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Total 34 results found since Jan 2013.

I Was Thinking
I ' m sorry, I know I shouldn ' t spend time thinking because it can cause all sorts of problems. I know. I should stop spending so much time thinking. I ' ll think about that for a while.Anyway, I was thinking because I read an article on the giantRheumatoid Arthritis Time Suck. When you have RA you spend a lot of time going to the doctor to deal with doctors for RA and then all the time dealing with the side effects of your RA medications. And your low immune system which makes you high risk for everything. And blood tests every 8 weeks. And more and more.But then I get to add in the fibromyalgia time suck which causes t...
Source: Caroline's Breast Cancer Blog - April 13, 2017 Category: Cancer & Oncology Tags: ailments thinking time Source Type: blogs

LITFL Review 263
Welcome to the 263rd 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 A well-written NY Times essay on how social isolation is killing us made the Internet rounds over the holidays, penned by a medical resident.   The Best of #FOAMed Emergency Medicine A very interesting and thought provoking post by Josh Fa...
Source: Life in the Fast Lane - January 1, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review 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

A Middle-Aged Woman with 3 days of Chest pain and Posterolateral Injury on the ECG
A middle-aged woman called 911 for burning chest pain and dyspnea.  Here is her prehospital ECG:There is clearly acute myocardial injury with ST elevation in high lateral leads.The computer did not read STEMI, but medics were very suspicious and brought the patient to the critical care area.An ED ECG was immediately recorded:There is sinus tachycardia.  There is clear high lateral and posterior injury.The cath lab was activated.History:The patient states she has had 3 days of burning chest pain and SOB.  She thinks she has the flu and states that she is currently pain free.These are her first vital signs:101...
Source: Dr. Smith's ECG Blog - March 18, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs

The Science of Medicine: Zika and Correlation vs. Causation
BY JOHN SCHUMANN Last week I told you of my admiration for Dr. Mona Hanna-Attisha, the Michigan pediatrician and epidemiologist whose strong research and advocacy was able to finally bring a shining light to the problem of lead in the water supply of Flint. Continuing with a theme, I now bring you the story of Dr. Adriana Melo of Campina Grande, Brazil. Dr. Melo is an OB-GYN who subspecializes in Maternal-Fetal Medicine (MFM), the branch of obstetrics that deals with high-risk pregnancies. She lives and works in northeast Brazil, which is less populous and more economically challenged than the southern, more well-known pa...
Source: The Health Care Blog - February 8, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

LITFL Review 204
Welcome to the 204th 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 Week Want to be involved in shaping Emergency Medicine research? Find out about the fantastic James Lind Alliance and it’s work with RCEM and how you can get involved in identifying the priorities for further research at St Emlyns. [SL] Sharing some...
Source: Life in the Fast Lane - November 1, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

You can never be prepared for a diagnosis of breast cancer
November of last year found me living as best I could with several health issues, the most debilitating of which stems from never having recovered from a serious viral infection in 2001. I’ve been diagnosed with chronic fatigue syndrome, a little understood and much-misunderstood illness. It keeps me virtually housebound. For the most part, I’ve made peace with feeling sick all the time. In fact, recently I’d been thinking that I could be OK with the prospect of spending the rest of my life with flu-like symptoms as my constant companions. Then, totally unexpectedly, I was diagnosed with breast cancer. It was discov...
Source: Kevin, M.D. - Medical Weblog - July 6, 2015 Category: Journals (General) Authors: Tags: Patient Cancer Source Type: blogs

Research and Reviews in the Fastlane 079
This article is a meta-analysis looking at a relatively new technique: POC Ultrasound. This review found that for ED intubations, US had a sensitivity of 98% and a specificity of 94%. The question, however, should be whether this technique is faster than End Tidal CO2, which is extremely reliable.Recommended by: Anand SwaminathanRead More: Ultrasound for Verification of Endotracheal Tube Location (ALiEM)The R&R iconoclastic sneak peek icon keyThe list of contributorsThe R&R ARCHIVER&R Hall of famer You simply MUST READ this!R&R Hot stuff! Everyone’s going to be talking about thisR&R Landmark pap...
Source: Life in the Fast Lane - April 16, 2015 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Airway Emergency Medicine Infectious Disease Intensive Care Pediatrics Respiratory Toxicology and Toxinology Trauma critical care Education literature R&R in the FASTLANE recommendations research and reviews 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

LITFL Review 161
Welcome to the 161st 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 WeekExcellent discussion of the role of Human Factors in medicine from the PHARM podcast featuring Nick Chrimes and Martin Bromiley. [AS]The Best of #FOAMed Emergency Medicine“The Opiate Free ED” –  A better approach to pain control in the Eme...
Source: Life in the Fast Lane - December 21, 2014 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Research and Reviews in the Fastlane 055
This study demonstrates a higher success rate (100% vs. 88%) and lower pneumothorax rate (0% vs. 5%) in comparing ultrasound guided versus landmark technique for placement. Although the ultrasound guided method may be technically difficult to learn and take some time investment, that time is repayed in the shorter time to accessing the vessel and lower complication rate. Recommended by: Anand Swaminathan Emergency medicineRosen P. The biology of emergency medicine. JACEP. 1979 Jul;8(7):280-3. PubMed PMID 449164 Peter Rosen has called this ‘the only good article I have ever written’. This is Rosen’s rati...
Source: Life in the Fast Lane - October 28, 2014 Category: Emergency Medicine Authors: Soren Rudolph Tags: Anaesthetics Clinical Research Emergency Medicine Intensive Care Neurology Resuscitation Trauma critical care Education literature R&R in the FASTLANE recommendations Research and Review Source Type: blogs

The LITFL Review 130
The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around. Welcome to the 130th edition, brought to you by: Kane Guthrie [KG] from LITFL Tessa Davis [TRD] from LITFL and Don’t Forget The Bubbles Brent Thoma [BT] from BoringEM, and ALiEM Chris Ni...
Source: Life in the Fast Lane - March 25, 2014 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review Toxicology LITFL R/V Source Type: blogs

ST Elevation and a Positive Troponin: Is it Myopericarditis or STEMI?
In this study of 625 patients with presumed STEMI who had angiograms within 2 hours of the ECG, but not simultaneous with the ECG, 26 had completely normal angiograms. The final clinical diagnosis by 3 cardiologists (not by MRI or biopsy) was STEMI in 7 (1.2%) and myopericarditis in 5 (0.8%).  Normal angiograms (no stenosis at all) seem to occur in about 4.5% of patients with Non-STE-ACS, but they still have substantial subsequent morbidity (2% death or MI at 1 year; TIMI score stratifies them well)Finally, there is this paper by Sarda et al. from JACC in which they studied 45 patients with apparent STEMI but with nor...
Source: Dr. Smith's ECG Blog - February 17, 2014 Category: Cardiology Authors: Steve Smith Source Type: blogs

Caring For Winter Olympians In Sochi: An Interview With Team USA’s Chief Medical Officer Dr. Gloria Beim
I am a huge fan of the winter Olympics, partly because I grew up in Canada (where most kids can ski and skate before they can run) and partly because I used to participate in Downhill ski racing. Now that I’m a rehab physician (with a reconstructed knee) I’m thrilled to have the opportunity to interview Team USA’s Chief Medical Officer, Dr. Gloria Beim. As we enjoy the Sochi Olympic games via our TV sets, keep an eye out for Dr. Beim! Please read on to get her behind-the-scenes account of what it takes to care for and keep Team USA Olympians in tip top shape. Dr. Val: How did you become the Chief Medical ...
Source: Better Health - January 31, 2014 Category: Health Medicine and Bioethics Commentators Authors: Dr. Val Jones Tags: Expert Interviews 2014 Centricity Chief Medical Officer CMO Colorado Emergencies Gloria Beim Orthopedics Russia Sochi Sports Medicine Team USA Winter Olympic Games Winter Olympics Source Type: blogs