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Questions? Comments? Send us a message! This case report explores the use of botulinum toxin type A (BTX-A) injections for treating post-thoracotomy pain syndrome (PTPS), a chronic neuropathic condition affecting many patients after thoracotomy. The study highlights that traditional treatments often fail to provide adequate relief, prompting invest…

If you’ve just learned that you have Parkinson’s disease and you’re not already a physically active person, you might want to take up a few forms of exercise to slow down disease progression. Johns Hopkins neurologist Liana Rosenthal says the … Physical activity is beneficial for people with Parkinson’s disease, Elizabeth Tracey reports Read More »…

Once someone receives a diagnosis of Parkinson’s disease, there are things they can do themselves that are likely to be beneficial. Johns Hopkins neurologist Liana Rosenthal explains. Rosenthal: The other things you can do that help now if you already … Diet can help in those who already have Parkinson’s disease, Elizabeth Tracey reports Read More …

The majority of cases of Parkinson’s disease aren’t related to genetics, research shows, while some environmental exposures increase your risk to develop the condition. Liana Rosenthal, a neurologist at Johns Hopkins, names a few factors that are under your control … You can lower your risk for developing Parkinson’s disease, Elizabeth Tracey repor…

Specific pesticides as well as other chemicals increase one’s risk for developing Parkinson’s disease, research shows. Liana Rosenthal, a neurologist at Johns Hopkins, describes which ones are known to be problematic. Rosenthal: Paraquat increased the risk of PD by 150%. … Environmental exposures are linked to Parkinson’s disease, Elizabeth Tracey …

More and more people around the world are being affected by Parkinson’s disease, a common condition often showing up first as a movement disorder. Liana Rosenthal, a Johns Hopkins neurologist, says North Americans are especially hard hit. Rosenthal: The overall … Where in the world are Parkinson’s disease cases most common? Elizabeth Tracey reports…

The aberrant protein alpha synuclein is known to be involved in the development of Parkinson’s disease, but how and why this abnormal form develops remains an area of active investigation. Liana Rosenthal, a neurologist at Johns Hopkins, examines the role … How big a role does genetics play in the development of Parkinson’s disease? Elizabeth Trace…

Abundant evidence points to a protein called alpha synuclein in causing the range of symptoms seen in Parkinson’s disease, with the condition progressing as it travels up to the brain. Johns Hopkins neurologist Liana Rosenthal describes the process. Rosenthal: Alpha … How do abnormal proteins get into the brain in Parkinson’s disease? Elizabeth Tra…

By the time someone with Parkinson’s disease, or PD, has hand tremors, the process of developing the condition is well underway in parts of their brain, with deposition of an abnormal protein called alpha synuclein, Johns Hopkins neurologist Liana Rosenthal … What exactly is happening in the brain of someone with Parkinson’s disease? Elizabeth Trac…

Just a few decades ago data from the Global Burden of Disease study reported about half a million people with Parkinson’s disease, with its characteristic tremor at rest and other movement abnormalities. Johns Hopkins neurologist Liana Rosenthal says now more … More and more people worldwide are developing Parkinson’s disease, Elizabeth Tracey repo…

Questions? Comments? Send us a message! I. Introduction This briefing document synthesizes key findings from several sources exploring the potential of cannabinoids in managing neuropathic pain. The sources include pre-clinical investigations, clinical trial reviews, and decision analysis models, offering a multifaceted view of the topic. We will e…

Questions? Comments? Send us a message! Hiccups, while often seen as a minor inconvenience, can become a significant health issue when they are persistent or intractable. This episode explores the science behind hiccups, their potential medical causes, and treatment options, particularly the use of gabapentin as an off-label solution. • Discussion …

Questions? Comments? Send us a message! This case report details a patient with chronic lymphocytic leukemia whose initially misdiagnosed joint pain was ultimately attributed to the rare syndrome of remitting seronegative symmetrical synovitis with pitting edema (RS3PE). The report discusses RS3PE's characteristics, often overlooked due to its rari…

Questions? Comments? Send us a message! This retrospective study from a 21-hospital system analyzed the effect of palliative medicine consultations on 30-day hospital readmission rates for patients with six diagnoses (heart failure, sepsis, pneumonia, COPD, AMI, and stroke). The research found statistically significant reductions in readmissions fo…

Questions? Comments? Send us a message! This article presents an ethics case study concerning a 52-year-old male declared brain dead, whose family refuses to remove life support. Multiple perspectives—medical, nursing, chaplain, social work, legal, and ethical—are offered, exploring the conflict between the family's emotional denial of death and th…

Questions? Comments? Send us a message! This case report details a rare instance of post-radiation lichen planus in a 64-year-old male, following radiation therapy for squamous cell carcinoma. The report examines the patient's medical history, clinical presentation, and treatment response to topical triamcinolone. The authors review existing litera…

Questions? Comments? Send us a message! This case report and accompanying discussion detail Posterior Reversible Encephalopathy Syndrome (PRES), a neurological condition presenting with seizures, visual disturbances, and altered mental status. Often misdiagnosed as more severe conditions like intracranial hemorrhage, PRES demonstrates reversible br…

Questions? Comments? Send us a message! The BJR method is a novel mathematical approach to methadone conversion that aims to improve upon existing methods by providing a smoother, less discontinuous, and less linear output for a reasonable and safe methadone dose. Here's how it improves upon existing conversion approaches: Addresses Limitations of …

Questions? Comments? Send us a message! The case study underscores the potential for misinterpreting spiritual distress as psychiatric illness, resulting in inappropriate treatment. Clinicians should learn several key lessons from the case of Mr. G, primarily emphasizing the importance of addressing patients' spiritual needs alongside their physica…

Questions? Comments? Send us a message! This ethics roundtable discussion centers on the case of JG, a 45-year-old man who attempted suicide and subsequently suffered severe brain damage. The article presents differing perspectives from medical, nursing, risk management, ethics, pastoral, social work, and legal professionals regarding the ethical i…

Questions? Comments? Send us a message! This ethics roundtable discussion analyzes a case study where a patient's daughter-in-law, the primary caregiver, seeks to withdraw life support, but state law restricts surrogacy to blood relatives or spouses. The discussion explores the ethical and legal implications of this restrictive law, highlighting th…

Questions? Comments? Send us a message! Ethical and legal considerations surrounding a comatose Jehovah's Witness patient's need for a life-saving blood transfusion are debated. The patient's parents, also Jehovah's Witnesses, refuse consent, while her brother advocates for the transfusion, claiming she wasn't a practicing member. The case highligh…

Questions? Comments? Send us a message! Who makes the decision if the patient lacks capacity? Multiple healthcare professionals offer varying perspectives on the ethical and legal dilemma surrounding the care of a 93-year-old comatose patient (JH). A conflict exists between JH's legally appointed Power of Attorney (POA), his hired caregiver, who wa…