January 15th, 2010 by Bongi in Better Health Network, True Stories
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Being South African these days sometimes means we see things in a slightly skewed way. It seems to be the way we have become. I have touched on this before, but there is another story which illustrates the point.
The recent run of hijackings were fresh in all our minds because the perpetrators had shot and killed, execution style, a mother and her three year old child just the previous week. There were reports that one specific gang was working the area and were responsible for most if not all the hijackings and associated killings in the area. So when our patient came in, even before the police told us so, we just assumed he was one of this gang. Read more »
*This blog post was originally published at other things amanzi*
January 15th, 2010 by Emergiblog in Better Health Network, Opinion
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The discussion regarding the entry level for nursing has been ongoing for decades. I have articles written in the 1940s extolling the virtues of the BSN long before the first ADN program opened in 1952.
Every now and then, someone broaches the topic of making the BSN the entry level and BAM! the flames that ensue make the health care reform debate look like Mr. Roger’s Neighborhood.
Why the rancor?
Well, if one states that the BSN should be the entry level for a registered nurse, then it follows there must be a reason why an ADN should not.
That does not sit well with ADN graduates. Read more »
*This blog post was originally published at Emergiblog*
January 15th, 2010 by Paul Auerbach, M.D. in Better Health Network, Health Tips
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We’re in ski season and so a few unfortunate individuals will suffer few knee injuries. A while back, a reader asked me to describe an uncommon injury, which is a torn posterior cruciate ligament (PCL).
This injury usually occurs during a fall. As you can see from the drawing, the PCL keeps the lower leg bone (tibia) from moving too far back in relation to the upper leg bone (femur). If a sudden unnatural force is applied, usually a direct blow to the front of the lower leg near the knee while the knee is bent, the tibia is jammed backwards and the PCL may be torn. In the skiing situation, this usually happens during a fall and a tumble, when someone strikes an immovable object, or when the knee is bent or “twisted” and struck forcefully from the side.
The immediate sensation is pain, and there may be a feeling of instability to the knee, particularly when trying to walk or change levels (e.g., walk over the snowpack or on stairs). When the injury occurs, there usually is not the “pop” sensation noted with an anterior cruciate ligament tear. However, the knee will almost always swell, because there is bleeding into the knee joint and/or soft tissue swelling. Read more »
This post, Ski Season, Knee Injuries, And Posterior Cruciate Ligament Tears, was originally published on
Healthine.com by Paul Auerbach, M.D..
January 13th, 2010 by Edwin Leap, M.D. in Better Health Network, Opinion
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This is my column in EM News for the month of January. Sometimes, being a physician means saying no and being disliked. It’s not a popularity contest! It’s about doing the right thing.
Most of us went into medicine because, in addition to being good students, we wanted to help people. How many oceans of ink and forests of paper have been used explaining that point to admissions committees we’ll never know. Suffice it to say, it felt very good when our professors wrote us glowing letters of recommendation. Of course, we were also saying, “I want to feel good about helping people. I want the recognition associated with the act of helping!” Premedical students, medical students, and physicians tend to be those people who desire accolades and who are naturally well-suited to attaining them. Read more »
*This blog post was originally published at edwinleap.com*
January 12th, 2010 by Shadowfax in Better Health Network, True Stories
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Exaggeration, drama, and histrionics are very much the rule of thumb in the ER. Someone comes in and claims they were stabbed with an eight-inch butcher’s knife, and the police later bring in the actual weapon, and it turns out to be a three-inch penknife. Someone claims to have taken a whole bottle of tylenol, but their serum levels turn out to be nowhere near the toxic level (or even zero). A patient reports to you that their last pneumonia was so bad their doctor didn’t think they’d pull through, but you check the records and see they weren’t even in the ICU. (The sole exception to this rule, of course, is the stated alcohol intake, which is usually about half to a third the actual alcohol intake.) Read more »
*This blog post was originally published at Movin' Meat*
Being South African these days sometimes means we see things in a slightly skewed way. It seems to be the way we have become. I have touched on this before, but there is another story which illustrates the point.
