24/7/365: The Evolution of Emergency Medicine
A documentary film made by an emergency medicine resident that describes the history of emergency medicine as a specialty has been made publicly available. This documentary reviews how the landscape of healthcare in the United States has changed over the past 50 years, with a specific focus on emergency medical care, its availability, how and where it is delivered. [more inside]
posted by treehorn+bunny
on Jul 18, 2014 -
Dr. Mark Crislip is a Infectious Disease specialist—an ID doc. He's also the master of a vast* multimedia empire
, all parts of which are inflected with his insistence upon scientific evidence and many with a dry, sarcastic sense of humor: the president of the Society for Science-Based Medicine
, he also writes articles for the affiliated website Science-Based Medicine
; he runs the Quackcast
, a podcast that reviews Supplements, Complementary and Alternative Medicines (SCAMs) from an evidence-based perspective; the Persiflagers Infectious Disease Puscast
, which reviews the infectious disease literature; and his blog on Medscape, Rubor, Dolor, Calor, Tumor
, is the basis for the third of his podcasts (and my favorite): A Gobbet O' Pus
. As Crislip puts it: "A cool ID case, a stupid joke and a factoid you can use. What more do you need?"
*For certain quantities of vast. [more inside]
posted by ocherdraco
on Jul 9, 2014 -
One of the most intriguing personalities in Southern medical history of the nineteenth century is Dr. Henry Clay Lewis (1825-1850), whose fame rests not on his accomplishments in medicine, but upon his humorous writings published under the pseudonym "Madison Tensas, M.D., the Louisiana Swamp Doctor."
Though Lewis was a practicing doctor, his true identity as the author of the "Southern grotesque
) pieces was not known until after his death
. His works pre-dated the Southern Gothic style
), and are unusual for their time in that "[Lewis] presents his black characters with as much pain and grotesqueness as his white characters, steering away from the time's usual stereotypes
." You can read a longer biography and a summary of his style here
, or just dive in and read his works, which available online in
Odd leaves from the life of a Louisiana "swamp doctor"
, which was also published as
The swamp doctor's adventures in the South-west
(also available with fourteen illustrations
) on Archive.org.
posted by filthy light thief
on Jun 20, 2014 -
Educationally bizarre: Current events, medicine, animals, forensics, oddities, teeth, eyes, deformities, funerals, cemeteries, blood, albinism and such ........
It's The Soul is Bone
. Not necessarily disturbing, but not necessarily not
disturbing. Not necessarily NSFW, but not necessarily not
posted by Think_Long
on May 20, 2014 -
This website refers you to licensed doctor who can provide you with a medical abortion.
After you complete the following online consultation and if there are no contraindications, the medical abortion (with the pills mifepristone and misoprostol) will be delivered to you. At this moment it can take 2-3 weeks before the packages arrives. A medical abortion can be done safely at home as long as you have good information and have access to emergency medical care in the rare case that there are complications.The doctor can only help you if:
you live in a country where access to safe abortion is restrictedyou are less than 9 weeks pregnantyou have no severe illnessesBefore starting the consultation, do a pregnancy test and an ultrasound, if possible. The consultation consists of around 25 questions. At the end of the consultation you will be asked to give permission to disclose all your information to the doctor. All information will remain confidential. [more inside]
posted by Blasdelb
on May 14, 2014 -
On Sept. 13, 1848, at around 4:30 p.m., the time of day when the mind might start wandering, a railroad foreman named Phineas Gage filled a drill hole with gunpowder and turned his head to check on his men. It was the last normal moment of his life. Other victims in the annals of medicine are almost always referred to by initials or pseudonyms. Not Gage: His is the most famous name in neuroscience. How ironic, then, that we know so little else about the man—and that much of what we think we know, especially about his life unraveling after his accident, is probably bunk.
—Phineas Gage, Neuroscience’s Most Famous Patient
by Sam Kean.
posted by Kattullus
on May 13, 2014 -
"If an NHS trust proposed today that it was going to introduce Viagra sales reps into men's genitourinary wards, or reps for walking aids to orthopaedic wards, the very least you'd expect would be some stout resistance. It is a measure of the strength of the association between "motherhood" and "buying stuff" that the presence of commercial representatives on maternity wards has been tolerated for so long." [more inside]
posted by Catseye
on Apr 23, 2014 -
Post-operative Check: "It's okay that you don't remember me. My name is Shara, and I'm part of the surgical team. I'm checking to see how you're doing after your surgery. Do you know where you are right now?" [more inside]
posted by zarq
on Apr 18, 2014 -
Grand Unified Theory of Female Pain.
"The pain of women turns them into kittens and rabbits and sunsets and sordid red satin goddesses, pales them and bloodies them and starves them, delivers them to death camps and sends locks of their hair to the stars. Men put them on trains and under them. Violence turns them celestial. Age turns them old. We can’t look away. We can’t stop imagining new ways for them to hurt." [more inside]
posted by homunculus
on Apr 14, 2014 -
There's been an ebola outbreak
in Guinea, Liberia, and Sierra Leone. With 122 cases so far, this is the worst outbreak since 2007's 264-case outbreak. The worst outbreak was 2000-2001's 425 cases. What makes this one different is the way it has spread so widely. [more inside]
posted by Sleeper
on Apr 1, 2014 -
is a database of hundreds of interviews with patients afflicted by various conditions, ranging from ethnic experiences in mental health to Alzheimer's to experiences with being a clinical trial subject to cancer. It also includes a section on youth
experiences with illness.
posted by gemutlichkeit
on Mar 26, 2014 -
On Breaking One's Neck
. Dr. Arnold Relman
, former Editor in Chief of the New England Journal of Medicine, gives a first-hand account of a catastrophic accident, intensive care, and rehabilitation--as a patient. I am a senior physician with over six decades of experience who has observed his share of critical illness--but only from the doctor's perspective. That changed suddenly and disastrously on the morning of June 27, 2013, ten days after my ninetieth birthday, when I fell down the stairs in my home, broke my neck, and very nearly died. Since then, I have made an astonishing recovery, in the course of which I learned how it feels to be a helpless patient close to death. I also learned some things about the US medical care system that I had never fully appreciated, even though this is a subject that I have studied and written about for many years.
posted by russilwvong
on Jan 19, 2014 -
"All you have to do is take a breath at the wrong time.
It will impact your lower lung, and the infection starts from there [...]. If you roll down the window driving from San Diego to Seattle, you could catch cocci while you're driving through, no question. That could happen, and it has happened." Valley Fever (coccidioidomycosis
) is a fungal infection endemic to certain areas of the Southwest. The CDC has described it as a "silent epidemic"
; between 1998 and 2011, reported cases increased tenfold
. It's often misdiagnosed
, but even when correctly-diagnosed, the prognosis can sometimes be grim: there is no vaccine
, the price of the first-line drug has skyrocketed
, and the treatments for more-severe cases often carry their own punishing side effects
. While many groups (including NASA) seek to halt the spread
, the disease continues to infect 20,000+ individuals each year. "It destroys lives
,” said Dr. [Royce] Johnson [...]. Divorces, lost jobs and bankruptcy are incredibly common, not to mention psychological dislocation."
posted by julthumbscrew
on Jan 13, 2014 -
"My subject is a barren one – the world of nature, or in other words life; and that subject in its least elevated department, and employing either rustic terms or foreign, nay barbarian words that actually have to be introduced with an apology. Moreover, the path is not a beaten highway of authorship, nor one in which the mind is eager to range: there is not one of us who has made the same venture, nor yet one Roman who has tackled single-handed all departments of the subject."Naturalis Historia
was written by Pliny the Elder
between 77 and 79 CE and was meant to serve as a kind of proto-encyclopedia discussing all of the ancient knowledge available to him, covered in enough depth and breadth to make it by a reasonable margin the largest work to survive to the modern day from the Roman era. The work includes discussions on astronomy, meteorology, geography, mineralogy, zoology and botany organized along Aristotelian divisions of nature but also includes essays on human inventions and institutions. It is dedicated to the Emperor Titus in its epistle to the Emperor Vespasian
, a close friend of Pliny who relied on his extensive knowledge, and its unusually careful citations of sources as well as its index makes it a precursor to modern scholarly works. It was Pliny's last work, as well as sadly his sole surviving one, and was published not long before his death attempting to save a friend from the eruption of Mt. Vesuvius that destroyed Pompeii and Herculaneum
, famously recounted by Pliny's eponymous nephew Pliny the Younger
Here is a reasonable translation that is freely available to download from archive.org for your edification. [more inside]
posted by Blasdelb
on Dec 16, 2013 -
In 1986, Sandra Clarke was working as a staff nurse at Sacred Heart Medical Center in Eugene, OR when a dying man asked her to sit with him. She agreed but first needed to make her rounds and the man died alone in his room before she was able to return. Troubled, and feeling that she had failed a patient, she resolved to gather volunteers to stay with those who were alone and close to death. Ms. Clarke enlisted her entire hospital for a bedside vigil system
to help ensure that patients would not be alone when they died. In 2001, Sacred Heart formalized the program as No One Dies Alone
(NODA) and over the last decade, it has spread to hospitals across the US. "Susan Cox Is No Longer Here"
offers us a glimpse into the NODA experience in Indianapolis. [more inside]
posted by zarq
on Dec 7, 2013 -
Spider webs are incredibly strong and flexible. It’s no surprise, then, that spider silk proteins may someday form durable artificial ligaments for people who have injured their knees or shoulders. Six different kinds of silk are produced by orb-web weaving spiders. These silk fibers have very different mechanical properties that are so effective they have changed very little over millions of years. How to synthetically develop these silks is one focus of Lewis’ research. The secret to producing large quantities of spider silk is to use “factories” designed to manufacture spider silk proteins that are easily scale-able and efficient. Lewis uses transgenic goats, E.coli bacteria, transgenic alfalfa and transgenic silk worms to produce the spider silk proteins used to create spider silk. Spider silk is 100 times stronger than natural ligaments and 10 times stronger than natural tendons; it is stronger than Kevlar and more elastic than nylon.
A 6min brief on the work being done in Laramie, WY whereby spider silk is being spun from goat milk. SPIDERGOATS [more inside]
posted by Blasdelb
on Nov 24, 2013 -
"On a sunny day in 1998, Maura Gillison was walking across the campus of Johns Hopkins University in Baltimore, Maryland, thinking about a virus. The young oncologist bumped into the director of the university's cancer centre, who asked politely about her work. Gillison described her discovery of early evidence that human papillomavirus (HPV) — a ubiquitous pathogen that infects nearly every human at some point in their lives — could be causing tens of thousands of cases of throat cancer each year in the United States. The senior doctor stared down at Gillison, not saying a word. “That was the first clue that what I was doing was interesting to others and had potential significance,” recalls Gillison."
Human papillomavirus is causing a new form of head and neck cancer— leaving researchers scrambling to understand risk factors, tests and treatments. [more inside]
posted by Blasdelb
on Nov 22, 2013 -