What Does It Mean to Be an Invisible?
Many of the Invisibles I met with are at the top of their fields; some are in charge of complex operations and of scores, even hundreds, of workers; many are well remunerated. I wanted to know: How is it, in an age when seemingly everyone is aggressively self-promoting, when we’re told that in order to get ahead we must have a brand or a “platform,” that these people—consummate professionals all—are satisfied with anonymity? How can they have the confidence to do their demanding jobs and yet not the ego to want to be widely known for their work? Despite the diversity of their careers, I found that all Invisibles share certain traits, with three in particular at the core.
Ambivalence toward recognition. We all do work that is anonymous to some extent, but most of us strive for recognition. That is how we feed our sense of self-worth. Invisibles take a different approach. For them, any time spent courting praise or fame is time taken away from the important and interesting work at hand. In fact, their relationship with recognition is often the inverse of what most of us enjoy: The better they do their jobs, the more they disappear. It may only be when something goes wrong that they’re noticed at all.
Johns Hopkins Health Alert – Updated Guidelines for Knee OA
Updated Guidelines for Knee Osteoarthritis
Many nonsurgical treatments are touted as being able to ease the symptoms of knee osteoarthritis, but which ones really work? Last year, the American Academy of Orthopaedic Surgeons (AAOS) issued revised recommendations, updating its 2009 guidelines. The group made two important changes that may affect the way you manage knee osteoarthritis.
- First, if you use acetaminophen (Tylenol) for osteoarthritis pain relief, take no more than 3,000 mg per day. The AAOS formerly advised not exceeding 4,000 mg daily. The change was made to reflect the Food and Drug Administration’s current guidelines for safe use of acetaminophen.
- Second, the AAOS found insufficient evidence that intra-articular hyaluronic acid provides significant symptom relief for knee osteoarthritis so the organization no longer recommends the therapy.
The AAOS continues to give a thumbs-up to some familiar commonsense strategies, such as exercising and a minimum 5 percent weight loss for people whose body mass index (BMI) is greater than 25.
Other highlights: The AAOS is unable to recommend for or against the use of bracing, growth factor injections and/or platelet-rich plasma knee osteoarthritis. In addition, although acupuncture continues to grow in popularity, there is not sufficient scientific evidence to support its use in patients with knee osteoarthritis.
Published online in Treatment of Osteoarthritis of the Knee. Evidence-Based Guideline, 2nd Edition, May 18, 2013
Click to access TreatmentofOsteoarthritisoftheKneeGuideline.pdf
Here’s the link if you want to download the entire set of guidelines in pdf format.
Causes and Evaluation of Mildly Elevated Liver Transaminase Levels – American Family Physician
Demystifying the Congenital Long QT Diagnosis
Demystifying the Congenital Long QT Diagnosis.
The incidence of the congenital long QT syndrome is about 1 in 2500 births. This is likely an underestimate as sudden death with a normal autopsy may be the first and only presentation. There are 12 genes responsible for 3 main types of c-LQTS. The presentation is one of aborted sudden death or brief arrhythmia. This usually manifests as sudden, without warning syncope, near syncope or prolonged syncope with seizures. Many are misdiagnosed with seizure disorder or vasovagal syncope.
Most Emergency Room Super Frequent Users Have Addiction Disorder – MedicalResearch.com
MedicalResearch: What are the main findings of the study?
Answer: We found that within our group of 255 known Emergency Department “super-frequent users,” 77% had with some type of addiction disorder, and 47 percent visited the Emergency Department seeking narcotics for pain. Women were more likely to be narcotic seeking. Using our individualized Electronic Medical Record care plan intervention, created and overseen by our multidisciplinary team (comprised of Emergency Department staff physicians, a psychologist, residents, nurses and support staff), we found that our plan significantly decreased annual rates of visits by these super-frequent users and those who sought pain-relief narcotics and other super-frequent users.
Can Social Security Double as Life Insurance? – LifeHealthPro
Viagra and Melanoma Risk
Viagra Frisky Might Be Melanoma Risky.
Men who used the erectile-function drug sildenafil (Viagra) had almost twice the risk of melanoma compared with men who never used the drug, a study of 26,000 men showed.
Recent sildenafil use was associated with an 84% greater risk of melanoma.
Death Maps
For the morbidly curious professional underwriter.
Death map: The most common causes of death in each state of the union.
How Does Music Benefit the Brain? – Medical News Today
I work from a home office located in Edmond, OK. At the AHOU meeting several years ago in San Antonio, I met up with an underwriting professional whom I hadn’t seen in years. He asked what I was doing. I told him I worked from home.
I’m not surprised. You always talked about working from home.
I listen to music all day long while working. The music is mostly classical, occasionally acoustic guitar, sometimes jazz. I didn’t realize I was feeding my brain.
How does music benefit the brain? – Medical News Today.
But music can do so much more, notes Michael Huckabee, professor and director of the University of Nebraska Medical Center Division of Physician Assistant Education.
In an article about the benefits of music on human health, he writes:
”Music does something beyond our understanding. We can call it an endorphin release or a distraction, but it goes much deeper than that. Somehow music just does us good. And the good it does was just proven to be better.”
He speaks of a finding from researchers in Taiwan, who recently reviewed over 360 published studies on music therapy and concluded the data from these studies suggest cancer patients who routinely listen to music exhibit significantly fewer symptoms of depression, pain, fatigue and anxiety.
Gross Anatomy: Squirrel Tissue in Buttock
Gross Anatomy: Squirrel Tissue in Buttock.
When EMTs arrived on the scene of the boy’s injury, they reported visible “squirrel parts” in the margin of a buckshot wound. Such wounds are not unusual, but how did the squirrel get in there?

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