July 12th, 2011 by Emergiblog in Opinion, True Stories
Tags: Bad Behavior, Bullying, Children, Emergency Medicine, ER, Kids Gone Wild, Lack Of Discipline, Nursing, Parenting, Pediatrics, Psychiatry, teens
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Ah, the benefits of sand therapy!
Time for little Bettina’s daily afternoon face plant!
Not only does it appear my colleague is about to lose her grip on her patient, I’m concerned about her choice of body mechanics.
I predict a lumbar strain in 3…2…1……
(This photo is from the Library of Congress collection.)
**********
I love my pediatric patients. While it is hard to see children feeling sick, they can be bright spots in occasionally hellacious shifts.
I’ve blogged before on my observation that the kids seem to be the adults in the some families.
- They don’t want to undress for an exam, so they fight the parents who are helpless in the face of taking a shirt off a three-year-old.
- They have to be restrained so they don’t run rampant in the ER, and they slap their parent across the face. The parent doesn’t respond.
- They are told they need to cooperate with a procedure and they answer their parent with a loud, clear, “F*** YOU!” At the age of five. The parent retreats. Read more »
*This blog post was originally published at Emergiblog*
July 12th, 2011 by Toni Brayer, M.D. in Opinion, Research
Tags: Anti-depressants, Asperger's Sydnrome, Autism, link, Pediatrics, Psychiatry, SSRIs, Uterine Environment
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Two news events got people talking recently. One was that Casey was deemed not guilty of killing little daughter Caylee ( “O.J. all over again”, I heard repeatedly). I must admit I was rather surprised….
The second was the results of two new studies that were published in the Archives of General Psychiatry. One of them stated that environmental factors during pregnancy might contribute as much as genetics in the development of autism spectrum disorders. The 2nd study conducted by Kaiser Permanente Northern California found a 3 times higher risk of autism if the mother took antidepressants in the first trimester of pregnancy.
With the incidence of autism disorders increasing over time to the current range of 3-6 per 1,000 births, these studies are of interest to millions of parents and professionals. Autism affects boys at a rate of three times more than girls, and is usually detected by the age of 3. The cause has been maddeningly unknown.
While genes certainly play a part (as they do in most every disorder) other theories and assertions have been disproven. It certainly does not have anything to do with “poor mothering” or “lack of maternal bonding”. Those theories did more harm than bloodletting in the 19th century! The link between autism and vaccines has been thoroughly debunked. If you believe in science and research, you must believe that vaccines are not the cause and finally leave that one in the dust. Read more »
*This blog post was originally published at EverythingHealth*
July 11th, 2011 by IsisTheScientist in Opinion, Research
Tags: Collaboration, Dangers, Human Nature, Labs, Psychology, Science, Stealing Data, Time Constraints
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Yesterday I went to go see my friend, the recently infrequently-mentioned Dr. Buttercup. When I first came to MRU, Dr. Buttercup was gracious enough to allow me to share lab space with him. That, coupled with our mutual love of beer and cake, meant that we saw each other quite frequently. Now that I have moved into other laboratory digs and find myself full of people, I see less of Dr. Buttercup and am the recipient of far less of his wisdom. It’s a shame. I miss that dude.
Then again, as soon as that guy received a grant score that someone told him was “fundable”, he became insufferable. Show off.
But, I digress. I saw Dr. Buttercup yesterday about a different matter and we got to discussing the idea of collaboration. He shared the notion that, as an Assistant Professor, collaboration is one of the funnest things he does. It’s also potentially one of the most dangerous because it robs your time without real reward. Still, brainstorming new experiments is fun and sometimes that additional effort on someone else’s grant pays the bills.
This made me think that the same is true for postdoc-level scientists and made me think about some collaborations I got myself into once upon a time. You see, when you’re a newly-minted, grown-up scientist, you’re on top of the world. Perhaps you start to feel like an expert in something and, perhaps, you’re enthusiastic to show the folks around you how good you are at what you do.
Don’t do it. Read more »
*This blog post was originally published at On Becoming a Domestic and Laboratory Goddess*
July 11th, 2011 by Michael Kirsch, M.D. in Health Policy, Opinion
Tags: EMR, Friendship, Future Of This Country, Gastroenterologist, Health Reform, HIPAA, Lawyers, Legal Reform, Physicians
2 Comments »
I spent the entire last weekend with an attorney, not a desirable circumstance for most physicians. However, I wasn’t being deposed or interrogated on cross examination. This was a rendezvous that we both sought with enthusiasm.
Lewis is my closest friend, a bond that was forged since we were eight years old. We are separated now only by geography, and we meet periodically because we both treasure the friendship. Earlier this year we rolled the dice in Vegas. Last weekend, we sweated in the sweltering heat of the Mile High City. Next stop? Back to Denver with a few youngins’!
Lewis is the managing partner in a prominent west coast law firm that specializes in tax evasion. (Or is it tax avoidance? Am I confusing my terms here, Lew?) He has been redrafted to this position because he has earned the respect of his colleagues. Clearly, both Lewis and I have ascended to the highest strata of our professions. Lewis is in charge of a large law firm that has global reach; he travels all over the world cultivating business and negotiating deals; and he navigates clients through complex and labyrinthine legal conundrums. I, an esteemed community gastroenterologist, perform daily rectal examinations and counsel patients on flatulence.
I am sure that readers will agree that our future professional prestige is already evident in this photo of us taken several decades ago. Read more »
*This blog post was originally published at MD Whistleblower*
July 11th, 2011 by AliKhanMD in Health Policy, Health Tips, Opinion
Tags: Border Crossers, Borders, CDC, Infectious Disease, Mexico, Population Risk, tuberculosis, US, Valley Fever
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Borders, Budgets, and the Rising Risk of Disease
Is there a perfect storm brewing along our nation’s southern border? Let’s take a look at the numbers in El Paso, Texas where I recently visited:
- There are 27 million crossings per year alone at the El Paso Point of Entry (POE)
- Cuts to federal funding including a 50% reduction in the Early Warning Infectious Disease Program as well as 12.5% cuts to critical preparedness and response funding;
- Texas is second in the nation for number of tuberculosis cases, the majority of which are found near the border and many of the cases involve tuberculosis strains that are drug resistant
- The bordering country, Mexico, was the source of the last global influenza pandemic
So is this a bad situation getting worse or a ticking bomb? Read more »
*This blog post was originally published at Public Health Matters Blog*
Ah, the benefits of sand therapy!
