Pain, like time, is going to come on regardless. Question is, what glorious moments can you win from life in addition to the pain?  LOIS MCMASTER BUJOLD, Barrayer Language is not just words, but what those words symbolise. We use movements of lips, tongue and t...
Source: HealthSkills Weblog - July 17, 2016 Category: Anesthesiology Authors: adiemusfree Tags: ACT - Acceptance & Commitment Therapy Clinical reasoning Education/CME Pain Professional topics Research biopsychosocial Health healthcare pain management Therapeutic approaches treatment Source Type: blogs

15 Quotes to Inspire People with Chronic Illness
Being sick is no fun. We all know that. But being chronically ill while maintaining a pleasant disposition is a daunting task even for the Greek gods. Every biological response in your body wants to lean into the creeping despair you feel. But by doing that with regularity, you’ll soon feel as if you’ve given up entirely on life. You no longer have the strength to try to tease apart threads of joy from the suffocating blanket of pain that covers you. Quotes are one of the things I use to try to regain perspective in my persistent fight against the spirit of defeat that wants to take over when my resolve is down. W...
Source: World of Psychology - August 15, 2016 Category: Psychiatry & Psychology Authors: Therese J. Borchard Tags: Depression Health-related Inspiration & Hope Mental Health and Wellness Motivation and Inspiration Optimism Positive Self Talk Quotes uplifting Source Type: blogs

The Case of Lena, Part III: George Barton ' s promise to help others who were in pain
The original book " The Counterpane Fairy " was written and illustratedby Katharine Pyle in 1898.  It is a fanciful story of a fairy who visits children in their beds as long as they do not cry.  The fairy brings some comfort to these children and has the ability to magically transport them away from their circumstances if they focus on one of the squares of their counterpanes (bedspreads).Occupational therapists may not be aware of how this story is relevant to the profession ' s history.  This post will conclude the exploration of ' The Case of Lena ' and explain how Pyle ' s story influenced George Barton...
Source: ABC Therapeutics Occupational Therapy Weblog - October 1, 2016 Category: Occupational Health Tags: Barton history Source Type: blogs

The Science Behind Smiling
You're reading The Science Behind Smiling, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles. Charles Darwin, best known for his theory of evolution which he presented in one of the most important books of all time, On the Origin of Species, explained how populations adapt to their environments over time. In doing so, he laid down the foundation for evolutionary biology as we know it. On The Origin of Species is Darwin's most famous work, but he also wrote a much lesser known book titled The Expression of the Emotions in M...
Source: PickTheBrain | Motivation and Self Improvement - November 13, 2016 Category: Consumer Health News Authors: dentalboston Tags: featured health and fitness self improvement benefits of smiling best self-improvement blogs pickthebrain science of smiling why smiling is important Source Type: blogs

Funtabulously Frivolous Friday Five 167
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 167 Question 1 What is Asturian leprosy? + Reveal the Funtabulous Answer expand(document.getElementById('ddet358938163'));expand(document.getElementById('ddetlink358938163')) Pellagra or vitamin B3 (niacin) deficiency as a result of a corn based diet (Noted in the Asturias community in Spain). In 1915, back when such practices were legal and under the Surgeon General’s sanction in the USA, Dr. Goldberger offered ...
Source: Life in the Fast Lane - November 24, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five acromegaly Andre the giant as you wish Asturian leprosy bicyclists vulva brown sequard Jake leg OPIDN organophosphate induced delayed neuropathy Pellagra placebo vitamin B3 Source Type: blogs

In the Company of Death; In Consortium Mortis
By Mark Ligorski#1. BeginningsJust like in superhero movies, there is always a back story. This is mine.After graduating medical school in 1981, I went to work at St. Vincent ’s Medical Center on Staten Island for the next two years, the first spent in rotating through the different areas of medicine and surgery and then a year of Internal Medicine. 100 hour work weeks were typical, with on call shifts every 3rd or 4th night.People stayed in hospital for weeks at a time; there were still wards with four to six patients. Intensive and cardiac care units were still pretty new. TheKaren Ann Quinlan case ...
Source: Pallimed: A Hospice and Palliative Medicine Blog - December 3, 2016 Category: Palliative Care Tags: advanced directives code status CPR ligorski respirator Source Type: blogs

Guide to Trump ’s Executive Order to Limit Migration for “National Security” Reasons
President Trump isexpected to sign an executive order shortly to temporarily ban all visas for people from Iran, Iraq, Syria, Libya, Yemen, Sudan, and Somalia among other actions.   An advanced copy of this order was available earlier this week.  The first sentence of his order states that it is to “protect the American people from terrorist attacks by foreign nationals admitted to the United States.”  However, the countries that Trump chose to temporarily ban are not serious terrorism risks. I compiled alist of foreign-born people who committed or were convicted of attempting to commit a terrorist attack on U.S. s...
Source: Cato-at-liberty - January 26, 2017 Category: American Health Authors: Alex Nowrasteh Source Type: blogs

Hell Is A Very Small Place
DAVID INTROCASO It is well recognized that over the past several decades US prisons and jails have become the nation’s largest inpatient psychiatric hospitals.  This is not surprising when you realize the majority of the US correctional population, the largest in the world at well over two million, suffers from mental illness. 1  Leaving aside the question whether it is appropriate to incarcerate the mentally ill, at least those with serious mental illness, how we choose to treat a significant percentage of mentally ill inmates is to place them in solitary confinement. 2  This means how we treat a significant perc...
Source: The Health Care Blog - February 7, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Hell Is A Very Small Place: Voices From Solitary Confinement
DAVID INTROCASO It is well recognized that over the past several decades US prisons and jails have become the nation’s largest inpatient psychiatric hospitals.  This is not surprising when you realize the majority of the US correctional population, the largest in the world at well over two million, suffers from mental illness. 1  Leaving aside the question whether it is appropriate to incarcerate the mentally ill, at least those with serious mental illness, how we choose to treat a significant percentage of mentally ill inmates is to place them in solitary confinement. 2  This means how we treat a significant perc...
Source: The Health Care Blog - February 7, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

In (Gasp) Defense of the Coronary Stent
By ANISH KOKA, MD A kerfuffle ensued recently when an oncologist and expert on evidence based medicine took the field of cardiology to task over the evidence for placement of the ubiquitous coronary stent.  What started with a lengthy article in Propublica that included coronary stenting for stable coronary disease as a prime example of a procedure done without evidence to back it up turned into this fiery twitter exchange between Drs. Kirtane (cardiology) and Prasad (oncology). The crux of the debate revolves around placement of coronary stents in patients with stable coronary artery disease.  Stable coronary artery d...
Source: The Health Care Blog - March 6, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Funtabulously Frivolous Friday Five 186
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog 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 186. Question 1 What is Darwin’s tubercle? + Reveal the Funtabulous Answer expand(document.getElementById('ddet1536428471'));expand(document.getElementById('ddetlink1536428471')) A congenital ear condition which often presents as a thickening on the helix at the jun...
Source: Life in the Fast Lane - April 20, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five Darwin's tubercle Dunning-Kruger effect Haglund Syndrome high heels Iran radiation radiation hormesis Ramsar Source Type: blogs

Nature vs Nurture
  By, SAURABH JHA MD My wife chooses sides in the nature-versus-nurture war expeditiously. When our children are polite, she credits her nurture. When they’re rowdy, she blames my genes. But the nature-nurture war won’t be resolved anytime soon. The gene played a significant role in the great Indian epic, the Mahabharata. Karna, abandoned by his mother, Kunti, and raised by a charioteer, was taught warfare by Parashurama, a gifted teacher with a fiery temperament, who despised warriors and only taught Brahmins. One day, Parashurama was asleep with his head on Karna’s lap. Karna was bitten by a scorpion but d...
Source: The Health Care Blog - April 29, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

The Bipartisan ‘Single Payer’ Solution: Medicare Advantage Premium Support For All
In my last Health Affairs Blog post, I outlined a potentially bipartisan four-step plan to move past the American Health Care Act’s (AHCA’s) disastrous framework toward a more stable, less expensive health care system. For those seeking incremental, near-term solutions, I hope those recommendations provide helpful guidance. But the AHCA’s reckless drive through the US House of Representatives has taught us something about the current status of health care politics and may have opened the window to more significant, ultimately more successful, reforms. To put it mildly, the public is essentially fed up with debating h...
Source: Health Affairs Blog - May 11, 2017 Category: Health Management Authors: Billy Wynne Tags: Costs and Spending Following the ACA Insurance and Coverage Medicare Payment Policy ACA repeal and replace American Health Care Act premium support single payer Source Type: blogs

Overdiagnosing Trump
By SAURABH JHA, MD When I first read about neurosyphilis in medical school, I became convinced that Mrs. Thatcher, who I detested intensely because it was fashionable detesting her, had General Paralysis of the Insane. The condition, marked by episodic bouts of temporary insanity, which indicated that the spirochetes were feasting on expensive real estate in the brain, seemed a plausible explanation why she had introduced the retarded Poll Tax. A little bit of medical knowledge can lead to tomfoolery by the juvenile. I began diagnosing the powerful with medical conditions. I thought the former leader of the Labour Party, ...
Source: The Health Care Blog - June 19, 2017 Category: Consumer Health News Authors: at RogueRad Tags: Trump Uncategorized Source Type: blogs