December 25th, 2011 by Toni Brayer, M.D. in Health Tips
Tags: Aches, Aging, Arthritis, Aspirin, bony, Chronic, Cortisone Injections, Exercise, Fingers, Flexibility, genetic, Heat, Hot baths, Hot Tubs, Inflammation, Joint replacement, Joints, Knee, NSAIDs, Osteoarthritis, Pain, Physical Activity, Swelling, Swollen, Treatment, Tylenol
5 Comments »
Severe osteoarthritis of the hands
One of my patients came to see me today with severe right knee pain. This is not a new problem, and in fact, we have been dealing with flare ups of her osteoarthritis for years. It mainly affects her knees and hands and today her right knee was swollen and felt like the “bone was rubbing together” with each step. She could hardly walk because of the pain.
Osteoarthritis is also known as degenerative arthritis and it is one of the most common maladies of aging joints, affecting millions of people. The cartilage in joints wears down and inflammation causes the bones to build up spurs and small micro tears. It affects women more than men and the cause is unknown. There are likely genetic factors as it tends to run in families. Arthritis can occur in any joint but the most common are the fingers, wrists, hips, neck and spine and knees. Stiffness (especially in the morning) and pain are the main symptoms that limit mobility.
You can see Read more »
*This blog post was originally published at EverythingHealth*
December 23rd, 2011 by PreparedPatient in Health Tips, Opinion
Tags: Common, Discussion, Doctor-Patient Communication, Doctors, Drowsiness, Dry Mouth, Health care team, Medical Device, Medications, Physical Therapy, Physicians, Prepared Patient, Problems, Side Effects, Silence, Surgery, symptoms, Treatment
No Comments »
Talking About Side Effects With Your Health Care Team
Side effects may occur with any new treatment, including new medications, placement of a new medical device, surgery, or even physical or occupational therapy. We usually think of side effects when we begin to experience bad changes —when the treatment introduces new worrisome symptoms or problems. Most treatments have some sort of side effect associated with them, and many of us may wonder if side effects are simply the price we must pay for a necessary treatment.
But side effects shouldn’t be taken lightly, for a number of reasons. At their most extreme, side effects raise the alarm when you are having harmful and even potentially fatal treatment reactions. Even somewhat mild side effects like a dry mouth, sleepiness, or minor muscle aches may still interfere with your daily life. Sometimes side effects bother some people so much that they skip doses or give up a treatment altogether, which can derail care and put them at risk for both short- and long-term complications.
Before treatment begins, here are a few questions you can discuss with your health care team: Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
December 23rd, 2011 by Paul Auerbach, M.D. in Health Tips
Tags: Alcohol, Bathtubs, Boating, Dr. Tracy Cushing, Drowning, Dry drowning, Flotation Devices, Lifeguard, Near-drowning, Outdoors, Preventive Care, Submersion Injury, Swimming, Swimming Lessons, University of Colorado School of Medicine, Wilderness Medical Society, wilderness medicine
3 Comments »
This is another post derived from a presentation given at the 2011 Annual Summer Meeting of the Wilderness Medical Society. Tracy Cushing, MD, of the University of Colorado School of Medicine gave an excellent presentation on submersion injury—i.e., the dangers of becoming submerged under water. What follows is some of what we learned.
Historically there have been many terms and definitions, such as “drowning,” “near-drowning,” “dry drowning,” and others. Current experts favor the term “submersion injury” as any adverse effect from submersion in water. This commonly causes difficulty breathing, for many reasons. “Immersion syndrome” refers to the situation where there is a lethal heart rhythm during or after a cold-water exposure, usually attributed to stimulation of the vagus nerve, which slows the heart rate. “Shallow water blackout” refers to a person becoming unconscious after hyperventilating prior to attempting a lengthy period of breath-holding underwater.
Drowning is the Read more »
This post, Preventing Drowning And Other Submersion Injuries, was originally published on
Healthine.com by Paul Auerbach, M.D..
December 22nd, 2011 by RyanDuBosar in Health Tips, Research
Tags: circadian biology, diagnostic errors, Fatigue, Long Hours, nap, Nursing, Patient Safety, Physical Activity, Research, Residency Training, Rest, Risk, Schedules, Sentinel Event Alert, Shift length, Sleep, Staffing, The Joint Commission, Tips, Tired
No Comments »
Health care facilities should take five steps to ensure staff aren’t becoming sleep fatigued, according to a Sentinel Event Alert from The Joint Commission.
Shift length and work schedules impact job performance, and in health care, that means patient safety, the alert stated. A study of 393 nurses over more than 5,300 shifts showed that nurses who work shifts of 12.5 hours or longer are three times more likely to make an error in patient care.
Furthermore, residents who work traditional schedules with recurrent 24-hour shifts:
–make 36 percent more serious preventable adverse events than individuals who work fewer than 16 consecutive hours,
–make five times as many serious diagnostic errors,
–have twice as many Read more »
*This blog post was originally published at ACP Hospitalist*
December 21st, 2011 by HarvardHealth in Health Tips, News
Tags: Active Surveillance, Cancer, Cancer Prevention and Control Research, Chemotherapy, Decisions, Impotence, Jonsson Comprehensive Cancer Center, low-grade prostate cancer, Low-risk, Men's Health, National Institutes of Health, Prostate Health, PSA, Radiation, Treatment, UCLA, urinary function
No Comments »
The word “cancer” strikes fear in everyone who is told they have it. It conjures up images of a fast-moving, life-threatening disease.
That isn’t necessarily the case for men with newly diagnosed prostate cancer. More than half of them have a type of cancer that is confined to the prostate gland and that grows so slowly it will never affect their health or their lives. Yet almost 90% of men told they have prostate cancer opt for immediate treatment with surgery or radiation therapy—which often cause trouble getting or keeping an erection and an assortment of urinary problems.
Two weeks ago, a panel of experts convened by the National Institutes of Health recommended that many men with localized, low-risk prostate cancer be closely monitored, and that treatment be delayed until there was evidence that the disease was progressing.
“It’s clear that many men would benefit from delaying treatment,” Dr. Patricia A. Ganz, conference panel chairperson and director of the Division of Cancer Prevention and Control Research at the Jonsson Comprehensive Cancer Center at the University of California in Los Angeles, said in a statement, adding that Read more »
*This blog post was originally published at Harvard Health Blog*
