tag:blogger.com,1999:blog-36696066610782922282012-02-16T07:11:23.027-05:00People participate in journal clubs or book clubs. Geek Club is my affectionate term for documenting summaries of all the geeky stuff I read. I work as a physiatrist at the East Orange VA hospital in NJ. This may also serve as a resource for the residents who rotate through there.Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.comBlogger211100tag:blogger.com,1999:blog-3669606661078292228.post-22200694094028201592010-08-08T01:21:00.000-04:002010-08-08T01:21:47.321-04:00

Antioxidants, although great in general, could be getting in the way of the beneficial effects of exercise. Vitamin D seems to have a beneficial effect on falls. # needed to treat is 15 (to prevent 1 fall) and the dose is 800IU.

Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.com0tag:blogger.com,1999:blog-3669606661078292228.post-77042850755774644632009-03-22T15:44:00.001-04:002009-03-22T15:45:17.969-04:00

gene involved in nerve breakdown?learning about Resveratrol for my uncle.

Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.com0tag:blogger.com,1999:blog-3669606661078292228.post-47279166148932713582009-02-06T12:45:00.000-05:002009-02-06T12:46:20.157-05:00

A great review of vertebral endplate http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=16816945#CR15 Introduction and conclusion From Bone. 2009 Feb;44(2):372-9. Epub 2008 Nov 11The cranial endplate of thoracolumbar vertebrae is injured more often than the caudal [1], [2], [3], [4], [5] and [6], and anterior wedge fractures in elderly patients usually involve the cranial

Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.com0tag:blogger.com,1999:blog-3669606661078292228.post-24038675107472872402008-11-19T21:01:00.002-05:002008-11-19T21:11:48.453-05:00

Foot orthoses and physiotherapy in the treatment of patellofemoral pain syndrome: randomised clinical trialFoot orthoses and physiotherapy in the treatment of patellofemoral pain syndrome: A randomised clinical trialhttp://d-med.com/orthaheel/Knee_Pain.html#

Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.com0tag:blogger.com,1999:blog-3669606661078292228.post-51556839762221681462008-07-09T22:54:00.002-04:002008-07-09T23:03:19.692-04:00

secrets of medical success: this was a great set of advice that may seem obvious.Slower recovery after 2-incision surgeryHyperdense bones can be the result ofosteopetrosishypervitaminosis D,hypoparathyroidism,myelofibrosis,Paget disease,lead toxicity,diffuse skeletal metastasis of breast or prostate cancer,pseudohypoparathyroidism,fluoride toxicity,beryllium toxicity,sickle cell disease,leukemia

Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.com0tag:blogger.com,1999:blog-3669606661078292228.post-27490218017823221602008-06-16T15:57:00.002-04:002008-07-09T23:04:13.187-04:00

Thanks to dr. patel for pointing this out.

Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.com0tag:blogger.com,1999:blog-3669606661078292228.post-73292147438615868522008-05-10T01:12:00.001-04:002008-05-10T01:22:38.105-04:00

According to Dumitru, there are two "communicating branches" in the majority of brachial plexi. One of them is a connection between the medial and lateral pectoral nerves. The second is referred to as "lateral root of the ulnar nerve" which is present in 43 to 92% of brachial plexus dissections. This suggests that it is not an anomaly but a major portion of the brachial plexus ignored in

Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.com0tag:blogger.com,1999:blog-3669606661078292228.post-37065631388186378582008-04-27T15:25:00.002-04:002008-04-27T15:28:21.562-04:00

Effects of a New Radio Frequency–Controlled Neuroprosthesis on Gait Symmetry and Rhythmicity in Patients with Chronic HemiparesisClaimed to have improved gait rhythm and symmetry over 5 years after the stroke. Could be effective for our patients?

Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.com0tag:blogger.com,1999:blog-3669606661078292228.post-73793196119791884442008-04-14T15:05:00.001-04:002008-04-14T15:06:24.106-04:00

"Following a first-time anterior dislocation of the shoulder, there is a marked treatment benefit from primary arthroscopic repair of a Bankart lesion, which is distinct from the so-called background therapeutic effect of the arthroscopic examination and lavage of the joint. However, primary repair does not appear to confer a functional benefit to patients with a stable shoulder at two years

Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.com0tag:blogger.com,1999:blog-3669606661078292228.post-77620012626287462672008-02-14T19:21:00.000-05:002008-02-14T19:22:22.650-05:00

January 8, 2008 — Temporary or permanent discontinuation of bisphosphonate therapy should be considered in patients who present with severe musculoskeletal pain, the US Food and Drug Administration (FDA) warned healthcare professionals yesterday. Overlooking bisphosphonate therapy as a causal factor may delay diagnosis, thereby prolonging pain and/or impairment and the use of analgesics. In

Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.com0tag:blogger.com,1999:blog-3669606661078292228.post-85555754630131482512008-02-14T19:02:00.003-05:002008-02-14T19:06:55.965-05:00

It's common medical knowledge that autoantibodies are associated with the use of certain medications. We memorize the small list of board relevant meds that cause lupus-like symptoms. More have been reported and they're common: minocycline, tnf alpha biologics, aromatase inhibitors, sulfasalazine and statins.Although many patients develop autoantibodies, only a minority develop autoimmune-like

Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.com0tag:blogger.com,1999:blog-3669606661078292228.post-77370875723584024802008-01-21T15:24:00.000-05:002008-01-26T20:58:37.142-05:00

It's now 1:30 a.m. on January 21, 2008. I received two phone calls from my buddy Gary. I missed both of them. Maybe it was fortunate. The voicemail said that Jim McLean had passed this weekend during the snowboarding accident in Colorado. I saw that Jim's brother Justin had also left a message so I called him back. I actually started to get just a slight bit of emotion coming through my voice. I

Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.com10tag:blogger.com,1999:blog-3669606661078292228.post-78543785127657456762008-01-19T14:48:00.000-05:002008-01-19T15:00:08.552-05:00

In England they found advice and manual therapy or advice alone to be more cost effective than ultrasound (duh!)Hemiarthroplasty was found to have better outcome compared to internal fixation in 222 femoral neck fractured patients in Norway.Radial contrast-enhanced CT can detect acetabular labrum injury almost as well as MRI (confirmed by arthroscopy). So go ahead and use it when MRI is

Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.com0tag:blogger.com,1999:blog-3669606661078292228.post-16359799132111106852008-01-12T14:01:00.000-05:002008-01-12T14:03:07.262-05:00

I wish I could read this article in its entirety. I can't tell if there is any appreciable benefit or not.I'm going to need to review this at some point.

Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.com0tag:blogger.com,1999:blog-3669606661078292228.post-44554789448574259402008-01-12T00:48:00.000-05:002008-01-12T00:51:04.766-05:00

Zoledronic acidA bisphosphonate used for hypercalcemia of malignancy.NEJM recommends infusion to improve morbidity and mortality after hip fracture.Has a well established safety profile.Meta Analysis of Ca Vit D to prevent fractures and bone loss in age 50 and over:"Evidence supports the use of calcium, or calcium in combination with vitamin D supplementation, in the preventive treatment of

Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.com0tag:blogger.com,1999:blog-3669606661078292228.post-52071497549259735032008-01-10T09:36:00.000-05:002008-01-10T15:55:57.868-05:00

Jones Fracture is a frx at base of fifth metatarsal at metaphyseal-diaphyseal junction not to be confused with the much more common 5th metatarsal styloid avulsion, os peroneum, or stress fracture (chronic jones). Conservatively treat (if minimally displaced, is 3 months old, and radiographs show frx w/o evidence of non-union) with non-wt-bearing cast for 6-8 wks .Pes Anserine bursitis good ol

Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.com0tag:blogger.com,1999:blog-3669606661078292228.post-27991985303720427002007-12-27T22:27:00.000-05:002007-12-29T14:07:28.028-05:00

In an effort to understand a vegetarian family member's persistent anemia and osteopenia, i came to suspect that they could be inter-related. Nutrition was defiinitely an under-represented component in my training.Calcium supplementation in clinical practice: a review of forms, doses, and indications."Most Americans do not meet the adequate intake (AI) for calcium; calcium supplements can help

Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.com1tag:blogger.com,1999:blog-3669606661078292228.post-43995310670205184282007-12-26T10:34:00.000-05:002007-12-29T13:58:45.339-05:00

Recently a friend was diagnosed with PVNS as a cause of knee pain. It's a fascinating disease. I have compiled and plagerized some of my readings. References at the end. Epidemiology: Uncommon but not necessarily rare (1.8 cases per 1 million people per year). Affects synovial lined joints, bursae, and tendon sheaths. The knee is the most commonly affected joint, followed by the hip, ankle,

Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.com0tag:blogger.com,1999:blog-3669606661078292228.post-1544189243582061982007-12-25T13:04:00.001-05:002007-12-25T13:12:24.271-05:00

Arch Intern Med. 2007;167:1172-1176."Physicians should be encouraged to shake hands with patients but remain sensitive to nonverbal cues that might indicate whether patients are open to this behavior," the authors write. "Given the diversity of opinion regarding the use of names, coupled with national patient safety recommendations concerning patient identification, we suggest that physicians

Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.com3tag:blogger.com,1999:blog-3669606661078292228.post-17866726187209450182007-12-25T13:00:00.000-05:002007-12-25T13:04:27.377-05:00

Lancet. 2007;369:993-999, 968-967.March 22, 2007 — Preliminary experience in 5 patients with degenerative spine disease suggests that transplantation of fresh-frozen intervertebral disks preserved motion and stability of the spinal unit, despite some signs of mild degeneration in the disks over follow-up. Neurologic symptoms in all patients were also improved compared with before-surgery

Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.com2tag:blogger.com,1999:blog-3669606661078292228.post-58542405859615818752007-12-25T12:34:00.000-05:002007-12-25T12:39:18.035-05:00

People participate in journal clubs or book clubs. Geek Club is my affectionate term for documenting summaries of all the geeky stuff I read.I work at the East Orange VA hospital in NJ. This may also serve as a resource for the residents who rotate through there.I hope you will enjoy.

Gautam Mhttp://www.blogger.com/profile/02372197752368570169noreply@blogger.com