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31

Medical News (Public) / Walk For 10 Minutes After Every Hour Of Sitting To Reduce Blood Pressure, Study Suggests

« Last post by Ketua Dobbs on November 22, 2024, 08:07:58 AM »

Walk For 10 Minutes After Every Hour Of Sitting To Reduce Blood Pressure, Study Suggests

The study found that sitting for more than six hours per day during childhood and continuing the habit into adulthood can raise blood pressure by 4mmHg.
Source: Walk For 10 Minutes After Every Hour Of Sitting To Reduce Blood Pressure, Study Suggests

32

Medical News (Public) / First 'blueprint' of human skeletal development offers new insights into bone formation

« Last post by Ketua Dobbs on November 22, 2024, 08:07:55 AM »

First 'blueprint' of human skeletal development offers new insights into bone formation

The first 'blueprint' of human skeletal development reveals how the skeleton forms, shedding light on the process of arthritis, and highlighting cells involved in conditions that affect skull and bone growth.
Source: First 'blueprint' of human skeletal development offers new insights into bone formation

33

Medical News (Public) / Measles Resurges As Vaccination Declines, Most Deaths Among Unvaccinated Young Children: WHO, CDC

« Last post by Ketua Dobbs on November 22, 2024, 01:43:26 AM »

Measles Resurges As Vaccination Declines, Most Deaths Among Unvaccinated Young Children: WHO, CDC

Around 10.3 million cases were reported in 2023, marking an alarming 20% increase from the previous year.
Source: Measles Resurges As Vaccination Declines, Most Deaths Among Unvaccinated Young Children: WHO, CDC

34

Medical News (Public) / Study: One in five ex-smokers currently vape in England

« Last post by Ketua Dobbs on November 22, 2024, 01:43:22 AM »

Study: One in five ex-smokers currently vape in England

About one in five people who have stopped smoking for more than a year in England currently vape, equivalent to 2.2 million people, according to a new study led by UCL (University College London) researchers.
Source: Study: One in five ex-smokers currently vape in England

35

Doctor Blogs (Public) / fever and bleeding...

« Last post by lywuu on November 21, 2024, 02:16:29 PM »

fever and bleeding...

 The Covid era was the darkest period of my entire practice. Donning PPE was a norm and the fear of contracting Covid had been haunting me until I was infected. However rules were still to be followed and the mask wearing rule in medical facilities was only lifted about 1 year ago. I was one of the don’t wear mask physicians in my department prior to the Covid era but things had changed and I don’t feel comfortable facing my patient without donning a mask nowadays…

It was a busy afternoon and the EMT had rushed in a elderly female  with conscious disturbance and collapsed during the transit. 

She was intubated with a LMA and no Lucas automated CPR machine was used since setting up the Lucas was not practical in the ambulance. The EMT did manual CPR during the transportation.  After accepting the case, I did the routine with my team; changing the LMA to endotracheal tube and bla bla bla… The patient was a small frame skinny elderly female and she was febrile.

I proceeded to the family and did a brief history taking. She was fine until noon according to her daughter. She was staying alone and her daughter would bring her meals during noon and evening. When I reentered the resus room, I was stunned by the blood noted from the endotracheal tube. It was fresh blood noted from the ETT. Fever plus bleeding led me to think about the scene of some medical disaster movie; it was hemorrhagic fever until proven otherwise. 

I started to chase most of the staff from the resus area. There were only 2 staff left in the room. Patient airway was secured in a closed system while being intubated and ventilated. However we would need to perform suction to clear the tube and everyone exposed would be quarantined should the worst case scenario happened

I called up my infection controller asking her if any recommendation or advice that she could offer; and she told me that I do whatever I think is suitable and asked for lab tests that are relevant. 

I was pretty sure that her contact and exposure history was negative and the only hemorrhagic fever around our area that was possible was Dengue. I ordered a Dengue rapid test and proceeded with the resus until the usual 30mins limit. The fever and acidosis had hinted a septic state but yet the focus was unknown.

All our efforts were wasted, I called the time and told the family about my decision and asked them to wait for the lab result before I released the patient.

Everything was negative; there was no coagulopathy nor thrombocytopenia.  I released the patient and told the family that a PCR would be done for the serum to final confirmation of the Dengue status. 

The cause of blood in the ETT? Well, the culprit was most probably the LUCAS. The automated CPR machine provides consistent and good quality of CPR. God knows how many ribs had been broken by it. The patient was skinny; my final guess was an idiopathy injury due to the CPR machine and most probably she had pneumonia.

During the resus, I couldn't bare to think about having the whole team being quarantined. We are currently shortage of medical and nursing staff and it would be impossible to run the unit if such incident happens.

It was a good lesson for us that loosening of rules does not mean lowering our standard of precaution. Next time I would wear proper PPE before entering an resus scene….

Source: fever and bleeding...

36

Medical News (Public) / Stress During Pregnancy Linked To Higher Risk Of Epilepsy In Children

« Last post by Ketua Dobbs on November 21, 2024, 02:16:19 PM »

Stress During Pregnancy Linked To Higher Risk Of Epilepsy In Children

The study revealed a striking 70% increased risk of epilepsy among children aged 1 to 3 when their mothers experienced continuous psychological distress during pregnancy.
Source: Stress During Pregnancy Linked To Higher Risk Of Epilepsy In Children

37

Medical News (Public) / Researchers uncover key genes linked to DCIS progression

« Last post by Ketua Dobbs on November 21, 2024, 02:16:16 PM »

Researchers uncover key genes linked to DCIS progression

A team of researchers mapping a molecular atlas for ductal carcinoma in situ (DCIS) has made a major advance toward distinguishing whether the early pre-cancers in the breast will develop into invasive cancers or remain stable.
Source: Researchers uncover key genes linked to DCIS progression

38

Doctor Blogs (Public) / Google Doc

« Last post by lywuu on November 20, 2024, 07:42:48 PM »

Google Doc

 

Han
stopped by the ED few weeks ago and tapped on my shoulder and said” you are deity
of medicine, you save one of my patient…” (deity of medicine in Chinese doesn’t
mean god but just another way of saying that your had good medical skill)

I
was confused and asked him about which patient…

He
given me a medical chart number and I looked up the chart on the spot.

The
patient came to ED 2 months ago complaining about generalized discomfort. I
noticed that he had tremor and it was not typical of intentional tremor. I did a
workup including a brain CT. The image was something that I had never seen
before. There was unusual calcification over white matter and I had googled
over the net and found a match --- FAHR syndrome.

It
was not a spot diagnosis for someone like me that was not neurology trained. However
it was an acceptable match, a good correlation between imaging and history. I had
discharged the patient and written down the diagnosis in the medical chart.

Patient
had later come back to our ED and admitted for renal problem with conscious
disturbance and later admitted to Han service.

He
saw my note and ordered a calcium profile and corrected the problem and patient
had regained conscious…

Well,
I told him that I gotten the diagnosis from Google, he however told me he could
get the diagnosis even if he had googled. I grinned and told Han that  Google save the patient not me….

Googling
was all about keyword and patience. You hit the correct keyword and explored as
many pages of result as possible. The Chatgpt and sometimes Google function in a
similar way where it found the most relevant info for you. The manual way of
course took more time but yet it is more effective but no efficient.  

I
did not claim the credit but yet I am glad the patient become better.

Source: Google Doc

39

Doctor Blogs (Public) / the final leg.....Peking trip

« Last post by lywuu on November 20, 2024, 07:42:48 PM »

the final leg.....Peking trip

 

We arrive at the
airport by 1:30pm. We had taken a slow walk around the departing area. Shops with
great restaurant that cost you a hand and a leg. That was one of the reasons we
grabbed the meat pie of the way. While eating the pie, the anxiety surge all
over me, I was still haunted by the connecting flight. 

The security was tight however the police patrolling the airport on a mini cart was carrying shotgun !!! ; the determination of keeping peace at no course beyond my doubt. 

We had checked in
our luggage after we finished our meal and headed to the restriction area.

The first area was
a baggage check with a long queue. After that we proceeded to the document area
to stamped our passport. One locals in front of us was taken away by the senior
officer and never return…I sweated as it happened in front of our eyes. It was
not rumor after all…

It took us one and
the half hour to hit the boarding area. We boarded the plane without difficulty
and I started to stared at my watch.

According to the
flight radar; the flight had delayed once to twice every week. Any delay of
take off of more than 45 mins will jeopardize our chance of catching the
connecting flight. We boarded the flight as scheduled but the plane was
stranded on the runway for more than 30mins.

I had to cross my
finger hoping the best as we had reached the upper limit of the delay.

I was too tired
and slept through the flight. The plane did arrived on time however as my club
mate had told me it would take a good 20 mins before it reach the gate.

The CP flight
system was well designed as it had shown the gate of our connecting flight on my seat display well
before the flight landed.

Bad news was the
gate for our connecting flight was so far apart as I glanced it over the seat
display. We had to go down to the base level and take a shuttle train to
another satellite building. I doubt it we could make it as we only had 40min left.
When the cabin door opened and as I had expected, there were a female ground
staff waiting for us with a signboard. There were 2 groups of passengers taking
the same connecting flight. The ground staff had specifically told us that no
assess to any toilet on the way. We could only go for nature call once we board
the connecting flight.

It was a fast walk
for the next 25mins where we could only take a rest on the shuttle train. We
managed to join the line up of boarding passenger when we reached the gate. I cheered in my heart while refraining my bladder sphincter during the queue for boarding

The senior member
from another group had grumbled to the ground staff during the run that why can’t the flight
wait for us as it was the same flight company we were taking. I answered the
question for the ground staff, “the KHH airport had curfew from 0000-0630H and
our last flight had to take off before 10:30pm so that we would not be directed
elsewhere, moron” (the last word did not slip out from my mouth and I had used a polite tone).

We managed to
board the flight and arrived at the airport by 2340H. We reached home after
midnight and I was back to the desk for work the next day.

It was one of the
daring trips that I had planned and we had completed the journey with hiccup as
usual.

It was a short
trip to Xiamen initially and later expanded to a 6D5N trip to the heart of my
ancestor homeland. Spectacular experience for everyone for us. Especially for
Xian; He had taken a leap of faith out from his greatest fear….

Source: the final leg.....Peking trip

40

Doctor Blogs (Public) / D5 and D6 and it aint over yet...

« Last post by lywuu on November 20, 2024, 07:42:48 PM »

D5 and D6 and it aint over yet...

 

D5 was another
walking day as we had roved around the 1^st rim and visited the art
museum, St Joseph Church and the temple of heaven.

The art museum was something modern and it was well managed with great exhibition. 

The St Joseph Church was an establishment of faith where ruling party disagreed with. Old fashion catholic church which hold the ground for the great one. 

The temple of heaven was place for the emperor to pray for his citizens. A big garden that took us a long walk before we exit the area. We run out of water on the way and we were lucky to met a lady who sold drinks at the MRT entrance.

It was a long
march day again for us.

We had seen mosque,
church and museum around the city. We had walked through the alley of the
commoner and the royals. Well, and amazing experience for me as I had read a
load of Chinese novel related to the Qing Dynasty. We concluded our last meal
with cattle spine firepot.

It was just an capital of a great country. Police patrolling the street without firearm, CCTV
all over the street. One of the safest city in Asia, no doubt. I did not hand
out any currency note during the whole journey; I was using touch and go; only
foreigner and people from very rural area use note.

Bitter gourd with
lemon was one of the drink that I had drunk a few times. The locals had taken the
tea drink to another level.

The police were
not helpful, I had tried to ask for direction a few times and most of the
police officers told me that they don’t know and ask me to look it up over the
net.

There was no night
life around the first rim. It was silence after eleven; no supper joint nor
night shop around the first rim. Frankly said, it was kinda bored but yet we
were too tired after the day tour.

The last day was
not planned and we had decided to take a look at the heaven peace square. We
took the MRT which arrived at the area by eight and found out that it was
crowded and no way we could get into the square by ten.

We had however taken
a hike around entrance. The was a large shopping area before the square.

The tourists were
citizens from all over the country. We met police around the area asking for ID
card. The police use a loud hailer shouting as loud as he could; however when
he saw our passport, he halted for a second and asked us to leave with a calmer
tone. Yes, you cannot go around without your passport…ID was needed to enter
every place of interest.

We eaten Mongolian xiumai[burning sale](I like xiumai and until that day, I had only eaten hongkong style….)
and bought some meat pie before we headed back to our apartment. 

The meat pie was
our lunch at the airport as our flight was scheduled around 4pm.

The trip concluded
by noon when we hopped onto the mini van and headed to the airport.

And the thrilling part await us few thousand km away.....

Source: D5 and D6 and it aint over yet...