I rode a Penny Farthing once....once....scary as hell, would never do it again. i definitely would have broken something if my friend didn't help me off the thing.
Regarding the suicidal adolescent, I have found the question :What do you see yourself doing in 5 to 10 years?" to be a valuable one. While not 100% predictive of the future, it has served as a barometer for distinguishing gestures/cries for help from more serious pathology.
Regarding Michelle Lin's Migraine treatment favorites: Our Group covers two Ski Clinics above 9200 feet. High altitude seems to be a threshold lowering event for migraines and the headache of AMS (acute mountain sickness) is thought to be due to a very mild case of cerebral edema. We have found that the addition of 10mg of IV dexamethasone at the end of the patient's migraine treatment to be valuable in preventing recurrences.
Reading through for advice. I once (several years ago) saw what I recall was some type of silver-impregnated gauze product which was placed over a large road rash and left on to dry "into" the wound then flaked off over the next 5-10 days. This was (in theory) to dress the wound, prevent infection and mitigate the pain of having a patient attempt daily wound care at home. Are any of you familiar with this being used and if so what was it, is it still available? Thanks much!
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Super Sick DKAFull episode audio for MD edition264:53 min - 369 MB - M4AEM:RAP 2017 November Canadian EditionCanadian29:05 min - 40 MB - MP3EM:RAP 2017 November German EditionDeutsche59:58 min - 82 MB - MP3EM:RAP 2017 November Spanish EditionEspañol98:20 min - 135 MB - MP3EM:RAP 2017 November Aussie EditionAustralian1:06 min - 2 MB - MP3EM:RAP 2017 November French EditionFrançais25:13 min - 35 MB - MP3EM:RAP 2017 November Board Review Answers99 KB - PDFEM:RAP 2017 November Board Review Questions309 KB - PDFEM:RAP 2017 November Individual MP3s335 MB - ZIPEM:RAP 2017 November Individual Written Summaries3 MB - ZIPEM:RAP 2017 November Spanish Show Notes1 MB - PDFEM:RAP 2017 November Written Summary2 MB - PDF
William F., DO - November 15, 2017 5:37 PM
I rode a Penny Farthing once....once....scary as hell, would never do it again. i definitely would have broken something if my friend didn't help me off the thing.
Robert H. P., M.D. - November 28, 2017 8:20 AM
Dear Rob and Swami,
RE: November Issue
Regarding the suicidal adolescent, I have found the question :What do you see yourself doing in 5 to 10 years?" to be a valuable one. While not 100% predictive of the future, it has served as a barometer for distinguishing gestures/cries for help from more serious pathology.
Regarding Michelle Lin's Migraine treatment favorites: Our Group covers two Ski Clinics above 9200 feet. High altitude seems to be a threshold lowering event for migraines and the headache of AMS (acute mountain sickness) is thought to be due to a very mild case of cerebral edema. We have found that the addition of 10mg of IV dexamethasone at the end of the patient's migraine treatment to be valuable in preventing recurrences.
Buzz Potts MD (a listener since Vol 1, issue 1)
Lance V. - November 3, 2021 12:08 PM
Reading through for advice. I once (several years ago) saw what I recall was some type of silver-impregnated gauze product which was placed over a large road rash and left on to dry "into" the wound then flaked off over the next 5-10 days. This was (in theory) to dress the wound, prevent infection and mitigate the pain of having a patient attempt daily wound care at home. Are any of you familiar with this being used and if so what was it, is it still available?
Thanks much!