All i remember is they were black and thickish and just floating, by thickish i mean bout quarter of an inchish, my hubby was not one of those peeps who moaned when he was ill, this really knocked him back all that from a pork pie, it was from a shop when we lived in Skeggy, we should have told them, god knows how many more was ill.I really need to hear more! Were they worms then? They don't usually give you food poisoning straight off from pork. Something much worse was going on there!
FULL STORY: https://www.livescience.com/woman-with-rare-case-of-telescoping-fingers.htmlWoman's Bones Shrank in Rare Case of 'Telescoping Fingers'
A rare condition caused a woman's fingers to scrunch back into her hands as the bones of her hand and wrist steadily disappeared, according to a report of the case.
The bone loss caused the 69-year-old woman's fingers to buckle back into her hand like segments of a collapsing telescope, a distinct symptom that explains the unusual condition's nickname: "telescoping fingers."
An estimated 3.7% to 6.7% of people with a condition called psoriatic arthritis develop "telescoping fingers," according to a 2013 report in the journal Reumatología Clínica; the condition also occurs in people with rheumatoid arthritis, but even more rarely. When clinicians originally described the condition, in 1913, they called it "la main en lorgnette," or "the opera-glass hand." That term referenced the telescoping action of magnifying glasses used by theatergoers to enhance their view of the stage, according to a 1938 report in the Journal of Bone and Joint Surgery.
In the recent case, described in a report published today (Dec. 11) in The New England Journal of Medicine, the woman's hands appeared severely deformed and swollen when she went to a rheumatology clinic in Turkey for treatment. The patient had been diagnosed with rheumatoid arthritis 18 years earlier, and over time, her knuckles had grown so swollen that her fingers skewed to one side, toward her pinky fingers, her doctors noted. Upon examining the patient's hands, the doctors discovered that the bones of her displaced digits seemed unusually short — far too short for the woman to properly flex her fingers or make a fist.
Radiographs of the patient's wrists and hands revealed the extent of the damage: The bones of the woman's fingers, hand, wrist and lower forearm appeared worn down, as if substantial amounts of tissue had disappeared. The doctors diagnosed the woman with telescoping fingers, medically known as arthritis mutilans, and attributed the tissue loss to a process called osteolysis, which causes bones to be "reabsorbed" by cells called osteoclasts. ...
FULL STORY: https://www.livescience.com/in-flight-diagnosis-facial-barotrauma.htmlDoc on plane diagnoses man's unusual condition midair
A few minutes after his flight reached cruising altitude, Dr. Alan Hunter responded to a flight attendant's call for a doctor on board. A passenger was having a stroke, or so it seemed, the attendant said. This was certainly urgent — a passenger having a stroke could be one reason for an emergency landing.
But the passenger, whose face was drooping on one side, wasn't having a stroke after all, Hunter determined. Rather, the passenger had an unusual yet typically temporary condition, resulting in part from pressure changes in the airplane. No emergency landing was needed, and with Hunter's help, the patient was soon feeling fine. ...
Hunter, who is an internal medicine doctor at Oregon Health & Science University, said he had never seen a case like this before. To alert other doctors about this condition, Hunter described the case in a report published Monday (Jan. 27) in the journal Annals of Internal Medicine. ...
When Hunter responded to the call, the patient told Hunter that he'd had a sudden headache and pain and a sense of fullness in his ears, as well as slurred speech and drooling. But the case didn't look like a stroke, Hunter said. When people's faces droop on one side during a stroke, usually either the top or the bottom of the face is affected. In this case, the entire right side of the patient's face was drooping. And the patient was young and healthy looking, making stroke less likely, Hunter said. The patient also mentioned that he'd just recovered from a cold.
"Ultimately, it just made sense that it was a pressure-related phenomenon" rather than a stroke, Hunter said. ...
Because Hunter suspected that the patient's symptoms might be due to a clogged eustachian tube, he had the patient swallow a few times. He also gave the patient some extra oxygen. Within minutes, the patient was back to normal.
At the time, Hunter didn't know exactly what condition he had just treated. But after he got off the plane, he did some research and found something called facial barotrauma, a condition that seemed to fit the current case. Most often described in scuba divers coming up from the deep, facial barotrauma occurs when a patient experiences a drop in pressure, and a blocked eustachian tube reduces blood and oxygen flow to one of the facial nerves. In the case of a diver, that pressure drop occurs as the patient swims toward the surface and water pressure lessens; in the case of an airplane passenger, it happens as the plane rises and atmospheric pressure drops.
According to Hunter's research, this phenomenon happens only if the eustachian tube is somehow dysfunctional. ...
So to be clear on this, please: is it the case that in the USA, a medical doctor who is an "internist" is not an 'intern'? Ie they are NOT in the process of receiving training in a specialism, but have arrived at a professional destination, or level of vocational capability? And: an ''internist'' is not an 'internalisist'(sic) despite being a specialist in internal medicine? (US terms)Published letter (report) on the incident:
Annals of Internal Medicine
28 January 2020
I've never head the term "general internal medicine" used in the UK, but have (of course) always heard the term 'general practise', or "general practitioner" (which is the term used in the UK for a family/community doctor (cf someone "seeing their GP") I've also always known that this term was unrecognised in the US, but had assumed it was in general use across the Commonwealth (it certainly is, in India, but I'm now unsure re Canada).Wikipedia said:Internal medicine or general internal medicine (in Commonwealth nations) is the medical specialty dealing with the prevention, diagnosis, and treatment of adult diseases. Physicians specializing in internal medicine are called internists, or physicians (without a modifier) in Commonwealth nations
One refers to the stage of professional development, whereas the other refers to the focus of professional interest and expertise.So to be clear on this, please: is it the case that in the USA, a medical doctor who is an "internist" is not an 'intern'? Ie they are NOT in the process of receiving training in a specialism, but have arrived at a professional destination, or level of vocational capability? And: an ''internist'' is not an 'internalisist'(sic) despite being a specialist in internal medicine? (US terms) ...
She should sell it as "Pee Beer", 1000 dollar per bottle.Woman wees American beer thanks to "bladder fermentation syndrome".
Oh dear! Hantavirus is back!Some more background to the Yosemite cases.