Junk Science! — Authentic Medicine

Did you hear about the headline which claimed that every year 250,000 people in the U.S. die after misdiagnosis…

Junk Science Rules — Authentic Medicine

Anyone who reads this source article will no longer fear going to the local hospital emergency room to avoid a “misdiagnosis”.

Or just go online, Google your symptoms, self-diagnose, stay home and take care of your own sorry ass.

Number of Children Hospitalized for E-scooter Injuries Surge from 2011-2020

Authors of the abstract, “National Trends in Pediatric e-Scooter Injury,” found hundreds of e-scooter injuries between 2011-2020. The rate of hospital admittance for patients increased from fewer than 1 out of every 20 e-scooter injuries in 2011 to 1 out of every 8 requiring admittance into a hospital for care in 2020…

Researchers examined a national database of pediatric e-scooter injuries that were seen in emergency departments at over 100 US hospitals from 2011-2020 to find out what kinds of injuries children were sustaining and if any trends existed. Over 10% of all patients had a head injury, including a concussion, skull fractures, and internal bleeding. The most common injuries were arm fractures (27%), followed by minor abrasions (22%) and lacerations needing stitches (17%). The average age was 11.1 years and 59% of patients were male. Admittance to a hospital rose from 4.2% in 2011 to 12.9% in 2020.

American Academy of Pediatrics. “Number of children hospitalized for E-scooter injuries surge from 2011-2020: During 10-year study, all e-scooter injuries rose, including head injuries and injuries requiring hospitalization.” ScienceDaily. http://www.sciencedaily.com/releases/2022/10/221007085739.htm (accessed October 7, 2022).

Cannabis and Psychosis

Californians voted to legalize recreational pot in 2016. Three years later, emergency room visits for cannabis-induced psychosis went up 54% across the state, from 682 to 1,053, according to state hospital data. For people who already have a psychotic disorder, cannabis makes things worse — leading to more ER visits, more hospitalizations, and more legal troubles, said Dr. Deepak Cyril D’Souza, a psychiatry professor at Yale University School of Medicine who also serves on the physicians’ advisory board for Connecticut’s medical marijuana program.

California May Require Labels on Pot Products to Warn of Mental Health Risks — https://khn.org/news/article/california-marijuana-warning-labels/

Listen to the article above here: https://www.npr.org/sections/health-shots/2022/06/17/1105494283/california-pot-warning-labels

Recreational cannabis use is linked to a heightened risk of emergency care and hospital admission for any cause, finds research published in the open access journal BMJ Open Respiratory Research.

Cannabis use linked to heightened emergency care and hospital admission risks — https://medicalxpress.com/news/2022-06-cannabis-linked-heightened-emergency-hospital.html

Cannabinoid Hyperemesis Syndrome

It’s not entirely clear how cannabis hyperemesis syndrome occurs though there are several theories. One is that since cannabinoids have long-half lives and are lipid soluble, they accumulate in the brain and over time cause symptoms, particularly in young people who may have genetic variations in enzymes which lead to further accumulation. Another theory is that there is a thermoregulatory and autonomic imbalance in the limbic system caused by chronic use. Other suggestions are that with long-term consumption cannabis becomes a receptor antagonist, or that they become down-regulated or de-sensitised over time. This reverses the antiemetic effect of cannabis. It seems that chronic over-stimulation of receptors leads to dysregulation of the body’s control of nausea and vomiting, leading to CHS.

Owen Hibberd . What you need to know about Cannabinoid Hyperemesis Syndrome, Don’t Forget the Bubbles, 2022. Available at: https://doi.org/10.31440/DFTB.48627

I am so glad I never inhaled.

The Dog Doctor Will See You Now

Clinically significant changes in pain as well as significant changes in anxiety, depression and well-being were observed in the therapy dog intervention compared to control. The findings of this novel study contribute important knowledge towards the potential value of ED therapy dogs to affect patients’ experience of pain, and related measures of anxiety, depression and well-being….visiting therapy dog teams had a positive, though small, impact on patient pain and related measures of anxiety, depression and well-being.

Outcomes of a controlled trial with visiting therapy dog teams on pain in adults in an emergency department — https://doi.org/10.1371/journal.pone.0262599


Transient Ischemic Attack (TIA) – a Primer

The incidence of TIA in the United States is estimated to be 200,000-500,000 per year, with a prevalence of 5 million individuals, but is likely underreported.2 Stroke is preceded by TIA in 12-30% of patients and is the 5th leading cause of death in the US, contributing significantly to long term disability.2,3 Strokes occur more commonly in men than women, but women experience more severe morbidity.2,3 Stroke prevalence increases with age and occurs more frequently in black and Hispanic populations.3 It should also be noted that 90% of strokes worldwide occur in the setting of potentially modifiable risk factors which presents an incredible opportunity for early intervention, especially following TIA.2

TIA: Emergency Department Evaluation and Disposition — http://www.emdocs.net/tia-emergency-department-evaluation-and-disposition/?utm_source=feedly&utm_medium=rss&utm_campaign=tia-emergency-department-evaluation-and-disposition

Rocky Mountain Spotted Fever (RMSF)

RMSF is the most common fatal rickettsial illness in the United States.

Overall hospitalization rates are noted be at 23.4% based on aggregated reviews of case reports (Openshaw 2010.

Case fatality rate is estimated to be 5-10% overall (Biggs 2016). If treatment is delayed, case-fatality rates of 40-50% have been described for patients treated on day 8 or 9 of their illness.

Case fatality rate is highest in those over the age of 70 (Amsden 2005).

Without treatment, the case fatality rate is over 25% (Lacz 2006).

Citation: Muhammad Durrani, “Emerging Tick-Borne Illnesses: Not Just Lyme Disease Part 4 RMSF”, REBEL EM blog, November 5, 2020. Available at: https://rebelem.com/emerging-tick-borne-illnesses-not-just-lyme-disease-part-4-rmsf/.

The CFR for untreated RMSF surprised me.

And yet another reason besides bears to stay out of the woods.

Remind me to tell some of my favorite tick stories when we can all gather unmasked to enjoy some food and drink.