This is an acute inflammatory demyelinating polyneuropathy (AIDP). It typically comes on several weeks after viral infection, usually, GI or URTI (also sometimes flu vaccine [controversial]). HIV is also known to be a cause. In up to 40% of cases, no precipitating factor can be found. Epidemiology 1-2 per 100 000 In 40% of cases, no cause is found
Intussusception is the invagination of a proximal segment of bowel into the distal bowel lumen. The commonest occurrence is a segment of ileum moving into the colon through the ileo-caecal valve. It may occur at any age but commonly occurs in the 2 month to 2 year age group with a peak incidence at 5 to 9 months.
Kudos to the work of the Difficult Airway Society in UK. They are updating their intubation guidelines and have released an April 2015 draft for open comment/feedback. Check it out and help them produce a worthy publication for us all! Find it HERE My thoughts on the April Draft : cricoid pressure to be removed…
This tutorial explores the function of the nephron, in particular: Filtration, Reabsorption, Secretion and Excretion. It explains explains the solutes involved and how they are processed by the nephron. It is recommended that you view the Renal Anatomy series before watching this tutorial.
A seizure is a neurological event where there is a synchronous discharge of many neurons. Each individual has a ‘threshold’ at which their neurons will begin to do this. It is thought that this threshold is at least partly genetically determined. This threshold can be affected by: External stimulation – e.g. flashing lights Cerebral injury
Inspiration is an active process, but normal expiration is a passive process. Forced expiration recruits the abdominal muscles to help force out air. Muscles of breathing Diaphragm – this is the main muscle of inspiration. It flattens out. During normal quiet breathing it is only really the diaphragm that does any work (other muscles are often not involved). It is controlled by the phrenic nerve which has nerve roots in C3-5.
Flashcards for these drugs at http://helphippo.com Insulin analogues for diabetes can be classified based on duration of action. These mnemonics help remember the names. Please SUBSCRIBE - more cool stuff coming as we get more Hippo Helpers!
Our pharmacology playlist at: http://www.youtube.com/playlist?list=PLIPkjUW-piR2Ww8tUxJnhuJ8z8X-yQSuB
A doctor is nothing without patients. But, unless they make themselves known in the community, and make themselves available, they are not going to be able to attract a lot of patients. One of the most important thing for many people is that doctors have convenient hours. This is no longer a nine to five world, and people often need to have appointments that will fit in with their schedules. One way that doctors can gain a good reputation in the community and increase their caseloads is to be accessible. This means offering things like early or late hours. When doctors increase their availability, it means fewer trips to the emergency room for patients when they need to see doctors after hours.
In addition to having better hours, there are other ways that doctors can attract new patients. These include:
Electronic Health Records
One of the things people hate the most about visiting a medical office is having to fill out a bunch of forms each time they visit. When you have electronic health records, they will only have to fill out one form. All of their information will be recorded and easy to access, so you will always have the information you need, when you need it. You can even use the system to send out prescriptions to pharmacies.
Better Telephone Hours
Many people don’t have time to call for a medical appointment when they are working, and prefer to call during their lunch hour or even after work. If your office closes for lunch, you are going to miss getting calls from patients who need to call at this time. Have a member of your staff on hand to answer the phones during the lunch hour. That way, patients will be able to get through, and you won’t be missing any calls. If there is no one to answer the phone, most people are likely to call another doctor, and will never call you back again. You may also want to consider extending your telephone hours, so patients can call after 5 pm.
You need to get your name out there, and one way to do it is to be up front with pricing. Often, patients will want to know what procedures cost before having them done. You can use Yempl.com to inform potential patients about your rates. They compare your information to that of other doctors in order to make the best decisions.
No matter how organized your office is, there are still bound to be patients waiting in the office for appointments. They are not getting anything done while they are just sitting around, but they can be more productive when they are able to connect to the Internet. You can provide free Wi-Fi services so your patients can use their mobile devices to connect to the Internet and check emails, shop, chat with friends, get work done, and more. With so many people carrying mobile devices these days, it makes little sense not to offer this service.
Create a Web Portal
When you have a web portal that is easy to use, patients can schedule appointments, reschedule appointments, access and print out forms before their visits, and more. You can use the portal to easily update things like contact, insurance, and personal information about your patients. This is a great way for patients to be able to make payments, get prescription refills, get results from tests, and get messages from doctors to avoid missed phone calls. Be sure to include a smartphone app so patients can contact you from anywhere.
Image Source: Seaside Medical Practice
This video - produced by students at Oxford University Medical School in conjunction with the faculty - demonstrates how to perform the initial assessment of a patient with suspected traumatic injury.<br>This scenario is of an uninjured patient. It includes possible pathology to be found at each step.
Here’s some of the papers that caught our eye this week here at HEFT EMCAST from the Emergency Medicine and Critical Care world. Many of the papers will form the foundation of our podcasts (subscribe here via iTunes). All papers are hyperlinked to abstracts where available. →
2014 is already more than a month old (if you can believe it) and with each passing day, the world we live in is speeding towards breakthroughs in every sphere of life. We're running full tilt, wanting to be bigger and better than we were the day or the hour before. Every passing day reinvents the 'cutting edge' of technology, including medical progress and advancement. Gone are the medieval days when doctors were considered all knowing deities, while medicine consisted of leeches being used to drain 'bad blood'. Nowadays, health isn't just about waiting around until you pick up an infection, then going to your local GP to get treated; in today's world it's all about sustaining your wellbeing. And for that, the new kid on the block is biohacking.
Biohacking is the art and science of maximizing your biological potential. As a hacker aims to gain complete control of the system he's trying to infiltrate, be it social or technological; similarly a biohacker aims to obtain full control of his own biology. Simply put, a biohacker looks for techniques to improve himself and his way of life. Before you let your imagination run away with you and start thinking of genetic experiments gone wrong, let me assure you that a biohack is really just about any activity you can do to increase your capabilities or advance your wellbeing. Exercising daily can be a biohack. So can doing the crossword or solving math sums, if it raises your IQ by a few points or improves your general knowledge. What characterizes biohacking is the end goal and the consequent modification of activities to achieve that goal.
So what kind of goals would a biohacker have? World domination? Not quite. Adding more productive hours to the day and more productivity to those hours? Check. Eliminating stress and it's causes from their lives? Check. Improving mood, memory and recall, and general happiness? You bet.
So the question arises; aren't we all biohackers of sorts? After all, the above mentioned objectives are what everyone aspires to achieve in their lives at one point or the other. unfortunately for all the lazy people out there (including yours truly), biohacking involves being just a tad bit more pro active than just scribbling down a list of such goals as New Year resolutions!
There are two main approaches to selecting a biohack that works for you- the biggest aim and the biggest gain. The biggest aim would be targeting those capabilities, an improvement in which would greatly benefit you. This could be as specific as improving your public speaking skills or as general as working upon your diet so you feel more fit and alert. In today's competitive, cut throat world, even the slightest edge can ensure that you reach the finish line first.
The biggest gain would be to choose a technique that is low cost- in other words, one that is beneficial yet doesn't burn a hole through your pocket!
It isn't possible to give a detailed description of all the methods pioneering biohackers have initiated, but here are some general areas that you can try to upgrade in your life:
Hack your diet- They say you are what you eat. Your energy levels are related to what you eat, when you take your meals, the quantity you consume etc. your mood and mental wellbeing is greatly affected by your diet. I could go on and on, but this point is self expanatory. You need to hack your diet! Eat healthier and live longer.
Hack your brain- Our minds are capable of incredible things when they're trained to function productively. Had this not been the case, you and I would still be sitting in our respective caves, shivering and waiting for someone to think long enough to discover fire. You don't have to be a neuroscientist to improve your mental performance-studies show that simply knowing you have the power to improve your intelligence is the first step to doing it.
Hack your abilities- Your mindset often determines your capacity to rise to a challenge and your ability to achieve. For instance, if you're told that you can't achieve a certain goal because you're a woman, or because you're black or you're too fat or too short, well obviously you're bound to restrict yourself in a mental prison of your own shortcomings. But it's a brave new world so push yourself further. Try something new, be that tacking on an extra lap to your daily exercise routine or squeezing out the extra time to do some volunteer work. Your talents should keep growing right along with you.
Hack your age- You might not be able to do much about those birthday candles that just keep adding up...but you can certainly hack how 'old' you feel. Instead of buying in on the notion that you decline as you grow older, look around you. Even simple things such as breathing and stamina building exercises can change the way you age.
We have a responsibility to ourselves and to those around us to live our lives to the fullest. So maximise your potential, push against your boundaries, build the learning curve as you go along. After all, health isn't just the absence of disease but complete physical, mental and social wellbeing and biohacking seems to be Yellow Brick Road leading right to it!