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And this is where these guidelines in terms of the rate of correction of sodium have come from. It's largely based on large case series where they've seen patients who, for example, if you correct more than 10 millimoles per litre in 24 hours, you've got an increased risk of developing this condition. And that's why we... |
Welcome to On The Wards. It's James Edwards and today we're talking a fairly niche topic, haemology problems in obstetrics. And we welcome back someone who's well known to our listeners, Dr. Shafkat Inam, who's a haematologist registrar here at Royal Prince Alfred and Concord Hospital. Welcome back. Yeah, it's good to ... |
We should do a repeat full blood count in nine studies after a couple of months just to make sure the response has been adequate. Any particular take-home messages for the keen junior doctors out there who are looking at managing haemological problems in obstetric patients? Yeah, so haemological problems can be difficu... |
Welcome to On The Wards, it's Liz Campbell. This podcast is sponsored by the Royal Australian College of General Practitioners, proudly supporting rural and remote communities across Australia. Take the next step towards your career of endless possibilities and apply for the Australian General Practice Training Program... |
So there's definitely ways that we can maintain our wellbeing in general practice. Good on you. Excellent. And you mentioned this, how have you found that change in the responsibility level in becoming a registrar now and particularly a GP reg? I'll be honest, I found it tough, but good. It's satisfying, but it's not e... |
And so being able to talk to people about that, then having that dialogue that this matters to everyone made me become really passionate about junior doctor wellbeing because I think one of the things that leads to that disconnection is burnout, is people feeling like they've got nothing left to give. So if we can fill... |
So for me, it's yoga and then also meditation or mindfulness. So being able to calm down, listen to your thoughts, check in with how you're going has been really helpful for me. The third thing is reflect. So I think there's solo reflecting, which is I keep a journal. So not every day, too hard, but I'll write down my ... |
Welcome to On The Wards, it's James Edwards and today we're talking about the importance of communication in patient-centred care and we have the pleasure of having Dr Chris Dalton with us. Welcome, Chris. Thanks, James. Chris is the medical director at Bupa and is also a part-time ENT consultant and has an interest in... |
You have to start thinking about these sort of issues. Speaking to the family is very important. And again, your communication skills, speaking with this patient to explain that perhaps things aren't quite set up, but we're very aware of what you want to do and we just need a day or two to set things up for you. Yeah, ... |
I work in the corporate world now. The pressure, the commitment, the stress, the time that it takes to work in the world I'm now in compared to what it was like in full-time surgical practice, it's about one-tenth. People don't realise medicine, particularly in the public hospital, high-pressure environment, and partic... |
Welcome to On The Wards. I'm Becky Taylor, an ONG fellow based in Sydney, and today we're talking about medications commonly prescribed in obstetrics with Dr McDonnell. Jane is an ONG registrar at Nepean Hospital in Sydney. Welcome Jane. Thanks Becky. So Jane this is the third part and the final part in our series on t... |
For patients requiring opiate analgesia postpartum, oxycodone or endone is safe to use. It's commonly prescribed by the anaesthetic team if the patient has had a caesarean section. And as per the ANZCA's recommendation, which is the College for Anesthetists, there's been a move away from the prescription of long-acting... |
Welcome to On The Boards, it's James Edwards. Today we're talking about the diagnosis and management of neuropathic pain. I'd like to welcome Dr. Jane Stanton. Welcome, Jane. Thank you for having me. Jane is a consultant in NETUS and an interventional pain specialist. And neuropathic pain is very common. Maybe we'll ju... |
And what sort of follow-ups available for patients such as this when they leave hospital? So any of the big tertiary hospitals in Sydney have pain management clinics that these patients can be referred to and they will be contacted and brought in in an outpatient setting and have an appropriate multidisciplinary assess... |
Welcome to On The Wards, I'm Amy Koops, and this is a special edition of On The Wards, the last podcast for 2017. With me is the host of On The Wards, James Edwards. And we're going to turn the tables on James today. I can't wait. The hunter becomes the hunted. So there's a bit of a mix of things. We're going to talk a... |
It presents with a set of lighters, he's low acuity, he's in for four days, gets five antibiotics, he's well. Now we treat them with hospital in the home. They don't come into hospital. The only ones that come into hospital are sick and they're sick because of so many other things going on. So it's a lot more a differe... |
Yeah, no, that's really interesting though. I mean, like what have you learned about yourself? Look, I probably did learn, it's funny this kind of this target that we're trying to be access target, TTP, it's surprising when you get a result every morning. I realised I'd be happy when the result was good and wake up in ... |
I'm comfortable with that. Yeah. What's taken you into this bird's eye view kind of role now? I mean, what drew you there? Yeah, just someone who says yes too often. You know, I think that's, you know, you're either, you know, people go, James, you do this, and I go, oh, yes. And I don't think about it too much, and th... |
I'm very much not the cool school of POCUS. I mean, I do use ultrasound most days, but it's not kind of attached to me like many of my colleagues. There's a little bit of evangelism going on about POCUS at the moment. I'm feeling... It's a vibe I got from ASIM. Yes. I'm on board. It's exciting, but it's a bit intense. ... |
Over the years we've all spent, we've all perfected how to be students but the next step is much more terrifying and important. We must learn how to be mentors and how to find a mentor. It's very important for our careers, some would say. So On The Wards is here to talk to us about how to find and be a good mentor. Hos... |
And that was both very constructive but also very encouraging because they were able to provide for me not just some, you know, really practical advice but also the sort of pastoral care that I was needing at that time. And so, you know, sometimes it's when you're winning, you forget about the people that have helped y... |
So the idea that anyone's a self-made man or woman, it really calls the light to that. We need each other and we need each other in really deep and profound ways, I think. It's a really interesting point. I just feel like, where do you find these sponsors? I had to hear one of those. They sound fantastic. We may explor... |
The number one and the, you know, one thing for you guys is don't necessarily wait for a formalised mentoring program. You can absolutely, you know, take your courage in your hands because there are a lot of people out there who love to give advice and actually get a lot of job satisfaction and reward from being put in... |
The third thing would be to try and clarify what your goals are with that mentor after the first couple of meetings, and then try and have a plan with them of sticking to it. You're're a big part of that. So mentee driven goal setting, think about what you truly want and your mentor should try and help you get there. B... |
Welcome to On The Wards, it's James Edwards and today we're talking about a topic that I'm very, very interested in, underwater medicine, And with me today I have Commander Chloe Ryan. Welcome, Chloe. Thank you. Commander Chloe Ryan joined the Navy in 2004 as an undergraduate medical officer and graduated from the Jame... |
And then I went on to get my fellowship with the Australian College of General Practitioners. But I've also completed a Master's in Health Management and a Master's in Military and Defence Studies. I've done courses in diving and underwater medicine. I've been over to Canada to do courses in submarine medicine and educ... |
Welcome to On The Wards, it's James Edwards. Firstly, I'd actually like to thank everyone out there for listening to On The Wards and reading our blogs. And also for those who have donated to On Wards, we are really keen to get some money to really help develop the website. We produce a lot of resources really within o... |
So I think anyone who's got a known bowel obstruction who has distension, nausea or vomiting should have a nasogastric tube. There's a bit of mixed evidence about NGTs being harmful or beneficial, but usually in patients that have symptoms and are uncomfortable, the benefits outweigh the risks. So in addition to a naso... |
If there's an absence of gas in the rectum it might signify a complete obstruction and therefore a high risk of perforation. Sometimes we will see a transition point by a tapering off of the bowel gas to an area with no gas which is often in the rectosigmoid area. And if we're looking for a volvulus, it has a typical a... |
Welcome everybody to On The Wards and we're doing a podcast today with Dr Paul Hamer. Now Paul is a respiratory and sleep physician at Royal Prince Alfred Hospital, a clinical lecturer at the University of Sydney and has interest in the formulation of education programs and presentation skills and delivering best evide... |
If it's simple pulmonary edema or you need alveolar recruitment and you don't need to maintain upper airway patency, generally 8 to 10 centimetres of water is adequate to do that. And you can titrate upwards for hypoxemia. For bi-level ventilation, I think of the EPAP, that's the lower number, similar to what I think C... |
In fact, that can sometimes hinder CPAP because if it's too tight, it actually pushes the mandible back and causes upper airway obstruction. So what you want to do is have the straps tight enough such that they hold the mask on the patient's face without it blowing off, but not so tight that it inhibits any movement of... |
Welcome everyone to On The Wall, it's James Edwards and I'm with Dr. Julian Nasty today. Welcome Julian Thanks, James. Julian is an advanced trainee in psychiatry and currently doing a consultant liaison psychiatry role at Canterbury Hospital. And we're going to chat to Julian today about a really kind of introductory ... |
Out of this information, I guess you try to formulate a risk assessment. So I guess in this situation, we're looking at the likelihood of acute aggression. I think that that can be formulated in terms of the current mental state features, a past history of aggression and the circumstances in which that occurred. So is ... |
So I've talked about drug seeking, for example. And what you have to remember, these patients are often without meaningful supports or resources, and they end up being quite dependent on services. And this is a problem that's not going to be fixed in a brief encounter or admission. The other thing, I think some people ... |
Hi everyone and welcome to On The Wards. My name's Laura Glenn, I'm a resident at RPA and I've recently completed a term in respiratory. Today I'm going to be talking to Dr Paul Hamel, one of our respiratory physicians, about spirometry and lung function tests. Junior doctors are often asked to perform, interpret and d... |
So why do I say pairs of numbers? Because you're going to have an absolute number in litres and you're also going to have the predicted value for that patient. And as I said, that's based on their age, their height, their race and their gender. So if you look at all those four things, their absolute amount and the pred... |
So if they're asymptomatic and we find out that they don't actually have COPD, then we don't need to worry. If they've got COPD and it's severe and they're having abdominal surgery, the anaesthetist might decide, for example, to do a spinal rather than a general anaesthesia because they want to avoid that risk of intub... |
I'm going to welcome everyone to On The Wards, it's February 2015, I have the pleasure of having Dr Isuru Namuni who's a vascular surgeon here at Wilkins-Sanford Hospital. Welcome. Thank you. We're going to talk about a number of different things, but particularly, I guess, the diabetic foot, which is something that mo... |
Arterial ulcers are classically more distal, so in the foot or the lower calf, and they're usually over pressure areas, so on the heel, around the malleoli, around the bony prominences around the feet. In particular, you need to look in between the web spaces. Often there's ulcers that can hide underneath there. And th... |
An X-ray of the foot can be important if they've got a significant ulcer and foot sepsis. So sometimes I see people that have a very small ulcer on the plantar aspect of the foot and that's just the tip of the iceberg and they've got a profound amount of sepsis spreading through the whole deep space of the foot. And so... |
Okay, welcome to On The Wards, it's James Edwards, it is March 2015 and we're going to do a group of podcasts on anticoagulation and we'd like to welcome Dr. Ed Abadir. Hi Ed. Thanks for having me James. Ed's a Haematology Registrar at Royal Prince Alfred Hospital and Concord Hospital, studied medicine at the Universit... |
That's just the nature of the drug. And unless you're the treating team, it's going to be very hard to determine that. They're on the warfarin. They've had kind of three days. you get the INR, it comes back at 2.3. When should you be ceasing that inoxaparin? Yeah, so certainly we suggest ceasing inoxaparin when the INR... |
Welcome to On the Wards. I'm Jane MacDonald and I'm an ONG registrar based in Sydney. Today we're talking about some of the clinical scenarios commonly faced by ONG interns and residents in a three-part podcast series with Dr Becky Taylor. Becky is an ONG fellow based at RPA in Sydney and today we're going to be talkin... |
Would you agree with that? Absolutely. Yes. It wastes a lot of time and you're probably not going to get it right, but the scrub nurses are going to show you how to do it. So important things to make sure that everything's ready before you scrub. Now, like the number of times still I get scrubbed and then I realize I'v... |
And the incision is then extended enough for the baby's head to be delivered. The obstetrician will place the hand inside the uterus to essentially cut the baby's head. And once they feel that they've got the presenting part stable, you will be asked to remove the doyens once they've got control of the presenting part.... |
I personally think that writing the operation report should in general fall to the surgeon, though you may sometimes be asked to do this. If it has been a complicated caesarean section or you don't feel comfortable, then don't agree to write this up as the junior doctor and ask your registrar to do that and they will u... |
Welcome to On The Wards, it's James Edwards and today we're talking about how to get the most out of your intensive care rotation. I'd like to welcome Dr Luke Coll Collette, who's an ICU fellow at Royal North Shore Hospital here in Sydney. Welcome, Luke. Morning, James. Look, I mean, many junior doctors do do an ICU ro... |
You'll see amazing communication if you can attend family conferences. I'd strongly encourage that. Similarly, trying to get a feel of what intensive care means for patients and their families. It's a big slog, intensive care. The patients are delirious. They get a lot of pain, a lot of interventions, poor sleep. The f... |
Hello and welcome to this On The Wards podcast. I'm Alison Hempinstall. I'm an Akron registrar currently living and working on Thursday Island in the Torres Straits. Over the coming months, we'd like to showcase some amazing rural generalists working across Australia and have a yarn with them about their medical career... |
And then I became very dysfunctional. So my mental health has suffered with post-traumatic stress. But I lived in denial all this time, as many people did. It wasn't as overt as it's become, and it wasn't as well accepted. And there was certainly a stigma to that. But I just managed to stumble my way through my early y... |
Welcome to Wonder Awards. It's James Edwards and today we're talking more urology with Dr. Jo Dargan. Jo Dargan is a trainee urologist, currently about to sit her fellowship exam. Today we're going to talk about lower urinary tract symptoms. Welcome Jo. Hi, thanks for having me. So we're going to talk today about lower... |
This really helps other listeners to find us. |
Hi everyone and welcome back to On The Wards. My name is David Coker. I'm a surgical SRMO at Royal Prince Alfred Hospital. Today I have the great pleasure of interviewing Dr Titus Kwok, who's our surgical superintendent at RPA. We'll be discussing some of the key aspects and challenges that come with choosing surgery a... |
No, no, to be honest, I can't recall a particular moment, but it all adds up from daily experiences, I guess. Yeah, that's all I would say. Okay. Can you tell us about any qualities that make a good surgeon? I guess there are generic qualities that make a good surgeon in any specialties and there are also specific ones... |
Welcome to On The Wards and it's James Edwards today speaking with Professor Stephen Adelstein and Dr. Brian Fernandez, both co-college students with me at Royal Prince Alfred Hospital. And we're going to be talking about the medical training survey. Now I have a special interest in the medical training survey and I've... |
Now this is interesting in many ways because you could probably look at the health workforce numbers which tell us that genetics is something that's going to boom and it's something that we need more genetics on the table and the demand's there, but potentially the supply could potentially be increased. And that's some... |
Brian was there a section for comments? I don't think so. No, I don't. Well, no. This was a decision that the Advisory and Steering Committee made after a lot of discussion. And we've had some feedback that it makes it actually easier to complete the survey because there are only tick boxes or elements that you need to... |
Welcome to On The Ward, it's James Edwards and I'm welcoming Dr. Aj Rayo today. He's an emergency paediatrician at Sydney Children's Hospital. Welcome Aj. Thanks James, thanks for having me. So we're going to talk today about the sick child and a fairly general approach for a junior doctor when they're seeing a child t... |
So we worry about a high fever in a very young baby and that would make us worry about the potential for sepsis. I always worry about breathing difficulty and the parents worried about the child's breathing, especially at night. There are other specific presentations that are worrying, like children who appear to stop ... |
Consider a BSL, consider a urinalysis. And if we're going to be treating with antibiotics, try and get some cultures off before giving the antibiotics if we can. It's difficult to talk about management without a specific diagnosis, but can you outline some of the general principles and management of a sick child? Yeah,... |
If you can convince a parent that what you want is to help their child get better, they will often do anything to help you help their child get better. And just the final thing I'd say is use all the resources available to you, whether that's senior medical staff around the place, whether that's the paediatrician on ca... |
I'm here with David, is it Caldecott? It's Caldecott. Thank you for taking the time to speak to us, David, who is a Master of All Things Dr drugs and an associate professor at ANU and the University of Canberra, is that right? Close. And a star specialist at Calvary Healthcare, Bruce. Did I get that one right? You got ... |
They had 850 hostages. And then on day three of the siege, a mysterious gas was pumped into the theatre, which actually ended up killing 130 of the hostages. And it turned out that that gas was a nebulised form of this stunningly potent veterinary fentanyl called carfentanil, now tainting the heroin market. Now, the an... |
Welcome to On The Wallwards, it's James Edwards and today we're speaking about nosebleeds or what we often call epistaxis and we have the pleasure of Zara Watson. Welcome Zara. Thank you. Zara is an ENT registrar at Royal Prince Alfred Hospital currently and also a graduate from the University of Sydney and epistaxis i... |
Yeah. So people will talk about anterior and posterior bleeds. And the littles area is an area on the septum just in the anterior part of the nose, which is where three of the main blood vessels all come together. So there's quite a rich vascular supply there. About 90% of your epistaxis patients will have an anterior ... |
Yeah, so I think if it's in ours and you've called us and we're around, then we'll probably come down because there are other things that we can do other than the rapid rhinos. So we can put medications like FlowSeal in, we can put a camera in and see if we can see where it's coming from and actually do something local... |
We're always interested in your feedback, so if you've enjoyed listening to iTunes. This really helps other listeners to find us. |
Welcome to On The Wards. It's James Edwards today. I have the pleasure of speaking to Professor John Meyerberg. Professor John Meyerberg is an intensive care consultant at St George Hospital here in Sydney and also the Professor of Intensive Care Medicine at University of New South Wales. Welcome, John. Hi, James. John... |
They may be sweaty, they may be dehydrated because they haven't been drinking, because they're feeling awful, but they haven't got a lot of fluid losses per se. 's got early septic shock i guess he's hypotensive and he's tachycardic which there are many reasons so what this gentleman probably needs first of all is a ba... |
There is not one variable that can accurately assess the complexity of hemodynamic function in response to fluids. And that's a physiological-based system because the system is complex. Our bodies are designed to regulate all our functions through neurohormonal functions, adrenaline or adrenaline, cortisol, vasopressin... |
Because if she's a 45 kilogram little lady who's had an operation, then 20 mils an hour is probably enough. If she's 85 kilograms or a lean body weight of 60 kilograms, then she might be about 80 kilograms. The second thing I'll say is, I'll ask them, how's the abdomen? What does it look like? I mean, is the abdomen di... |
Welcome to On The Wards. It's James Edwards here today. We're talking about psychosis and we're welcoming back Dr Joanne Ferguson who's a staff specialist in psychiatry and addiction medicine and works through Coroner Community Health. Welcome back. Thank you very much. So we've had a previous podcast you've spoken abo... |
That might be significant stress. And so their psychotic symptoms that they may have experienced or may have not had for some time might become activated. In a sense, it's a sort of reaction to stress that's brought forward some of their symptoms. It's very common for people who have intermittent auditory hallucination... |
Welcome to On The Wards, it's James Edwards and today we're talking about abdominal aortic aneurysms and we've got Dr. Shannon Thomas with us. Welcome Shannon. Thanks for having me back Dr Edwards, how are you going? Good. Look Shannon is a vascular surgeon from Prince of Wales Hospital here in Sydney and has previousl... |
The size can vary. Generally speaking, an aneurysm that is less than 5 cm has a rupture risk of less than 1% per year, so we tend not to repair those aneurysms. Once they get above 5 cm in diameter, that's when we get concerned, and certainly when it's above 5.5 cm, that is indicated for repair. Generally, with rupture... |
Yeah. No, look, I remember when I was a first year registrar, someone came in with a AAA, diagnosed them quickly, got them to theatre, just on the way through, gave them two litres of fluid and thought I'd done a great job until my boss said, James, probably didn't need that two litres of fluid. Good job otherwise. So ... |
Hi everyone, welcome to the first Northern Territory edition of On The Wards. My name is Nathan Trist, I'm an emergency medicine SRMO working at Royal Darwin Hospital. And today I've got Dr. Kerry Jones, who's an emergency consultant here at Royal Darwin. She's also an associate lecturer at Charles Darwin University wi... |
Yeah, okay. Great. So we're going to move on to case two now. And Jess, I might direct some of these questions more at you. Sure. So the case is a four-year-old boy who's been brought by his auntie to a community clinic in Wadai, and she's concerned that the child is limping. He's been complaining of left leg pain for ... |
So if we look at this child's presentation including examination, he does fit the criteria. He has both two major criteria of the murmur and the mono episode polyarthralgia but he also has evidence of a prolonged pr interval yeah okay um and is there any serology you um so you're thinking now rheumatic fever what what ... |
This week in parasitism is brought to you by the American Society 25th, 2010. Hi everybody, I'm Vincent Racaniello, and here is Dixon Despommiers. Hey Vince. Fr Frateur extraordinaire. You're too kind. I read your book. It's very good. Thank you very much. Do you have your reading glasses? I do. I could read my book. V... |
I think they're looking for cryptosporidium. Ah, gee whiz. You know what? It's funny you should mention that because Cryptosporidium parvum can infect birds as well as people. And hominids? What was the name of it? Cryptosporidium hominids. It's been renamed because they've actually found several species by doing DNA a... |
And this membrane that surrounds it. It protects it from the outside. Are there multiple parasites in here? Is this one, two, three, four, five? There are, and the particular one that you're looking at, yes. And this one has one? It just has one, and this one just has one. And this is the membrane surrounding it is der... |
400,000 people in the south part of Milwaukee came down with diarrheal disease attributable to exposure of untreated human sewage. I understand that the CDC had to come in and figure out why all these people were getting sick. This is correct. And they did it by telephone calls. It was quite interesting. They called pe... |
And they had to make sure, of course, that nobody had HIV. Okay, this is a very important point. Because if they had HIV and they gave them this infection, they'd kill them. All right, so they obviously didn't want to do that. So they got healthy, as they call them, healthy young volunteers. And they had about five gro... |
I mean, the result is that people live longer. They live more productive lives. They spend less money and time in the hospitals. They have an enriched culture. And they have time for these things, whereas in other places that are compromised in this direction, I mean, they're just sitting there waiting for the next ins... |
That's right. And it forms the bond between the two IgA molecules and allows it to stick inside the mucous membrane. I'm sorry. I don't think it's called secretory piece. It's something else. It's got a new name now? I don't know. We used to just call it piece protein. I search for IgA. I get the Independent Grocers Al... |
I have no proof of this. Okay, so just let me be clear about that. There's no proof that that's actually the case. But just intuitively knowing that dogs and cats, but in particular dogs in this case, they can be born with toxic caracanis because this is a transplacental organism. And we'll get to this later. It's not ... |
It's not going to help you. That's correct. This is a prevention. Okay, here's one from Jim. Okay, Jim. Fabu Podcast. Hey. Chaps. Twiv and Twip. Fabu. Fabu. Who says Fabu? I don't, but I'm glad somebody does. Just listening to Twip number three, though, and heard Dick say Aldous was Darwin's bulldog. He was the descend... |
Excellent. You have to bring in a book so I can send it to the other fellow. Be glad to do snakes. If indeed toxo increases the probability of mice being eaten, we should be able to detect statistically significant difference in the mass of fat accumulated by cats on both islands. What's the problem with that experimen... |
Oh, no, Vince. I'm thrilled to be here. I'm chilled to be here. TWIP can be found where? You can find it at microbeworld.org slash TWIP. The wonderful American Society for Microbiology does host us there, and we appreciate their hosting. You can also listen to TWIP right there on their website, or you can go to iTunes ... |
From Micro TV, this is TWiP, This Week in Paras DesPommiers. Hello, everybody. Lookie out the window. Not only is it dark, it's a rainy, it was a dark and stormy night, and this is absolutely the way it is. I just thought I'd say it because it's actually true today and it's going to get worse tomorrow. In what sense? W... |
You said they cultured it, but they didn't say what they cultured it in. No, so they didn't. They really just did PATH. PATH was their main modality in their mind of diagnosing it. They only did standard aerobic, fungal, and AFB cultures. They did not do any specific media. So I used to do a grand rounds for them, for ... |
Centimeters, I think. I've never thought about it, to be honest. But I did notice Daniel saying centimeters. Daniel, son-i-meters. Okay, so either I trained at NYU or I lived in Canada, eh? Okay. Okay. All right, good evening, Jillian writes. Good evening from chilly Ottawa, Canada. How perfect. A fellow son-i-meter sa... |
Treatment is dependent on species and severity of lesion and its location. Spontaneous healing will occur in the majority of CL cases, but our patient's case may not fall into that category. He also sounded rather frustrated at the lack of progress with his current care, so I imagine he will be returning to Molly soon ... |
Leishmaniasis found east of the Atlantic Ocean is known as Old World Leishmaniasis and is normally transmitted by phlebotomus genus sandflies, while Leishmaniasis found in the Americas is termed New World Leishmaniasis and is normally transmitted by Lutzimaya genus sandflies. A brief perusal of the literature on the si... |
But he unfortunately declined blood work. So he eventually made it to a derm biopsy, derm visit, underwent repeat biopsy. The first time they had not sent off the lesions or the path to the CDC for Leishmania PCR sort of testing and species identification. This time they collected all the specimens and they actually se... |
I was talking to someone today about how much easier it is to manage malaria in, you know, in remote Uganda where like 10 minutes later the child is getting their IV artesanate where, oh my gosh, if a child had severe malaria here in the U.S., you have to like, you know, the bureaucracy, the phone calls, the logistics.... |
And then during college and medical school, really the social justice aspect of it was really brought to the forefront. Northwestern has a really great curriculum. I think many medical schools are catching up now, but I feel like at the time Northwestern had a really great curriculum and sort of cultural awareness, cul... |
Absolutely. So, yeah. I mean, Shauna can come on again, hopefully again in the future. Sha Daniel, you can help, right? Because PWB can facilitate this. Yeah, no, and I do think, you know, I mean, Dixon, you brought up some of the things there. There are ways, you know, travel medicine can actually make sense economica... |
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