Dr. Stephen w. Smith is a faculty physician in emergency medicine residency at Hennepin County Medical Center (HCMC) in Minneapolis, MN and an associate professor of emergency medicine at the University of Minnesota.
welcom to my blog
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Dr. Stephen w. Smith is a faculty physician in emergency medicine residency at Hennepin County Medical Center (HCMC) in Minneapolis, MN and an associate professor of emergency medicine at the University of Minnesota.
Dr. Stephen w. Smith is a faculty physician in emergency medicine residency at Hennepin County Medical Center (HCMC) in Minneapolis, MN and an associate professor of emergency medicine at the University of Minnesota.
The severity of bleeding depends on the amount of clotting factor that is missing or not working correctly, that in Hemophilia a and B-the most common types of hemophilia-is the clotting factors VIII and IX, respectively.
In addition to external bleeding patients commonly have internal bleeding around the joints and muscles, which can be extremely painful and cause of permanent disability. Haemorrhages in organs such as the brain is particularly difficult to manage, and can be fatal.
Here are 2 educational videos hemophilia from CDC: playing it safe with hemophilia: Hemophilia friends talk about playing sport grows and the importance of making smart decisions.
Start the conversation: Hemophilia. How to talk to your friends of hemophilia. A group of friends ask their friend Billy questions about his Hemophilia:
Treatment of hemophilia has undergone significant improvements over the past 40-50 years. First blood coagulation factor concentrates were not sufficiently refined to enable the self-treatment at home until 1970.
The long-term replacement therapy (prophylaxis) clotting factor missing is the recommended treatment in severe hemophilia. The major side effect of the treatment, the development of inhibitors for the concentrated infusion, is the main threat for the health of patients.
Mnemonic: differential diagnosis of bleeding disorders: F-CAP
Fibrinolysis-tPA
Coagulopathy-haemophilia, vWD
Angiopathy-conditions that affect the blood vessels, for example la sindrome di Rendu-Osler-Weber
Thrombocytopenia or platelet-thrombocytopathia
Initial diagnostic tests = 3 P:
Platelets
PT-INR
PTT
References:
http://www.cdc.gov/NCBDDD/video/Hemophilia_sports/index.html
http://www.cdc.gov/NCBDDD/video/Hemophilia_Friends/index.html
Making hemophilia a global priority -The Lancet, 2012.
Modern hemophilia care -The Lancet, 2012.
The severity of bleeding depends on the amount of clotting factor that is missing or not working correctly, that in Hemophilia a and B-the most common types of hemophilia-is the clotting factors VIII and IX, respectively.
In addition to external bleeding patients commonly have internal bleeding around the joints and muscles, which can be extremely painful and cause of permanent disability. Haemorrhages in organs such as the brain is particularly difficult to manage, and can be fatal.
Here are 2 educational videos hemophilia from CDC: playing it safe with hemophilia: Hemophilia friends talk about playing sport grows and the importance of making smart decisions.
Start the conversation: Hemophilia. How to talk to your friends of hemophilia. A group of friends ask their friend Billy questions about his Hemophilia:
Treatment of hemophilia has undergone significant improvements over the past 40-50 years. First blood coagulation factor concentrates were not sufficiently refined to enable the self-treatment at home until 1970.
The long-term replacement therapy (prophylaxis) clotting factor missing is the recommended treatment in severe hemophilia. The major side effect of the treatment, the development of inhibitors for the concentrated infusion, is the main threat for the health of patients.
Mnemonic: differential diagnosis of bleeding disorders: F-CAP
Fibrinolysis-tPA
Coagulopathy-haemophilia, vWD
Angiopathy-conditions that affect the blood vessels, for example la sindrome di Rendu-Osler-Weber
Thrombocytopenia or platelet-thrombocytopathia
Initial diagnostic tests = 3 P:
Platelets
PT-INR
PTT
References:
http://www.cdc.gov/NCBDDD/video/Hemophilia_sports/index.html
http://www.cdc.gov/NCBDDD/video/Hemophilia_Friends/index.html
Making hemophilia a global priority -The Lancet, 2012.
Modern hemophilia care -The Lancet, 2012.
From Cambridge University YouTube channel: "At Cambridge, we offer two medicine courses - the Standard Course and the Graduate Course. With both, our aim is to educate students to become compassionate, thoughtful, skilled members - and leaders - of the medical profession.
Success in medicine requires application and hard work, both while studying and when in practice. However, it brings great rewards in terms of job satisfaction, involving as it does a combination of science and human interactions, and numerous career opportunities."
To find out more about Medicine at Cambridge, see http://study.cam.ac.uk/undergraduate/courses/medicine
Comments from Twitter:
Nick Bennett @peds_id_doc: Best medical school in the world. Seriously.
Medical School Life in Cambridge and Debrecen - @Berci compares the promotional videos http://goo.gl/BZm2w
From Cambridge University YouTube channel: "At Cambridge, we offer two medicine courses - the Standard Course and the Graduate Course. With both, our aim is to educate students to become compassionate, thoughtful, skilled members - and leaders - of the medical profession.
Success in medicine requires application and hard work, both while studying and when in practice. However, it brings great rewards in terms of job satisfaction, involving as it does a combination of science and human interactions, and numerous career opportunities."
To find out more about Medicine at Cambridge, see http://study.cam.ac.uk/undergraduate/courses/medicine
Comments from Twitter:
Nick Bennett @peds_id_doc: Best medical school in the world. Seriously.
Medical School Life in Cambridge and Debrecen - @Berci compares the promotional videos http://goo.gl/BZm2w
Cultivate followers on social media, if you want to communicate science
From the blog science Soapbox http://goo.gl/cPQq1 and medical Museion http://goo.gl/QmEU7:
Social media platforms can be very limiting. For example, you can define genotype and Phenotype in 140 characters or less? If you want to use social media to communicate effectively, necessary for readers to drive somewhere.
Write a blog gives substance to your social media presence. You have the opportunity to talk about science in a meaningful way, which ultimately helps people better understand the world around them. Answering these questions is probably because you have first in science. Don't be afraid to share what you've discovered.
Are the doctors are afraid to be wrong?
From blogging to surgeon skeptical Scalpel: «I once did some work as an expert on a malpractice insurance company. Rarely there is a case that doesn't have many opportunities for second-guessing. When you know the outcome, you can always find something in the medical record that could have been done differently.
The current security climate and medicolegal patient creates a feeling among doctors that any mistake is to be extensively examined. This results in a similar situation to an athlete trying not to lose a game instead of trying to win. For those of you unfamiliar with the sport, that the strategy usually fails. Fear of being wrong can lead to excessive test too. " http://goo.gl/FWTbC
When did stop teaching the basics for residents and medical students?
Dr.% of the blog Rants Medical db loves ACGME competency 6 just fine, but also suggests a simple list of http://goo.gl/2sqip:
1. Take a complete history, relevant, accurate
2. make a proper physical examination
3. order the appropriate laboratory tests and interpret them completely and accurately
4. order the correct images and interventions and interpret them
Happy 5th Blogiversary!
Former plastic surgeon and blogger extraordinaire Dr. Bates of Ramona reflects on his 5 years of blogging and the medical community blogging. http://goo.gl/0EVJW
As blogging has helped me academically. According to Dr. cent: why I write almost everyday, my writing has improved dramatically http://goo.gl/GLNsL
Medicine-Stanford University Grand Rounds and social media
Graham Walker was one of the first medical blogger. Went on a break during his residency in emergency medicine (EM) and now has found new reasons to blog like a EM attending at Stanford University medical center. This is his talk on social media and medicine at Stanford University Grand Rounds: http://youtu.be/qtkggenLmlE
Dr. Walker: "my speech on the dissemination of medical information over time, as the internet and social networking are changing medication, how to use digital tools to be a better doctor at the bedside."
Here is the list of Graham of digital tools to improve the specialty.
Paper-based charts: how soon we forget http://goo.gl/Vspmp -Dr. Wes: suddenly, don't miss the paper charts anymore.
Dr. Wes: is how bad the cardiovascular risk of azithromycin? http://goo.gl/yVgfo -"Big data" related to "big mistake"?
Comments from Twitter:
Seth Trueger @ MDaware: some great stuff in there
Skeptical scalpel @ Skepticscalpel: thanks for including me.
Cultivate followers on social media, if you want to communicate science
From the blog science Soapbox http://goo.gl/cPQq1 and medical Museion http://goo.gl/QmEU7:
Social media platforms can be very limiting. For example, you can define genotype and Phenotype in 140 characters or less? If you want to use social media to communicate effectively, necessary for readers to drive somewhere.
Write a blog gives substance to your social media presence. You have the opportunity to talk about science in a meaningful way, which ultimately helps people better understand the world around them. Answering these questions is probably because you have first in science. Don't be afraid to share what you've discovered.
Are the doctors are afraid to be wrong?
From blogging to surgeon skeptical Scalpel: «I once did some work as an expert on a malpractice insurance company. Rarely there is a case that doesn't have many opportunities for second-guessing. When you know the outcome, you can always find something in the medical record that could have been done differently.
The current security climate and medicolegal patient creates a feeling among doctors that any mistake is to be extensively examined. This results in a similar situation to an athlete trying not to lose a game instead of trying to win. For those of you unfamiliar with the sport, that the strategy usually fails. Fear of being wrong can lead to excessive test too. " http://goo.gl/FWTbC
When did stop teaching the basics for residents and medical students?
Dr.% of the blog Rants Medical db loves ACGME competency 6 just fine, but also suggests a simple list of http://goo.gl/2sqip:
1. Take a complete history, relevant, accurate
2. make a proper physical examination
3. order the appropriate laboratory tests and interpret them completely and accurately
4. order the correct images and interventions and interpret them
Happy 5th Blogiversary!
Former plastic surgeon and blogger extraordinaire Dr. Bates of Ramona reflects on his 5 years of blogging and the medical community blogging. http://goo.gl/0EVJW
As blogging has helped me academically. According to Dr. cent: why I write almost everyday, my writing has improved dramatically http://goo.gl/GLNsL
Medicine-Stanford University Grand Rounds and social media
Graham Walker was one of the first medical blogger. Went on a break during his residency in emergency medicine (EM) and now has found new reasons to blog like a EM attending at Stanford University medical center. This is his talk on social media and medicine at Stanford University Grand Rounds: http://youtu.be/qtkggenLmlE
Dr. Walker: "my speech on the dissemination of medical information over time, as the internet and social networking are changing medication, how to use digital tools to be a better doctor at the bedside."
Here is the list of Graham of digital tools to improve the specialty.
Paper-based charts: how soon we forget http://goo.gl/Vspmp -Dr. Wes: suddenly, don't miss the paper charts anymore.
Dr. Wes: is how bad the cardiovascular risk of azithromycin? http://goo.gl/yVgfo -"Big data" related to "big mistake"?
Comments from Twitter:
Seth Trueger @ MDaware: some great stuff in there
Skeptical scalpel @ Skepticscalpel: thanks for including me.
Point-of-care genetic testing for personalisation of antiplatelet treatment is effective http://goo.gl/ZWLvz
Patient empowerment - who empowers whom? Virtually all people are patients at some point in their lives http://goo.gl/4YKjq
Doctors' love-hate relationship with EHRs http://goo.gl/wd74F
Why U.S. spends more on healthcare than other developed countries: Higher prices, readily accessible technology, obesity http://goo.gl/cid6S
Austerely law transforms Spain’s health system from universal access to one based on employment | BMJ http://goo.gl/36u4C
Bevacizumab (Avastin) is as effective as ranibizumab (Lucentis) for wet AMD and could save NHS millions - NHS http://goo.gl/JJ8uV
Having 'Type D' Personality - a distressed and pessimistic outlook on life - May Affect Your Health http://goo.gl/kFbpA
New Cautions About Bisphosphonate Use - NYTimes http://goo.gl/PYiKy
How to Create Your Own Website using Blogger - Step-by-Step Guide for Physicians http://goo.gl/tCd37
Truvada (Emtriva + Viread), first drug to prevent HIV infection in healthy people at high risk (MSM, partners of HIV+) http://goo.gl/e1MJM
Can mobile phones give you brain cancer? The verdict's still on hold http://goo.gl/gI6Ta
Drink Water to Improve Test Scores http://goo.gl/MNB6k and http://goo.gl/EO12p
The articles were selected from my Twitter and Google Reader streams.
Point-of-care genetic testing for personalisation of antiplatelet treatment is effective http://goo.gl/ZWLvz
Patient empowerment - who empowers whom? Virtually all people are patients at some point in their lives http://goo.gl/4YKjq
Doctors' love-hate relationship with EHRs http://goo.gl/wd74F
Why U.S. spends more on healthcare than other developed countries: Higher prices, readily accessible technology, obesity http://goo.gl/cid6S
Austerely law transforms Spain’s health system from universal access to one based on employment | BMJ http://goo.gl/36u4C
Bevacizumab (Avastin) is as effective as ranibizumab (Lucentis) for wet AMD and could save NHS millions - NHS http://goo.gl/JJ8uV
Having 'Type D' Personality - a distressed and pessimistic outlook on life - May Affect Your Health http://goo.gl/kFbpA
New Cautions About Bisphosphonate Use - NYTimes http://goo.gl/PYiKy
How to Create Your Own Website using Blogger - Step-by-Step Guide for Physicians http://goo.gl/tCd37
Truvada (Emtriva + Viread), first drug to prevent HIV infection in healthy people at high risk (MSM, partners of HIV+) http://goo.gl/e1MJM
Can mobile phones give you brain cancer? The verdict's still on hold http://goo.gl/gI6Ta
Drink Water to Improve Test Scores http://goo.gl/MNB6k and http://goo.gl/EO12p
The articles were selected from my Twitter and Google Reader streams.