Mallet Finger – Diagnosis, Treatment, and Rehabilitation

How to take care of and recover from a common but sometimes vexing finger injury.[1]

Mallet finger usually results from forced flexion of the distal (most distant) part of the finger (distal phalanx – DP) during active extension of the DP. The condition is caused by a rupture of the extensor tendon (on the back of the finger) that crosses the distal interphalangeal joint (DIPJ) from the proximal phalanx (PP) to the DP. Part of the bone may also be avulsed (pulled away). Mallet finger is the most common closed tendon injury in athletes.[2] Often, patients explain that a ball hit their partially flexed fingertip. Patients complain of pain, swelling, and an inability to fully extend their DP.

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Why is Research Less Respected Today?

Research brought the world scientific and technological advances that have changed the lives of men and women forever. During the period characterized by the philosophy of modernism, from roughly 1750 to 1950, conventional wisdom expected that science would solve all the problems of mankind, both material and moral/ethical. Scientific and social research, which would lead to technological supremacy over the physical world and enlightened policies in every society, would usher in a utopia. World War II, the Holocaust, and the atomic bomb shattered these hopes, demonstrating that science and technology, and the research behind it, can destroy as easily as they can save. Though we prate about following “science,” in the past 70 years, research has lost respect.[1]

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Study Discussion – Gender Disparities in Internal Medicine Residency Awards

In the March 2021 issue of The American Journal of Medicine, seven physicians, whose first names suggest that they are all female, wrote “Investigating Gender Disparities in Internal Medicine Residency Awards.”[1] The authors began by recounting gender disparities in salary, academic rank, grant funding, and awards. They performed a multi-institutional study based on survey data from academic internal medicine residency programs starting in 2009 and extending through 2019. These physicians’ initial findings are in Table 1:[2]

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When your Pet is Sick

Discover how pet owners can take better care of their pets, especially when professional veterinary health care is not immediately available.

People across the world are growing more and more lonely.[1] We have fewer children and other family members.[2] We have lost confidence in everyone and everything.[3] Hungry for companionship and trust, more of us own (or “parent”) pets, and our pets become more important in our lives.[4] First responders and emergency management personnel know that pet owners will sometimes risk their own lives to save their pets, and such owners are spending more money on their pets than ever before.[5]

But what do you do when your pet gets sick or injured? Too often professional animal health care is not available. America has a severe shortage of veterinarians.[6] Europe needs more veterinarians as well.[7] Veterinarians care for our pets, but also farm animals, zoo animals, and wild animals. They ensure our food safety and perform research into zoonotic and other conditions. Veterinary technologists and technicians are integral parts of the system at all levels, and their numbers are also limited.

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COVID Herd Immunity, Health Care Capacity, and the Risk of COVID during Air Travel

A trustworthy update on the science, and the future of the coronavirus pandemic, What should people do?

Three major issues are in the news recently about COVID. The first involves the possibility of herd immunity to the virus. The second is whether the US health care system will be overwhelmed. The third discusses the likelihood of SARS-COV2 transmission during air travel, especially pertinent during the holiday season. Scientists practicing science are generally reliable, but scientists practicing politics generally are not. Furthermore, the media should be acknowledged but never trusted. Here is some information you can rely on.

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Cause of Death of Ananias and Sapphira

Ananias and Sapphira, early Christians who lied to God, were struck down for their sin. How did it happen?

Jesus, the Man that many believed was the promised deliverer of Israel, the Messiah, had died. But then only three days later, He had risen from the dead. Jesus had a glorified body, He was not just a ghost, and He had appeared to a few (Luke 24:39-43) and to hundreds (1 Corinthians 15:6). After Jesus ascended into heaven, the disciples had shared His message in Jerusalem and the Holy Spirit had come upon the people (Acts 2:1-36). Three thousand believed. Signs and wonders, miracles of healing and power, began to happen through the hands of His disciples, also known as the Apostles. The Jewish authorities arrested the church leaders, Peter and John, for proclaiming Christ. Believers began selling their possessions for the benefit of others in the church, and everyone was filled with awe. What would God do next?

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COVID-19 – Danger, Prevention, and Treatment

Right and left media alike shout through megaphones to their devoted fans, an echo chamber in which volume counts for more than truth. Neither side has a monopoly on facts, or science. Whom do you trust to understand the COVID-19 pandemic now?

Mainstream news organizations shriek every day about how Corona Virus Disease (COVID-19) is devastating the world and how the US government is fumbling America’s response. Liberals scream that we need to spend more money on the problem, and conservatives oppose governors who close businesses and order individuals to wear masks and stay home. Young adults stay home to escape the virus, despite being young, having no underlying medical problems, and not even knowing people who have been infected. Experts proclaim that “life will never be the same again” while ordinary Americans, like regular citizens from all countries, just want to do a good job at whatever work they do, support their families, and have a rewarding life. Fear is now fever, reporting is desperately biased, and the pandemic has become more political than viral. Many friends and partners in the MD Harris Institute ask about the crisis, and here are our most recent answers.

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Social Distancing, Public Health, and the Bible

Social distancing is an important public health measure to slow or stop the spread of many diseases. God’s instructions to the Hebrews in the Bible were primarily for holiness, but also had important health benefits.

I was at the auto parts store last week buying brake pads to replace the old ones in my daughter’s Prius. An elderly woman walked in, donning a mask and gloves, and carefully staying at least six feet away from others. When a clerk approached her and when other customers walked by, she retreated. I walked the long way down a separate aisle to get around her, trying to provide the space that she needed. Given her increased level of risk, and the fact that she didn’t seem grumpy, I appreciated her caution.

Social distancing, putting space between people who may infect each other with a disease, is the major way that individuals and governments throughout the world are trying to deal with the COVID-19 pandemic. It has worked many times in history, such as in the Spanish Flu pandemic of 1918, a far deadlier disaster than the current plague. The nation, and indeed much of the world, has been staying at home, or at least away from others, for over six weeks. Public health experts have used many other interventions for infection control as well. This article will discuss social distancing and other public health actions against infectious disease.

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Exercises for Obstructive Sleep Apnea

Look better, feel better, function better, be healthier, and improve your sleep with these simple exercises to improve obstructive sleep apnea.

Obstructive Sleep Apnea (OSA) occurs when a person develops partial or complete obstruction of the upper airway during sleep, when this obstruction results in apnea (no breathing for at least ten seconds) or hypopnea (decreased breathing). The person with OSA will then partially or fully wake up and their blood oxygen will decrease. About 25% of Americans have OSA, with men, older adults, and the obese at greater risk. OSA increases a person’s risk for high blood pressure, diabetes, atrial fibrillation, heart failure, coronary heart disease, stroke, trauma from falling asleep (while driving, for example), and death. It is a big health problem in the United States, and increasingly, the world. OSA is usually treated with medications, positive airway pressure (like CPAP), and surgery.[1] OSA is worse with supine sleeping (sleeping on your back). Some patients control their symptoms with side sleeping (sometimes with a full-length body pillow). However, there are many exercises that can help decrease symptoms of OSA, improve function, and make you look and feel better.[2]

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Coronavirus (COVID 19) in the environment

COVID-19 may persist longer in the environment than we realized. If so, the risk of infection is greater than we think

COVID-19, also known as the Wuhan virus or the coronavirus, fills the news of the world today. Universities all across America are canceling in-person instruction and chasing students out of their dorms. Municipalities and other organizations are canceling school trips and limiting large gatherings. The National Basketball Association has halted its season, cruise lines are stopping services, and stock markets are swooning around the world.

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Coronavirus 2020 Q&A

18115_lores[1]Learn how to protect your friends, your family, and yourself from the coronavirus.

The coronavirus is big news throughout the world, with over 90,000 cases and 3,000 deaths so far. It does not show many signs of abating. I have corresponded with journalists writing articles on this topic for the Huffington Post, Rolling Stone magazine, and other venues. But since I am most concerned for (and praying for, even last night), our readers and subscribers at the MD Harris Institute, I want to share important coronavirus information with you.

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Ballad of the Corona Virus

A medical musical tale of love and survival between an American man and a Chinese woman in the world of the new corona virus.

The Ballad of the Corona Virus (tune “Open Arms”, Journey)

Verse 1
Lying beside you, here in the dark
Feeling your fever so high
Weakly you touch me, pain so severe
Why did I stay for the night?
I thought it was true love, I wanted some fun
But now, I just want to run

Chorus
Cause it’s Corona virus, twelve thousand cases
It has got you, will it get to me too?
Oh why, did I, visit China?
Can I catch a plane, or a boat or a train, outta here?

Verse 2
In California, hospital bed
Aching and coughing up blood
In isolation – gloves, gowns, and masks
Chills come on me like a flood
Nurses and doctors, don’t know what to do
There’s no vaccination for me.

Chorus
Cause it’s Corona virus, often fatal
Waiting for doctors, insurance won’t cover
But soon my lady will arrive from Wuhan
I’m fading away, but we’ll beat you someday, Corona

 

How to Do No Harm

How leaders can minimize harm in health care, in other industries, and in all areas of life.

“How can we change this process to prevent this error from happening again?” the senior ward nurse asked the group. It is a common question, one that I have heard thousands of times from experienced and dedicated health care professionals of all stripes.

I have worked in health care for many years, serving in positions from volunteer to emergency medical technician to senior attending physician to chief of staff at a hospital to chief medical officer of a large network. In every position, “do no harm” is a fundamental theme. This famous statement from the writings of Hippocrates encapsulates quality improvement, patient safety, access to care, and many other goals in modern medicine.

“Do no harm” can be thought of as eliminating risks that could lead to a bad outcome, such as injury or death. Occupational and Environmental Medicine physicians learn that there are four ways to decrease risk in the workplace and in the environment:

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