Limerence

I wish you were more interested in kissing me, hugging me, touching me, heck I even wish you were more interested in talking to me. I wish I could extract out the network of the brain that yearns this so.

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Open Heart Wrenching

You can die from heart break apparently. The surge of cortisol and adrenaline from the love addict brain in withdrawal can palpitate the heart into a fatal arrhythmia. Otherwise, your autonomic nervous system goes haywire like mine has: nausea, a lack of appetite, and major exacerbation of my certain sensitivities of the GI tract.

Post Pyloromyotomy Scar

Pyloromyotomy Scar and Right-Sided Widespread Pain 

 

 

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I had a pyloromyotomy done to me when I was 1 month old due to an uncommon familial condition known as pyloric stenosis. This is when the pylorus becomes hypertrophic, preventing food from passing into the duodenum, occurring in every 1-3/1000 births. All of my brothers had this as well.

 

Yet, in contrast to my 2 brothers, I suffer from right sided, widespread pain seemingly emanating from this right upper quadrant transverse incision scar, as represented in the right figure attached. Indeed, when I overdo a workout, or bike ride, I feel pain on my right side as if it’s originating from this scar. In contrast, when I massage this scar, or manually stretch it, I experience pain relief. Taken together, this makes it so convincing that this is my pain focus.

Currently in the middle of a 3 week flare up, I have been given the impetus to figure out if this is a plausible cause, looking for other case reports of this situation and reviews on the myofascial system.

 

Transverse incision

 

Use: right or left colon, duodenum, pancreas, subhepatic space.

Location: This incision is made just above the umbilicus, dividing one or both of the rectus muscles.

Layers of the abdomen:  skin, fascia, anterior rectus sheath, rectus muscle (+/- internal oblique, depending on the length of the incision), transversus abdominus, transversalis fascia, extraperitoneal fat and peritoneum.  The medial aspect of this incision will be through the layers just like as in the midline incision.

“Are your prescriptions killing you?”

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Not the most detailed account of drug interactions or pharmacology by any means, this book is very user friendly with relatable and comprehensive anecdotes.

The main thesis of this book is what is important however. The unthoughtful over-prescription of prescription drugs in geriatric populations is detrimental for their health outcomes. In addition, these poor prescribing habits owe in part to the corruption of the manufacturers and prescribers.

Lastly, the reference section has great studies to quote including those systematic reviews from the Cochrane Database.

PS: The authors also clarify the difference between relative and absolute risk reduction!

Mindfulness in medicine

I currently work with a chronic pain clinic with whom I recently shared the article, “Mindful Practice” by Ronald Epstein. Published in 1999, the recommendations the author makes are still ahead of our time.

The main idea is for all medical practitioners to incorporate mindfulness in their medical practice in order to provide the most effective patient-centred care (Epstein, 1999). Importantly, a major aspect of this mindfulness practice is conducted during the patient interaction

Contrary to a popular assumption, in this context mindfulness would not mean staring at the flowers whilst the patient is becoming anxious waiting for you to return to earth. In contrast, mindfulness involves taking a real time external approach on the patient interaction. For example, by becoming self aware of the observer (yourself) and the observed (patient) at the same time, you are able to separate your past experiences, predispositions, biases, and current stress level from that of the patient’s current state, facilitating patient-entered care at its best (Epstein, 1999).

Epstein, R. M. (1999). Mindful practice. Journal of the American Medical Association, 282(9), 833-839.

UBC increasing housing fees

http://ubyssey.ca/blog/iamastudent-housing-protest-839/

Looks like UBC is going to make education even more inaccessible by increasing student housing fees. Not that a university education wasn’t elitist already (of course the situation is much worse in other parts of the world).

If only they would stop building unnecessary amenities like the Tennis Centre and other useless attractions, remodelling perfectly fine walkways with soon-to-be full of weeds brick and stone paths, building crappy non-student residential high-rises, building crappy student residential high-rises (ahem Ponderosa), and upgrading and demolishing still functioning buildings, they wouldn’t be in so much debt and so money hungry.

Apparently UBC was in 414 million dollars in debt by 2013 end and wasn’t projected to reduce this in 2014 (http://treasury.ubc.ca/files/2010/08/RatingsDirect_Analysis_1297446_Apr-16-2014_11_38.pdf)

When will UBC stop their expansion whilst raising fees to fund it, and think about students for a change?

Wedgemont Lake

Stitched Panorama

 

So beautiful. BC is stunning.