WellcomeMD的动态

?? New Episode Alert! ?? Excited to announce the latest episode of the "Ditch the Labcoat" podcast featuring the incredible Dr. Sri Sivalingam, also known as "The Stonecrusher"! This week, we delve into "Bursting Bladders and Kidney Stones - Urology 101." ?? Key Topics Discussed: ?? The Importance of Urine Production: Dr. Sivalingam’s Key Tip: Aim for at least two liters of urine output daily. Why It Matters: Helps in kidney stone prevention by flushing out minerals before they form stones. Strategies: Drink plenty of water, consume hydrating foods, and avoid dehydration. ?? Dietary Misconceptions: Common Myths: Confusion around oxalate, calcium, and animal protein intake. Dr. Sivalingam’s Advice: Tailored dietary recommendations that balance necessary nutrients without increasing stone risk. Key Insight: "Beware of hidden salt. For example, a study showed that the highest source of salt in a patient's diet is from bread." ?? Effective Pain Management: NSAIDs vs. Narcotics: Why NSAIDs are often superior for managing kidney stone pain. Benefits of NSAIDs: Quicker recovery, fewer side effects, and reduced risk of dependency. Dr. Sivalingam’s Perspective: "NSAIDs are superior to narcotics for kidney stone pain, allowing quicker return to daily life." ?? Tune in now to learn more! https://lnkd.in/dYNjpAKs Whether you're a healthcare professional, a patient, or just curious about urology, this episode is packed with valuable insights and expert advice. Don't miss out! #Urology101 #StonePrevention #UrologyEducation #UrinaryHealth #DitchTheLabcoat #DrSriSivalingam #KidneyStones #HealthTips #NSAIDS #Endourology #PreventiveCare #HydrationMatters #PainManagement Stay knowledgeable and prioritize your urologic health! ??

Please check out an article I have written about IBS - which is targeted at medical students/junior doctors - with the help of the wonderful team at Geeky Medics #meded

We're celebrating our phenomenal physicians this week! Meet gastroenterologist Fazia Mir, M.D. Thank you Dr. MIr for being a tremendous member of the Presbyterian team! ?What inspired you to become a physician? From an early age, I was involved in community service at mental health facilities and rural hospitals that had minimal resources. I always wanted to help the underserved population. Becoming a physician meant I could provide compassionate and culturally competent care to a diverse population. ?How did you come to work for Presbyterian? New Mexico is the land of entrapment. With its unique health care challenges in the community, Presbyterian was a natural fit for me due to its presence throughout the state and its mission to provide excellent care to New Mexicans. ?What is the number one question you are asked as a physician in your specialty? Why did I choose to go into Gastroenterology? The digestive system plays a crucial role in overall health, and gastroenterology offers opportunities to delve deep into studying digestive disorders and finding ways to alleviate patients’ suffering, making a meaningful impact on their lives. ?What personal strengths do you feel you bring to your role? Social awareness, accountability and adaptability. ?What’s the best advice you’ve ever received? Always keep an open mind, you don't know what you don't know. ?Tell us something about yourself that most people don’t know? I am a children's book author. My book My Pakistani Quilt is written for ages 0-4 and is available on Amazon. ?What do you like to do outside of work? Writing, reading and hiking.

???????????????????? ???????????? & ?????????? ???????????? ???????? : ???????????????????? ???? ?????????????? ?????????????????????? I recently attended this crash course on management of cardiac emergencies organized by CliMed Academy (CliMed.Edu) on 22nd September, 2024. The topics discussed in the course were : ● Approach to chest pain in emergency. ● Approach to patient with acute Dyspnoea in emergency. ● Management of hypertensive emergencies / crisis. ● Management of acute heart failure. ● Management of acute pulmonary embolism. ● Management of acute aortic dissection. ● Role of clinical pharmacist in cardio emergencies. ● Patient & caregiver counselling tips for cardiovascular patients. ● Role of patients in patient-centric care - insights from CVD patient community. Thankyou Dr. Ajit Singh and all the speakers for organizing such a informative crash course and upgrading our knowledge.

Published! Marcia Facey, Nancy Baxter, Melanie Hammond Mobilio, Moulton Carol-Anne and I just published the following article in *Sociology of Health and Illness:* "The ritualisation of the surgical safety checklist and its decoupling from patient safety goals." https://lnkd.in/g8mRcGBk In it, we use the concepts of ritual and ceremony to explain the gap between the promises of the surgical safety checklist and how it was implemented at Care and Cure, a large teaching hospital in Toronto, Canada. We believe this research has profound implications for how we deploy socio-technical interventions in complex human systems, especially those riddled with hierarchies, power differentials, and expediency imperatives... like the operating room. Tell us what you think!

Consider joining me tomorrow in a special webinar with the Endocrine Society to discuss (An Efficient Clinic, Right Work in Right Time); it'll be Sat 3/9, 2-3 PM EST. Let me know your thoughts and feedback afterward.

????Go Air Force! With a focus on nutrition, physical activity, stress management, sleep, social connections, and avoiding risky substances, L&PM is set to enhance readiness, health, care, and reduce costs. Addressing issues like obesity is crucial for operational effectiveness and national security. Investing in preventive measures showcases the Air Force’s dedication to our personnel’s well-being and our nation’s long-term defense strength. #LifestyleMedicine #MilitaryHealth #NationalSecurity ?????

### Why Sit While Talking to Patients? The attached image is a paper posted in a US residents' room about a study from the University of Kansas in 2012. Researchers randomly assigned 120 hospital patients into two groups. In one group, doctors sat down while talking to patients during daily rounds. In the other group, doctors remained standing. They then compared patient satisfaction with the conversation, understanding of the doctor’s explanations, and perception of the time doctors spent with them between the two groups. **Results:** Patients with seated doctors felt the doctors spent more time with them compared to standing doctors (despite the actual time being longer with the standing group). Additionally, patients with seated doctors rated the conversation as better (95% compared to 61%) and understood the doctor’s explanations more clearly. These results have been observed in other studies as well. Despite these findings, most hospital residents do not sit while talking to patients (for understandable reasons). Another study conducted at Johns Hopkins in 2020 with 256 patients found that more than half of the patients reported that residents never sat while talking to them. However, when residents did sit, patients felt they received better care and that the doctor was not in a rush to see the next patient. When residents were asked why they don't sit, they mentioned several factors: 1. **Lack of available chairs in the room**, which hospitals should address. 2. **Concerns about transmitting antibiotic-resistant bacteria by sitting on the patient’s bed**, although there is no data to support this. However, patients generally dislike it when doctors sit on their beds without permission. 3. **Belief that sitting might prolong the conversation**, which could be true or not, but we are weighing this against the previously mentioned benefits. In 2018, the Internal Medicine program at Baylor introduced "Humanism Rounds." The idea is that you might not be able to sit with the patient in the morning during pre-rounding, but later in the day, if you have time, you can sit in the room and listen to the patient more, thus building a stronger relationship. This is something I have started to apply with my patients, and I have noticed a significant difference. We used to be told to keep it brief with the patient and not to ask about things related to their life outside of medicine. It is now clear that knowing more personal details about the patient improves your relationship with them. These small actions make a big difference to patients and truly contribute to improving their treatment. Any doctor can gradually incorporate them into their daily practice. Picture by Dr Abushouk

?? New Podcast Episode Alert! ?? Hey LinkedIn community! I’m excited to share the latest episode of Ditch the Labcoat, featuring the amazing Dr. Spencer Nadolsky! ??? In this episode, we dive into cardiovascular health, cholesterol management, and the power of lifestyle interventions. Here are three key takeaways you won't want to miss: ?? What is Lipoprotein(a)? Dr. Nadolsky explains why LP(a) is a major risk factor for heart disease and how genetics play a significant role. While there are currently no specific medications to lower LP(a), promising research is on the horizon. Testing for LP(a) is recommended at least once in a lifetime! ??♂? Lifestyle vs. Medical Interventions We explore how diet and exercise are crucial for managing cholesterol and blood pressure, even though significant diet changes may not fully reduce genetically influenced LDL cholesterol. Still, they remain key components of a balanced health strategy. ?? Medications for Weight Loss Dr. Nadolsky breaks down the latest weight-loss drugs, like semaglutide, and how they compare to traditional lifestyle changes and bariatric surgery. Exciting new research shows these medications could soon rival the results of surgery! This episode offers a balanced perspective on blending evidence-based treatments with practical lifestyle changes. ?? Tune in now for insights that can help you make informed decisions about your health journey! Listen here: https://lnkd.in/dYNjpAKs Let’s keep the conversation going—drop your thoughts or questions in the comments below! #Podcast #CardiovascularHealth #CholesterolManagement #HealthAndWellness #MedicalResearch #LifestyleChanges #WeightLoss

The psychology of patient engagement is profound. Isn’t it fascinating to see how simple experiments can empirically motivate the development of more intimate ways to engage with patients! This paper reveals that doctors who sit at a patient’s bedside for a shorter period are perceived by patients as being engaged for longer, compared to doctors who stand at the bedside for an even longer time!