90 percent of overdose survivors still getting pills

More prescription drugs could be falling into the wrong hands than once thought.

Source: 90 percent of overdose survivors still getting pills


False Notions: Women as Physicians in the Mid-1850s

Scribbling Women & The American Periodical

Within many of the issues of Godey’s Lady’s Book, much time is spent on the education of women as physicians — namely, whether or not it should be allowed, why, and how it should be accomplished.

The conversation was going on in other nations: England had its own debates over the subject, and seemed to take one step forward and two back every so often; even with Florence Nightingale innovating in the medical space and representing the nation abroad, the British had their doubts. France, seat of “enlightened thought,” seemed to be moving forward with the idea. It was vital for American publications – especially women’s publications – with the idea stirring within the population, to take a stance on the issue.

Physicians as domestic agents

“Shall the medical profession through the influence of selfishness, professional pride, an under estimate [sic] of the capacity of woman, false notions as to her…

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Surviving a coat hanger abortion doesn’t get you sympathy it gets you arrested

Dr. Jen Gunter

The last few days I have had a lot of hits on an older post, Anatomy of a Coat Hanger Abortion.  From time to time older posts resurface in searches due to a relevant news story. So yes, you know where this is sadly going.

A woman in Tennessee tried to terminate her pregnancy with a coat hanger. She was apparently around 24 weeks gestation. When she started bleeding profusely, an expected complication of thrusting a sharp object blindly into the vagina, she called her boyfriend and ended up in a hospital.

The reports are unclear as to whether she went into labor or was delivered for medical reasons as a result of the home instrumentation (the timeline between her attempt at abortion and delivery isn’t mentioned that I can find), but the local news media reported that the infant weight 1.5 lbs and required intensive care. There is…

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The damage is greatest if all you do is battle to the bitter end

Being Mortal


The simple view is that medicine exists to fight death and disease, and that is, of course, its most basic task. Death is the enemy. But the enemy has superior forces. Eventually, it wins. And in a war that you cannot win, you don’t want a general who fights to the point of total annihilation. You don’t want Custer. You want Robert E. Lee, someone who knows how to fight for territory that can be won and how to surrender it when it can’t, someone who understands that the damage is greatest if all you do is battle to the bitter end.

— Gawande, Atul, Being Mortal: Medicine and What Matters in the End

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Featured Image -- 32Food for thought!



Past, Present and a Possible Future – Help or Hinder

Published in Sanguine, journal of the ECSSA June 2015

Technology in Medicine, a topic many in EMS chat about, and if we have been in service for 20 years plus, we have then been privileged (or cursed) to see significant changes across the board with regard to equipment, patient care, protocols and drug therapies. Many of us have actively pushed for change and new equipment; be it with regard to fluid therapy, bleeding control, pain management and airway management. As one who has been active in certain areas pushing for change, we sometimes miss the most crucial approach to patient care; neatly summed up by Hippocrates (400-ish BC)

Cure Sometimes. Treat Often. Comfort Always

The classic approach to patient care has always been underpinned by the following:

  • Arrive at a diagnosis by patient consultation and physical hands…

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