February 14th, 2010 by Michael Sevilla, M.D. in Better Health Network, True Stories
Tags: Burn, Cancer, Chemo, Chemotherapy, complication, Dermatitis, Dermatology, Oncology, Rash
No Comments »
One of the great things of being in a group practice is meeting and taking care of patients who may not necessarily be on your own personal patient panel. Walking into the room, I hear the patient say, “Doc, you gotta help me.” I see a red right forearm and on the “complaint” section, the nurse wrote “burn.”
So, I ask, “Well how did you burn your arm?” “Well, doc, I got cancer.” Hmm, that’s interesting. I didn’t make the connection until the next sentence. “It was my last treatment with chemotherapy about 2 weeks ago and for some reason, the needle slipped and the stuff went all over my arm. The cancer doc prescribed these pills, but they don’t seem to be helping. I asked the pharmacist about some salves and this is what they said.” He showed me a handful of creams and ointments purchased at the pharmacy.
Since I didn’t know this patient at all, I was leafing through a very thick paper chart to try to catch up. “Yeah, I’ve been coming to see Doc [name] for a long time now. I’m glad you were able to see me today since his schedule was full.” This very pleasant patient then told me about how they diagnosed his cancer – a tear came to his eye – it’s like he was re-living that moment again. Read more »
*This blog post was originally published at Doctor Anonymous*
February 14th, 2010 by Davis Liu, M.D. in Better Health Network, News, Opinion
Tags: Atul Gawande, Check List, Cholecystectomy, complication, Complications, Death, Gall Bladder, Gastroenterology, GI Surgery, ICU, John Murtha, Medical Error, Septicemia, Surgery
No Comments »
While the news reports that Representative John Murtha of Pennsylvania died after complications from gallbladder surgery, the question no one is asking is whether his death was a preventable one or simply an unfortunate outcome. According to the Washington Post, Murtha had elective laproscopic gallbladder surgery performed at the Bethesda Naval Hospital and fell ill shortly afterwards from an infection related to his surgery.
He was hospitalized to Virginia Hospital Center in Arlington, Virginia, to treat the post-operative infection. His care was being monitored in the intensive care unit (ICU), a sign which suggests that not only was the infection becoming widespread but also that vital organ systems were shutting down. Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
February 14th, 2010 by KerriSparling in Better Health Network, True Stories
Tags: Endocrinology, Glucose Meter, Grape Juice, Hypoglycemia, Obstetrics And Gynecology, Pregnancy, Type 1 Diabetes
No Comments »
BEEEEEEEEEP!
Reaching for the alarm, but it’s not the clock. Check the cell phone, but it’s not a text message. Grope for the cat, but she’s not beeping, either.
BEEEEEEEEEP!
Oh yeah, how could I forget?
52 mg/dl. Not too low, but apparently I’ve over-corrected with those basal changes I made two days ago, and I need to retweak just a little bit.
Wandered out to the kitchen, leaving the BEEEEEEP!ing behind in the bedroom, and also leaving the tube of glucose tabs resting on the bedside table untouched. Make a beeline for the bottle of grape juice that sat, unopened, in the fridge. Read more »
*This blog post was originally published at Six Until Me.*
February 14th, 2010 by David Kroll, Ph.D. in Better Health Network, True Stories
Tags: Bed Rest, Bronchitis, Chronic Illness, Internal Medicine, Pneumonia, Pulmonology
1 Comment »
I have just a couple of thoughts today that I offer to the reader not for sympathy but, rather, for scientific observation and reflection.
I’ve been dealing with a case of bronchitis that became pneumonia. I tried to teach through it, do grant reviews, finish a book chapter, etc. but was finally ordered by my pulmonologist to recuperative bedrest at home for approximately four weeks.
When told I’d be confined to bed for a month, I thought that it would be great – that I’d get two papers and a grant renewal done and still have plenty of time for blog posts I’ve been wanting to get to, finish writing a couple of songs to take to the studio, get all the tax documents together, maybe learn a little CSS and webpage design and get around to a hosted personal website for the domain I’ve had for a year, etc. Read more »
*This blog post was originally published at Terra Sigillata*
February 13th, 2010 by Nancy Brown, Ph.D. in Better Health Network, News
Tags: Anti-depressants, Depression, Major Depression, Psychiatry, Psychology, Psychotherapy, Talk Therapy
1 Comment »
I guess I actually knew this intuitively, as the number of people I know who mention “trying antidepressants” rises, but the Archives of General Psychiatry article by Drs. Olfson and Marcus (August, 2009, 66(8), pp, 848-856) has confirmed my sense that antidepressant use has risen.
In fact, in the United States between 1966 and 2005 the annual rate of antidepressant use for people rose from 5.84 percent to 10.12 percent – translating into 27 million people over the age of six who were taking antidepressants. FYI, that makes antidepressants the most widely prescribed class of medication in office-based and hospital outpatient-based medical practices. Read more »
This post, The Rise In Antidepressant Use: Are We Neglecting Therapy?, was originally published on
Healthine.com by Nancy Brown, Ph.D..
