Showing posts with label Did You Know. Show all posts
Showing posts with label Did You Know. Show all posts

Tuesday, April 14, 2009

Did You Know: Deep Venous Thrombosis

One of my favorite blogs is The Cranky Flier - a blog all about airlines, airplanes, airports, and everything flying. The latest blog post is from the author's brother, who is an Emergency Room Doctor! He writes about DVT - Deep Venous Thrombosis, a serious and very dangerous clot that can form, usually in your legs. You can check out the whole post, as well as other awesome stuff on everything air, by clicking here. Enjoy!

What is a DVT?
A DVT is a blood clot in your deep veins which can often result in calf swelling, redness, and pain on one side. You can get DVTs essentially in any of the deep veins of your body, and some can be worse than others. In fact, if you get one in your thigh veins or pelvic veins then you’re in more trouble than if it’s further away from the heart in your calf veins. Often times the DVT will not cause any symptoms whatsoever, but it’s important to catch DVTs if you can.

What should you do if you think you have a DVT or PE?

How do I prevent an in-flight DVT?

Click here to go to the blog post for the Doctor's answer!

Wednesday, April 1, 2009

Case Files: Angiogram and Angioplasty

Presenting Scenario: Patient presents complaining of weakness in both legs with decreased pulse bilaterally in the lower extremities (legs).

ER Physician Orders: Refer to Surgical Service

Surgical Procedures Ordered: Angiogram (see explanation below) with Angioplasty (see explanation below) and possible stent placement. No anesthesia will be used for the angiogram and angioplasty, however, the anesthesiologist must monitor patient's vitals.

Angiogram: Procedure of visualizing blood flow through arteries to assess level of lumen narrowing. In this case, we were visualizing the iliac arteries (near the legs/abdomen). We found some pretty extensive narrowing of the lumen of the artery that leads to the right leg. BUT, we also found that due to chronic stenosis of the artery that leads to the left leg, the patient had extensive vessel growth (anastomoses) to the left leg from the one good vessel for the right leg. Therefore, when the vessel for the right leg became stenosed, the patient experienced problems in both legs.

Angioplasty: Process of getting a small balloon to the site of stenosis in the vessel. We then inflate the balloon with some pressure and let is stay there for a minute or two. We then remove the balloon and use the fluoroscopy to visualize the site of the vessel again. The goal is that the balloon will cause the vessel to stay open. It is not uncommon, however, to have restenosis at a later date.

Results: In this case, we found that the vessel was fixed successfully following angioplasty, therefore no stent placement was necessary. Patient can be discharged within the day.

Friday, March 20, 2009

Fun Fact For the Day

If you farted consistently for 6 years and 9 months, enough gas is produced to create the energy of an atomic bomb.


Now THAT is what I call some serious gas!

Sunday, March 1, 2009

Did You Know

Did You Know - that your Doctor probably feels this way. Not all the time, but pretty darn often.

Now You Know!

Tuesday, February 10, 2009

Did You Know: I Love Sesame Street!

I found this awesome article on CNN written by Stacy Conradt. It is the story behind some of my favorite characters from Sesame Street and the Muppet Show and all the favorite little monsters that Jim Henson created. What a great imagination!

Enjoy the read! I know I loved it! And be prepared for a little nostalgia, and I hope I didn't leave out your favorite -- not all of the characters have interesting background stories (sorry, Big Bird).

1. Cookie Monster: Jim Henson drew some monsters eating various snacks for a General Foods commercial in 1966. The commercial was never used, but Henson recycled one of the monsters (the "Wheel-Stealer") for an IBM training video in 1967 and again for a Fritos commercial in 1969. By that time, he had started working on Sesame Street and decided this monster would have a home there.

2. Elmo: The way it's described by a Sesame Street writer, apparently this extra red puppet was just lying around. People would try to do something with him, but nothing really panned out. In 1984, puppeteer Kevin Clash picked up the red puppet and started doing the voice and the personality and it clicked -- thus, Elmo was born.

3. Telly Monster was originally the Television Monster when he debuted in 1979. He was obsessed with TV and his eves would whirl around as if hypnotized whenever he was in front of a set. After a while, producers started worrying about his influence on youngsters, so they changed him to make him the chronic worrier he is now.

4. Count von Count made his first appearance in 1972 and was made out of an Anything Muppet pattern -- a blank Muppet head that could have features added to it to make various characters. He used to be more sinister -- he was able to hypnotize and stun people and he laughed in typical scary-villain-type fashion after completing a count of something and thunder and lightning would occur.

He was quickly made more appealing to little kids, though. He is apparently quite the ladies' man -- he has been linked to Countess von Backward, who loves to count backward; Countess Dahling von Dahling and Lady Two.

5. Kermit was "born" in 1955 and first showed up on "Sam and Friends," a five-minute puppet show by Jim Henson. The first Kermit was made out of Henson's mom's coat and some ping pong balls. At the time, he was more lizard-like than frog-like. By the time he showed up on Sesame Street in 1969, though, he had made the transition to frog. There are rumors that he got the name Kermit from a childhood friend of Henson's or a puppeteer from the early days of the Muppets, but Henson always refuted both of those rumors.

6. Animal: The Who's Keith Moon may have inspired everyone's favorite member of Dr. Teeth and the Electric Mayhem. This is speculation, but people who support the theory will point out that Jim Henson named one of the Fraggle Rock characters "Wembley," which is the town where Moon was born.

7. Miss Piggy is apparently from Iowa. She started as a minor character on "The Muppet Show," but anyone who knows Miss Piggy can see that she wouldn't settle for anything "minor." Her first TV appearance was actually on an Herb Alpert special. It wasn't until 1976, when "The Muppet Show" premiered, that she became the glamorous blonde with a penchant for frog that we know and love today. Frank Oz once said that Miss Piggy grew up in Iowa; her dad died when she was young and her mother was mean. She had to enter beauty contests to make money.

8. Oscar the Grouch is performed by the same guy who does Big Bird, Carroll Spinney. Spinney said he based Oscar's cranky voice on a particular New York cab driver he once had the pleasure of riding with. He was originally an alarming shade of orange.

9. Gonzo: What exactly is Gonzo? Nobody knows. Even Jim Henson had no particular species in mind. Over the course of "The Muppet Show," "Muppet Babies" and various Muppet movies, Gonzo has been referred to as a "Whatever", a "Weirdo" and an alien. Whatever he is, he first appeared on the scene in 1970's The Great Santa Claus Switch. His name was Snarl the Cigar Box Frackle. In 1974, he showed up on a TV special for Herb Alpert & the Tijuana Brass. He became Gonzo the Great by the first season of The Muppet Show and developed his thing for Camilla the Chicken almost accidentally: During one episode where chickens were auditioning for the show, puppeteer Dave Goelz ad-libbed, "Don't call us, we'll call you... nice legs, though!" It was decided then and there that Gonzo would have a bizarre romantic interest in chickens.

10. You have to love Statler and Waldorf. I couldn't find much on their particular inspiration, but I can tell you that they've been around since the 1975 "Muppet Show" pilot. They are named after popular New York City hotels (the Statler Hotel was renamed the Hotel Pennsylvania in 1992.) Guess what Waldorf's wife name is? Yep... Astoria (she looks startlingly like Statler.) FYI, Waldorf is the one with the mustache and white hair. Statler has the grey hair. Apparently Waldorf has had a pacemaker for more than 30 years.

11. Beaker: I always thought of Beaker and his buddy Bunsen Honeydew as characters that came along later in the Muppet timeline, but they have been around since the "The Muppet Show." Although Beaker usually says things along the lines of, "Mee-mee-mee-mee!", he has had a few actual lines: "Sadly temporary," "Bye-Bye" and "Make-up ready!" Despite being word-challenged, he manages to do a pretty convincing Little Richard impression and, surprisingly, had mad beatbox skills. Beaker is one of the only Muppets that was never recycled from some other purpose -- he was created solely for "The Muppet Show."

12. Fozzie Bear. Poor Fozzie. He's the perpetual target of Statler and Waldorf because of his horrible jokes and puns. It actually created a bit of a problem during the first season of The Muppet Show, because when Fozzie got heckled, he got very upset and sometimes cried. Viewers didn't feel sympathy; they felt embarrassed. The problem was solved by making Fozzie an optimist so that even when he got heckled he was good-natured about it. It's often thought that he was named after Frank Oz, who was his puppeteer, but Frank said it's just a variant of "fuzzy bear." Yet another story says he was named for his builder, Faz Fazakas. Wocka wocka!!

13. Bert and Ernie are the Muppet version of Felix and Oscar ("The Odd Couple," for you young'uns). Lots of people think Bert and Ernie were named for some minor characters in It's A Wonderful Life, but according to the Henson company, that's just a rumor. Jim Henson always maintained that it was just a coincidence -- the names just went well together and seemed to fit the characters. Jerry Juhl, one of the head writers, corroborated this and said that Jim Henson had no memory for details like that and would have never remembered the name of the cop and the taxi cab driver in the old Jimmy Stewart movie.

Other rumors to clear up: Bert and Ernie aren't gay and neither one of them are dead. Now that we've got that straightened out, here are a few more tidbits: the original Ernie used to have a gravelly voice similar to Rowlf the Dog's. Frank Oz was Bert's puppeteer and hated him at the beginning. He thought Bert was ridiculously boring, but then realized that he could have a lot of fun with being boring. Jim Henson once said, "I remember trying Bert and Frank tried Ernie for a while. I can't imagine doing Bert now, because Bert has become so much of a part of Frank."

14. Grover: Everyone's favorite "cute, furry little monster" made his TV debut on the "Ed Sullivan Show" in 1967. At the time, he was known as "Gleep" and was a monster in Santa's Workshop. He then appeared on the first season of Sesame Street, but sported green fur and a reddish-orange nose. He didn't have a name then, but by the second season he transformed into the Grover we know today, more or less -- electric blue fur and a pink nose. The original green Grover was reincarnated as Grover's Mommy for a few episodes. In Latin America and Puerto Rico Grover is known as Archibaldo, in Spain he is Coco, in Portugal he is Gualter and in Norway he is Gunnar.

NOW YOU KNOW!

Sunday, December 21, 2008

Did You Know: PSA from NBC

This "Did You Know" has been brought to you by the cast of The Office on NBC - it is about wedding invitations. What, with all my friends getting married, I figured I would provide some assistance on the matter. And on a side note, thanks guys, for all waiting until I was in medical school and ABSOLUTELY CAN'T make it to weddings - you all rock and I'm so glad you chose this time. Anyway, in tribute to all of you, here is some "Did You Know" info on wedding invitations.



Now You Know!

Friday, November 21, 2008

Did You Know!

It has been a while since the Did You Know segment has made an appearance on my blog and some of you have complained about this. I apologize - chalk it up to being distracted by so many other things in New York! :)

Today's Did You Know is actually a very simple one, but so extremely important. I am currently doing my Family Medicine rotation and have found that the majority (not all, but majority) of patient cases revolve around diabetes, hypertension, hyperlipidemia, general aches and pains, run of the mill colds/fevers, and stomach aches.

Therefore, DID YOU KNOW that if you lose just 10% of your current weight (if you are overweight, which I definitely am and many Americans seem to be as well) you can significantly reduce your risk of hypertension and all the terrible risks associated with that (most significantly, a heart attack!) So, I'm issuing a weight loss challenge to all of us. I need to lose about 40 pounds (especially because my insurance, I just found out, upped the price of my insurance by 25% because I'm considered high risk due to my weight!!!!!). I know that there are others of us who read the blog who need to lose weight, so let's all support each other. We will be each other's cheer leaders and motivation.

As a first step, I am now officially signed up at my new gym here in NYC, I got a great deal on some starter trainer packages, and I'm ready to return to a healthy weight. Just remember - it is not just about the weight NUMBER - this is a lifestyle decision to eat and live healthier. God calls upon us to take care of our bodies - it is our temple and a gift from Him. So, here goes!

NOW YOU KNOW!

Wednesday, August 13, 2008

Did You Know!

Instead of telling you the answer, we are going to do things a little differently this time. I am going to give you all a taste of the type of multiple choice questions we are asked on the USMLE Step 1. And remember, there are 342 questions we must answer, over an eight hour exam day.

Good luck! Post your answers in the comment section and let's see who gets it correct. I will post the right answer in a few days. And remember: No cheating - look up the answer on your own!

QUESTION:
A 38 year old female patient presents to your clinic. You have been treating this patient regularly for seizures in the past. The patient now presents to you complaining of a rash on her face - you find redness extending outwards from the midline of her face onto her cheeks. Laboratory results show anti-histone antibodies. Which of the following drugs most likely caused the current symptoms in this patient:

A) Adriomycin
B) Ethosuximide
C) Furosemide
D) Hydrochlorothiazide
E) Methotrexate
F) Phenytoin
G) Quinidine
H) Rifampin
I) Warfarin

Thursday, July 31, 2008

DID YOU KNOW?!

Enjoy the "Did You Know" segment, where information about various and sundry interesting (or ridiculously disgusting) facts about what I am learning in medical school are broken down.

DID YOU KNOW...
Have you ever met anyone who always sees groups of people as black and white - I don't mean the color of their skin, but in terms of like or dislike? For example, have you ever met anyone who says that when they visit the Doctor's office, they find all the nurses incompetent, evil and useless, but they just loooovvve the Doctor?

If so, you might know somebody with Borderline Personality Disorder. According to the National Institute of Mental Health website, this person probably has instability in their moods, interpersonal relationships, self-image and behavior. These people can't regulate their emotions and will often try to hurt themselves, without necessarily having suicidal intent. Almost 20% of psych admissions are people with Borderline Personality Disorder! And almost always, this occurs in females.

NOW YOU KNOW!

Thursday, July 3, 2008

Did You Know!!

When I first started medical school, I would send regular e-mail updates to family and friends back home. In some of those emails, I started the "Did You Know" segment where I shared various and sundry interesting (or ridiculously disgusting) facts from what I was learning. It was a popular segment, so here is the first DID YOU KNOW of my new blog! I hope you enjoy!

DID YOU KNOW...
If you have chronic bad breath, called halitosis, you might have something called a Zenker's Diverticulum! This is basically an outpouching near the top of your esophagus - what should be a smooth tube gets a little Gucci purse hangin' out the side. Sounds bad, eh?! But before you go running to your doctor, in order to be diagnosed with Zenker's, you also have to have serious difficulty swallowing. The bad breath occurs because food gets caught up in the outpouchings and basically starts to rot. NEAT!

But take heed: most of you who have bad breath just need to brush your teeth more often and floss. And it wouldn't hurt to buy some Scope.

NOW YOU KNOW!