Phorest & Trees April

 

Phorest & Trees Sharing the things I’ve recently been reading... and a few event announcements.

Master Educator

My very dear friend John Norbury, MD received the Brody School of Medicine Master Educator Award for Educational Innovation and Curriculum Development, the highest award for Teaching at the Medical School. I am so so proud of him and glad that he has been appreciated for the hard work and long hours dedicated to teaching. If you haven’t already, check out his Neuromuscular Ultrasound Monograph in Muscle & Nerve. I look forward to seeing him continue to dominate!  READ MORE.

New GMNR

I deep dove into the Meniscus. See attached and Be warned. Geeks only.

A possible game changer for knee OA HEP

We know activity affects knee osteoarthritis symptoms. In 2014 >6000 steps was the magic number of knee OA. This year, an RCT in JAMA showed 72% of 206 participants had clinically important improvement in pain with a free web-based exercise intervention supported by text messaging.  Some of the results were interesting in that those that didn’t adhere were also more likely to depend on injections & meds. Also, control participants tended to go more toward modalities as the study progressed. Limitations were acknowledged but this didn’t affect my feelings about it.

How sex surrogates are helping injured Israeli soldiers

Former trainee rocked my world with this provocative BBC article on intimate relationship rehabilitation after disability. She says “I'm on a 2 week pediatric rotation and didactics was on puberty issues for cerebral palsy kids, including menses and sex ed for the teens and for parents how to support those conversations and their transition into adulthood. Also how to educate them against abuse which is to common in this vulnerable population.” She sent me lots of other great resources and I’ve attached 2 for you.

EMG/AANEM stuff

It is an amazing time for Neuromuscular conditions. Numerous and perhaps seemingly untreatable, lately, treatments are springing up. Take Paramyotonia Congenita which is a channelopathy, seems to be responsive to buprenorphine. May 4, 7:00pm EDT FREE Webinar: Starting a NM Ultrasound Laboratory John Norbury, MD; Michael Cartwright, MD; David Preston, MD; Kris Karvelas, MD. Link to Register. May 13-14 $750 Wake Forest/AANEM Virtual NM Ultrasound Course. Link to Register.

On Doximity

Last time I told you about machine learning in medicine. This time I ask you to think about your role in its evolution. Intertrochanteric takes longer to rehab than femoral neck fracture. “training for clinicians does not address how to manage our internal reactions the way training does for our colleagues in psychology.” They told her it was all in her head Risk/benefit discussion about corticosteroid injections circa COVID vaccine administration. Is It Time to Eliminate Outdoor Mask Mandates? - HIV and ID Observations HIV and ID Observations (jwatch.org) Evidence-Based Medicine Training in US-based Physiatry Resid... : American Journal of Physical Medicine & Rehabilitation (lww.com) by VA physiatrist Thiru Annaswamy A fascinating read on spin in the shoulder review literature.  If you want a copy of the article let me know. A painting reminds the author “In medicine, being present is what happens when a clinician’s connection is untrammeled by a screen or other competing inputs. It’s the focus of mind, spirit, and intent around a moment in time that’s about another person and his or her most pressing problem. Presence, be it in a clinic exam room or with a friend over coffee, is a uniquely human gift..”

Trees

This discussion may challenge some of your long held beliefs, for those of you who teach technical skills (e.g. injections). How to Stop Anti-Science | MedPage Today Thanks to my friend Dr. Michael Mehnert for completely bumming me out with this old case of a doctor being sued for following guidelines. Outsourced (one of my cover bands) will be playing it’s first show since COVID, outdoors. See flyer attached.