February 27th, 2010 by scanman in Better Health Network, Medical Art, True Stories
Tags: Arteritis, CT Scan, Imaging, Radiology, Takayasu
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A young adult (mid thirties), a known case of non-specific aortoarteritis (Takayasu’s arteritis) was referred for a CT scan of the Abdomen including a CT Aortogram to rule out mesenteric ischemia.
The inital plain (no IV or oral contrast) CT scan did not show any evidence of abdominal pathology. So a CT Aortogram was done.
The following is the best CT image of thoracic and abdominal wall arterial collaterals that I have seen in a decade of being a radiologist: Read more »
*This blog post was originally published at scan man's notes*
February 27th, 2010 by MotherJonesRN in Better Health Network, Health Tips, Humor
Tags: Hospital, Nursing, Snow Day, Snow Storm, Survival Guide, Tips
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These young ladies are prancing back to their nursing dormitory after a snowstorm. They look really happy to finally make their exit from the hospital. I identify with these girls because I got snowed in at my hospital for eight days last week. It was tedious, but I used my time constructively. I studied human nature.
People go through three phases when a snowstorm starts bearing down. The first phase is giddiness. I saw at lot of people become gleeful when the first snowflakes started hitting the sidewalk. They became delusional and said things like, “Look at the snow. It’s so beautiful!” People, snow is NOT beautiful. It is wet and cold. No one enjoys digging their car out from a five-foot snowdrift.
The next phase of a snowstorm involves a strange survival instinct that compels people to rush to their local grocery store and buy copious amounts of milk, toilet paper, and comfort food like corn chips. I’ve never been about to understand this phenomenon, but I’m sure that grocery store chains love it. Panic in the air indicates that people are entering into the final phase of their snowstorm response. The snowstorm is in full gear and everyone wants to leave work and go home. The walls start closing in, and those with a lesser constitution make a break for the door. I understand that some people can’t deal with their claustrophobia, but please don’t yell, “You can reach me on my Blackberry,” as you run out the door. That just makes you look pathetic. Read more »
*This blog post was originally published at Nurse Ratched's Place*
February 26th, 2010 by Debra Gordon in Better Health Network, Opinion
Tags: Costs, Emergency Medicine, Health Insurance, uninsured, With Insurance, Without Insurance
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$2600.
$544.
Look carefully at those two numbers. The first is the sum of three bills I received for my husband’s day-after-Christmas visit to the emergency room for unusual dizziness. A CT and EKG ruled out a stroke or heart attack. Diagnosis? Vertigo.
(Note: both figures will likely be much higher once all the bills come in, but I needed a blog post so I’m going with what I’ve got now).
Now look at the second figure. That’s what I have to pay after the discounts my insurance company has negotiated with the hospital and radiologists. Note: there are no payments from the insurance company in there because we had not yet met our deductible. These are just the discounts. Read more »
*This blog post was originally published at A Medical Writer's Musings on Medicine and Health Care*
February 26th, 2010 by Bongi in Better Health Network, True Stories
Tags: Baby, Battered Wife, Domestic Violence, Fractured Humerus, Gunshot Wound, Shooting, South Africa, Surgery, Trauma
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A while ago I treated a woman with rhabdomyolysis. You see, her husband beat her so severely that she had enough muscle injured that she ran the risk of kidney damage due to breakdown products. I spent some time chatting to her. I couldn’t understand that this beautiful, intelligent woman could find herself in this sort of situation, especially seeing that the bastard had assaulted her twice before. But actually this post isn’t about her. She had finally realised there is no chance that this sort of person is going to change and that she needs to leave him before he kills her. No, this post is about someone else. Read more »
*This blog post was originally published at other things amanzi*
February 26th, 2010 by Happy Hospitalist in Better Health Network, Opinion
Tags: Bariatric Surgery, Failed Weight Loss, Gastric Bypass, Internal Medicine, Personal Choice, Super Obese
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What are some excellent weight loss options? I’m a true believer in diet and exercise. When you burn more calories than you consume on a daily basis, the laws of chemistry, physics, and all other natural sciences say that you will lose weight.
There’s also the option for gastric bypass, which is really nothing more than a really expensive way to make you stop eating so much. If you don’t exercise while you diet, or don’t continue to exercise after you stop dieting, your body will eventually slow down its metabolism and weight loss will become harder and harder. You will gain your weight back. Some people have literally eaten their way through a gastric bypass procedure and find themselves right back at square one. Read more »
*This blog post was originally published at Happy Hospitalist*
