Giving a lecture on #geriatrics

"Wat is good for old patients, is good for all patients"

#MedMastodon

Please help me find a #GP or any #doctor willing to prescribe #fentanyl patches (or dose equivalent) within 13 days in #Melbourne #Australia

Refused meds by GP who promised to prescribe until I found a new GP (he dropped me bc my case is too complex). Changed his mind! Now have 13 days to find any doctor to write a script or #withdrawal agony & no #pain control.

Time running out fast!😫

#Boosts appreciated!

#ChronicPain
@chronicpain @mecfs #MedMastodon
#PwME #PwLC
@longcovid @chronicillness

Life has been too busy of late so I didn't post about it yet, but this happened recently! The Algorithm Will See You Now was selected as the bronze medal winner in the Reader's Favorite awards for best medical thriller!

book link: https://www.amazon.com/Algorithm-Will-See-You-Now-ebook/dp/B0BLD16W7T/ref=tmm_kin_swatch_0?_encoding=UTF8&qid=&sr=

#MedMastodon #bookstodon #books #thrillerbooks #writingcommunity #authors #indieauthors

One of the things I became aware of in #COVID19 was how #wastewater #surveillance can be such a useful #publichealth tool to monitor emergence and activity of infections in the community.

Great article on this 👇
#IDMastodon #medicine #MedMastodon #AMR #viruses #infectiousdiseases #mpox

Wastewater monitoring: 'the James Webb Telescope for population health' | Exemplars in Global Health https://www.exemplars.health/stories/the-james-webb-telescope-for-population-health

Ukrainian government to allow blood transfusions by combat medics at pre-hospital stage.

“ It is estimated that this reform will significantly reduce the percentage of preventable deaths on the battlefield due to blood loss.”

https://news.yahoo.com/ukrainian-government-allow-blood-transfusions-144921217.html

#Ukraine #MedMastodon #TCCC #medicine #combat #tactical #trauma

Linezolid probably a bit safer than we think & probably can give >4 weeks with close observation.

Great drug, it's oral, but still makes me a bit apprehensive about using it for a long course, certainly at 600mg BD.

#IDMastodon #MedMastodon #AMR #antibiotics #microbiology #medicine #linezolid

Prolonged use of linezolid in bone and joint infections: a retrospective analysis of adverse effects | Journal of Antimicrobial Chemotherapy | Oxford Academic https://academic.oup.com/jac/advance-article/doi/10.1093/jac/dkad276/7264092

👉 #rabies can incubate for a year or more
👉 If risk exposure has occurred, it is never too late to start post-exposure prophylaxis
👉 According to both WHO and CDC guidelines, a decision to vaccinate is a decision to use RIG as the vaccine will not kick in for several weeks
#IDMastodon #MedMastodon #IMPearls #MedEd

#ProstateCancer is both common and over-treated. A #cancer genomics researcher describes her father’s journey after a diagnosis.

He was diagnosed with an intermediate-risk cancer – unlike many Black men, who are diagnosed later and more likely to see the cancer progress to aggressive forms of the disease.

#MedMastodon #BlackMastodon
https://theconversation.com/prostate-cancer-treatment-is-not-always-the-best-option-a-cancer-researcher-walks-her-father-through-his-diagnosis-206975

You can't talk about Post-Exertional Malaise (PEM) without mentioning ME/CFS. The term PEM was created to describe the unique manifestation occurring in people with ME/CFS.

If you separate PEM from its history and origin, you perpetuate the stigma surrounding ME/CFS. We need visibility and spread of knowledge.

#MECFS #Stigma #pwME #MedMastodon #MedEd #HistMed #HistoryOfMedicine #Medicine #PEM #PostExertionalMalaise @mecfs @historyofmedicine

You can't talk about Post-Exertional Malaise (PEM) without mentioning ME/CFS. The term PEM was created to describe the unique manifestation occurring in people with ME/CFS.

If you separate PEM from its history and origin, you perpetuate the stigma surrounding ME/CFS. We need visibility and spread of knowledge.

#MECFS #Stigma #pwME #MedMastodon #MedEd #HistoryOfMedicine #PEM #PostExertionalMalaise @mecfs @historyofmedicine

“Thank you for your interest in our medical school.

However, we regret to inform you that we are unable to offer you a position in our program.

The Admissions Committee felt that your stated rationale for entering the field (‘I want to chase clout, pander to science-deniers, and actively promote the spread of deadly debilitating diseases’) was not in line with our school’s mission.

We wish you the best of luck with your future endeavors.”

#MedMastodon

Medscape have updated their free CDC-funded CPD course on #MECFS

I never looked in detail at the previous course but this looks quite similar

It can be accessed with free registration.

https://www.medscape.org/viewarticle/995777

#MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MedEd #CFS #PwME @mecfs @longcovid
#LongCovid #PwLC #PostCovidSyndrome #postcovid #postcovid19 #LC #MedMastodon

Health advisory issued for rare bacterial infection (Vibrio Vulnificus) that has claimed the lives of a dozen Americans

Infections have increased eight-fold between 1988 and 2018 around he country, according to research published in March in the journal Nature Portfolio. The bacteria and infections are spreading northwards up the East Coast at a rate of about 30 miles a year, researchers share.

#ID #MedMastodon

https://www.usatoday.com/story/news/health/2023/09/06/cdc-flesh-eating-bacteria-advisory-issued/70781843007

Me: I’m sorry I don’t have access to your outside records yet

Patient: but don’t they use Epic?

Me: yes but it’s a different Epic than our Epic

Patient:❓

Me: basically every hospital buys their own version of Epic. There’s something called Care Everywhere that’s supposed to improve inter-hospital access but it doesn’t always work

Patient: but … why?

Me: I wish I knew

[Narrator: she did know but didn’t know how to tell her patient it’s the profit-driven healthcare system]

#MedMastodon

Please help me find a #GP or any #doctor willing to prescribe #fentanyl patches within the next 17 days in #Melbourne #Australia

Refused meds by GP who promised to prescribe until I found a new GP (he dropped me because my case is too complex). Changed his mind! Now have 17 days to find any doctor to write a script or #withdrawal agony for me & no #pain control.

Time running out fast!😫

#ChronicPain
@chronicpain @mecfs #Medicine
#MECFS #MedMastodon
#PwME #PwLC
@chronicillness @longcovid

“This isn’t an issue about #abortion,” said Dr. Stella Dantas, the president-elect of the American College of Obstetricians and Gynecologists. “This is an issue about access to comprehensive obstetric and gynecologic care. When you restrict access to care that is based in science, that everybody should have access to — that has a ripple effect.”

#ObGynodon & #MedMastodon

https://www.nytimes.com/2023/09/06/us/politics/abortion-obstetricians-maternity-care.html?unlocked_article_code=KXij_dBnhwEem9DX3cnUHRXl7MmCxA9FQwwiXN6xM9hY6S-pw5t6rfKJzS_WsyEkCTFU4uTu_B5ZPDzO4nYvki_EaTz55pLTDi9laT-UTEmbdwv9DS7aYasmnfPueGDISXkiKFV-GkmNNVuTf07gxhmxeYB47UwYP69zx1VQm7yGhcNLxIY3vc1OMyh6QLh-rli4PAlPAEsnVTkbKET_1v0Fio2o6pUHE6yNb7T4tOFNwwPNAkT3NMrWDYKPq76xTokENOb-3HbmUaOSVIbDIUI5DHVRhpwgpxieT8QZIsbUuDZ8CcGZ89XjoJ40KiltMLSq5gz4DdN4bPlPWs7DwCfOcAsdlSwgSncExCdFvmotKqg&smid=url-share

Very interesting study.

"Tourniquet self-application assessment in cold weather conditions"

"...study aimed to assess the ability of non-medical civilians to self-apply extremity tourniquets in cold weather."

"The ratcheting marine-designed OMNA ranked the highest for application easiness on both the upper and lower
extremities..."

https://bmcemergmed.biomedcentral.com/counter/pdf/10.1186/s12873-023-00871-1.pdf

#medmastodon #tccc #tourniquet #trauma #medicine #tactical

🧵
I think it's great that health and medical professionals are reading this patient perspective on #MyalgicEncephalomyelitis / #ChronicFatigueSyndrome (ME/CFS).

Thanks to Wilhelmina D Jenkins
for telling her story so well. 👍

https://uptodate.com/contents/patient-perspective-myalgic-encephalomyelitis-chronic-fatigue-syndrome

#MedMastodon @mecfs
#MEcfs #CFS #PwME #MyalgicE
1/

Job opportunity in #EyePath - a 1 year combined strategic/clinical post at Moorfields Eye Hospital, London.

https://www.jobs.nhs.uk/candidate/jobadvert/C9273-23-0225

Boosts appreciated! 🙏🏽

#MedMastodon @pathology #Pathology

Bacteremia with gram positive bacteria - when and how do I need to look for endocarditis?

(plot below is modification of an original, but v v helpful concept)

#endocarditis #medicine #infectiousdiseases #cardiology #microbiology #echocardiogram #MedMastodon #CTPET #bacteremia #infection
https://www.clinicalmicrobiologyandinfection.com/article/S1198-743X(23)00410-X/fulltext?dgcid=raven_jbs_aip_email