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#emergency medicine physician
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Provider talking to patient, who was just diagnosed with bacterial conjunctivitis (pink eye)
Patient: how dark do the sunglasses need to be?
Provider: for what?
Patient: so I don’t give this to anyone else
Provider: (deep breath). How do you think pink eye is spread?
Patient: well I got it by looking at a girl with pink eye.
Provider: (deeper breath). No.
(And went on to explain how it is really spread)
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brooklynpa-c · 2 years
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TRYING TO TELL ADMIN WE’RE UNDERSTAFFED AND IT’S CREATING AN UNSAFE ENVIRONMENT FOR PATIENTS
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faultsofyouth · 8 months
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can't decide if I want to be a gynecologist or if I want to marry one
#If I marry one we can open a practice together and she can oversee cesarean sections#and that guarantees I can prescribe medicine in any US state without needing to get approval from a man nor from any physician#Whom I have no way of vetting the level of work they've done to unlearn a male medical bias or to be pro woman in their practice#And /I/ don't have to go to med school and learn science that is primarily based around the male body for 5 years#despite my goal profession(s) being centered entirely around female health & biology. And /i/ don't have to pay for med school#but on the other hand. I COULD become a gynecologist and then#I could do exactly the same job I want to do as a nurse + I am a fucking Doctor + a woman in STEM + I get the same benefit of being able#to write prescriptions as I would if I married an OB/gyn and there's no barriers depending on the state I work in#+ I can perform cesarean sections and I don't have to leave my patients safety in the hands of the nearest hospital surgeon#In the event of an EMERGENCY. like if you want something done right you gotta do it yourself and all that#and also I make hella bank as a doctor like I make some hardcore moolah#Money is a good idea most of the time in my opinion#But at the same time like. Do /I/ wanna be in charge of cutting a woman open? Uhhhhhhhh#I mean. I smoke weed yall. and I watch children cartoons all day. And I'm like a b average student#Can /I/ really be trusted to cut a child out of a woman with no casualties?? Like idfk tbh. TBH#I don't know if I have it in me. Like idk#I know no healthcare job is okay to be mediocre at. I feel like I could excel at being a midwife but totally unconfident about being#a doctor. I don't think that adds up like that doesn't make sense but idk if it means I should rethink being a doctor or being a nurse
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taimoorkhan · 9 months
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Myocarditis in Emergency Practice
Myocarditis, an inflammatory condition affecting the heart's myocardial tissues, is a significant cause of sudden cardiac death and dilated cardiomyopathy. With diverse etiologies ranging from viral and immune-mediated causes to toxic exposures, diagnosing and managing myocarditis can be challenging. In this blog post, we will explore the important points regarding the etiology, pathophysiology, presentation, diagnostic testing, and treatment options for myocarditis, with a focus on the perspective of emergency physicians.
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Myocarditis can be caused by infectious agents (bacterial, parasitic, viral), immune-mediated conditions, and toxic exposures. Viral causes include enteroviruses, influenza, hepatitis viruses, HIV, herpes viruses, and Parvo B-19. Immune-mediated causes include systemic lupus erythematosus (SLE), scleroderma, and giant cell types. Toxic agents such as doxorubicin, antiretroviral medications, clozapine, and cocaine can also trigger myocarditis.
Myocarditis follows a three-step process. In the acute phase, infectious, autoimmune, or toxic agents directly damage cardiac myocytes. Subsequent myocyte destruction triggers immune system activation and secondary inflammation. In the later stages, the immune system mistakenly attacks the myocytes themselves, leading to progressive myocardial damage.
Myocarditis presents with a wide range of symptoms, necessitating a high index of suspicion for timely diagnosis. Symptoms may include dyspnea, palpitations, orthopnea, and chest pain. Dyspnea is the most common presenting symptom, while chest pain can vary from pleuritic to anginal. Patients may exhibit symptoms of congestive heart failure, ranging from fatigue and peripheral edema to cardiovascular collapse. Skin manifestations can be present in cases triggered by medication exposure.
Diagnostic testing for myocarditis overlaps with other cardiopulmonary evaluations. Electrocardiogram (ECG) abnormalities, such as sinus tachycardia, ST-segment elevations, T-wave inversions, AV blocks, widened QRS durations, or prolonged QT intervals, may be observed. Troponin assays may be elevated, but their absence does not rule out myocarditis. Additional blood tests, including CBC, CRP, and ESR, are often abnormal but nonspecific. Imaging studies like chest radiography and echocardiography can provide valuable information.
TThe treatment of myocarditis primarily focuses on supportive care to prevent further damage to the heart. Stabilizing the patient's ABCs (airway, breathing, circulation) is the priority. Supplemental oxygen and non-invasive positive pressure ventilation may be required for hypoxia or pulmonary edema. Heart failure therapy, including diuretics and nitroglycerin, can be administered if systemic perfusion allows. Cardiac dysrhythmias may necessitate treatment with antidysrhythmic medications. Antimicrobial therapy is required for cases associated with bacterial or parasitic infections. In severe cases, advanced interventions such as intra-aortic balloon pumps, extracorporeal membrane oxygenation (ECMO), or ventricular assist devices (VADs) may be necessary.
Myocarditis presents a complex diagnostic and management challenge for emergency physicians. The diverse etiologies, varied clinical presentations, and overlapping diagnostic tests make timely diagnosis crucial. Supportive care, stabilization, and targeted interventions are key elements of treatment. While further research is needed to refine diagnostic and therapeutic approaches, understanding the etiology, pathophysiology, presentation, and treatment options can aid emergency physicians in effectively managing myocarditis cases.
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You introduce yourself as doctor, educate the patient about their diagnosis and plan, PERFORM A PROCEDURE and they still end the interaction with “nurse, can you fix my blankets/hold my water for me/tell me when the doctor is going to come in”
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I have the utmost respect for my incredible nursing coworkers, but when every single patient simply cannot process that I am their doctor, it makes me want to scream 🥲
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"Do we see that in the ED? All the time.
Do we diagnose it? No. [small pause] We miss it."
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Video
Dr Matthew Steiner Indiana - An Accomplished Emergency Specialist
Dr Matthew Steiner Indiana is based in city of Brazil. He's affiliated with several hospitals in Indiana, but he always finds time to reach out and help vulnerable communities outside the country in places such as Jamaica and Costa Rica. To help such groups more effectively, Dr Matthew Steiner Indiana has completed a course in third-world medicine.
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vijaykumarpradhan · 10 days
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Innovations in Mental Health Webinar Secure your spot for the upcoming mental health live webinar to uncover the advanced therapies and integrative approaches in mental health treatment
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balajihospital · 1 month
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Endocrinologists at Balaji Hospital Specialized Care for Health
Balaji Hospital's endocrinologists utilize advanced diagnostic tools to provide treatment plans for endocrine disorders like diabetes &thyroid conditions.
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emed123 · 4 months
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HIV/AIDs Research and Treatment Breakthroughs
Explore the latest breakthroughs in HIV/AIDS research and treatment, that have the potential to reshape the landscape of HIV/AIDS management.
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Top emergency physicians - Aware Gleneagles Global Hospital
Our Advanced Diagnostic Techniques for Immediate Care:
Accurate and timely diagnosis is the cornerstone of treating urgent medical conditions. Delving into the root causes offers invaluable insights for medical practitioners, guiding them on the best treatment path, understanding potential complications, and assessing the full scope of the injury or ailment. At the best emergency hospital in Hyderabad, we employ a range of state-of-the-art diagnostic tools to provide unrivalled emergency medical services:
X-Ray: This fundamental imaging tool is commonly utilized to detect fractures or abnormalities in internal anatomical structures.
CT Scans & MRI: These are next-level imaging technologies offering intricate views of the body's internal organs and tissues, ensuring a detailed understanding of the condition at hand.
ECG: An electrocardiogram (ECG) serves as an indispensable diagnostic method that captures the heart's electrical activity, illustrating its functionality graphically.
Staffed with expert emergency physicians available 24/7, we ensure prompt and precise diagnoses whenever you search for "24/7 medical near me." Our commitment to excellence in emergency medical services guarantees that each patient receives top-tier care right when they need it most.
Emergency Treatments at Aware Gleneagles Global Hospital L.B.Nagar Hyderabad:
Aware Gleneagles Global Hospitals L.B.Nagar Hyderabad, recognized as the best emergency hospital in Hyderabad, stands at the forefront of emergency medical services. Our Department of Emergency Medicine is equipped to address a wide range of medical crises, including:
Automobile Accidents: Road mishaps, a significant cause of medical emergencies, can lead to varied degrees of injuries, from minor wounds to life-altering traumas. Such incidents demand swift and specialized medical intervention to prevent further complications.
Cardiac Arrests: These heart emergencies, triggered by an abrupt cessation of blood circulation, manifest as severe chest pain, breathlessness, and possible unconsciousness, necessitating immediate medical care.
Food Poisoning: Arising from the ingestion of tainted or unsuitable food, food poisoning symptoms can rapidly escalate. Our experts are adept at promptly diagnosing and treating the complications induced by such toxins or infectious agents.
 Burns: Burns inflict a spectrum of damage, both superficial and deep-seated. Our emergency medical services provide immediate relief, long-term healing, and, when necessary, cosmetic rehabilitation.
 Drug Overdose: Accidental or intentional drug overdoses can have catastrophic consequences. Quick and precise medical intervention can be life-saving in such scenarios.
 Strokes: Resulting from clots or internal bleeding, strokes can lead to severe neurological damage. Immediate and expert care is pivotal to mitigate the impact and optimize recovery.
Our hospital operates round the clock, ensuring that whenever you search for "24/7 medical near me," you're met with unparalleled care and expertise. We're committed to delivering timely and exceptional emergency medical services to all patients in their hour of need.
Address: 8-16-1, Nagarjuna Sagar Rd, Laxmi Enclave, Bhagya Nagar, Bairamalguda, L B Nagar, Hyderabad, Telangana India
Phone.no: 9840911421
Website:  https://awaregleneaglesglobalhospitallbnagar.com/top-best-specialities/emergency-acute-and-trauma-care-services/
#best emergency hospital in Hyderabad   #emergency physicians
#emergency medical services #24/7 medical near me #Emergency Medicine
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Patient: I was told I would get a room upstairs! That was hours ago! What is taking so long?
Provider: ma’am, bed placement is working on your admission bed. It depends on how many beds are available in the hospital and whether we have enough staff to care for all the patients on that floor
Patient: so I should go up there and be a Karen to move things along?
Provider: ma’am no amount of being a Karen will make a bed available faster, I assure you
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brooklynpa-c · 1 year
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WHEN THE HOSPITAL SERVER CRASHES AND WE HAVE A WEEK OF PAPER CHARTING
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“My advice for anyone interested in becoming a doctor is never lose sight of why you chose medicine. It’s a challenging and ever-changing field full of many sacrifices, but if you remember your why, it will always be worth it.”
Meika Eby, Physician, Emergency Medicine/Urgent Care
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taimoorkhan · 8 months
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Title: Necrotizing Fasciitis: An In-Depth Exploration of Pathogenesis, Clinical Presentation, Diagnosis, and Therapeutic Approaches
Introduction:
Necrotizing fasciitis, commonly referred to as the "flesh-eating disease," stands as a formidable entity within the realm of infectious diseases. This comprehensive discourse delves into the intricacies of its pathogenesis, clinical presentation, diagnostic nuances, and the evolving therapeutic strategies employed to combat this insidious affliction.
I. Pathogenesis: Deciphering the Intricacies
The origins of necrotizing fasciitis lay in the complex interplay of bacterial virulence factors and host immune response. The inciting events often involve polymicrobial or monomicrobial infiltration of subcutaneous tissues. Bacteria such as Streptococcus pyogenes secrete destructive enzymes, including hyaluronidases and proteases, which facilitate tissue degradation. The ischemic environment resulting from these processes allows anaerobic bacteria to thrive, further compounding the tissue devastation. Notably, the proclivity of Group A Streptococcus to exploit immunological naivety reinforces its virulence, rendering this organism a significant pathogenic protagonist.
II. Clinical Presentation: A Spectrum of Manifestations
The clinical portrait of necrotizing fasciitis is marked by a complex spectrum of manifestations. The initial mimicry of cellulitis gradually unfolds into a constellation of symptoms including fever, tachycardia, and disproportionate pain. Erythema rapidly escalates, often betraying the underlying seriousness of the condition. Notably, the presence of cutaneous anesthesia serves as a characteristic hallmark. Inspection of the skin reveals a transition from edema to a glossy, tense, and darkened appearance – an ominous harbinger of impending necrosis. This transformation is accompanied by the palpable wooden-hard consistency of subcutaneous tissue, often coupled with crepitus due to gas accumulation.
III. Diagnosis: A Precarious Balance
Diagnostic strategies for necrotizing fasciitis embrace a multi-faceted approach. Blood cultures are pivotal, as they often reveal the microbial culprit, with Streptococcus pyogenes occupying a predominant role. Elevated C-reactive protein levels and coagulation profiles serve as indices of the systemic inflammatory response. Radiological imaging, namely X-ray, computed tomography (CT), and magnetic resonance imaging (MRI), serve to visualize subcutaneous emphysema and ascertain the extent of tissue involvement. Biopsy augments diagnostic precision, enabling differentiation from conditions such as cellulitis.
Recent advancements have introduced point-of-care ultrasound (POCUS) as a pivotal adjunct in the diagnostic armamentarium for necrotizing fasciitis. POCUS, often wielded by skilled practitioners at the bedside, engenders real-time visualization of tissue planes, facilitating early detection and accurate assessment of disease extent. This non-invasive modality offers remarkable precision, enabling differentiation between superficial cellulitis and the deeper involvement characteristic of necrotizing fasciitis. Moreover, POCUS aids in discerning subcutaneous emphysema, a cardinal feature of gas-forming infections. By appraising the subcutaneous tissue architecture, POCUS mitigates the diagnostic challenge posed by cutaneous anesthesia, substantiating the clinical diagnosis with objective imaging evidence. The integration of POCUS augments diagnostic confidence, expediting prompt therapeutic intervention and potentially mitigating disease progression. As POCUS continues to be harnessed in clinical practice, its utility as a veritable extension of the clinician's diagnostic acumen underscores the ongoing evolution of diagnostic paradigms in the realm of necrotizing fasciitis.
IV. Therapeutic Approaches: Navigating the Complex Landscape
The management of necrotizing fasciitis necessitates a multidisciplinary approach encompassing resuscitation, surgical intervention, and pharmacotherapy. Swift resuscitation addresses hemodynamic instability, aiming to restore tissue perfusion. Surgical debridement remains the cornerstone of intervention, seeking to halt disease progression and remove necrotic tissue. The pharmacological arsenal integrates clindamycin or lincomycin to counteract streptococcal exotoxins, supplemented by broad-spectrum antimicrobials targeting polymicrobial involvement. Meropenem emerges as a preferred choice due to its expansive coverage, while clindamycin synergizes by mitigating toxin production.
V. Current Research and Future Horizons: Hyperbaric Oxygen and Immunotherapy
The role of hyperbaric oxygen therapy and intravenous immunoglobulin (IVIG) in necrotizing fasciitis management remains subjects of ongoing investigation. Hyperbaric oxygen demonstrates potential benefits in select cases, particularly those involving anaerobic pathogens. IVIG, administered during the early phase, potentially mitigates the exuberant inflammatory response observed in necrotizing fasciitis associated with Group A Streptococcus.
Conclusion:
Necrotizing fasciitis, a complex amalgamation of microbial virulence and host immunology, continues to intrigue and challenge medical practitioners. This compendium illustrates its multifaceted dimensions, bridging the chasm between pathogenesis, clinical presentation, diagnosis, and evolving therapeutic modalities. As medical science evolves, the collective pursuit of unravelling this clinical enigma persists, exemplifying the symbiotic convergence of scientific advancement and clinical application. The saga of necrotizing fasciitis continues to underscore the indomitable spirit of human endeavor against the backdrop of microbial persistence.
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life40 · 1 year
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Obstetrics and Gynaecology
Obstetrics and Gynaecology
The Department of Obstetrics and Gynaecology at Lifetron Hospital has well qualified and experienced consultants, who have been trained in the best institutes of India. These consultants are supported by a team of well trained and experienced nurses. A paediatrician is present for all deliveries to take care of new born- your loved one.
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