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Tropical Travel Trouble 008 Total TB Extravaganza
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 008 Peer Reviewer Dr McBride ID physician, Wisconsin TB affects 1/3rd of the population and one patient dies every 20 seconds from TB. Without treatment 50% of pulmonary TB patients will be dead in 5 years. In low to middle income countries both TB and HIV can be ubiquitous, poor compliance can lead to drug resistance and malnourished infants are highly susceptible. TB can be very complex and this post will hopefully give you the backbone to TB m...
Source: Life in the Fast Lane - June 16, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine Genexpert meningitis TB TB meningitis Tuberculosis Source Type: blogs

Up and Down, Again
Everyone has ups and downs in their life, especially with their health. Or maybe I have more ups and downs than the average person.  Okay, maybe my health has been on a downward slide for awhile few years now.However, I realized the other day that I was actually feeling pretty well for the first time in quite a while. I mean my back has been sore but the rest of me has actually been doing okay. Its kind of nice actually. And it makes me think how long its been since I felt that well.I had been feeling as if I was over-medicated in some ways for the past few years. I changed my pain management doctor and had reduced so...
Source: Caroline's Breast Cancer Blog - February 9, 2018 Category: Cancer & Oncology Tags: being healthy healthiness tired unhealthiness Source Type: blogs

Is “man flu” really a thing?
Follow me on Twitter @RobShmerling This one got by me. I’d never heard of “man flu” but according to a new study of the topic, the term is “so ubiquitous that it has been included in the Oxford and Cambridge dictionaries. Oxford defines it as ‘a cold or similar minor ailment as experienced by a man who is regarded as exaggerating the severity of the symptoms.’” Another reference called it “wimpy man” syndrome. Wow. I’d heard it said (mostly in jest) that if men had to carry and deliver babies, humankind would have long ago gone extinct. But wimpy man syndrome? I just had to learn more. What is man flu? ...
Source: Harvard Health Blog - January 4, 2018 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Cold and Flu Health Infectious diseases Men's Health Source Type: blogs

Ailments and Their Add-ons
You get one ailment, and it always seems to bring along its ' friends ' . A few examples are cancer with chemotherapy causes digestive issuesand temporary baldness. It can sometimes also cause long term cardiac issues - which can eventually kill you. With rheumatoid arthritis you can get things like Sjogren ' s Syndrome which causes dry eyes and other fun things. Afew examples are:" ... [RA]inflammation can result in conditions affecting skin, heart, lung, eyes, mental health, etc. Conditions likeosteoporosis, cataracts,depression, cancers, etc. are more common. And add to that infection based conditions like influenza, pn...
Source: Caroline's Breast Cancer Blog - August 21, 2017 Category: Cancer & Oncology Tags: ailments being a patient comorbidities Source Type: blogs

A Little Bit of Trade Liberalization by the Trump Administration
As part of the100 Day Action Plan on economic issues that the U.S. and China negotiated back in May, there was agreement by both sides to liberalize trade in a few areas.  It was a relatively minor set of issues, but nonetheless there was some real progress.  The Trump administration likes to tout exports, not imports, so in the ir remarks about the agreement, they tended to focus on areas of interest to U.S. exporters.  To provide some balance, I’m going to take it upon myself to tell everyone about some import liberalization the U.S. carried out as part of this agreement.  In the agreement, the U.S. said it would...
Source: Cato-at-liberty - July 11, 2017 Category: American Health Authors: Simon Lester Source Type: blogs

Flu vaccination: increasing uptake
National Institute of Health and Care Excellence (NICE) - Comments are being invited on new draft guidance that aims to increase the uptake of flu vaccinations, particularly by those who are entitled to free vaccinations. It recommends that eligible patients should be made aware of and offered the vaccine every winter and at every available opportunity or interaction. The closing date of this consultation is 4 August 2017.Draft guidelineRelated documentsPress release
Source: Health Management Specialist Library - June 27, 2017 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Consultations Local authorities, public health and health inequalities Source Type: blogs

Positioning for the Future
As you may have heard, the United States has a new president. From where I sit, things do not bode well for me — that is to say my patients — over the next few years. In addition to the virtual certainty of massive changes in health insurance, I fear a significant overall economic downturn similar to the last time a Republican held office. Until the outgoing president managed to turn around the Great Recession, my income tanked. In fact, it’s only now beginning to come back to where it was seven years ago. Talk about nipping it in the bud! As I say, though, this is more about my patients than about me per...
Source: Musings of a Dinosaur - January 24, 2017 Category: Primary Care Authors: notdeaddinosaur Tags: Medical Source Type: blogs

Solving Problems by Blaming Others
Many times when people get stuck working on some aspect of their personal growth, it’s because they’ve defined their core problem in a way that it can’t really be solved. One of the most common forms of this is when someone defines their problem as a mental or psychological one. I see this all the time from people trying to overcome procrastination. They usually define the problem as a lack of motivation, drive, self-discipline, passion, etc. Sometimes they see it as a lack of clarity or focus. Other times it’s succumbing to too many distractions. But ultimately they believe that the source of their...
Source: Steve Pavlina's Personal Development Blog - December 19, 2016 Category: Psychiatry & Psychology Authors: Steve Pavlina Tags: Creating Reality Emotions Health Productivity Relationships Values Source Type: blogs

Healthy Holiday Gifts: Some Thoughts. Because What the Hell.
Portable music players: always a classic!photo:xray delta oneBy Crabby McSlackerHoly guacamole, it's been a long time since I've posted on this blog. I kinda thought I might be done forever.But here I am again! I'm not entirely sure why, it just felt like time to reconnect. And if anyone is actually still out there, it would be lovely to touch base with y'all again. My guess is, posting will still be quite sporadic, but who knows?One problem with not posting for a long time: there are a million shlabillion gerbzillion things that have piled up in my head that I feel like I should talk about. (Okay, perhaps my grasp of the ...
Source: Cranky Fitness - December 11, 2016 Category: Consumer Health News Authors: Crabby McSlacker Source Type: blogs

Urgent care billing: Eyebrows raised
An unhealthy discount My wife was sick a few weekends ago so I took her to the Beth Israel urgent care clinic in Chestnut Hill where they diagnosed her with the flu. Nice modern facility. In network. Convenient parking. You get the idea. Care was good, but slow. Then a few days ago, I received an Explanation of Benefits (EoB) from my health plan. One reason to go to urgent care is that it’s more cost effective than the emergency room. In this case BI sent Blue Cross a bill for $1328. Blue Cross marked it down to $365.81, subtracted our co-pay ($35) and deductible ($231.68) and sent BI payment for a whopping $99.13. ...
Source: Health Business Blog - April 19, 2016 Category: Health Management Authors: dewe67 Tags: Economics Health plans Hospitals Uncategorized Source Type: blogs

10 secrets to success as an academic surgeon
1. Be yourself and learn to be flexible. Don’t ever change who you are as a person. It’s OK to have a personality of your own. If you secretly listen to Taylor Swift’s Shake it Off on the way to work, it’s OK. As a junior member of the team it’s very unlikely your iPhone playlist will make the cut for the operating room (OR) entertainment anyway, so go ahead and keep it on your most played list. On the flip side, being successful means being flexible, learning new things, being wrong sometimes, and even changing the way you do things. It can be mind-blowing to learn that there is more than one way to accomplis...
Source: Kevin, M.D. - Medical Weblog - March 30, 2015 Category: Journals (General) Authors: Tags: Physician Surgery Source Type: blogs

LITFL Review 171
Welcome to the 171th 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 chuck of FOAM.The Most Fair Dinkum Ripper Beauts of the WeekInterested in Free Ultrasound Ebooks? Not sure where to find them? Kasia Hampton from Sonokids has an entire list for you right here! [SO]The Best of #FOAMed Emergency MedicineShould we treat all sore throats with antibiotics in fear of Fusobacterium...
Source: Life in the Fast Lane - March 1, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

A fifth operation and permanent menopause
Number of days since surgery: 13Pain level: manageableMood: relieved!It's been quite a while since I last wrote but, as usual, plenty has happened! I've been put into chemical menopause, taken out of chemical menopause, put back into chemical menopause again and now I'm recovering from yet more major surgery. And I'm finally in permanent menopause.Last April, as an attempt to control the high level of pain I was having, my oncology surgeon put me on a course of Prostap injections (you can read more about this in my previous blog post). His thinking was that by temporarily shutting down my remaining ovary he could see wheth...
Source: Diary of a Cancer Patient - February 24, 2015 Category: Cancer & Oncology Source Type: blogs