I KNOW NOTHING Sergeant Schultz on “Hogan’s Heroes” had it right. He was the only one who learned and knew the most about BOTH the German officers of the prison and the American prisoners. All because he approached each day as “I Know Nothing”. I’ve always felt that compared to the knowledge “out there”, […]
Happy is as Happy Does.
Have a Good Day!
What size is that needle? Is it larger or smaller than the 20 gauge I have now? We all had that time when deciding what size we wanted was confusing. Is the larger number a larger size? Don’t some sizes get smaller with the larger number? Hopefully, by now you have figured it out. Generally, […]
Genesis 2:2 2 And on the seventh day God ended his work which he had made; and he rested on the seventh day from all his work which he had made.
Here is a quick summary on the use of epinephrine and anaphylaxis. This review may help prevent errors that sometimes occur. The Route For anaphylaxis, epinephrine should be administered intramuscularly (IM) for anaphylaxis. The intravenous (IV) route of administration is for patients not responding to the IM doses and those with severe physiologic compromise. The […]
No Anorexia: Appendicitis questionable. Vomiting before Pain: Appendicitis questionable. Pregnancy: Symptoms unreliable. Differential Diagnosis of Acute Appendicitis Gastrointestinal Abdominal pain, cause unknown Cholecystitis Crohn’s disease Diverticulitis Duodenal ulcer Gastroenteritis Intestinal obstruction Intussusception Meckel’s diverticulitis Mesenteric lymphadenitis Necrotizing enterocolitis Neoplasm (carcinoid, carcinoma, lymphoma) Omental torsion Pancreatitis Perforated viscus Volvulus Gynecologic Ectopic pregnancy Endometriosis Ovarian torsion […]
We all know someone that say they want to get better, but take no actions to indicate the desire. The first step to getting better is to direct your mind in that direction. I see patients daily that take hold of an illness and claim it as their own. “My Arthritis”, “My Headache”, “My […]
Next time you need to quickly think of possible causes of your patient’s microcytic anemia, use “TAILS”. Causes of Microcytic Anemia (MCV < 80) Hereditary disorders Defects of globin synthesis Thalassemia syndromes Thalassemic hemoglobinopathies Defects of iron metabolism Iron refractory iron deficiency anemia Divalent metal transporter mutations Atransferrinemia Sideroblastic anemia Acquired disorders Iron […]
Worry We know that worry is not good for your health. Worry can be associated with stress and anxiety, which may be found in 5-12 percent of the population. Anxiety is one of the most common mental disorders and is associated with increased use of health services. Anxiety may also exist with other problems such […]
Making my morning hospital rounds, I enter the room of Mrs Williams. She is in bed with the head of the bed elevated. After talking to her and evaluating her condition, I told her that the consultant would be doing the needed procedure on her the next day. Mrs Williams said that she would […]