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August 18, 2015
There has been debate about how to switch patients with multiple sclerosis (MS) from Tysabri to other medications. This happens most often when patients on Tysabri become positive for antibodies to the JC virus. Patients that have these antibodies are at increased risk of a serious infection called progressive multifocal leukoencephalopathy (PML).
New research has studied varying timelines for starting a new medication after Tysabri.
August 18, 2015
Urinary tract infections (UTIs) are very common and becoming harder to treat due to antibiotic resistant bacteria. Where are these resistant bacteria coming from? Overuse of oral antibiotics for any suspected infection has historically been thought to be a culprit, but now there's increasing evidence that resistant bacteria are coming from the global food chain, and in particular the poultry industry. Antibiotics are commonly used in poultry feed on chicken farms to reduce the risk of E.coli infections. Drug-resistant E.coli UTIs are increasing in women who are otherwise healthy and living in the community and have no other risk factors for developing drug-resistant infections. There is increasing evidence that drug-resistant E.coli from antibiotic-treated chicken meat, then ingested by women, may contribute to the emergence of drug-resistant community-acquired UTIs.
August 17, 2015
Being scheduled for a surgical or sedated procedure can be a nerve wracking experience for children and their families. Knowing what to expect when you visit the hospital can help relieve many common fears and concerns. At Swedish, Child Life Specialists help children and families cope with the hospital process. Child Life Specialists are available to help educate and prepare children and families prior to surgery.
The pre-operative tour is a great place to start.
August 14, 2015
Vestibular assessments, or balance assessments, are recommended for people who have dizziness, vertigo, imbalance, and other related symptoms, because the vestibular portion of the inner ear contributes largely to our ability to stay upright. Visual input, somatosensory input and the central nervous system also contribute to our balance. Vestibular assessments are usually done by an audiologist. Because several body systems contribute to our balance, a patient who has dizziness may also be evaluated via clinical exam with an otologist or neurotologist or with imaging and blood work.
Here’s what happens during a vestibular assessment or ‘balance test’ and how to prepare:
August 12, 2015
The decisions of a liver transplant program can sometimes seem unfair or even arbitrary, especially when a loved one is turned down for a liver transplant. While everyone in need of a transplant deserves an opportunity to be evaluated, not everyone can be placed on the waiting list.
August 11, 2015
While we often counsel patients that multiple sclerosis (MS) does not often result in death, we have noticed some MS patients with aggressive disease who clearly succumb prematurely. To understand survival in the MS population with a matched cohort from the general population, a population based study is needed to evaluate the association of comorbidity with survival in both populations.
August 10, 2015
Although the use of nitrous oxide (N2O) has been used in dentistry for over 150 years, its use in pediatrics for sedation and mild analgesia for procedures outside of the operating room has been gaining favor over the last several decades. Nitrous oxide’s inherent properties, including the induction of euphoria, amnesia, mild analgesia, quick onset of action and rapid removal from the body through exhalation, make it ideal for use in the pediatric population.
Here’s how we use nitrous oxide to help pediatric patients at Swedish:
August 07, 2015
This is a common question asked during pregnancy but one that it is easy to answer. I often advise to breast feed. There are very few contraindications to breastfeeding such as women that have HIV, herpetic breast lesions, active tuberculosis, or active drug abuse.
Here’s why breastfeeding is better:
August 05, 2015
As a Pediatric Emergency Physician in practice for 18 years, I have seen a great many children with fever. I also see a great many parents and other caregivers who are very concerned about fever, but are reassured when factual information about fever is provided to them.
Fever is a marker of illness and is very concerning in specific circumstances. Fever over 100.4 in any infant less than 60 days of age is reason to seek urgent medical evaluation. However, once children get beyond the newborn period, fever is much less concerning to medical professionals. The following information can help you better understand fever, and help you care for your child without unnecessary worrying. Fever myths lead to fever phobia while in fact, fevers are harmless and often helpful.
Let these facts help you better understand fever:
July 28, 2015
Viral hepatitis is the most common cause of chronic liver disease worldwide. In fact, the two most common forms, hepatitis B (HBV) or hepatitis C (HCV), infect over 500 million people around the world – compared to 31 million with HIV. Chronic HBV is the most common cause of viral hepatitis followed by HCV. These two viruses are responsible for up to 2 million deaths a year. Therefore, it makes sense to call attention to this important global issue and this is why July 28 is World Hepatitis Day.