text stringlengths 5 11.1k |
|---|
And these are the kinds of things that many people experience. These would be things where you were affected in a way that you thought your life was being threatened or you were seriously injured. Let me give you some examples. People may have been in a very serious motor vehicle collision where they or others were in... |
Okay, welcome. This is the 120th episode of the Divine Intervention Podcast. My name is Divine. I am an R01 Reology resident, I guess PGY2. And today I'll be continuing my rapid review series for the USMLE Step 1. And I will be, so this will be series, I mean, sorry, for the USMLE Step 2CK, and this will be series 4, a... |
You don't do any of that crap. Replace the valve, okay? And remember that once they start having symptoms, their life expectancy is actually pretty minimal, right? So remember, I think I used this mnemonic, ashnemonic ash to remember like oh in order of like decreasing life expectancy right so if they have like so the ... |
It's found in the lungs, right? It's found in the endothelium of the capillaries of the lungs, right? So your lungs have the ability to work on a serotonin. And you do need to remember the right, and again, I apologize if this podcast seems kind of random. I'm literally like about to go to bed. It's almost 1130. I'm li... |
So how do we diagnose Addison's disease, right? Classically on MBMEs, what you will do is you will do something called an ACTH stimulation test, right? Because if you think about it, if you give ACTH, right, if your adrenal glands don't work, right, your cortisol levels will not rise, right? Your cortisol levels will ... |
Welcome back to Run the List, a medical education podcast in partnership with McGraw-Hill Medical. Our hosts are Dr. Naveen Kumar, Dr. Walker Redd, Dr. Emily Gutowski, Dr. Joyce Au, and myself, Blake Smith. As a quick disclaimer the most important areas in the practice of medicine, goals of care conversations. We're re... |
So he does exactly this. He follows a framework such as REMAP. And he has this conversation during which he's struck by how strongly motivated Mr. R is to stop drinking and how he wants to reset his life so that he can see his two high school children graduate. Mr. R actually completes a MOLST form that documents that ... |
Absolutely, Joyce. So I think you and I could probably book a whole separate episode just to talk about prognosis. But let me share a few thoughts about that. I often ask patients how much they want to know and what kind of information they want in terms of prognosis before I start giving information. Because people ca... |
And just to say, Joyce, I think that feeling of being aligned and connected with patients and families, that's the kind of experience that drew many of us into medicine to begin with. And it's the kind of feeling that keeps many of us going in this work as well. I agree. I think some of these conversations can be very... |
Well, on that Indian note, welcome to the 13th episode of the Divine Intervention Podcast. My name is Divine. I am a fourth year medical student. Some friends of mine, I have an appreciation for Indian music and I've been trying to learn one song. So I was discussing with some friends of mine yesterday about trying to ... |
The thing is, if you look further upstream, there is an arrow going from 5FC to 5FU. The 5FC actually stands for 5-fluorocytosine. If you remember, this is an antifungal that is used to treat cryptococcal, neoformance, meningitis in AIDS patients. The way 5-flu-cytosine actually works is that it is deaminated by cytosi... |
And really the way you treat UMP Synthase Deficiency is just to give back what is deficient. You give back uridine in the diet and you can largely relieve the sequelae of UMP Synthase Deficiency. But if you have a CPS CPS1 or OTC deficiency, it's really bad because that ammonia can build up in the brain and cause a lot... |
So the way ezathioprine works is that it's converted to a purine analog by the action of HGPRT. HGPRT helps us activate ezathioprine, helps us convert it to 6-mecaptopurine. 6-mecaptopurine has purine in the name. That should help you remember that it's a purine analog. So 6-mecaptopurine goes and inhibits PRPP amidotr... |
Serotonin is 5-HT, 5-hydroxy tryptophan. But tryptophan can also be converted to niacin, okay? So if you have a tryptophan deficiency, you can also get a niacin deficiency, okay, with heart and heart disease. A niacin deficiency, remember the four Ds so like dermatitis uh dementia diarrhea okay and death death is the f... |
Let's take the muscle breakdown ammonia, pair it up with pyruvate, you make alanine. That alanine makes its way to the liver. And then in the liver, that alanine dumps the amino group with alpha-ketoglutarate to make glutamate or with oxaloacetate to make aspartate. And then you reform pyruvate. And then that pyruvate... |
From the JAMA Network, this is Conversations with Dr. Bauchner, interviews featuring researchers and thinkers in healthcare about their publications in the latest issue of JAMA. Hello and welcome to Conversations with Dr. Bauchner. Once again, it is Howard Bauchner, Editor-in-Chief of JAMA. And I'm delighted today to b... |
The primary endpoint was more than 50% reduction in thrombus volume at one month. And surprisingly, close to 80% of patients met the primary endpoint. About 50% had zero, no residual thrombus at one month. And we followed all those patients up to one year. And there was further improvement of lumen size without clinic... |
Welcome, this is the New England Journal of Medicine. I'm Dr. Lisa Johnson. This week, December 27, 2018, we feature articles on maintenance olaparib in ovarian cancer with mutant BRCA, antipsychotics for ICU delirium, ibrutinib in chronic lymphocytic leukemia, nosocomial transmission of sphingomonas, and tofacitinib a... |
Whole genome sequencing of 68 escorriensis isolates from the NIH Clinical Center obtained from patients and the plumbing system revealed a genetically diverse population. Hospital remediation strategies were guided by results of microbiologic culturing and fine-scale genomic analyses. This genomic and epidemiologic inv... |
As of November 13, there were 341 cases and 215 deaths, making this the world's third-largest Ebola outbreak to date. The public health community learned several lessons when West Africa experienced the largest-ever Ebola outbreak beginning in 2014. Current prevention and control measures have benefited from these les... |
Hello and welcome to the Lancet podcast. I'm Richard Lane on Friday, March the 21st. In a moment, encouraging results from two Phase 3 trials for the treatment of rheumatoid arthritis. Before that, some other highlights from this week's issue dated March the 22nd to the 28th. In research, strong evidence that chemother... |
The results are very clear, but it begs an obvious question. Given that this is a Phase 3 trial, these are the results of an international Phase 3 trial, what happens now? Is there a change in clinical practice now, or do these results need further follow-up? These results need further follow-up for a number of reason... |
Okay, welcome. My name is Devine. I am a PGY1 resident. Welcome to the 42nd episode of the Devine Intervention Podcast. It's been a while. It's probably been about two weeks since I made a podcast, which is kind of unfortunate. It's just that residency gets a little on the busy side, but I'm glad to be back again. And ... |
So I already said that receptors right when you activate them uh the beta 2 receptors on the ciliary epithelium you begin to make a ton of aqueous humor so if you wanted to treat glaucoma you would want to go ahead and block those beta 2 receptors right now you can use drugs like timolol and needle okay those are non-s... |
Now, one other high-yield thing you probably want to know about acetazolamide. Actually, a few more high-yield things you want to know about acetazolamide. One is that it can actually be used to treat central sleep apnea. So the thing is, I always wondered, like, why is that the case? The thing is, I really have not f... |
From the JAMA Network, this is the JAMA Editor's Summary, a review of important research, viewpoints, and review articles appearing in the latest JAMA issue. I'm Dr. Kirsten Bibbins-Domingo, Editor-in-Chief of JAMA, and I hope you find this week's issue beneficial. Here's your host, Dr. Kristen Walter. Hello, and wel... |
The Curbside Ridge Podcast is for entertainment, education, and information purposes only, and the topics discussed should not be used solely to diagnose, treat, cure, or prevent any diseases or conditions. Furthermore, the views and statements expressed on this podcast are solely those of the host and should not be in... |
Truck night in America. Got it. I, uh, I can't, I cannot say that I've seen that before. Okay. The History Channel is killing it because they do the Forged in Fire too, like the blacksmithing competition where they have to make these blades and then prove how actually sharp they are. There's all kinds of amazing game s... |
Is there a whole lot of utility in fussing around with that stuff, or is it more just a matter of making sure the patient's stable is kind of what I'm hearing? Yeah, in this setting, I think it's much more important to make sure the patient is stable. Really with the encephalopathy, your decision tree here is does this... |
Not important. Hemocult is a screening test for colorectal cancer. And in this setting, I think we can assume that he's having a GI bleed. And then ammonia levels. And this is a pet peeve of mine. Whenever I'm rounding and a medical student or resident tells me that the ammonia level is X on said cirrhotic patient, I h... |
Turlepressin is a vasopressin analog. It does that more directly by causing, directly causing vasoconstriction of the mesenteric vasculature. The nice thing about turlepressin is that it also kind of boosts your blood pressure. So you get kind of an increased blood pressure with turle usually when it's given IV. So tha... |
It utilizes the INR, the creatinine, and the bilirubin to spit out a number somewhere between 7 and 40, and 7 being normal, 40 being sort of death store liver failure. And the MELD score has been shown to be useful across a broad domain of liver diseases for prognostication, but mostly for prognosticating who's going t... |
The INR is the most sensitive test for liver function that we have and has the most power in the MELD score. It tells us if the liver is working or not, but it doesn't tell us if they're going to bleed or not. And basically, that's because it measures the clotting factor deficiencies in the coagulation cascade, but it ... |
So the large volume paracentesis are there to make people feel better. And if you can take two or three liters off of them in the emergency room and make sure that they don't have SBP and they're not going into renal failure, and maybe two days later do a large volume paracentesis and remove the other eight liters of f... |
High. High sag as well. Okay. Because even in that situation, the ascites is being produced in the liver. It's being produced in the sinusoid. The sinusoids are producing it because they're congested with blood that can't get out and there's high pressure there. You know, I always think of ascites as just thinking back... |
So if you remove more than five liters of fluid of paracentesis, you've got to give 25% albumin. And there are, you can do six to eight grams per liter if you're a calculator. But for me, if I remove more than five liters, I give them 50 grams of albumin. If I get close to 10, I give them another 25 grams of albumin. I... |
Wow. It's just a lot. It's a lot. Well, that's why I'm here, Dr. Watto. I can always take the load off your back. Okay. Any other tips that you have for hepatic encephalopathy? And I apologize for the pun. That was not meant to be a pun. I'm just asking, is there any more advice that you have? It's a bad pun because TI... |
So thank you so much. Well, thanks for having me, guys. I've really enjoyed it. I love talking about the liver and I appreciate you giving me this platform. and sign up for our mailing list at thecurbsiders.com forward.com. A special thanks goes to our writers and producers for this episode, Justin Lee Burke and Nora ... |
From the JAMA Network, this is JAMA Clinical Reviews, interviews and ideas about innovations in medicine, science, and clinical practice. Hello, and welcome to this JAMA Clinical Reviews podcast. I'm your host, Dr. Revital Marcus, JAMA Fishbein Fellow and neurologist. Today I will be speaking with Dr. Ingo Mellinghoff.... |
Can you please bring us up to date on the current best practices and treatment? and if there's anything new in the pipeline, particularly for glioblastoma, since we know it has such a poor prognosis and short life expectancy? Sure. So the first step in the treatment of these tumors is a good tumor surgery. That is ver... |
Hello, welcome to another special episode of The Lancet Voice. I'm Gavin Cleaver. And I'm Jessamy Baganal. So we're talking today about something that's got a lot of media attention recently, and that's presentation of Kawasaki-like syndrome in children. Jessamy, tell us a little bit really about what this Kawasaki-lik... |
These patients are a little bit different or quite different from the classical type of Kawasaki disease because despite they fulfilled the criteria, they have a more severe disease, definitely. Some will be brought directly to intensive care units or to the cardiology unit because they have a very severe cardiovascula... |
It's particularly interesting, I think, especially with all the talk about reopening schools, of course, which is something that's happening in phased terms in Europe at the moment. You know, it's important for us to be aware of complications like this that seem to arise from COVID-19 in children. But like you said, i... |
Welcome. My name is Devine. I am a fourth year medical student. In today's episode of the Devine Intervention Podcast, we'll be talking about bacteria, primarily gram-negative organisms. So let's jump right in. So the first question says to compare and contrast the two nyserial species, to discuss the general gram-stai... |
So if I'm saying compare with chlamydia, that means the answer to this question should not be chlamydia, right? And then let's talk about how this bug is treated, right? So obviously, you know, I'm talking about Neisseria gonorrhea. Now, Neisseria gonorrhea, classically, diagnostic testing, you can take like a swab of ... |
So you decrease protein synthesis with the exotoxin A that comes from Pseudomonas. Now, other high-yield things with Pseudomonas you want to know is that it produces certain pigments. The most commonly tested one on exams is piocyanin okay it's a blue it gives it a blue green color okay in fact that's why if you see li... |
And the classic presentation is the part of your skin that is inoculated with, that's like bitten by the tick or comes in contact with,, let's say like your skin is abrased by like the, I don't know, by like, I don't know, the fingers or nails of the rabbit or whatever. That site of inoculation, you tend to get an ulce... |
So like picket fence fevers, if you may, okay? Ondolent fevers, if you may. I really hope you're thinking about brucellosis, okay? Brucella from a brucellus species, okay? So this is brucellus. Brucellus is a gram-negative rod. It's a zoonotic infection, okay? It's zoonotic because, again, you classically get it from ... |
This is exactly right. or a thrill seeker. You'll find what you came for here and more. So ask yourself, what is it you want? months of Paramount Plus Essential Plan on us. Mintmobile.com slash switch. Upfront payment of $45 equivalent to $15 per month. Unlimited over 40 gigabytes per month. Face lower speeds. Videos a... |
So, you know, what do you do when your partner suddenly is incredibly disinhibited and going up to strangers and having affairs, And it's not a sort of a moral failing. It's a molecular problem. Let's take, but you can take a piece of your bedtime routine with you, thanks to Cozy Earth. Cozy Earth offers a wide variety... |
And so a lot of what we do is sort of seeing those cases and saying, you know, if you're not alone, this is a real disease. It's sort of in your head, but not in your head. And so that's what I do, you know, much of the involves this instance of Alzheimer himself standing up and presenting what he found at a scientific... |
And so he stopped taking it. And it's kind of amazing to think about these incredible political figures having medication side effects and sort of thinking about what if he hadn't realized, you know, what would have happened then? And then sort of the guy who created the theory, Norbert Hirscher, he essentially went ba... |
We don't, you know, include some of the offhand comments that people used years ago. But the index cases, I think, are always, they're always still individual cases. And if anything, you know, as you said, it's a little bit funny now that so many of the biggest papers, it's like written by people who have never met peo... |
And dementia in some ways was split similarly. In what ways do you think that the diseases that you talk about in your book or that you encounter in your work are still undergoing this type of revision? So the diseases, I mean, one of the big diseases that I see is frontotemporal dementia. And even the name for that is... |
And that, you know, having dementia, oftentimes people are not aware of it, or if they're aware of it, it's painful for them to, to, to think about. And so the general approach really is if it's not unsafe, you know, if they want to, you know, if they think that their dead father is coming for dinner, then by all mean... |
Hello and welcome to the March 5th, 2019 Annals of Internal Medicine podcast. I'm Dr. Christine Lane, Annals Editor-in-Chief, and I'm here to let you know about recently published material in Annals. Let's start with articles published online first on February 25th. The first article found that fecal immunochemical tes... |
Their analysis did not find convincing evidence of an overall protective effect of low-dose aspirin for men with prostate cancer. However, they did find a reduced risk for prostate cancer mortality with low-dose aspirin use among patients with low Gleason scores, meaning that their prostate cancer was unlikely to prog... |
From the JAMA Network, this is the JAMA Network Open Editor Summary, a discussion of the most important articles published in the latest issue of JAMA Network Open. Here are your hosts, Fred Rivara and Steve Finn. Hello, thanks for listening to our podcast here today from JAMA Network Open. This is Fred Rivara, Editor-... |
And in the paper, they divided these up into sort of low deprivation areas and high socioeconomic deprivation areas. And what they found in the paper is kind of what you would expect to see in the United States, but maybe a little surprising to see this in a place like Denmark, in that the refugees assigned to more de... |
Welcome back to the Curbsiders. This, of course, is an episode where we're going to quickly recap lots of things, Paul. We're going to talk about hand pain, wrist pain, foot and ankle pain, and of course, myopathy and myositis. How are those things related? Well, it should be self-explanatory. I'm Dr. Matthew Otto here... |
Yeah. So Dr. Parks or Ted talks about how nerves are extraordinarily susceptible to ischemia. They require a lot of energy to do their jobs. The ATPase pumps are sort of constantly going. And so any reduction in the oxygen supply to them can cause pretty quick pathology, as opposed to things like tendons, which are sor... |
Or I think even if you read the literature, someone says they felt like they got shot in the back of the leg. Like it's, it's, it is a discrete point in time that is dramatic and there's a pop felt is often how it is described. So if someone has a complete rupture, oftentimes they know it. I think that the partial tear... |
Then you're probably outside the realm of myositis. And then the great example in terms of differentiating sort of weakness from fatigue, because I think we all see fatigue in our offices and it's a challenging diagnosis to work up at the best of times. But weakness and myositis is simply the proximal muscle weakness i... |
The links will be in the show description here. We had fantastic discussions with all these guests. But, Paul, all good things must come to an end. In this episode, I think it's time for an outro. So, Paul, if you will. our Curbsiders Digest, recapping the latest practice-changing articles, guidelines, and news in int... |
From the JAMA Network, this is the JAMA Medical News Podcast, discussing timely topics in clinical medicine, biomedical sciences, public health, and health policy, featured in the Medical News section of JAMA. This is Jennifer Abasi for JAMA Medical News. Between 2012 and 2015, years before the Time's Up and Me Too mov... |
Now, one thing that is important to keep in mind in the case of sexual harassment, sexual assault, these are oftentimes in part an assertion of hierarchical power relations. So you tend to see more of a power imbalance in male and female situations, particularly in the workplace, but it does happen in men and it's lik... |
Hello and welcome to a very special episode of the Lancet podcast coming to you on Monday the 20th January 2014. My name is Nikolai Humphries. Today we publish a series of papers on health in the Arab world or to give the series its full title health in the Arab world a view from within. The series focuses on what are ... |
So maybe the reader who has an open mind would say, aha, these people are innovative, they have something to say, and quite clearly, despite the turbulence around them, they are capable of producing quality research with a heart, because the aim of our research is to improve the lot of health among Arab people. Dr. Ri... |
Hello out there. This is Dr. Kathy DeAngelis, the Editor-in-Chief of JAMA, the Journal of the American Medical Association. And this week I'm going to tell you about the February 18, 2009 issue of JAMA. As usual, we will start with the cover. I've had a few people tell me, why do you bother with the art? This is a me... |
Okay, welcome. My name is Divine. This is going to be episode 283 of the Divine Intervention podcast. And again, this is a combo podcast as I've been doing in recent times. That's what I did in episode 282. I'm going to be talking about a lot of risk factors and prognostic factors. But this is also going to be a rapid ... |
I think it's kind of like the big kind of like the big thing I want to I want to mention here. Right. And then some of you may wonder, oh, divine, what's the pathophysiology behind aspirin exacerbated respiratory disease? Well, it's pretty straightforward. Right. So we know the pharmacology behind our acedonic acid. Ri... |
And obviously in those circumstances, how do we treat the person? Well, actually, some things we can do, we can give the person, come on, Devine, what are you thinking about? You can give the person methylene blue, right? You can give methylene blue, that's the drug of choice. You can give vitamin C. And then another t... |
Right. Because, again, if you if your life revolves around wanting to please people, you're going to get in trouble. Right. In fact, like I mean, as for me as a Christian, like if if I said, oh, I'm always going to please people, then there will be things that I will do that are not consistent with the Bible. Right. S... |
Hello and welcome to the latest podcast from the Lancet Neurology. I'm Neil Bennett and today I'm joined on the line by Dr. Nicholas Abend, who is Assistant Professor of Neurology and Paediatrics at the Children's Hospital of Philadelphia. Dr. Abend is one of the authors of a review article in this month's issue about ... |
This study was much bigger than many of the single center studies. Electrographic seizures occurred in 30% of the 550 subjects, and these were sufficiently high seizure burden to be classified as status epilepticus in 38% of those patients. 36% of the patients had no clinical correlate associated with any of the EEG se... |
A number of studies have looked at this in neonates, for example, by Glass and Pediatric Neurology 2012. They surveyed an international group of neonatologists and neonatal neurologists and found that 24% monitor at-risk newborns with EEG, 24% monitor with amplitude-integrated EEG, 19% monitor with both, and 34% don't ... |
We don't have ideal data yet, and there's certainly work to be done, but our belief is that there's enough data from animal models, supportive physiologic evidence in humans, and epidemiological evidence linking a high seizure burden to worsened outcome, that we should pursue identification of seizures and treatment o... |
This audio summary is sponsored by MerckMedicus.com, your source for unbiased medical information. Now accessible by PDA, smartphone, and BlackBerry. Welcome to the New England Journal of Medicine audio summary for the week of July 12, 2007. I'm Dr. Lisa Johnson. This week's issue features articles on clinical outcomes... |
She had a 30-year history of type 1 diabetes, complicated by retinopathy, neuropathy with gastroparesis, nephropathy, and cardiovascular disease. Neurologic examination upon the current admission showed mild disorientation, inattention, progressive cognitive difficulties, a right ptosis, diffuse motor weakness that wa... |
Welcome to the Radiology Review Podcast, your on-the-go source for radiology education with your host, Dr. Matt Covington, a board-certified radiologist. Please follow the podcast on Twitter at RadRevPodcast. Send emails to theradiologyreview at gmail.com or visit the website theradiologyreview.com. Welcome back to the... |
So a few points that deserve mentioning. Cardiopulmonary arrest can result from severe physiologic or severe allergic-like reactions. Severe reactions are potentially life-threatening, whether physiologic or allergic-like, and these reactions require prompt management to avoid morbidity or death. What about pulmonary e... |
I think they are much less likely to ask you about the pediatric one because, first of all, they've given you a range, and it requires calculation based on a patient's weight, and it would be so much easier just to ask you about the adult regimens. But similarities here for kids are the prednisone by mouth, 13, 7, and... |
Hey folks, just a quick reminder that this podcast is not meant to be used for medical advice, just good old-fashioned education and all patient information has been modified to protect their identity. Welcome back clinical problem solvers! My name is Arsalan Durakshan, I'm a third year internal medicine resident at Jo... |
And that raises a whole variety of potential exposures, not limited to something in the soil, like nocardia infection, for example, or actinomycosis, or actually arthropod-borne infections like mosquitoes and ticks. This is where the time of the year is actually really, really helpful. And I recently learned from an am... |
The red blood cells category, I'll let you watch the video, but we're not going to talk about that because the hemolym is normal. So here we're now down to why is the spleen presumably filled with white blood cells? And the answer to that comes by analyzing what causes an increase in white blood cells in any location, ... |
After considering viral infections, it's really important to consider the possibility of atypical bacterial infections. And again, this is the same atypical bacteria that will run for infections anywhere outside the body. They essentially are either granulomatous in nature, like salmonella, brucella, or tuberculosis. T... |
I've never sat here and gotten sweaty. It's happening. |
This is Dr. Marty Freed, Dr. Shreya Trivedi, and Dr. Kari Blum. This is the Core IM Five Pearls podcast brought to you by Clinical Correlations, bringing you high yield evidence-based pearls. Today we are talking about iron deficiency anemia. Special thank you to Dr. Polz, an associate professor and program director of... |
This regimen contains approximately 200 milligrams of elemental iron a day, of which only approximately 25 milligrams of this is actually absorbed. Wow, I didn't realize only 10% of iron is actually absorbed. Yeah, and that's the reason behind the less-than-ideal dosing of three pills a day. But now there's debate abo... |
Welcome to Psyched, the psychiatry podcast for medical learners by medical learners. In this episode, we'll explore a topic that we're sure many listeners are eager to learn about. And this is our first Psyched episode on a topic of geriatric psychiatry. This episode, we'll be learning about Thank you. at the Universit... |
Just the going back to like the differences between like the mild neurocognitive and major neurocognitive, something that like, I sometimes wonder, or like our patients wonder, or their families is like, what's normal aging? Is there a like an expectation that you may have some mild decline in some of these cognitive d... |
Very common for people to have loss of short-term memory before they lose their long-term memory. So one thing I'll often ask family members who are often giving some history, you know, is, you know, do you notice a difference between the things that your mom can remember from 30 or 40 years ago on a really beloved tri... |
So almost anything that is sort of bad enough medically to slow you down and to make it hard to focus and hard to remember things, which are many things, is probably bad enough to be considered in the differential, which is why when we're doing a workout for dementia, although we're not looking to test for everything, ... |
Great. Yeah. Thank you so much. Dr. Weisenfeld, you mentioned that there are some overlaps between dementia and depression that can be confused. Before developing these, could we say there are some psychiatric disorders that makes an individual more prone to developing dementia at any age? That's a great question. The ... |
I was wondering about the role of the physical exam in the assessment of a patient presenting with cognitive impairment and what sort of things do we include in it? What sort of features are we on the lookout for? So I think about the physical and neurologic exam as being both a way in which you can start to distinguis... |
So, you know, we learn more when we look at the brain. We can see it more clearly. The way I think of it is it's almost like digital cameras have gotten better and better and better. That doesn't necessarily mean that we know what to do with that information in terms of what's different to do with it. So I think those ... |
And I didn't think there was much wrong with mom. And then there was another one a few months later. And then, you know, a year after that, I realized, wait a minute, you know, this has been going on for a while and it's not just to isolate the episode. So the very common way in which you hear family members talk about... |
Sure. I guess this just shows the importance of getting the timeline down in that assessment and the HPI. And then like when assessing the cognitive domains, really like figuring out the order in which some of these deficits started to present themselves. And, and then of course, if, if it's in the context of, of strok... |
And so the early phase often requires all of our usual empathy and psychological and kind of counseling skills as we help people kind of adapt to a diagnosis that although there is treatment, it doesn't have, you know, as good a prognosis as we'd like it to have compared to, you know, kind of all of the disorders wher... |
I'm Rachel Gottbaum and I'm talking to Alta Scharro. She's a professor of law and bioethics at the University of Wisconsin Law and Medical Schools in Madison. She's written a prospective article called The Celestial Fire of Conscience, Refusing to Deliver Medical Care in this week's issue of the New England Journal o... |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.