Oxford University Press's
Academic Insights for the Thinking World
When patients are discharged from the intensive care unit it’s great news for everyone. However, it doesn’t necessarily mean the road to recovery is straight. As breakthroughs and new technology increase the survival rate for highly critical patients, the number of possible further complications rises, meaning life after the ICU can be complex.
The field of anaesthesia is a subtle discipline, when properly applied the patient falls gently asleep, miraculously waking-up with one less kidney or even a whole new nose. Today, anaesthesiologists have perfected measuring the depth and risk of anaesthesia, but these breakthroughs were hard-won.
Vladimir Ilich Ulyanov (aka Lenin) died on this day 90 years ago with cerebral vessels so calcified that when tapped with tweezers, they sounded like stone. He was only 53. He hadn’t smoked and, in fact, had prohibited smoking in his presence.
How are we to understand experiences of depression? First of all, it is important to be clear about what the problem consists of. If we don’t know what depression is like, why can’t we just ask someone who’s depressed?
Given that we see yoga practically everywhere we turn, from strip-mall yoga studios to advertisements for the Gap, one might assume a blanket acceptance of yoga as an acceptable consumer choice. Yet, a growing movement courts fear of the popularization of yoga, warning that yoga is essentially Hindu.
“Sorry mate, I didn’t see you”. It’s a common refrain heard after many a road-traffic collision, describing the frequent type of motorbike accident when a car pulls out at an intersection. It turns out that these sorts of events might be more complicated than they first appear. These sorts of situational awareness failures may in fact result from a well-described, but not well-known, psychological phenomenon called inattentional blindness.
About 500,000 Canadians are living with Alzheimer’s disease or a related dementia. This number is expected to soar to 1.1 million within 25 years. To date, there is no definitive way for health care professionals to forecast the onset of dementia in a patient with memory complaints.
Teachers at medical schools have struggled with a basic problem for decades: they want their students not just to be competent doctors, but to be excellent ones. If you understand a little history, you can see why this is such a challenge.
The country has long had too many specialists and subspecialists, so the common wisdom holds. And, the common wisdom continues, the fault lies with the residency system, which overemphasizes specialty medicine and devalues primary care, in flagrant disregard of the nation’s needs.
“Butler Library smells like Adderall and desperation.”
That note from a blogger at Columbia University isn’t exactly scientific. But it speaks to the atmosphere that settles in around exam time here, and at other competitive universities.
Nurses play a huge role in hospitals, clinics, and various care facilities throughout the world. But, there are some misconceptions about what responsibilities nurses have. Nurses are saving lives and making a difference every day in health care with little recognition from the media or the world at large. Test your knowledge and see how much you really know about what goes into the job of being a nurse.
Sir William Osler, the great physician and bibliophile, recommended that his students should have a non-medical bedside library that could be dipped in and out of profitably to create the well rounded physician. Some of the works mentioned by him, for example Religio Medici by Sir Thomas Browne is unlikely to be on most people’s reading lists today.
Many in the media and academia (myself included) have been discussing the Ebola crisis, and more specifically, the issues that arise as Ebola has travelled with infected patients and health care workers to the United States and infected other US citizens.
Although the number of Ebola cases and deaths has jumped dramatically in the short time since we wrote our December Briefing on the epidemic, there are signs of hope. Ebola is slowing down in areas where there was previously high transmission, in Liberia and in Eastern Sierra Leone for example.
Receiving a cancer diagnosis is emotional and overwhelming for patients. While initially patients may appropriately focus on understanding their disease and what their treatment options are, supportive care should begin at diagnosis and is a vital part of care across the continuum of the cancer experience.
Many students, when asked by a teacher or professor to volunteer in front of the class, shy away, avoid eye contact, and try to seem as plain and unremarkable as possible. The same is true in dental school – unless it comes to laughing gas. As a fourth year dental student, I’ve had times where I’ve tried to avoid professors’ questions about anatomical variants of nerves, or the correct way to drill a cavity, or what type of tooth infection has symptoms of hot and cold sensitivity.