BOARD CERTIFICATION EXAM STUDY GUIDES Lower Extremity Trauma
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Posted on September 13, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
ABOUT NOSE SWAB KITS
***
BY. DR. DAVID EDWARD MARCINKO MBA
What is an at-home Covid test?
There are two types of tests for COVID-19. Viral tests tell you if you have a current infection, and antibody tests tell you if you’ve been previously infected.
If you’re experiencing symptoms or think you’ve been exposed to COVID-19, contact your health care provider or your state or local public health department to find out where you can get tested. Tests are available at many health centers and some pharmacies. Call in advance to see if an appointment is required. The testing process and timeline for results vary by location.
But – Rather than having a doctor or health professional get all up in your nostrils, you can swab yourself and get the results in less than an hour. At-home rapid tests (known as “antigen” tests) are less reliable than the lab-based PCR [polymerase chain reaction] test, but experts say they can be an extremely useful tool for allowing life to proceed semi-normally.
NOTE: PCR means polymerase chain reaction. It’s a test to detect genetic material from a specific organism, such as a virus. The test detects the presence of a virus if you have the virus at the time of the test. The test could also detect fragments of the virus even after you are no longer infected.
Problem is, in the US over-the-counter rapid tests are expensive and scarce.
Abbott Laboratories sells a two-pack for $24, and Quidel’s QuickVue sells a test for $15. But even if you are willing to shell out for one, good luck finding a rapid test on pharmacy store shelves or on e-commerce websites, where they’re often sold out.
Posted on September 2, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
By Ivan Gazit, Roei Shlezinger, Galit Perez, Roni Lotan, Asaf Peretz, Amir Ben-Tov, Dani Cohen, Khitam Muhsen, Gabriel Chodick, Tal Patalon
***
Experts advise people who’ve had COVID-19 to get vaccinated. Still, natural immunity seems to provide stronger, more lasting protection than vaccines alone.
And, it’s a staggering number: Nearly 39 million Americans have had confirmed coronavirus infections – almost 12% of the population.
A spate of new research suggests that natural infection can offer powerful long-term protection against the coronavirus, but that immunity isn’t guaranteed. So researchers still recommend a full vaccine course to lower the risk of reinfection for people who’ve had COVID-19 before.
Here’s how to understand your immunity if you’ve had COVID-19.
I recently learned from Bloomberg editor David Shipley that the American citizenship test wasn’t standardized until the 1950s, and before that aspiring citizens were quizzed on their understanding of American history by a judge. It was … pretty hard.
Here are several questions you might’ve been asked to become an American citizen in 1944. How would you do? Answers at the bottom of this post.
Which of the following states seceded during the Civil War? Florida, Maryland, Delaware, Kentucky*
Which of these cities has not been a capital of the US? NYC, Boston, Princeton, Philadelphia
Where must all bills intended to raise revenue originate? Popular referendum, the House, the Senate, the president
Which was not one of the original 13 colonies? South Carolina, Massachusetts, Georgia, Maine.
HAVE A GREAT MONDAY OFF
And, thank you if working today.
Citizenship test: 1) Florida seceded 2) Boston wasn’t a capital 3) Bills to raise revenue must originate in the House 4) Maine wasn’t an original colony
Posted on May 24, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
Have you gotten your COVID-19 vaccine yet?
Haven’t gotten your COVID-19 vaccine yet? Now’s your chance! Find a COVID-19 vaccine provider near you quickly and easily with the redesigned Vaccines.gov website. Vaccines.gov COVID-19 vaccines are the best way to protect yourself and your loved onesfrom COVID-19 — and an important tool to help us get back to normal.
And remember, the vaccine is available at no cost to you at doctor’s offices, clinics, hospitals and retail pharmacies across the country.
Already vaccinated? That’s great! Visit CDC.gov to see the activities you can do safely when you’ve been fully vaccinated.
Posted on May 21, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
A Vulnerable Population – Infographic
By NIHCM Foundation
Each year, an estimated 4.2 million youth and young adults experience homelessness in the United States. Every night, thousands of young people experience homelessness without a parent or guardian – going to sleep without the support and stability of a family or a home.
Among homeless youth, 40% identify as LGBTQ and they have more than twice the risk of being homeless than their heterosexual peers. This infographic explores youth homelessness, risk factors for becoming homeless, the health toll associated with being homeless, and what can be done to address this crisis.
I wish to make one clarification and one prediction regarding employed physicians.
The clarification is this: There is a common misconception that if healthcare operated under free market conditions, it would primarily be a cottage industry of solo practices and of small physician-owned hospitals. Such operations would not develop the capabilities of large healthcare entities that we commonly associate with central planning.
ASSESSMENT: In reality, however, the opposite would be the case.
Emerging fintech apps are looking to apply this lending model to sectors, from health care to travel to rent. Sure, people are growing acclimated to dividing their purchases into four easy payments, even applauding the option to do so.
But no matter how you frame it, the pitfalls of these plans seem to be, unfortunately, just more debt.
Buy now, pay later providers Klarna, Afterpay, and Quadpay spent years slowly infiltrating the retail market. The pandemic has accelerated their popularity among all sorts of online brands
Posted on May 16, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
EDITOR’S POINT OF PRIVILEGE
This week, for the first time in a year, I took a walk without wearing a mask. It was all going great until I saw a woman walking her dog approach me. She was wearing a mask, and my body instinctively moved to cross the street to give her space. It made me realize that we’ve been living in fear of other humans, which is pretty sad.
Pandemic-era habits die hard, but I’m confident we can once again re-wire our brains to view other people not as biological vectors for disease, but as … people, just with germs.
So, here’s to hoping this summer, we’ll learn to come together as quickly as we learned to distance.
Posted on May 14, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
Network of the National Library of Medicine [NNLM]
[By Charlene Ice]
DEFINITION: Transgender people have a gender identity or gender expression that differs from the sex that they were assigned at birth. Some transgender people who desire medical assistance to transition from one sex to another identify as transsexual.
And so, the Network of the National Library of Medicine Pacific Southwest Region at the UCLA Biomedical Library and Southeastern Atlantic Region at the University of Maryland-Baltimore are excited to announce the first NNLM Transgender Health webinar series.
With approximately 1 million adults in the U.S. identifying as Transgender/Gender Non-Binary (TGNB), this series will promote awareness of the social determinants of health, health disparities, and resilience in these individuals and communities.
Bill Gates has been a business hero for me for the past 35 years. I even met him, once briefly back in the day. So, the marital union of the Microsoft Founder and Melinda French seemed perfect, and their marriage stood the test of time as it neared the three-decade mark, a rare feat in the world of A-list couples.
Sadly, when they announced their split on Twitter this week, many were shocked, even heartbroken. People reflected on their own marriages and wondered how they could make it work if the Gates’ could not.
And collectively, we found we cared about the split — a lot.
But, what about physician colleagues and divorce?
Do we doctors have some common cause with Bill and Melinda?
Posted on April 29, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
PresidentBiden Talks Up Benefits of Vaccines After New Mask Guidance
By Dr. David E. Marcinko MBACMP®
It is time to practice smiling with your teeth again, because the CDC just updated its mask-wearing guidance yesterday from “mostly always” to “mostly just inside.” The agency said that fully vaccinated folks can do the following activities sans masks:
Dine outside with non-roommates
Go on walks, hikes, or bike rides alone or with household members
Attend small, outdoor events, even if some attendees haven’t been vaccinated.
Why now?
29% of Americans are fully vaccinated, and almost 43% have received 1+ dose. Plus, researchers’ understanding of Covid-19 has come a long way since every Amazon package was treated like an Area 51 special delivery, and public health experts say it’s rare for the virus to spread outdoors.
The pace of vaccinations has slowed down in the US, and the Biden administration hopes that FOMO from seeing vaccinated friends tandem-biking (as friends do) will spur the un-jabbed to act.
Assessment: In the words of President Biden, “For those who haven’t gotten their vaccine yet…this is another great reason to go get vaccinated now.”
Posted on March 31, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
Right Side VERSUS Left Side Cerebral Vascular Accidents
[By staff reporters]
***
A stroke occurs when the blood supply to part of your brain is interrupted or reduced, depriving brain tissue of oxygen and nutrients [occlusive and hemorrhagic]. Within minutes, brain cells begin to die.A stroke is a medical emergency. Prompt treatment is crucial. Early action can minimize brain damage and potential complications.The good news is that strokes can be treated and prevented, and many fewer Americans die of stroke now than in the past.
Posted on March 7, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
LAUGHTER
By staff reporters
Laughter is a physical reaction in humans consisting usually of rhythmical, often audible contractions of the diaphragm and other parts of the respiratory system resulting most commonly in forms of “hee-hee” or “ha-ha”.
Posted on February 17, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
RED CROSS DAY
On this day in 1863, Henry Dunant founded the Red Cross, which would go onto receive the Nobel Peace Prize three times.
During the Battle of Solferino in the Franco-Austrian war, Swiss businessman Dunant was shocked to witness tens of thousands dead or wounded left on the field after just one day of fighting.
After this experience, on 17 February 1863, he decided to form the International Committee of the Red Cross in Geneva Switzerland with four other Swiss businessmen to take care of casualties and prisoners of war. In the following year, the first Geneva Convention was adopted, “for the Amelioration of the Condition of the Wounded and Sick in Armed Forces in the Field.”
The First World War was an enormous challenge for the organisation. At the outbreak of the war in 1914 medical staff from all over the world gathered to take care of the many wounded. One of them was the young Ernest Hemingway (awarded the Nobel Prize in Literature 1954), employed as an ambulance driver on the Austrian-Italian front. The experience later inspired him to write the novel ‘Farewell to Arms’.
***
Henry Dunant was awarded the first ever Nobel Peace Prize in 1901 for his humanitarian work.
The organization he founded received the prize three times.
Posted on February 4, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
February 4th, 2021
When is World Cancer Day 2021? World Cancer Day is observed worldwide on February 4. The aim is to inform and encourage people on its prevention, early detection, and treatment. This initiative was taken by the Union for International Cancer Control to campaign and advocate for the targets of the World Cancer Declaration, penned in 2008.
Posted on January 9, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
Reality Check Ahead
By Vitaliy Katsenelson CFA,
“When you arise in the morning think of what a privilege it is to be alive, to think, to enjoy, to love …”
-Marcus Aurelius
***
As I look at 2020, I have very conflicting feelings. On one hand, the year was horribly tragic for many people who lost loved ones and businesses. My heart goes out to the nearly two million people worldwide who have lost their lives to COVID and their grieving families, and to the tens of millions in this country now suffering from economic hardship.
On the other hand, the worst that many people, including me, have suffered from this virus, has been annoying inconvenience. Thankfully, almost all my relatives and friends are in this category. Yes, we cannot see our extended family and friends; yes, we have not been able to travel or go to concerts or sporting events. The events of last year led me to an important personal, philosophical breakthrough. This was the year that I embraced Stoic philosophy.
Posted on January 3, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
HAPPY FIRST NEW YEAR SUNDAY 2021
PATTERSON PARK
[East Baltimore City, Maryland]
Patterson Park is an urban park in Southeast Baltimore, Maryland, United States, adjacent to the neighborhoods of Canton, Highlandtown, Patterson Park, and Butchers Hill. It is bordered by East Baltimore Street, Eastern Avenue, South Patterson Park Avenue, and South Linwood Avenue.
The Patterson Park extension lies to the east of the main park, and is bordered by East Pratt Street, South Ellwood Avenue, and Eastern Avenue.
Posted on December 4, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
Hypercytokinemia and Covid-19
By staff reporters
A cytokine storm, also called hypercytokinemia, is a physiological reaction in humans and other animals in which the innate immune system causes an uncontrolled and excessive release of pro-inflammatory signaling molecules called cytokines.
Normally, cytokines are part of the body’s immune response to infection, but their sudden release in large quantities can cause multisystem organ failure and death.
Cytokine storms can be caused by a number of infectious and non-infectious etiologies, especially viral respiratory infections such as H5N1 influenza, SARS-CoV-1, and SARS-CoV-2. Other causative agents include the Epstein-Barr virus, cytomegalovirus, and group A streptococcus, and non-infectious conditions such as graft-versus-host disease.
Posted on October 22, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
ZOOM IN – ZOOM OUT
By: Staff reporters
“Lately, Zoom meetings have been hitting a nerve with CEOs”.
JPMorgan Chase CEO Jamie Dimon says there’s no vital “creative combustion” happening in virtual settings. American Airlines CEO Doug Parker finds Zoom meetings awful.
And Microsoft CEO Satya Nadella calls them transactional, where “30 minutes into your first video meeting in the morning … you’re fatigued.
“What we as human beings need, want, seek … is human contact,” Nadella says.
Now members of the C-suite have gone full boomerang on Zoom meetings. After finding them awesome and productive at first, they’re now questioning how much they really achieve and are suggesting they lead to a sterile work culture lacking in imagination.
Dimon is particularly worried about how working from home has affected JPMorgan’s younger employees. He told analysts that productivity had dipped, especially on Mondays and Fridays. Dimon says bringing people back to the office is paramount to fostering creativity.
Posted on October 9, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
The CDC has finally acknowledged that the coronavirus can be airborne
The news: The US Centers for Disease Control and Prevention has updated its guidelines to acknowledge that the coronavirus can be spread by tiny particles that linger in the air. The agency said it took the decision due to the mounting evidence that people with covid-19 can infect people even if they are more than six feet away, or shortly after the infected person left the area. These cases all occurred in poorly ventilated and enclosed spaces, and often involved activities that cause heavier breathing, like singing or exercise.
The significance: Evidence that airborne transmission is occurring has been mounting for months. The WHO still has not recognized airborne transmission as a significant factor in the pandemic and the CDC’s slowness to acknowledge it has caused frustration among aerosol researchers, some of whom say it is the main route for infections. The CDC maintains it only occurs in “limited, uncommon” circumstances. Airborne transmission has become a topic of fierce contention, partly due to the fact it makes it far riskier to reopen spaces like restaurants, gyms, bars, schools, and offices.
What do we do now? The CDC advises that people stay at least six feet away from others, wear a mask that covers their nose and mouth, frequently wash their hands, clean high-touch surfaces often, and stay home when they are feeling sick. However, the implications of airborne transmission mean the CDC perhaps ought to shift its emphasis and go further, advising people to properly ventilate buildings, limit the number of people indoors at any given time while encouraging them to stay further apart and masked, and try to socialize outdoors where possible. Read the full story.
Nothing is known of their lives except that they suffered martyrdom in Syria during the persecution of the Emperor Diocletian. According to Christian traditions, the twin brothers were born in Arabia and became skilled doctors.
Saladino d’Ascoli, a 15th century Italian physician, claims that the medieval electuary, a pasty mass consisting of a drug mixed with sugar and water or honey suitable for oral administration, known as opopira, a complex compound medicine used to treat diverse maladies including paralysis, was invented by Cosmas and Damian.
During the persecution under Diocletian, Cosmas and Damian were arrested by order of the Prefect of Cilicia, one Lysias who is otherwise unknown, who ordered them under torture to recant. However, according to legend they stayed true to their faith, enduring being hung on a cross, stoned and shot by arrows and finally suffered execution by beheading. Anthimus, Leontius and Euprepius, their younger brothers, who were inseparable from them throughout life, shared in their martyrdom.
Posted on August 26, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
Women’s Equality Day in the USA
[By staff reporters]
Women’s Equality Day is celebrated in the United States on August 26th to commemorate the 1920 adoption of the Nineteenth Amendment (Amendment XIX) to the United States Constitution, which prohibits the states and the federal government from denying the right to vote to citizens of the United States on the basis of sex.
It was first celebrated in 1973 and is proclaimed each year by the United States President.