It’s been a very busy few weeks. Medicine is like that — seldom is “business” steady. Like rainy weeks in the southeast when you think it will never be sunny again, there are weeks when you think everyone’s atria are fibrillating. So there were shocks, and burns, and wires installed. The heart rhythm was rocking, and so were we.
But in all this fury two cases stand out as a reminder that in spite of, not always because of, what we doctors do, the human body can right itself — like it did before their were drugs, procedures, and surgery. (Keep this quiet, though.)
Case 1: A semi-emergent consultation for atrial flutter (AF’s crazy sister) came in. “Somethinghas to be done, Dr. M,” was the message. She was symptomatic and scared (not necessarily in that order), but after a bit of simple doctoring (a pill), the heart rate had slowed and the symptoms abated somewhat. Then after a heavy dose of an AF doctor’s greatest weapon, reassurance and education, we mutually decided on one of my secret treatments for acute AF/AFlutter: A deep breath, a chair, a book, and time. Just in case, though, a cardioversion (shock) was set up for the next morning. I knew that since this was a first episode, that given some time the heart may right itself, without any fury.
Bingo. The text message came the next morning: “Cardioversion cancelled. Patient converted to sinus rhythm right after you saw her yesterday.” (Grin.) Read more »
*This blog post was originally published at Dr John M*
In a better setting than the animation of the ER patient faking a seizure (which was inexplicably set in what appeared to be a convenience store), this one at least looks medical. But I’m a little concerned about the red blood infusion just hanging in the background, not connected to anything. I’m pretty sure the Joint Commission wouldn’t approve of that.
*This blog post was originally published at Movin' Meat*
Mechai Viravaidya has been fighting poverty and disease in Southeast Asia through innovative promotions of safe sex practices. In this TED talk, he gives an amusing overview of how Thailand went from seven children per family to 1.5 in less than four decades and a 90 percent reduction in HIV infection rates from 1991 to 2003.
*This blog post was originally published at Medgadget*
I’m a man. I use a two-blade razor. This might surprise you. I have the means, so why don’t I use the latest five-blade-vibrating-titanium tool? Any razor good enough for Tiger Woods and Derek Jeeter should be good enough for me, right?
Advanced technology doesn’t always make a product better. Think of your universal remote control — it has half a dozen buttons you’ve probably never pushed and, if it’s like mine, changing the channel is a complicated affair.
Last week a patient of mine, who looks a lot like Javier Bardem, came to my office frustrated. He had been using the latest-blade razor and had red razor bumps on his neck and cheeks. Why?
Because there is such a thing as a shave that is too close. If your beard is cut at or below the level of the skin, then the hair can become trapped when it regrows. The coiled hair continues to grow downward causing a painful, red razor bump. For some men, the closer the shave, the more likely they’ll have this problem. Read more »
I [recently] received a press release from a friend in the Bay Area. Investigators at UCSF have published a study in the New England Journal of Medicine showing that less chemotherapy can be effective at treating some childhood cancers.
The paper was the result of an eight-year clinical study in children with neuroblastoma. In this particular population, researchers were able to reduce chemotherapy exposure by 40 percent while maintaining a 90 percent survival rate. You can read about it here.
The press release sparked a brief email exchange between me and my friend: Who might be interested in writing about this study and is there any way to get it to spread? What would make it sticky in the eyes of the public?
Here are a few ideas:
Figure out who cares. Sure it’s niche news, but there are people who would think this is pretty darn important. Think organizations centered on parents of children with cancer, adult survivors of childhood cancer, pediatric hematology-oncology physicians, pediatricians and allied professionals in pediatric medicine like nurse practitioners and hematology-oncology nurses. Networks form around these groups. Find them and seed them.
Make a video. Offer powerful, visual content beyond a press release. A four-minute clip with the principal investigator, Dr. Matthay, would be simple and offer dimension to what is now something restricted to print. The Mayo Clinic has done this really well. Read more »
*This blog post was originally published at 33 Charts*
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How many blades do we need to shave?
