Tuesday, September 27, 2005

Just the facts, people, I'll trade them for yarn.

Thank you for the good thoughts, virtual brownies and cheering on; the funk has almost passed and now I’m close to being back in the swing of things. I’m still not happy about my current situation but tomorrow morning when my classmates are all up and out of here by 6:30am I will simply remember that studying all day and night can start at 9am, and the happiness will commence.

This arrived today - do you know what it is?

I call it "Influence du Claudia."

I’ve done what many have suggested and planned ahead for some study “breaks.” I had such a good time at Julia’s dye day this summer that I thought I’d give dying things (sans koolaide) another go. The problem? The knitpicks yarn that I ordered last week still isn’t here (whereas the prochem dyes I ordered the day before last just arrived). Time for me to scope out the local thrift shops and see if I can find an old (but still working) crockpot, and then I need to have someone “borrow” a few exam gloves for me. I think this will be an excellent weekend “midstudytime” break. (I’m still not exactly sure how this all works, but there was a sheet of directions included in the box of dyes and in the end it’s all about the process, not so much the end product. (because as we all know that can be overdyed again if needed.))

Contests are big in the knitting blog world. I’ve been known to come out of lurkdom to leave a guess, an estimate, a name or a phrase. As I read through my review books I’ve come to realize that they are simply lots of facts, all smooshed together in highlightable bold print bound in book form. I can only read one book for so long before it all starts to look the same, then I have to pick up another book for a few hours. Reading facts is interesting, but it’d be much more fun if I were reading them from people I “know.”

So here’s the deal. I went through my stash and came up with a few different yarns. If you leave me a factual medical comment then I’ll put your name into a drawing for the yarn. The fact can be anything related to medicine – it can be a definition of a medical term, a statistic or behavioral health piece, symptoms of a disease, how a prescription drug works or any other bit of information regarding biochemistry, physiology, etc. I ask that they please be from reputable sources and warn you that if it doesn’t make sense to you it will probably make sense to me. Did someone in your family come down with something last year? Do your kids take a medicine that you don’t fully understand? Now is the time to read up on it, and let me know what you find out.

The “prizes” (truthfully I think I’m the one who wins in this) are: two skeins of Noro Keyuron, a skein of cascade 220 quatro and two skeins of sock yarn. Three names will be picked sometime on Saturday, and winners will be announced in the “happiness is” post on Sunday. There’s no deadline for leaving a fact, but I’ll only consider names left before Friday a midnight, EST. Leave as many facts as you like, but for simplicity each person gets one entry. (I know that comments are tricky with blogger – if it gives you the option to put an email address or blog link please do that! I’ve had trouble trying to return comments with dead links!)

Now it’s back to the books.(my next study break will be to share pictures from the weekend; no promises on what that’ll appear.) Happy fact-finding!

regia sock yarn, cascade 220 quatro and noro

(another picture, the colors are mostly true. It's hard to see but the sock yarn has blue, grey, black and white "specks.")


Blogger Maria said...

Wow! I get to leave the first comment, and first fact! Let's see...
There are many motivators for the baby to take the first breath:

temperature change
light stimulation
physical stimulation
lack of oxygen supply (since the cord is cut)
negative pressure in the chest cavity resulting from the recoil of the chest after exiting the vaginal canal

Does that help?

2:18 PM  
Anonymous Anonymous said...


ok, my topic - eclampsia & pre-eclampsia. It occurs in 1 out of 2000 to 3000 women (apparently that's .05 to .2% of all pregnancies) (pre-eclampsia occurs in 5% of all pregnancies). Symptoms are (from http://www.emedicine.com/emerg/topic796.htm):

"Most patients with eclampsia have systolic BPs higher than 160 mm Hg or diastolic BPs higher than 110 mm Hg; however, eclampsia can occur with minimally elevated BP. In addition, most patients have signs and symptoms representative of end-organ damage prior to development of seizures; these include headache, visual disturbances, confusion, abdominal pain, impaired liver function with elevated liver enzyme levels, proteinuria, oliguria, pulmonary edema, generalized peripheral edema, microangiopathic hemolytic anemia, thrombocytopenia, and fetal growth retardation."

There's no definition idea of the cause - but here's one theory - http://www.wrongdiagnosis.com/p/preeclampsia/causes.htm
reduced placental perfusion due to abnormal implantation of the blastocyst and abnormal remodeling of the maternal vessels that supply the intervillous space.

Maternal remodeling of vessels - who knew! Sara

3:55 PM  
Blogger claudia said...

Can someone get you access to a gram scale and a big syringe??

4:21 PM  
Anonymous Anonymous said...

Viruses play a large part in upper respiratory tract infections. Common symptoms such as cough and a runningnose are usually due to rhinoviruses. "Croup" and more severe upper respiratory infections are usually due to respiratory syncytial virus (RSV)and influenze and parainfluenze viruses. These viruses can also cause lower tract infection and are an important cause of morbidity and mortality in the very old and very young. (Cases in Medical Microbiology and Infectious Diseases, 3rd Edition, p. 57).

What a fun "contest". As the mom of a new baby last winter, I hate RSV season.

emileewells at hotmail dot com

5:37 PM  
Blogger Carina said...

I am a practicing internist and spouse of a knitter- this is on her blogger account.

The fundamentals of treatment of heart failure are-
1. Beta blockers, beta blockers, beta blockers- carvedilol appears to be best but all have HUGE morbidity and mortality benefits, even better in dilated cardiomyopathy of any cause.

2. ACE inhibitors or ARB's, especially with Left Ventricle Hypertrophy and after MI.

3. Statins for all.

4. Diuretics as needed, but don't volume deplete a right heart failure patient, they need the extra venous pressure for right ventricle filling.

5. Digoxin is appropriate in dilated states, but may worsen diastolic dysfunction.

6. Spironolactone or Eplerenone for post MI with low ejection fractions. Watch the potassium levels with ACE inhibitors, though!

7. Milrinone and Amrinone in decompensated heart failure is very, very iffy, as the best data are only in the first few hours.

8. Most need aspirin or plavix.

9. Low Sodium diet (<2 grams Na daily)

10. Avoid calcium channel blockers and alpha blockers in general.

Hang in there- the practice of medicine bears little resemblance to the attainment of the degree, it's WAY better!

(I called on Hubby for this one, which is probably cheating. *blush*)

7:25 PM  
Anonymous Anonymous said...

Here's your neurology fact:

Oligodendrycytes produce myelin, the substance that insulates axonal pathways like the insulation on an electrical cord.

Cao et al recently published an article in the Journal of Neuroscience demonstrating in an animal model that a combination therapy can stimulate stem cells to mature into oligodendrocytes that remyelinate a damaged spinal cord.

This therapy has potential to treat patients with spinal cord injury and may have applications in other diseases such as MS and Parkinson's.

(No, I'm not a physician or a scientist, but I do their PR.)

eefdg at yahoo dot com

7:27 PM  
Anonymous Kim said...

hmmm....let's see. Pyloric Stenosis is an obstruction just outside the stomach, leading into the intestines. Frequently seen in male babies and is hereditary. Projectory vomit is an indicator....ick. Ask me how I know this, given that I am not a doctor?? My son had surgery for it at 5 weeks old and my grandmother lost a baby boy to it as well.

9:25 PM  
Blogger Kristin said...

Alright. My first comment is that I have never thought about the Krebs cycle since I took that silly exam. Second, Sara's source for preeclampsia/eclampsia was right on the nose. Thirdly, here is my fact for the day - LH surges mid cycle to stimulate ovulation. I know it isnt much, but it is all I can think of so late tonight. Good luck with the studying and enjoy those scheduled breaks.

9:39 PM  
Blogger Norma said...

According to the Centers for Disease Control, the main way that influenza viruses are spread is from person to person in respiratory droplets of coughs and sneezes. (This is called "droplet spread.") This can happen when droplets from a cough or sneeze of an infected person are propelled (generally up to 3 feet) through the air and deposited on the mouth or nose of people nearby. Though much less frequent, the viruses also can be spread when a person touches respiratory droplets on another person or an object and then touches their own mouth or nose (or someone else’s mouth or nose) before washing their hands.

10:19 PM  
Anonymous mamacate said...

Man, I could go on and on about infertility and recurrent miscarriage stuff, but how about this: the basic workup for infertility should be done at 1 year of unprotected intercourse for women under 35, after 6 months for women over 35. The workup consists of a blood draw on day 3 of the cycle to test FSH (to test for ovarian reserve; depending on the lab, levels above 10-15 indicate low ovarian reserve) and estrogen (e2). E2 over 50 calls into question a normal result on the FSH, and a follow-up clomphine citrate challenge test should be done. Thyroid (generally just TSH but don't get me started on free and total t3 and free t4) is also usually checked, as is prolactin level. A day 21 progesterone test might be used later to determine if ovulation has happened.

The other standard test is a hysterosalpingiogram, an x-ray of the uterine cavity and tubes to check for abnormalities like fibroids, polyps, and blocked tubes.

Male factor infertility is generally evaluated by a semen analysis, looking at head, midsection...no, just kidding...looking at count, motility, and morphology.

Both partners may also be karyotyped to rule out a genetic disorder, and if endometriosis is suspected, exploratory laparascopy may be undertaken.

I was surprised that I didn't just find an easy summary of the workup, but that's probably because nobody agrees. Here's something from pubmed. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=14614195&query_hl=7 My search terms were basic evaluation of infertility.

Oh, and post-coital test (so freakin' ridiculous) has been proven worthless. Yeah, that's where you have sex and then go to the doc to see if the boys are still swimming. Oy.

10:57 PM  
Anonymous Cordelia said...

Symptoms of hypothyroidism include:
weight gain or increased difficulty losing weight
coarse, dry hair
dry, rough pale skin
hair loss
cold intolerance
muscle cramps & frequent muscle aches
memory loss
abnormal menstrual cycles
decreased libido.
Patients will show some collection of these symptoms.

Hypothyroidism is treated with artificial thyroid stimulating hormone. The most popular brand-name medicine is Synthroid. A common generic-name is Levoxyl. Dosage is in micrograms, rather than milligrams.

12:00 PM  
Blogger Rossana said...

I'm glad to hear you are feeling less blue. =)

With regard to a medical tidbit, this morning I was reading the NYT online and learned more about how devastating life can be for women who have obstetric fistulas. "Mostly teenagers who tried to deliver their first child at home, the girls failed at labor. Their babies were lodged in their narrow birth canals, and the resulting pressure cut off blood to vital tissues and ripped holes in their bowels or urethras, or both." That in and of itself is terrible, but those who continue to live are often shunned by their husbands, family and villagers. The article also includes stats such as how "One in 18 Nigerian women dies during childbirth, compared with one in 2,400 in Europe, the Population Fund says."

4:43 PM  
Anonymous Kat said...

Hemochromatosis is the most common genetic disorder afflicting Canadians. It is a crippling, potentially fatal condition caused by IRON OVERLOAD in the blood and tissues. The complications caused by the disorder are preventable.

Phlebotomy, or blood letting, are the most common treatment for hemochromatosis. How much blood and how often it is taken is dependent on the patient, their tolerance, and their iron levels.


I now have a mental image of Steve Martin as Theodoric of York in my head. (http://snltranscripts.jt.org/77/77rtheodoric.phtml)

5:11 PM  
Anonymous Anonymous said...

Okay, here's mine.

coumadin (warfarin sodium) levels are very tricky to titrate. It comes in 10 strengths and generics are available. There are different theruapeutic levels (PT/INR) depending on why you are taking coumadin.
Melissa (mmgantt @ yahoo dot com)

4:59 AM  
Anonymous Anonymous said...

I borrowed these facts from my daughter's study notes. I knit, she doesn't. She has a 4.0 gpa so I am assuming these are correct! Perfect through a mom's eyes, of course!

A bluish-black or gray white line along gum line is seen in lead poisoning

Stensons ducts?
Parotid ducts across from second molars

Canker sores may be caused from?
Adrenalcortical insufficiency
Black tongue indicates?
Bismuth toxicity

Smooth reddish shiny tongue with no papillae (black hairy)
Niacin or vit B12 deficiency

Atrophied tongue or fasciculations?
Cranial nerve damage

Connection on Underside of tongue

Wharton duct under tongue on side

Induration increases likelihood of cancer

Side of the tongue is most common site of tongue cancer

Decreased tongue strength may be from?
12th hypoglossal nerve damage or shortened frenulum

loss of taste discrimination occurs with?
Zinc deficiency and 7th cranial (facial) damage

Torus Palatinus?
Bony hard protuberance in midline of hard palate seen in Eskimo, native American, asian women

Deep purple flat or raised lesions may indicate?
Karposi sarcoma

Fruity breath?

Amonia breath?

Sulfur odor?
Fetor hepaticus: occurs in endstage liver disease

Bifid uvula is common in whom?
Native Americans

7:13 AM  
Blogger J. said...

Okay here you go...

These are symptoms of...

* gas
* recurring abdominal bloating and pain
* chronic diarrhea
* pale, foul-smelling, or fatty stool
* weight loss / weight gain
* fatigue
* unexplained anemia (a low count of red blood cells causing fatigue)
* bone or joint pain
* osteoporosis, osteopenia
* behavioral changes
* tingling numbness in the legs (from nerve damage)
* muscle cramps
* seizures
* missed menstrual periods (often because of excessive weight loss)
* infertility, recurrent miscarriage
* delayed growth
* failure to thrive in infants
* pale sores inside the mouth, called aphthous ulcers
* tooth discoloration or loss of enamel
* itchy skin rash called dermatitis herpetiformis

Wait for it... Celiac Disease.

A person with celiac disease may have no symptoms. People without symptoms are still at risk for the complications of celiac disease, including malnutrition. The longer a person goes undiagnosed and untreated, the greater the chance of developing malnutrition and other complications. Anemia, delayed growth, and weight loss are signs of malnutrition: The body is just not getting enough nutrients. Malnutrition is a serious problem for children because they need adequate nutrition to develop properly.

8:18 AM  
Blogger Lauren said...

tendonitis is the inflamation of tendons in say, a hand (which i would like to type with but can't quite manage to do very well today. Said inflamation causes pain and decreses mobility. The inflamation of the tendons prevents them from gliding smoothly which makes moving the muscle painful.
Thanks for giving me some incentive to look into the pain in my ass condition which i generally try to ignore.
Hope this makes some sense it was helpful to me (generally don't think about the connection between my muscles movement and the tendons connected to them(all typo's are to be blamed on the brace and not my inability to spell okay?)
Good Luck with Boards!

6:26 PM  
Blogger Lorette said...

HELLP syndrome:

Hemolysis with a microangiopathic blood smear, elevated liver enzymes, and a low platelet count. Occurs in 10-20 % of women with severe preeclampsia, most are diagnosed at between 28 and 36 weeks gestation.
20% of patients have a DIC like picture. Presents in third trimester with abdominal pain and tenderness, nausea, vomiting, malaise. Jaundice and bleeding are uncommon at presentation.
(We're visiting my sister-in-law, whose niece had this 6 months ago--mom and baby are now fine!)

9:51 AM  

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