Recent content by bobze

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    Type 1 and 2 diabetes at the same time, nonsense?

    Labels, Labels, Labels! We always want labels. Like someone points out, DM is a complicated process and as such is probably better to think of as a process then fixed disease state if you need more than a laymans understanding of it. Typically in medicine we don’t even call it type 1 and type...
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    Unusual Patient -- Pulse Pressure Varying Every Few Seconds

    I suspect if she is a "healthy 45yoF" well accustomed to athletic competition this would not be the case. As you mention, the important word is young when we think of pt's with HOCM. It’s hard to know without being able to examine the patient myself and without the knowing all the exact...
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    Does CNS in spine have single fiber per inervated muscle?

    There is not a single neuron that goes from the brain to the toe. There is however a group of connected neurons that travel this path. For muscle innervation it's pretty straightforward 1:1 type connections. It gets more tricky for sensory input where you do have "packet addressing". In fact we...
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    Ammonia in breath or sweat after exertion or strenuous exercise

    Astronuc, Your quote sounds good. The ammonia cycle: http://web.campbell.edu/faculty/nemecz/323_lect/Nitrogen_metabolism/images/ammonia-transport.jpg Pretty much sums it up. Typically when patients have "ammonia" or urine smelling breath that is medical buzzwords for kidney disease. That is...
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    AWARE—AWAreness during REsuscitation

    Continued...
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    Why haven't other organisms evolved humanlike intelligence?

    Junk to say the least; http://aquaticape.org/"][/PLAIN] aquaticape.org A good critique on the "science" of AAH.
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    Management Of Birth When Mother Has Low Platelets

    This. We can and do often take people to the OR with thrombocytopenia. Because in a controlled setting when you are dissecting tissue planes, it is easy to clamp, apply pressure, bovie (electrocautery) or suture your way to hemostasis. In traumatic bleeding you have an uncontrolled...
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    Will a planet facing its star always support life ?

    Since we have no real examples we cannot say for sure. I've thought about this before. I don't see why it would be impossible given the correct conditions. I think it would depend on lots of factors, such as atmosphere composition, distance to star, etc. Maybe the twilight zones on either pole...
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    Reducing Diabetes: From 200 to 90 Before Breakfast

    I'm with Ryan, I'm still not really understanding your question. If a patient has a resting blood sugar of 200 before breakfast even, at this point they would be past most medications and require insulin (basal + short acting). Patients in a pre-diabetic state for type II diabetes (blood...
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    Reducing Diabetes: From 200 to 90 Before Breakfast

    Can you clarify your question? What "diabetes number" are you talking about?
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    What is Sepsis and How Does It Differ from Localized Infections?

    Close. Sepsis is SIRS + a source infection. SIRS criteria are 2+ of the following: -temp >101 or <96.8 -tachycardia >90 bpm -tachypnea >20 -PCO2 <32 -Hyperglycemia >120 (w/o DM) -WBC >12000 or <4000 Thus SIRS is, itself nonspecific and can be caused by non-infectious pathology. When it...
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    Why don't we evolve into microbes?

    Tails aren't free to make. Think about it from a cost-benefit analysis.
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    Why can't I eat old cooked meat?

    The simple answer is like Adjacent pointed out. Microorganisms are ubiquitous in our environment. Including spoilage organisms. This doesn't mean that they are pathogens necessarily, but they can impart unfavorable properties to already cooked food. Like a bad taste or smell. Particularly...
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    Why are cancer rates skyrocketing ?

    I'd weigh in with the others who discussed aging. Cancer risk is largely a function of age and/or exposure to a mutagen. Particularly in tissues that are very active throughout a person's lifetime; like the GI tract. Increased cellular turnover leads to more chances for something to go wrong...
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    Why can't spinal anaesthesia work from chest down?

    Yes, you can but for the same reasons mentioned before general anesthesia is preferred. Its really operator dependent, hospital policy, drug availability, anesthesiologist dependent etc. Epidurals take more training and skill to administer than spinal blocks. There isn't much difference...
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