Medicine as it must be, unlimited
Nick Genes interviewed me as an alternative projet to Grand Rounds, called Pre-Rounds. Where the host is interviewed by the publisher to show a general picture of the line of each hosting blog.
You could find actual and past interviews in Medscape. Free registration required
It is incredible how a resident can have time to do all this, but with good organization and desire, he can make things happen.
See you on October 10th
I have the great honor of hosting Grand Rounds next week, on Tuesday (as always) 10/10. I would like to thank Dr. Nick Genes for his creation.
Current edition is being hosted by Dr. Aleksandr Kavokin at RDoctor.
I don’t know what theme I’ll use, but feel free to send your submissions with this form. Deadline is on Monday the 9th 17:00hrs (GMT -06:00).
Remember:
Staghorn Calculi
82 years old woman with chronic urolithiasis (40 years of evolution). She has suffered chronic urinary tract infections, dull lumbar pain, hematuria and end stage kidney disease.
Because of her severe comorbidities, she couldn’t get the operation, and she went to hemodyalisis where she got an infection that finally ended her life.
Lynne Yurosko, a 56 years old woman, went to lumpectomy and 25 cycles of radiotherapy and she never had breast cancer.
Yurosko’s biopsy samples were switched with another woman by a terrible made by Quest Diagnostics in Garden City.
Imagine the situation of the other woman.
Quest Diagnostics; the Nassau Radiologic Group, a medical and testing center with several locations in Nassau; and four doctors.
This woman is worried about the future side effects of the radiotherapy.
She said: “You go to professionals and you trust people to do their jobs because it involves your life. I hate to go to doctors now.”
What a mistake, isn’t it?
Click on images for large size
A french surgical team leaded by Dominique Martin has performed the first surgery in a zero-gravity flight. The patient a 46 years old male, was a volunteer and he just needed local anesthesia in the forearm.
The procedure was successful, and the chief surgeon said: “the operation went right with no complications. Now we know that a human being could be operated while on space”.
The surgical team (three surgeons and two anesthesioligists), was fixed to the floor and worked with the instruments that was fixed with magnets.
Their approval: “More than 400 people had traveled to the space, the possibilities that anyone could suffer an accident are there. With these kind of procedures, things will be easier”
The 2006 National Survey for Health and Nutrition in Mexico (Encuesta Nacional de Salud y Nutrición 2006, a.k.a. ENSANUT) revealed that among mexican adults, 70 percent have obesity or overweight.
There were not states in the Mexican Republic with smaller prevalence to 55 percent.
Campeche, Chihuahua, Durango, México City, Estado de México, Quintana Roo, Sonora, South Baja California, Tabasco and Yucatán have obesity prevalence greater than 75 percent.
This means that one of every three adolescents have overweight or obesity, wich is about 5.7 millions of adolescents.
This data is very important because obesity and overweight are risk factors to cardiovascular disease, diabetes and cancer.
The survey also points that about 47 percent of people with hypertension and 37 percent of people with hypercholesterolemia don’t know that they suffer this diseases.
It also adverts that the prevalence of low height in children younger than 5 years old it is alarming, affecting about 1.2 millions of children. Prevalence of anemia in this age group was 23.7% (1.8 millios of children).
As you can see, Mexico stills in the third world and I found this too disappointing.
Everyone have a predilection of a rare surgical procedure.
My favorite surgical procedure is the left thoracoabdominal esophagogastrectomy (proximal esophagogastrectomy with esophagogastrostomy), it is a difficult and plaintiff procedure and not too common, because of its high morbidity and mortality rates.
I have been assisting on once recently and it was nice to be there. Here is a picture of the dissected and tubulized stomach. It requires hard work and perfectly know the anatomy of the region. It is pretty challenging for all the people involved, from patient, to surgeon, anesthesiologist, etc.
What is your favorite surgery and why?
Two patients with alopecia areata and tiny hypochromic skin lesions. They both were inspected under Wood’s Lamp examination and confirm the diagnosis of vitiligo.
Click on images to see them on large size
O.k. this is too much for me, a couple of weeks ago, when I arrived home, I had found the usual spam in my mailbox (physical, not electronic); but also it was a bag with a couple of pills inside.
The so called “Nopaesbelt”, cures obesity, diabetes and “cholesterol” (so cholesterol is a disease?)
It also works for constipation.
It’s incredible that here in Mexico, the Department of Health, doesn’t have right rules in order to limit this miracle products. I’m sick and tired of seeing complications in patients by taking this miracle products. What can we do to stop this?
Please vote on this poll.