Jul 29, 2012

Quick Story: Massive Myocardial Infarct


A doctor story:

One day I had to be the bearer of bad news when I told a wife that her husband had died of a massive myocardial infarct. Not more than five minutes later, I heard her reporting to the rest of the family that he
had died of a "massive internal fart."


Dr Carm's note: Why the doctor didn't just say heart attack is beyond me....



Related Postings:
Calling off of Work
Getting Older
The Patch
KY Jelly
Appendicitis

Jul 27, 2012

What Illness Do You Have?

So you've been reading Dr. Carm's blog and are unsure which illness you fit into. Take this quiz to find out if you have symptoms most closely related to BDD (Bearded Dragon Disease), VES (Verisimilitude Eremita Syndrome), FACD (Folivora Ananas Comosus Disease), or H-CAS (Hydro-Conteumelious Atalanta Syndrome).

Click here!

What result did you get?

Jul 26, 2012

Need Dr. Carm's Business Card?

Dr. Carm has released her business card as a Facebook page exclusive! Head over to Dr. Carm's Facebook Page to get it!


Jul 25, 2012

Nails


Your nails tell you a lot about your health. Of course, Dr. Carm is talking about your real nails—not the painted or fake ones. Have you ever noticed when you were at the doctor's how he or she either commented on something (like a ring) or examined your hands? This is because he or she was looking for signs of any problems or illnesses.
So, go clean your nails and removed the artificial gunk off for this next posting. 


When looking at these descriptions you want to look near the base of the nail for the coloring. A normal nail should be smooth and clear (meaning you can see the skin underneath the nail—so slightly pinkish.)


Beau's Line Nails
Beau's lines are indentations across the nails. It can be caused by injury or illness that interrupts the growth of the cuticle. It can also be a sign of uncontrolled diabetes, peripheral vascular disease, high fever, measles, mumps, pneumonia, or zinc deficiency.3

Blue Nails
Bluish nails are a sign that the body is not receiving enough oxygen, which is common in lung infections (pneumonia). In addition, some heart problems cause the fingernails to become blue.2

Club Nails
Club nails are enlarged fingertips with the nails curved around it. This may be a result of low oxygen and various types of lung disease. It is also associated with IBD (inflammatory bowel disease), cardiovascular disease, liver disease, and AIDS.3

Cracked or Split Nails
Dry, brittle nails that crack or split are often associated with thyroid disease. If the nails are also yellow, then this is a sign of a fungal infection.2

Dark Lines Beneath the Nail
Dark lines beneath the nail can be caused by melanoma and should be seen by a doctor immediately.2

Gnawed Nails
Nail biting is often a sign of an anxiety disorder and has also been linked to OCD (obsessive compulsive disorder).2

Pale Nails
Pale nails can be a sign of anemia, congestive heart failure, liver disease, and malnutrition.2

Pitted Nails
A small depression in the nails is common in people who have psoriasis. It can also be related to connective tissue disorders (i.e., Reiter's syndrome), alopecia areata (an autoimmune disease), or inflammatory arthritis.2,3

Puffy Nail Folds
If the skin around the nails is puffy and red, it may be due to lupus or another connective tissue disorder. Infections are also a cause.2

Separated Nails (onycholysis)
Nails that are loose or separated from the nail bed are sometimes associated with injury or infection. However, it can also be associated with a reaction to a particular drug or product (such as nail hardeners or adhesives). In addition, it can be a sign of thyroid disease or psoriasis.3

Spoon Nails (koilonychia)
These are soft nails that scoop out. The middle of the nail is dented enough to hold a drop of liquid. Spoon nails are a sign of iron deficiency anemia or hemochromatosis (a liver condition that makes your body absorb too much iron from food). It can also be a sign of heart disease and hypothyroidism.3

Terry's Nails
If the tip of each nail has a dark band, it can be due to aging; but more serious conditions can be liver disease, congestive heart failure, or diabetes.3

White Nails
White nails with darker rims are a sign of liver problems (hepatitis). In this case, you might also notice your fingers might also be jaundiced (yellow).2

Yellow Nails
Yellow can be a sign of a fungal infection. If the infection is not treated, it may grow worse causing the nail to become thick and then crumble. Other conditions that cause yellow nails include severe thyroid disease, lung disease, respiratory disease (chronic bronchitis), diabetes, lymph edema, or psoriasis.2,3

Some Final Facts1:
  • Fingernails grow an average of only 0.1 millimeter (mm) each day, whereas toenails grow 1 mm per month. Individual nail growth rates depend on age, time of year, activity level, and heredity.
  • Nails grow faster on fingers — especially on your dominant hand — than toes.
  • Women's nails grow more slowly than men's, except possibly during pregnancy.
  • Nails grow more rapidly in summer than in winter.
  • Nail growth is affected by disease, nutrition, medications, trauma, chronic illness, fever, and the aging process.
If you have any concerns about your nails, please see your physician.

1American Academy of Dermatology (2012). Retrieved from http://www.aad.org
2Martin, L. J. (Sept. 2011). Nail health picture slideshow: What your nails say about your health. Retrieve from http://www.medicinenet.com
3Mayo Clinic (Dec 2, 2011). Retrieved from http://www.mayoclinic.com

Jul 23, 2012

Dr. Carm and You

Dr. Carm wants to hear from you! What are some things you want to see on her blog? What are things you really love (because she knows you don't hate anything)? Any thoughts? Random words that you feel you need to express to someone but you don't know who?...post away!

You can comment down below (anonymous options are available) or on Dr. Carm's Facebook page: Click


Next posting is scheduled for the 25th. Medical Facts: Nails....
Want some quick funny stories? See posting like this one: Click


Jul 21, 2012

Quick Facts: Best Medical Schools

For those of you who wish to be like Dr. Carm (and I know all of you do!), it takes a lot of time and dedication. And if you mean to practice medicine, you want to get the best education out there. Dr. Carm has found the top medical programs in the world. Not everyone can be naturally smart as Dr. Carm, so this should help.

Top 50 worldwide medical schools of 2011:


1.       Harvard University (USA)

2.       University of Cambridge (UK)

3.       Massachusetts Institute of Technology—MIT (USA)

4.       University of Oxford (UK)

5.       Stanford University (USA)

6.       Yale University (USA)

7.       University of California, Los Angeles—UCLA (USA)

8.       John Hopkins University (USA)

9.       Imperial College London (UK)

10.   University of California, San Diego  - UCSD (USA)

11.   California Institute of Technology—Caltech (USA)

12.   University of Toronto (CANADA)

13.   McGill University (CANADA)

14.   Duke University (USA)

15.   The University of Melbourne (AUSTRALIA)

16.   Columbia University (USA)


18.   National University of Singapore—NUS (SINGAPORE)

19.   University of Chicago (USA)

20.   The University of Tokyo (JAPAN)


22.   University of Michigan (USA)

23.   Cornell University (USA)


25.   University College of London—UCL (UK)

26.   Karolinska Institute (SWEDEN)

27.   Rockefeller University (USA)


29.   The University of Sydney (AUSTRALIA)

30.   Kings College London (UK)



33.   The University of Queensland (AUSTRALIA)


35.   Boston University (USA)

36.   Monash University (AUSTRALIA)


38.   Kyoto University (JAPAN)




42.   Erasmus University Rotterdam (NETHERLANDS)

43.   Leiden University (NETHERLANDS)

44.   McMaster University (CANADA)

45.   University of Hong Kong (CHINA)

46.   Australian National University (AUSTRALIA)

47.   University of Helsinki (FINLAND)

48.   University of Bristol (UK)

49.   New York University—NYU (USA)


For more information on the top medical universities of 2011, please visit here


Missed the last quick story? Click here
Next quick story: Massive Myocardial Infarct on July 29, 2012

Jul 18, 2012

Patient #4: Desiree


Desiree has an interesting syndrome:


Hydro-Contumelious Atalanta Syndrome (H-CAS)


H-CAS syndrome has actually been around for centuries but has recently been recognized by the medical community in 2012. The earliest known H-CAS case (based on symptoms) dates back to the 4th century B.C. Intriguingly, the symptoms have not changed for this disorder.


A few of the main symptoms include:

-          Excessive drinking (usually water and/or beer). The known daily record for water consumption for someone who has H-CAS was reported as 100 liters (26 gallons). [NOTE: There have been disclaims about this amount; but regardless, it is well above the normal water consumption.] Although most people with H-CAS do not drink this much in a 24 hour period, they have been known to be addicted to water and beer, holding more than the average person (which is about 2-3 liters). People with H-CAS must be careful because they are more prone to hyponatremia (which is when you drink too much water that your sodium levels drop too low in your blood.)

-          Because people with H-CAS have increased hydration, they also find themselves addicted to things like watermelon—which consists of 92% water (6% sugar). Other foods consist of leafy greens, other melons, and tomatoes.

-          All H-CAS sufferers have contumelious behavior—meaning they speak sarcasm fluently. This is almost always accompanied by side eye behavior. This symptom, in particular, makes it harder to speak to the H-CAS sufferer than those without the syndrome. Hence, the person usually surrounds him/herself with people of similar behavior. By doing this, he or she has a better chance of maintaining relationships.

-          The last main symptom is running. H-CAS has an unnatural need to run long distances despite any other conditions. You can usually find these people in marathons and running outside at the ungodly hours of the morning.

Other symptoms that are common among H-CAS sufferers include: baking (in unusually large amounts) and supporting non-local sports teams.


A person can have all or just a few of these symptoms. Causes for H-CAS have yet to be determined.


There is still much research for H-CAS to be done. If you believe you have H-CAS or know someone who does and would like to participate as a lab rat, please contact Dr. Carm at drcarmelee@gmail.com. She will get you in touch with the right people. NOTE: Unfortunately, Dr. Carm is too busy to conduct the research for H-CAS, so it will be with another medical team.

Related Postings:
Patient #2: Sam
Patient #3: Lyra
Patient #5: Heather
Patient #9: OCBD
Sports Related Concussions



Jul 17, 2012

Jul 15, 2012

Quick Story: The Hospital


During a visit to the mental asylum, a visitor asked the Director, "What is the criterion that defines a patient to be institutionalized?"

"Well," said the Director, "we fill up a bathtub; we offer a teaspoon, a  teacup, and a bucket to the patient and ask the patient to empty the  bathtub."

1. Would you use the spoon?

2. Would you use the teacup?

3. Would you use the bucket?

"Oh, I understand," said the visitor. "A normal person would choose the bucket as it is larger than the spoon or the teacup."

"Noooooo," answered the Director. "A normal person
would pull the plug."

(You are not required to tell anyone how you did on
this test)

Related Postings:
Calling Off of Work 
The Patch 
KY Jelly 
IQ

Jul 11, 2012

Guest Post by Dr. Bill: Hiccups

Dr. Carm would like to welcome a guest poster, Dr. Bill. [Holds up "applause" sign]


 Dr. Bill is not a certified doctor but has medical knowledge from working in a pharmacy. He also has an array of experience with journalism. Today he is going to discuss his medical smarts about hiccups.

Dr. Bill, if you please....
 Hiccups

    The stereotyped drunk hiccupping on a cartoon is not that far off from the truth.  Hiccups can be triggered by drinking too much alcohol, as well as eating too much or eating spicy dry foods, drinking carbonated beverages, becoming too excited or laughing too hard, and reacting to stress or sudden temperature changes.

    Technically speaking a hiccup is simply an involuntary contraction of the diaphragm, the muscle tissue that allows us to breathe.  When the diaphragm contracts, it creates a suction to pull air into the lungs and vice versa, when it expands it pushes air out of the lungs to allow you to exhale.  The “hic” sound of a hiccup is simply a sudden rush of air being pulled into your lungs and the rapid closure of your vocal cords to allow this to happen.  The sudden contraction of the diaphragm also causes that jerky movement you make when having hiccups.
 
    Usually hiccups last only a few minutes.  The longest lasting hiccup endured by a person was by Charles Osborne for 69 years and five months.  Don’t try to beat the world record; hiccups lasting longer that 48 hours need to be addressed by a doctor.  Long term hiccups could be a sign of a brain tumor, kidney failure, diabetes, pneumonia, inner ear problems of the vagus nerve which can cause cardiac problems, stroke, multiple sclerosis and meningitis.  After ruling out these issue, long term hiccup treatment would include Chlorpromazine, Metoclopramide, or Baclofen.  If these drug treatments do not work, surgery to block the phrenic nerve or the use of electric stimulation of the vagus nerve can be used.

    Fortunately, most hiccups go away on their own, or with a little help of home remedies.  The moment a hiccup occurs most people immediate hold their breath until the hiccups stops.  Rarely does this remedy work.  The thought here is to prevent the diaphragm from contracting.  Others insist on drinking large amounts of water.  I find this method worse than the last and poses the problem of hiccupping water into the nose. 

    There are five home remedies that I have found to work the best:

    1.  Put a spoonful of sugar on your tongue and let it slowly dissolve

    2.  Put a spoonful of peanut butter on the roof of your mouth

    3.  Sit in a chair, put your head between your knees and look up to the ceiling

    4.  Sing as loud as you can tolerate yourself

    5.  Laugh loudly

Although these methods will make you look like a lunatic, they seem to work well.  Mainly they work by forcing  you to unconsciously control your breathing.

    Q.  Are hiccups on the same order as a burp?
    A. No. A hiccup is caused by a muscle spasm, a burp is caused by gas released from the stomach.

    Q.  Are hiccups caused by people talking about you behind your back?
    A. No, although when they see you sitting with your head between your knees looking up to the ceiling, they may start talking about you!



    Q.  Was this article helpful?
    A. I hope so….

Disclaimer
This article is not intended to diagnose, treat, or prevent any illnesses. Please seek medical attention by a certified physician for any legitimate concerns





Dr. Carm would like to thank Dr. Bill for his posting and giving her a day off to relax.

Related Postings:
Beware the Butt Cooties 
Nurse Rachette Interview 
Sweets and Sugars 
Sneeze Record

Jul 9, 2012

Announcement

Dr. Carm has her first guest blog poster.....Dr. Bill! Tune in on July 11, 2012 for more information!

Jul 7, 2012

Good News

Dr. Carm just wanted to share some good news. After diagnosing Kayla (patient #1) with BDD--Bearded Dragon Disease, she was able to use this information to move to a warmer climate! This is just another example of how Dr. Carm improves the lives of her patients!





Kayla's Post can be found here
Other patients can be found here
Today is Dr. Carm's one month blog anniversary. Have you tried Dr. Carm's One Month Anniversary Puzzle?



Short Story: Getting Older


An elderly gentleman had serious hearing problems for a number of years.  He went to the doctor, and the doctor was able to have him fitted for a set of hearing aids that allowed the gentleman to hear 100% . The elderly gentleman went back in a month to the doctor and the
doctor said, "Your hearing is perfect. Your family must be really pleased that you can hear again."
The gentleman replied, "Oh, I haven't told my family yet. I just sit around and listen to the conversations. I've changed my will three times!"

Related Postings:
Calling Off of Work 
Massive Myocardial Infarct 
The Patch
KY Jelly
Elderly Woman
Appendicitis

Jul 6, 2012

Dr. Carm's One Month Anniversary Word Search

In celebration of Dr. Carm's one month anniversary tomorrow, she has provided a word search for you!




Click on the picture for the word search. If you would like the answers, please send an email to drcarmelee@gmail.com. She will email you the answers.


Jul 4, 2012

Fun Diagnosis - Patient # 3 Lyra


Lyra came to Dr. Carm for help not too long ago....

After a few appointments and tests, it has been concluded that she has Folivora Ananas Comosus Disease (FACD).

Folivora Ananas Comosus Disease (FACD)


FACD has six symptoms and can be diagnosed through observations or blood tests. FACD symptoms include:

1.       Divert sleeping patterns. FACD sufferers find that they lack energy and must sleep longer than most of their human counterparts. It was first determined that FACD sufferers are somnolent and should sleep 15 to 18 hours each day. However, Dr. Neil Rattenborg discovered that only 10 hours a day is sufficient for FACD sufferers to function. This does not mean that they do not like to sleep 15-18 hours. Unfortunately, real life calls them back to the world of wakefulness.

2.       Because their sleep patterns are different than the average human, FACD sufferers exhibit slow movements and poor muscle control. This causes them to move like a Muppet.


In order to gain control of their movements and wakeful state, FACD sufferers try to engage in physical activities such as aerobics. This can cause the person to become even more tired, even though they are pleasantly pleased with their performance.

3.       People who have FACD might find themselves in need of constant hydration. This symptom is partly unexplained by the medical world. Interestingly enough, some doctors have concluded that this helps keep them in a semi-wakeful state. By hydrating often, they must relieve themselves several times throughout the day. This allows them to remain conscious [at least in theory].

4.       Another symptom is obsessive compulsive disorder (OCD). For Lyra, one obsessive behavior is nail polish. She has a high need to collect and paint.  She will forgo long-term benefits for the immediate relief of nail polishing pleasure. This disorder is considered at least moderate to severe among FACD sufferers.

5.       FACD sufferers have unusual eating habits. Although they prefer vegetables to meat, they conflict their healthy habits with an abundance of bake goods. They tend to make the bake goods themselves (share a portion of the desserts with others to avoid any guilty emotions) and then consume the rest hidden away in their habitat.

6.       Finally, because they have unusual eating habits, FACD sufferers have been known to self-poison. For instance, Lyra will continue to eat fresh pineapples despite the slight allergic reaction to the bromelain.

FACD is a heredity disorder that can skip every few generations randomly. It is possible that parents and their children have the condition, but it is not necessary.
A permanent cure is not yet available [testing is still being done on humans], but there are ways to help relieve the symptoms of FACD.

Sleep is one way to make people with FACD happy. A note should be obtained from their physician so that they can nap at work. Because sleep is important to those with FACD, the occupation should also allow other coworkers nap time as well. This provides a nice quiet environment to sleep.

For those that suffer from extreme Muppet-like movements, a straightjacket or other restrictive sleeves should be used. This prevents an indirect harm to themselves or others.

Finally, support groups and interventions should be used to prevent self-poisoning. In extreme conditions, commitment in a psych ward might necessary.




*The Muppets were created by Jim Henson and is legally contracted with the Walt Disney Company.

Jul 2, 2012

Short Story: Calling Off of Work


A woman calls her boss one morning and tells him that she is staying home because she is not feeling well.
"What's the matter?" he asks.
"I have a case of anal glaucoma." she says in a weak voice.
"What the hell is anal glaucoma?"
"I can't see my ass coming into work today."


Related Postings:
Getting Older
Massive Myocardial Infarct
Elderly Woman
Eye Exam