Flu Symptoms and Diagnosis: Learn the common symptoms of the flu and how it can be diagnosed.
an innovative curriculum on influenza created by former medical student Kelsey Hills-Evans, MD, now an internal medicine resident at Harvard. Her online videos, such as the one above (which is the first in the series), are accessible not only to Flu Crew’s student participants but the public at large.
The videos are all under 5 minutes. You can read an email interview with the creator Hills Evans at Stanford Medicine Scope
they put together some really amazing videos from Functional Medicine Associates doctors explaining everything from the basics of influenza to common misconceptions and fears that people have about the flu vaccine. They deserve all of the credit for the idea and execution of the project.
Aviation and medicine are two professions where the hierarchy that exists can make it particularly difficult for those lower down the pecking order to speak out. Take a look at these Medical ID Bracelet One of the ways airlines are trying to reduce potentially fatal errors occurring is to use psychological techniques to break down that hierarchical structure and encourage people at all levels to highlight if something is about to go wrong – and medicine is starting to follow suit.
Aviation and medicine are two professions where the hierarchy that exists can make it particularly difficult for those lower down the pecking order to speak out.
One of the ways airlines are trying to reduce potentially fatal errors occurring is to use psychological techniques to break down that hierarchical structure and encourage people at all levels to highlight if something is about to go wrong – and medicine is starting to follow suit.
The aviation industry has embraced what’s known as a “just” culture, where reporting errors is encouraged to prevent mistakes turning into tragedies.
This approach followed disasters like that in Tenerife where on 27 March 1977 when 583 people died after two planes collided on the ground and burst into flames.
There was nothing technically wrong with either plane, and the main reason behind the crash was found to be the “authority gradient” in the cockpit of one plane.
The captain had overruled the co-pilot who thought they hadn’t been cleared for take-off to start using his weight loss pills.
Finding it hard to speak up in front of senior colleagues – even when it’s a matter of life or death – is something that can get in the way of openly pointing out errors.
Even with teams who work very closely, like the crew on an aeroplane, junior staff have been known to keep quiet in an emergency rather than question the actions of a pilot.
Surgical teams now hope to learn from years of research in aviation psychology which have made crashes a rarity.
Matt Lindley flies jumbo jets and trains doctors in safety. He recalls a case where a surgeon was preparing to operate on a child’s hand.
A junior member of staff noticed they were about to operate on the wrong hand – but her fears were dismissed. She tried again.
He said: “It’s quite unusual, a lot of people just back down after the first time you’re not acknowledged. She was told quite bluntly to be quiet.”
The team finally realised they’d operated on the wrong hand about 10 minutes into the procedure. Afterwards the junior doctor said she felt guilty – but also that she didn’t have the skills to make herself heard.
Mr Lindley says she should have been assertive – and used certain “trigger words”.
“I am concerned. I am uncomfortable. This is unsafe. Or we need to stop. And I think no matter what position you are in the pecking order, to ignore those four trigger words would be very very difficult.”
Most doctors say they’ve had a “light bulb moment” when they finish the course that he runs on these techniques.
“Many say: why am I doing this course when I’ve been a doctor for 25 years – I should have done this on day one!”
In 2012/2013 in England there were nearly 300 “never events” – incidents which can cause serious harm or death and are wholly preventable.
Measures do exist. The WHO’s Operating Checklist provides prompts at each stage of an operation for staff to carry out important checks – including basic checks like asking a patient to confirm their date of birth.
Rhona Flin, professor of applied psychology at Aberdeen University, has spent years analysing how human error can lead to disaster.
She says: “People often think their own industries are very different. Actually if you’re a psychologist who’s worked in different industrial settings it all looks pretty much the same to me.
“They’re all humans working in these technical environments. They’re affected by the same kind of emotions and social factors.”
Prof Flin says deference to authority can get in the way of open, honest reporting of errors and that at the time of the Tenerife disaster psychologists who observed crews training in flight simulators were alarmed by what they saw.
“Captains were briefed in advance to take some bad decisions or feign incapacity – to measure how long it would take for co-pilots would take to speak up..one psychologist monitoring their responses commented ‘Co-pilots would rather die than contradict a captain’.”
Simulators are also used to monitor the responses of doctors in training.
Dr Peter Jaye, an emergency medicine consultant who runs realistic simulations at St Thomas’s hospital in London, says they always have to balance ensuring doctors are learning with giving them a realistic level of stress.
The team watch the mannequin too: “We’re watching what he does and see how well the mannequin responds as well,” says Dr Jaye, “because the mannequin can’t tell us what’s being done to it.”
Dr Jaye and his team know they have to pitch the level of the high-pressure scenario just right – including one using a heart/lung machine known as ECMO. “We put the candidate under a lot of stress because this machine, if it goes wrong, you can die in seconds. As he takes action we respond by changing the physiology of the ‘patient’.”
Mr Frank Cross is a vascular surgeon who works in London. He remembers vividly a mistake he made 30 years ago – leaving a swab behind in a patient’s body during an operation on her bowel.
When the patient came back complaining of a lump in her abdomen a few months later the swab was detected and removed.
He says it’s always better to own up, “You need to be open and honest if you make a mistake, and show that you are sorry.”
It can, a quick look at pubmed showed some interesting publications.
One from the BMJ. They showed that admissions for myocardial infarction increased on the day England was eliminated from the 1998 World Cup by Argentina in a penalty shoot-out and on the two subsequent days. Their conclusion was: Intense emotional reactions can trigger myocardial infarction although not all publications support this opinion.
In 2006, the Soccer World Cup (SWC) took place in Germany. This provided the opportunity to assess the effects of emotional stress on cardiac events in a large cohort of soccer enthusiasts in the region of Bavaria. In this large cohort no evidence could be found for an increased incidence of cardiac events, regardless of whether the home team played or not.
May be the level of emotional stress plays a role in this discussion. Watching your home team during penalty shoot out is emotional very stressful and probably not a very good idea for those suffering from cardiovascular disease?
In a NEJM publication this last hypothesis is supported. During the same event, the World Cup, held in Germany in 2006, cardiovascular events occurring in patients in the greater Munich area were prospectively assessed by emergency physicians during the World Cup. They compared those events with events that occurred during the control period: May 1 to June 8 and July 10 to July 31, 2006, and May 1 to July 31 in 2003 and 2005. Their conclusion was:
Viewing a stressful soccer match more than doubles the risk of an acute cardiovascular event. In view of this excess risk, particularly in men with known coronary heart disease, preventive measures are urgently needed. Thankfully there you can find an urgent care clinic near you at almost any time working 24/7. Nevertheless, it should be prevented.
Ramadan is a holy month for muslims. Fasting during the day and eating only after sun down does pose some stress for your body. It’s also challenging for physicians. Some people try to use cbd from sites like https://shadedco.com to get through it, and the doctors often receive questions from their patients whether or not they can participate in this month of daily intermittent fasting. When fasting it is important to use natural products to stay healthy in this time of so much stress that is put onto your body.
In an excellent recent blog post on iMedicine written by a medical student she discusses the nutritional aspects of Iftar (dinner after sunset) and Suhoor (breakfast before sunrise) and perhaps far more importantly: the relationship between fasting and health, while also using other alternatives as diets that work and you can follow easily from resources online. An article that you can read at vidalista is quite clear: it is a specific diet, and as such it does pose certain risk factors to certain people. It will depend however on any undergoing medical issues, or if they perhaps had not been eating healthy and balanced before starting said diet. Hydration has something to do with it as well.
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Her conclusion on patients and Ramadan:
Therefore muslim patients should understand it when their health problems do not allow them to fast, so if they want to lose weight is more effective if they use a supplement from sites as https://reportshealthcare.com/panalean-challenge-your-body-fat-with-most-modern-of-science/ for this. Their physicians play a major role in this by explaining why for example a diabetic patient cannot fast, in such manner that the patient will understand that fasting will worsen the health or cause more health problems.
In the end, we all may conclude that Ramadan is a month of communication and sympathy.
This blog post is very informative on this subject. It takes several different angles to the problem of intermittent fasting for patients. And for you Muslim women, we recommend LeanBean to maintain your figure! LeanBean is a fat burning supplement made specifically for women, while there are other supplements like the keto diet pill amazon which also help keeping a good diet. It is advertised as the number one fat burner for female athletes. LeanBean is made from 12 carefully selected natural ingredients. These ingredients target the problem areas affecting females more effectively than other fat burners in the market. Originally it was designed for female fitness models and athletes but has since been made available for all women. It is manufactured by Ultimate Life Ltd, a supplement company located in the UK. So after this Ramadan, maintain that healthy lifestyle with LeanBean.
According to research, women are more susceptible to cravings and emotional eating than men. This only compounds their struggle with diet and exercise. Most of them long to get rid of ‘problem areas’ to attain a flat stomach, toned arms and firm glutes. There are numerous fat burning supplements in the market promising to help ladies attain their dream body. These supplements, however, are generic in nature, not doing any more for them than they do for men. LeanBean is an exciting new supplement that is formulated specifically for females. Its powerful ingredients when coupled with exercise and a good diet are touted to work effectively to help you lose weight.
We recently tested twitter as a way of interaction with medical students. Our number of students attending lectures have outgrown the number of places in one lecture room. Since years we us two lecture rooms, one with a video link so students can follow the lecture on screen. For this second lecture room but also for those attending the life lecture we introduced twitter as a way to pose questions. We introduced the twitter account at the start of the semester, via emails and at the lectures. We paused half way of the lecture to read the tweets from the computer screen and at the end of the lecture.
The interaction was disappointing. Students don’t need or want twitter for interaction.
In this publication the tips start with explanation of twitter and encouragement to start a twitter account as medical educator.
Set up a Twitter account for a specific class or group,set ground rules for use and promote guidelines for professional behaviour
The third tip above is a very good one. In the first lecture we had to warn some students who were posing irrelevant question. After some strong words these interfering tweets disappeared.Their next tip is to display live Twitter chat during lectures. We didn’t do this, we figured it would distract the students from the ongoing lecture.
Use Twitter as a platform to convey credible information sources to students
Most students use online information. Most of this information is hard to evaluate. Twitter can be used to credible information or information sources to students.
The next tip is to use Twitter to create a ‘real life’ context for students. Links to current media stories that relate to course content may allow students to contextualize course information and improve their learning motivation. Next tip is start a twibe. A twibe is a twitter group. A twibe can give students the opportunity to communicate outside of class. This could stimulate informal learning. Tip 8 is to use twitter for course feedback.
This format for course evaluations may have advantages over traditional methods. Students may feel more anonymity without feeling disconnected from the feedback they are giving.
Another suggestion is to use twitter for informal quizzes and polls.This offers options for informal quizzing and polls when compared to a show of hands. Questions can be projected on a screen, and students can Tweet their answers.Because Tweets can be anonymous, more students are likely to submit answers.
Obviously as also suggested by the authors, the use of twitter in (medical) education should be explored further, most preferably in research.
Forgie SE, Duff JP, & Ross S (2013). Twelve tips for using Twitter as a learning tool in medical education. Medical teacher, 35 (1), 8-14 PMID: 23259608
All gynecologists and pediatricians take notice. An excellent interactive simulation game allows people to observe and control the development of the placenta and the potentially fatal condition known as placenta accreta.
To run the program you’ll need the Unity web player, which is free and downloads pretty quickly at the link.
In this short video you can see some uses of Google Glass by an anesthesiologist. Checking vital sign during operation, taking notes etc.
More uses and a short explanation on the development of uses foor Google Glass in heathcare can be read in this post on iMedicalApps
Some more examples:
Additional areas of operating room uses with Google Glass may include:
1. Accessing a near real-time feed of vital signs in Google Glass
2. Calling up images and other patient data by clinicians from anywhere in the hospital
3. Accessing a pre-surgery safety checklist
4. Giving clinicians the ability to view the patient in the recovery room after surgery
5. Conducting live, first-person point-of-view video conferences with other surgeons or medical personnel
6. Recording surgeries from a first-person point-of-view for training purposes
ZDogMD is getting better with each new video. Keep it up bro.
At least, that’s the argument Dr. Harry made when he sent me the lyrics to Infect Me. Apparently, he was sitting through yet another one of his kid’s kung fu classes, thinking wistfully of Hannah Montana, when BAM. It hit him like a wrecking ball: zombies + medicine + Miley = ZDoggMD. Problem was, it wasn’t twerking for me.
For the original video by Miley Cyrus and his motivation for making this parody please see his blogpost at ZDoggMD
The following information is an excellent construct with certainly additive value to Healthcare in the Roni Zeiger collaboration findings.
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Now he calls on all patients to talk with one another, know their own health data, and make health care better one e-Patient at a time.
This is what I call good use of new technology. Stanford physician Abraham Verghese, MD, developed the Stanford Medicine 25. With the Stanford Medicine 25, residents and students are taught techniques and skills during workshops and while rounding on the wards at Stanford Hospital. The Stanford Medicine 25 website features videos and descriptions of each of the 25 topics. It includes a series of hands-on workshops teaching 25 essential techniques for examining patients.
In this recently posted video, Verghese donned Google Glass and offers a first-person perspective of how he would approach a patient and begin examining the individual’s pulse and hand.