Health
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7h ago ( January 22, 2019 at 7:00 AM ) Part 3 of a series. Patients with advanced cancer are particularly vulnerable to infection due to a compromised immune system. Moreover, the typical symptoms of serious infection, such as fever and chills, may be absent in cancer patients. If not identified and treated early, infection can lead to sepsis, a life-threatening reaction of the immune system […]
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23h ago ( January 21, 2019 at 3:00 PM ) Good news is always welcome, especially when talking about something as serious as cancer. And there is plenty of welcome information in the American Cancer Society’s release of our annual report on “Cancer Statistics, 2019” and its accompanying consumer-oriented version of “Cancer Facts & Figures 2019.” Among the good news in this report: A significant […]
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January 20, 2019 at 7:00 PM I have known him for over thirty years. He has been legally blind for the past five. He tends to be a practical, no-nonsense man. The other day, he seemed restless and very concerned as he lowered his voice and said: “I don’t want you to come to the conclusion that I’m crazy, but I’m […]
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January 19, 2019 at 7:00 AM Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 56-year-old woman is evaluated during an appointment to establish care. She has a developmental delay, and she is known to have pulmonary hypertension due to a congenital cardiac condition. There is no history of cardiac surgery. She is on low-dose […]
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January 18, 2019 at 7:00 PM Pain usually cannot be “treated” like a standard ear infection. Treating patients in pain requires setting realistic expectations, using a variety of approaches, and patience. One patient I treated months ago highlights these points. At 6 a.m., I was ready for the change of shift at the hospital. The night doctor who took care of […]
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January 18, 2019 at 11:00 AM “Cha-ching!” goes urgent care. For your rhinovirus, adenovirus, or seasonal allergies you get a strep screen, flu swab, CBC, and chest X-ray. You get a steroid shot, Rocephin, and Z-Pak. A week later, you present for medical care again, because your virus is no better, and you want a stronger antibiotic. In the meantime, your […]
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January 18, 2019 at 7:00 AM Jim Henson, creator of the Muppets and Sesame Street, died at the age of 53. His diagnosis was toxic shock syndrome/streptococcus pneumonia — a deadly bacterial infection. We were on vacation when we heard the news: The genius who opened the imaginations and hearts of our children … maybe you too … was gone. We […]
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January 14, 2019 at 7:00 PM Peanut allergies can be a serious problem, and many exposures happen when our kids are at school. On average, there are probably about 5 peanut-allergic children in each of our nation’s 100,000 school buildings. What’s the best policy for schools to use to help protect these kids from potentially fatal reactions? Different schools have taken different approaches, […]
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January 13, 2019 at 3:00 PM “Is she in pain?” I asked quietly as the pearlescent baby-shaped image on the screen folded its legs and then extended them. The radiologist doing my ultrasound had just finished pointing out a cluster of alarming abnormalities in our developing daughter, using a slew of medical terms my husband and I, both medical students, were […]
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January 12, 2019 at 3:00 PM Eat less, exercise more is a common refrain heard by millions of people with obesity. If only it were that simple. Decades of research shows obesity is a disease that is caused by a combination of genetic, environmental, biological, and behavioral factors that requires a range of interventions for treatment and prevention. The American Medical […]
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January 12, 2019 at 7:00 AM Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 55-year-old man is evaluated in the emergency department for a 2-day history of mild nausea and dyspepsia that is worse with fasting and improved with eating. He has also had a 24-hour history of frequent black stools and fatigue. He […]
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January 11, 2019 at 1:00 PM ing my ER shift for the day, I waited for the shuttle at a busy intersection. Within a minute of drowning myself in music, I saw an obese man at the bus stop suddenly collapse to the ground. I removed my backpack and ran the fastest I have ever run in my life across the […]
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January 11, 2019 at 9:00 AM It was 4:00 a.m. when I made it to my parents’ home. My mother called me to say that my father was having a hard time breathing. I could hear him struggling in the background. I ran inside to see my mother cradling my father on the floor — not breathing. I performed CPR on […]
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January 10, 2019 at 11:00 AM It was another simmering-hot Texas day, and the AC was faltering in the family-practice clinic where I worked as a family nurse practitioner. Most of our clients were poor and spoke only Spanish. My nurse, Eliza, approached, wide-eyed. “There’s a new patient — a woman named Maraby. She seems really angry,” she murmured. “She’s the […]
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January 9, 2019 at 3:00 PM Over 80,000 new cases of bladder cancer are diagnosed every year. Of the new cases, over 62,000 are men, and over 18,000 are women. Whites have higher incidence rates than blacks, although black patients have higher mortality rates, particularly black women. The majority of cases are found with painless gross hematuria (although most patients with […]
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January 9, 2019 at 1:00 PM Part 2 of a series. My own self-appointed role as my father’s health care advocate during his prostate cancer battle was a natural consequence of my training as a medical researcher. After earning a PhD in medical science, I became the elected family health and wellness guru, offering insight into everything from hangnails to stem cells, […]
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January 9, 2019 at 9:00 AM Caregiving is often described as a sacrifice. One individual bears a burden to care for another. There’s a connotation of drainage, evocations of burned-out batteries and tired limbs. I was a premedical student. I was aggressive in pursuing an MD. I wanted to be the best doctor I could be. I did not realize that […]
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January 8, 2019 at 1:00 PM Quick quiz question: two people are diagnosed with melanoma — Sarah Sunburn, an adamant sun-worshipper, and Paula Pale-All-The-Time, a fanatical sun-avoider. Who is more likely to die of the disease? The answer is pale-faced Paula. Surprised? Let me unpack this mystery and explain why sun exposure simultaneously kills people, while making the cancers they are […]
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January 7, 2019 at 7:00 PM An excerpt from Please Don’t Die. While I was still writing this book, a local doctor killed himself. This was a younger psychiatrist with a successful practice, leaving three children after shooting himself in the head. What do you imagine his patients are thinking right now, especially if they are struggling with depression or suicidal thoughts? I didn’t know […]
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January 7, 2019 at 11:00 AM An excerpt from The Science of Near-Death Experiences. Near-death experiences are an ancient and very common phenomenon that spans from ancient philosophy, religion, and healing to the most modern clinical practice of medicine. Modern advances in medical knowledge make it possible to revive patients from increasingly severe, life-threatening injuries and illnesses, including cardiac arrest. Upon being revived, such patients often report experiencing life-changing alternate […]
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January 5, 2019 at 7:00 AM Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 25-year-old woman is evaluated during a follow-up visit for an 18-month history of ankylosing spondylitis. She has minimal lower back pain with morning stiffness lasting 20 minutes. She is able to pursue her activities of daily living without any restrictions. […]
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January 2, 2019 at 3:00 PM I know what you’re thinking: She’s cold-hearted, cruel, and unkind. But am I? Or are you? Grandma Lilly is 87-years-old and in the ICU. She’s on a ventilator with her wrists restrained to the side of the bed. Grandma can barely see because her eyes are puffy: scleral edema. And her heart races: 140 beats […]
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January 2, 2019 at 9:00 AM Pathology and laboratory medicine services play a vital role in global health care and continuously improve patient care around the world. When it comes to your medical care, you have many options, and choosing the right professional could improve your health. So what exactly does a pathologist do, and do I have the power to […]
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December 29, 2018 at 7:00 AM Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 55-year-old man is evaluated in follow-up for severe COPD, which was diagnosed 2 years ago. He has had two exacerbations in the past year requiring hospitalization, and his baseline exercise tolerance is low. He completed pulmonary rehabilitation 3 months ago […]
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December 27, 2018 at 11:00 AM “Dr. Rahman, this is the nurse in OR 12, Dr. H is doing a robotic/laparoscopic hysterectomy. He thinks he’s injured the ureter and is requesting help. Are you available?” I knew what came next was going to be complex — challenging surgically, disruptive to my schedule and potentially risky. I told the nurse that I […]
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December 27, 2018 at 11:00 AM “Dr. Rahman, this is the nurse in OR 12, Dr. H is doing a robotic/laparoscopic hysterectomy. He thinks he’s injured the ureter and is requesting help. Are you available?” I knew what came next was going to be complex — challenging surgically, disruptive to my schedule and potentially risky. I told the nurse that I […]
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December 26, 2018 at 7:00 PM “Pathognomonia.” I do not believe this is a real word. That’s OK. I don’t care if it isn’t. I have wanted to write this little blurb several times over a period of a few years. My theme is related to what we physicians regard as pathognomonic — i.e., definitive proof of a particular condition based […]
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December 26, 2018 at 11:00 AM From second through fifth grade, I mastered the art of being sick. I got out of school, soccer practice and piano lessons so that I could be the child I wanted to be — not sick, but loved, cared for. Here was my recipe: 1. Wake up. 2. Feel anxious about the day to come […]
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December 26, 2018 at 7:00 AM Coffee —”because of the caffeine which it holds,” described Dr. Henry Elsner in a 1911 review article in the journal of Hypertension and Arteriosclerosis — causes “increased rapidity of the heart’s action. It makes the heart irritable, it increases the power of the heart’s contractions, it places an extra load upon the kidneys, increasing the […]
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December 22, 2018 at 7:00 AM Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 60-year-old man variable 2-hour postprandial blood glucose is evaluated during a routine follow-up examination. He has type 2 diabetes mellitus. Review of his blood glucose log demonstrates fasting blood glucose values ranging from 120 to 160 mg/dL (6.7-8.9 mmol/L) and […]
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... Tags: Health, Diabetes, Endocrinology, American College of Physicians, Conditions, PA NP, CRNA131 people like this. Like
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