Important Facts For People Who Wear Lingerie And Have Kidneys

Issues With Breast Tissues

Bras haven’t been proven to be useful. One argument is that it’s more of a personal preference or even a fashion statement.

There isn’t much research on this front. But based on the limited evidence out there, bras  are more likely to be harmful if they’re the wrong fit. The nudists win again.

Renal Complications

DKA can lead to AKI.

DKA can lead to lactic acidosis, which can be associated with thiamine deficiency.

Thiamine deficiency less commonly involves vomiting, which can stain clothing. The nudists win again.

References

  1. Mills, D. (2016). Health Effects of Not Wearing a Bra. Retrieved from https://www.healthline.com/health-news/going-braless-wont-hurt-breast-health
  2. Why is BRA important?. (2016). Retrieved from https://smah.uow.edu.au/brl/bra/whyisbraimportant/index.html
  3. Prywes, M. Science Proves That Wearing Bras Is Bad For Your Health. Retrieved from https://www.lifehack.org/336735/science-proves-that-wearing-bras-bad-for-your-health
  4. Hunimed Web Team. (2017). The advantages and disadvantages of wearing a bra. Retrieved from https://www.hunimed.eu/news/advantages-disadvantages-wearing-bra/
  5. Orban, J. C., Maizière, E. M., Ghaddab, A., Van Obberghen, E., & Ichai, C. (2014). Incidence and characteristics of acute kidney injury in severe diabetic ketoacidosis. PloS one, 9(10), e110925. doi:10.1371/journal.pone.0110925
  6. Feenstra, R. A., Kiewiet, M. K., Boerma, E. C., & ter Avest, E. (2014). Lactic acidosis in diabetic ketoacidosis. BMJ case reports, 2014, bcr2014203594. doi:10.1136/bcr-2014-203594
  7. Moskowitz, A., Graver, A., Giberson, T., Berg, K., Liu, X., Uber, A., Gautam, S., … Donnino, M. W. (2013). The relationship between lactate and thiamine levels in patients with diabetic ketoacidosis. Journal of critical care, 29(1), 182.e5-8.
  8. Berkheiser, K. (2018). 11 Signs and Symptoms of Thiamine (Vitamin B1) Deficiency. Retrieved from https://www.healthline.com/nutrition/thiamine-deficiency-symptoms

Gravity Strikes Again

Why do your feet swell during aeroplane flights? It’s not sudden-onset elephantiasis (probably).

Instead, it’s due to blood pooling in your veins. (As blood tends to do when stationary, thanks to gravity.)

Yes, gravity strikes again!

References

  1. Sheps, S. (2016). Foot swelling during air travel: A concern?. Retrieved from https://www.mayoclinic.org/foot-swelling/expert-answers/faq-20057828

Fantastic Fish Bones And Where To Find Them

It can be uncomfortable if something pointy lodges in your throat. You know, like a fish bone.

Fortunately, there are supposedly things you can do to solve this. In fact, it’s more likely that the fish bone is longer there.

Although the world has seen the creation of seedless watermelons, boneless fish are yet to exist. We await that glorious day, as do our plates.

References

  1. Knight, L. C., & Lesser, T. H. (1989). Fish bones in the throat. Archives of emergency medicine, 6(1), 13-6.
  2. What to Do When a Fish Bone Gets Stuck in Your Throat. (2019). Retrieved from https://www.healthline.com/health/fish-bone-stuck-in-throat
  3. Seedless watermelon – how do they do that?. (2012). Retrieved from https://www.canr.msu.edu/news/seedless_watermelon_how_do_they_do_that

The Persimmon Principle

As delicious as they might be, persimmons can cause a phytobezoar. This refers to an indigestible clump of fibres that can lead to intestinal obstruction. (Everyone’s least favourite thing, unless you’re super weird!)

That’s an uncommon complication from eating too many of this fruit, not that eating fruit is inherently a bad thing.

Luckily, persimmon phytobezoars can be conquered with Coca-Cola.

It’s drinks such as that which, under normal circumstances, contain an excess of sugar. That’s in contrast to fruit. Ironically, in this case, the roles of causative agent and cure have been reversed.

References

  1. Picco, M. (2017). Bezoars: What foods can cause this digestive problem?. Retrieved from https://www.mayoclinic.org/diseases-conditions/gastroparesis/expert-answers/bezoars/faq-20058050
  2. Naotake Funamizu, Tomotaka Kumamoto, Atsushi Watanabe, Tomoyoshi Okamoto, and Katsuhiko Yanaga (2015) Intestinal Obstruction Caused by Persimmon Bezoar: A Case Report. Int Surg: July-August 2015, Vol. 100, No. 7-8, pp. 1194-1198.
  3. DAVIS C, TARUN D. The Persimmon Bezoar. AMA Arch Surg. 1957;75(2):188–192. doi:10.1001/archsurg.1957.01280140026005
  4. Fengbo Tan, Hongbin Mo, Xiao He, Haiping Pei; An unusual case of gastric outlet obstruction caused by multiple giant persimmon phytobezoars, Gastroenterology Report, , gow042, https://doi.org/10.1093/gastro/gow042
  5. Hayashi, K., Ohara, H., Naitoh, I., Okumura, F., Andoh, T., Itoh, T., Nakazawa, T., … Joh, T. (2008). Persimmon bezoar successfully treated by oral intake of Coca-Cola: a case report. Cases journal, 1(1), 385. doi:10.1186/1757-1626-1-385
  6. Ertuğrul, G., Coşkun, M., Sevinç, M., Ertuğrul, F., & Toydemir, T. (2012). Treatment of gastric phytobezoars with Coca-Cola given via oral route: a case report. International journal of general medicine, 5, 157-61.
  7. Dickinson, K., & Bernstein, J. (2018). If sugar is so bad for us, why is the sugar in fruit OK?. Retrieved from https://theconversation.com/if-sugar-is-so-bad-for-us-why-is-the-sugar-in-fruit-ok-89958

Podcast 027: Otolaryngology With Dr Faruque Riffat

Otolaryngology isn’t likely to be any child’s first word, but it sure makes for a great Hangman game!

In this episode, Dr Faruque talks about the specialty colloquially known as ENT and gems of wisdom for making it onto a specialty program.

Podcast

About the guest speaker

Dr Faruque Riffat is a consultant ENT/Head and Neck Surgeon with fellowship training in head and neck oncology, paediatric ENT, thyroid/parathyroid surgery and adult airway open/endoscopic laser surgery. He is one of a handful of ENT surgeons to be fully registered for specialist practice in Australia.

Dr Faruque graduated with an MBBS (Hons 1) degree from UNSW, obtaining prizes in anatomy and microbiology. He finished basic surgical training after obtaining the prize for the highest score for the FRACS part 1. He has also been awarded a Master of Surgery.

Dr Faruque was the first Australian surgeon to undertake a post-FRACS head and neck cancer surgery fellowship in Cambridge University Hospital. He now treats public adult and children through Westmead Hospital and the area health service and private through Norwest, Westmead Private and Macquarie University Hospital.

Dr Faruque has an active interest in teaching and research in ENT/Head and Neck, having completed a masters in surgical education and has been involved in over 40 peer reviewed publications and abstracts.

Dr Faruque has even been educated in 7 countries (4 continents) and enjoys dune bashing in deserts and falconeering!

Music credits

Opening and closing themes by Jordan D. Peterson, otherwise known as Ehsan Farshid and Lily Chen.

You Are All On A Different Mario Kart Track

Medicine is a health industry subset that deals with patient welfare. It involves a collective contribution to further the overall state of human wellbeing.

Therefore, medicine is not about zero-sum competition.

Everyone is chugging along an individual life pursuit. Their aim is simply finish the race. They are assured to place 1st/1 player in any case. The point is to make that result as glorious and complete as possible.

There is no race for 1st, 2nd or even 8th place against others. Instead, realise that everyone is racing along a different track.

Some people will be specialists, all of varying kinds. Others will pursue a different path. Others might even leave the field of their own accord. In the grand scheme of things, everyone’s final result is very, very different.

You can’t even carry that many shells. If you have more than you need and it would go to waste anyway, why not contribute it to a passing player who could use the help?

You are living life and defining success by your own standards, partially informed by society but mostly determined by your own meaning of what matters.

People might seem to be lapping you because you genuinely are terrible at what you do, in which case you really should step up your gameplay. But it could alternatively be because you’re racing on completely different terms.

Know where you’re heading, at least vaguely, and drive bullishly towards it. You don’t need to drag anyone else down on the way, because they’re not even relevant to you, not to mention the fact that would be really quite uncouth.

Instead, help out those whom you encounter when you can. Know that they’re heading towards their own paradise destination and it’s most likely to be rather different from yours.

There is no competition. There is enough success and good health to go around for everyone. There is enough positive potential in the world for everyone to prosper, so let others experience the maximum of your generosity while there’s the chance. Just like money, you can’t take kindness with you beyond the grave. Except for what is actually offered in real life, the unused excess is useless.

Don’t let your friends become enemies. Don’t let the downtrodden suffer because you were too self-absorbed to assist them.

Race your own race with yourself and help others along the way. Then everyone wins as much as possible.

Recommended Reading

  1. Peterson, J.B.. 2018, 12 rules for life: an antidote for chaos, Allen Lane, London, UK.

Podcast 026: Dermatology With Dr Pablo Fernández-Peñas

Skin is good. Skin is great. Skin is important to every person, especially when it comes to quality of life.

In this episode, Professor Pablo talks about why dermatology is extremely exciting and matters as a specialty.

Podcast

About the guest speaker

Dr Pablo Fernández-Peñas is Professor in Dermatology at the University of Sydney, Head of the Department of Dermatology at Westmead Hospital and Director of the Centre for Translational Skin Research in Sydney, Australia. Previously, he was Staff Specialist (Dermatology) at Hospital Universitario de la Princesa, Clinical Professor at the Universidad Autonoma in Madrid, Spain and Head of Research at the Skin and Cancer Foundation Australia.

Since 2007, Professor Pablo has expanded clinical, research and education services in Western Sydney. He opened the Dermatology Comprehensive Clinical Centre at Westmead Hospital and set up the Dermatology Clinical Trials and Research Unit, participating in 40+ clinical trials.

Professor Pablo’s main fields of interest are oncodermatology, immunology, quality of life, and information technologies. He has 180+ publications in peer review journals.

As well as being a passionate teacher and researcher, Professor Pablo’s hobbies include bushwalking, travelling and music.

Music credits

Opening and closing themes by Lily Chen.

Podcast 025: Anaesthetics Nursing With Pete Kelly

Nursing and doctoring are hearty friends who hold hands while prancing off into the sunset. Together, their teamwork is something that can make health care great. Long live patient welfare!

In this episode, Pete talks about what nursing involves, different types of nursing and how nurses and doctors can work together to make a better patient experience.

Podcast

About the guest speaker

Pete Kelly has been nursing for 17 years – with 16 of those in anaesthetic nursing. His passion for patient care in the perianaesthetic field is backed up by his involvement in research and education, specifically pertaining to difficult airway management and trauma anaesthesia.

Pete is keen to see the field of anaesthetic nursing grow with the addition of skills and responsibilities.

Additional credits

Maniacal laughter by Justin “Purple J” Lambert, Stan “Disapproving Head Shake” Domeshok, German “German Dave” Dave and Anushka “Gate Opener” Wikramanayake.

Fan feedback by Justin “Purple J” Lambert, Stan “Disapproving Head Shake” Domeshok, German “German Dave” Dave, Anushka “Gate Opener” Wikramanayake, Katie “Spanish Influenza” Honan and Sal “Moral Support” Yeung.

Music credits

Opening and closing jingles by Katie “Spanish Influenza” Honan.

Backing music by Lily Chen.

Management Of COPD

It’s always the greatest when mnemonics match the thing they’re relating to.

Even if it does involve a couple of extra Ps.

COPPPPD

Inhaled Corticosteroids if FEV1>50% with 2+ exacerbations/year and a short course of systemic corticosteroids for severe exacerbations

Home Oxygen and oxygen during exacerbations to maintain SpO2 at 88-92%

Prevention with smoking cessation and immunisations against influenza and pneumococcus

Physical activity

Pulmonary rehabilitation

Penicillin, meaning amoxycillin or the non-penicillin doxycycline for severe exacerbations

Inhaled bronchoDilators

References

  1. Chronic obstructive pulmonary disease. In: eTG complete [Internet]. Melbourne: Therapeutic Guidelines Limited (eTG July 2018 edition); 2015 Mar.