A video that I saw a while ago after reading Verghase's book(An incredible read)
A simple concept but a powerful, touching one nonetheless.
Monday, August 24, 2015
Thursday, August 20, 2015
New Saliva Test for Alzheimers
As testing becomes more and more sophisticated and easier (see Theranos for simpler blood tests), one wonders what role the analytical aspects of a doctor will play, if anything at all. With technology getting better and better and more widespead -- even sold by CVS for example), one wonders how doctor of the future must deal with such technologies.
I believe, however, that even with such tests, the training that doctors get and should continue to get should be an integral part of not only their training but also how they will practice medicine. Costs will be a consideration even if a test is good as well ease of use and false negatives that will give such tests credibility.
Occipital Stroke
Pt comes in complaining of vertigo and dizziness. The Pt had fallen because of the dizziness but he did not have any balance problems. He complained of low energy, very tense, and could not relax because of these symptoms. He had earlier stopped all of his medications because he believed that they were causing his his vertigo.
Upon examination, the Dr. confirmed the symptoms and checked that he had no vision problems, no vomiting, and no chills. Dr. conducted a neurology exam and it was non-specific. Doctor ordered an MRI. The results revealed that the pt had an occipital stroke.
Pt is retaking his medications under doctor's orders. He was subsequently admitted to the hospital for further evaluation and management.
Upon examination, the Dr. confirmed the symptoms and checked that he had no vision problems, no vomiting, and no chills. Dr. conducted a neurology exam and it was non-specific. Doctor ordered an MRI. The results revealed that the pt had an occipital stroke.
Pt is retaking his medications under doctor's orders. He was subsequently admitted to the hospital for further evaluation and management.
Wednesday, August 12, 2015
Close call
Pt called the office complaining of nose bleed and post nasal dripping.
Pt insisted that he did not have any other associated problems. Dr. advised him on the phone that he should go to the ER given that he underwent recent heart surgery and stress related issues.
Pt checked into ER for nose bleed and bloody sputum(a mixture of saliva and mucus coughed up from the respiratory tract.)
Chest x-ray in ER revealed some infiltration suggestive of pulmonary tuberculosis which was confirmed by sputum stain.
The ER had to immediately isolate the Pt. Pt is now taking multiple anti-tb medications under supervision. (They need to be supervised because if the pt misses a dose, it can be detrimental to cause multi-resistant TB.)
We still have to be vigilant of infectious diseases like TB.
It certainly was a close call as we could have also been infected.
Pt insisted that he did not have any other associated problems. Dr. advised him on the phone that he should go to the ER given that he underwent recent heart surgery and stress related issues.
Pt checked into ER for nose bleed and bloody sputum(a mixture of saliva and mucus coughed up from the respiratory tract.)
Chest x-ray in ER revealed some infiltration suggestive of pulmonary tuberculosis which was confirmed by sputum stain.
The ER had to immediately isolate the Pt. Pt is now taking multiple anti-tb medications under supervision. (They need to be supervised because if the pt misses a dose, it can be detrimental to cause multi-resistant TB.)
We still have to be vigilant of infectious diseases like TB.
It certainly was a close call as we could have also been infected.
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