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Why Fighting HIV/AIDS Is So Challenging

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When I began work on this month’s project, I contacted a clinician, a case manager, and a scientist to get their perspectives on how we’re making progress fighting HIV and AIDS. I’ve introduced you to the clinician and the case manager, but not the scientist.

Dave Wessner doesn’t actually study AIDS, but he’s written a textbook supplement on HIV and AIDS and teaches a course at Davidson College on the subject. His students have even set up a blog discussing the history and science of HIV and AIDS. He also regularly lectures on the topic. I’ll be attending one of his talks tonight. Read more »

*This blog post was originally published at The Daily Monthly*

Bad Behavior In South Africa – A Gory Story

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South African society is a completely lawless society. Pretty much everyone does just what they like and more often than not they get away with it. Red lights are just a suggestion, yet it is not uncommon to see a taxi stop in the middle of the road without warning. This attitude goes through almost all levels.

Yet there are some laws that people do obey. The law of gravity comes to mind. Mostly if you trip or fall off a wall or out a window you do approach the earth with increasing velocity and finally come to rest in some form of disrepair when you finally meet said earth, even if you are South African.  Another law that is obeyed was well illustrated by a patient we once saw in the old days. Read more »

*This blog post was originally published at other things amanzi*

Panic Attacks And The Nurse Who Witnessed Her Son’s Near Death Experience

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My son accidentally ingested peanut butter yesterday.  He’s allergic.

He’s done this once before, which is when we found out about the allergy.  He had some really awful hives 3 hours after he ate that small bite of peanut butter sandwich but that was all.  His allergist told me that it would most likely never get worse than that.

He managed to eat some more yesterday.  I braced myself for the hives to come, and we dosed him with Benadryl.  An hour later he vomited.  The pediatrician’s advice nurse advised me to take him to the ER.  At the time I thought it was overkill.  He wasn’t having any breathing difficulties beyond the cough he already had (he has a cold).  He definitely wasn’t acting quite right, though, so off we went. Read more »

*This blog post was originally published at code blog - tales of a nurse*

Baby Mammoth’s Cause Of Death Determined By CT Scan

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GE Health donated time on their latest CT and MR systems for researchers from the Field Museum in Chicago to image the insides of an ancient baby mammoth. Lyuba, apparently one of the finest preserved mammoth specimens, was found by a Siberian reindeer herder three years ago. Now, thanks to modern technology, the researchers believe they know the cause of death of the mammoth. Lyuba is currently on view at the “Mammoths and Mastodons: Titans of the Ice Age” exhibit at the Field Museum. Of course, there’s also something to be said for today’s tomography scanners with bore sizes that can accommodate a mammoth. Read more »

*This blog post was originally published at Medgadget*

The Business Of Healthcare And Chaos Theory

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Chaos theoryNoun – The branch of mathematics that deals with complex systems whose behavior is highly sensitive to slight changes in conditions, so that small alterations can give rise to strikingly great consequences.

Alternative definition:

Chaos theory – Noun – The branch of healthcare that deals with making the payment system increasingly complex and ever changing. This complexity and confusion impact physicians and patients in such a way that appropriate services in care of the patient are subject to rules and regulations that are deliberately complex, making alterations from the momentary rules inevitable.  This exists so that even small alterations will free the insurance company from the responsibility to pay for said service.

I am no physicist, but I honestly think that a grasp and understanding of the first type of Chaos theory is more likely than that of the second.  Let me give a demonstration of the second chaos theory in action: Read more »

*This blog post was originally published at Musings of a Distractible Mind*

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It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

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I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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