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ChronicDisease

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541

Asthma: Practice Essentials, Background, Anatomy

Asthma is a common chronic disease worldwide and affects approximately 24 million persons in the United States. It is the most common chronic disease in childhood, affecting an estimated 7 million children.  
emedicine.medscape.com
about 2 years ago
8c2ad6bfd238cdfe976e5064511ead14
8
594

I'm Not Your Typical SHO...

I'm an SHO, but I don't have your typical ward based job. In the last four years I have treated in jungles, underwater (in scuba gear), 5m from a gorilla, up a volcano, on a beach, at altitude, on safari, in a bog and on a boat. Expedition medicine is a great way to travel the world, take time out whist expanding your CV, and be physically and mentally challenged and develop your skill and knowledge base. As a doctor, you can undertake expeditions during your 'spare time' but it is more common for doctors to go on expeditions between F2 and specialty training. This is the ideal time either because you have been working for the last 7 years and either you need a break, the NHS has broken you, or you don't know what you want to do with your career and need time to think. At this point I would recommend using your F2 course/study budget on an Expedition Medicine course. They are expensive, but the knowledge and skill base you gain makes you more prepared and competitive for expedition jobs. There are many types of Expedition Medicine jobs ranging from endurance sports races to scientific expeditions. Although the jobs differ, there are many ailments common to all. You should expect to treat diarrhoea and vomiting, insect bites, blisters, cuts, injuries, and GP complaints such headaches and exacerbations of chronic illnesses. More serious injuries and illnesses can occur so it is good to be prepared as possible. To help, ensure your medical kit is labelled and organised e.g. labelled cannulation kit, emergency kit is always accessible and you are familiar with the casevac plan. Your role as an Expedition Medic involves more that the treatment of clients. A typical job also includes client selection and education, risk assessment, updating casevac plans, stock-checking kit, health promotion, project management and writing debriefs. What's Right For You? If you're keen to do Expedition Medicine, first think about where you want to go and then for how long. Think hard about these choices. A 6 month expedition through the jungle sounds exciting, but if you don't like spiders, creepy-crawlies and leaches, and the furthest you have travelled is an all-inclusive to Mallorca, then it might be best to start with a 4 week expedition in France. When you have an idea of what you want to do there are many organisations that you can apply to, including: Operation Wallacea Raleigh Across the Divide World Challenge Floating Doctors Doctors Without Borders Royal Geographical Society Action Challenge GapForce Each organisation will have different aims, clients, resources and responsibilities so pick one that suits you. Have fun and feel free to post any question below.  
Dr Rachel Saunders
almost 5 years ago
71349e910c9a4176d3777c81989ae38b
14
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Chronic: How one word can change everything

So, I think its about time I posted another blog post! A few weeks ago I received the results from my most recent scan. I was both nervous and excited to find out my results, after months of tests and being misdiagnosed several times I just wanted to know what was wrong with me. However, as I read through the letter from my consultant I realised that my journey was just beginning. I was diagnosed with a rare stomach condition. Gastroparesis. A chronic illness. There is no known cure, just various treatments with limited success. I didn’t really know how to react to this news. Shouldn’t I be happy that I finally knew what was wrong? I had convinced myself for months that as soon as the doctors found out what was wrong, they could fix it and I’d be better in no time, but this wasn’t to be. I couldn’t understand how this could happen. Slowly the reality began to sink in, I’ll probably be fighting this battle for the rest of my life. I think the mental aspect of chronic conditions is so commonly overlooked. I’ve sat through endless lectures about the pathophysiology of illnesses but I’ve never once stopped to think what it must be like to actually have it. The way it can limit your life, from not being able to go for a drink with friends because you’re in too much pain to the countless hospital appointments that your life seems to revolve around. The thing that hit me the most is the amount of medications I have to take on a daily basis just to make my symptoms bearable. I no longer have full control of my life and that's the worst part. This experience has given me an invaluable insight into how patients with chronic illness feel. It affects almost every aspect of your life and you can never escape. It scares me to think of the future, I never know when I’m going to get my next flare up or how long its going to last. I just have to take one day at a time and hope that when I wake up tomorrow I won’t be too nauseous. After spending a few weeks feeling down about it all, I’ve realised that I just have to enjoy life when I can and be grateful that I can still live a normal-ish life. It doesn’t matter how much I complain, it's not going to go away, and I think I’ve finally accepted that fact. If anything, this experience has made me more determined to achieve my dream of becoming a doctor. I’ve been a lot more motivated to work harder so that one day I can help others like me through some of their toughest times, hopefully bringing them some comfort and relief.  
Nicole Mooney
over 3 years ago
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Chronic Illness & Palliative Care, Part 1

There are misperceptions about living with a chronic illness such as diabetes. Hear about some of the recent and future advancements in diabetes care helping patients live full and meaningful lives. See what happens when the chronic illness reaches its life-limiting stages. Hear how patients, families, and physicians can integrate palliative care into their treatment to support living the best life possible during this challenging time. Carlos Pellegrini, M.D., Henry N. Harkins Professor and Chair of the UW Department of Surgery Stuart Farber, associate professor, department of Family Medicine, Hospice Medical Director, University of Washington Edward Walker, M.D. Medical Director, UW Medical Center and Associate Dean, UW School of Medicine Irl Hirsch, MD, professor, Division of Metabolism, Endocrinology and Nutrition, Department of Medicine, University of Washington 03/10/2004  
Nicole Chalmers
almost 4 years ago
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2
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Anaemia of Chronic Disease

This is common, particularly in the hospital setting. It occurs as a result of: Chronic infection Chronic inflammation Neoplasia The anaemia is not related to bone marrow, bleeding or haemolysis, and is generally mild (Hb of 8.5-11.5g/dl).  
almostadoctor.com - free medical student revision notes
over 3 years ago
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Chronic Illness

The Newest Edition Of Best-Selling Chronic Illness Continues To Focus On The Various Aspects Of Chronic Illness That Influence Both Patients And Their Families. Topics Include The Sociological, Psychological, Ethical, Organizational, And Financial Factors, As Well As Individual And System Outcomes. This Book Is Designed To Teach Students About The Whole Client Or Patient Versus The Physical Status Of The Client With Chronic Illness. The Study Questions At The End Of Each Chapter And The Case Studies Help The Students Apply The Information To Real Life. Evidence-Based Practice References Are Included In Almost Every Chapter.  
books.google.co.uk
over 2 years ago
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Should vitamin D supplements be recommended to prevent chronic diseases?

Do not recommend vitamin D supplements to prevent chronic disease because clear evidence of benefit does not currently exist and adverse effects cannot be excluded  
bmj.com
almost 3 years ago
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WHO | “Ageing well” must be a global priority

A major new Series on health and ageing, published in <i>"The Lancet"</i>, warns that unless health systems find effective strategies to address the problems faced by an ageing world population, the growing burden of chronic disease will greatly affect the quality of life of older people.  
who.int
about 3 years ago
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Chronic Illness & Palliative Care, Part 2

There are misperceptions about living with a chronic illness such as diabetes. Hear about some of the recent and future advancements in diabetes care helping patients live full and meaningful lives. See what happens when the chronic illness reaches its life-limiting stages. Hear how patients, families, and physicians can integrate palliative care into their treatment to support living the best life possible during this challenging time. Carlos Pellegrini, M.D., Henry N. Harkins Professor and Chair of the UW Department of Surgery Stuart Farber, associate professor, department of Family Medicine, Hospice Medical Director, University of Washington Edward Walker, M.D. Medical Director, UW Medical Center and Associate Dean, UW School of Medicine Irl Hirsch, MD, professor, Division of Metabolism, Endocrinology and Nutrition, Department of Medicine, University of Washington 03/10/2004  
Nicole Chalmers
almost 4 years ago
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1
7

Does it work to pay people to live healthier lives?

With chronic diseases placing an ever growing burden on health services, governments are increasingly offering financial incentives to encourage healthier lifestyles. Sarah Strickland looks at the trends and the evidence  
bmj.com
over 3 years ago
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Journal club: Chronic disease management for tobacco dependence

Stream Journal club: Chronic disease management for tobacco dependence by BMJ talk medicine from desktop or your mobile device  
SoundCloud
almost 3 years ago
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ParkinsonNet: a new approach to management of chronic disease

Stream ParkinsonNet: a new approach to management of chronic disease by BMJ talk medicine from desktop or your mobile device  
SoundCloud
over 3 years ago
Www.bmj
1
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Revolutionising management of chronic disease: the ParkinsonNet approach

Patients with Parkinson’s disease need long term support to manage their condition. Bastiaan Bloem and Marten Munneke describe the benefits of a model of integrated care provided by a network of specialists and suggest it has promise for other long term conditions  
bmj.com
over 3 years ago
Www.bmj
1
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Should vitamin D supplements be recommended to prevent chronic diseases? | The BMJ

Do not recommend vitamin D supplements to prevent chronic disease because clear evidence of benefit does not currently exist and adverse effects cannot be excluded - currently located behind a paywall. Your institution may have access through Athens/Elservier or similar.  
bmj.com
almost 3 years ago
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NPs Focus on Preventive Behaviours

Assistant Professor JoAnne Silbert-Flagg says focusing on preventive behaviours at an early age can help avoid chronic diseases later in life.  
youtube.com
about 2 years ago
Www.bmj
0
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Chronic disease causes more visits to emergency departments while visits for injuries fall, US study finds

The mix of patients seeking care in emergency departments in California has shifted, a new study shows, as the proportion of visits by patients needing care for injuries fell slightly while the proportion seeking care for non-injury diagnoses rose significantly.  
feeds.bmj.com
over 2 years ago
Www.bmj
0
2

Collaboration is needed to promote the good medicine of exercise

MacAuley and colleagues rightly state that it’s “extraordinary how long mainstream medicine is taking to accept the importance of physical activity.”1 If we are serious about providing the best care for every patient every time, something that is proved to increase happiness, prevent and treat more than 40 chronic diseases, and significantly increase life expectancy should be a key weapon.2  
feeds.bmj.com
over 2 years ago
Www.bmj
0
9

Chronic disease causes more visits to emergency departments while visits for injuries fall, US study finds

The mix of patients seeking care in emergency departments in California has shifted, a new study shows, as the proportion of visits by patients needing care for injuries fell slightly while the proportion seeking care for non-injury diagnoses rose significantly.  
feeds.bmj.com
over 2 years ago
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Type 1 Diabetes Mellitus Differential Diagnoses

Type 1 diabetes is a chronic illness characterized by the body’s inability to produce insulin due to the autoimmune destruction of the beta cells in the pancreas. Onset most often occurs in childhood, but the disease can also develop in adults in their late 30s and early 40s.  
emedicine.medscape.com
over 2 years ago
Www.bmj
0
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Time to consider the risks of caesarean delivery for long term child health

Jan Blustein and Jianmeng Liu examine the evidence linking caesarean delivery with childhood chronic disease and say that guidelines on delivery should be reviewed with these risks in mind  
feeds.bmj.com
over 2 years ago