FROM OUR EXPERTS
One of the major risks of having spine surgery is the development of an infection. Discitis is an uncommon infection of the spinal disc that can occur after spinal surgery. Because of its rarity, discitis is often not on the minds of doctors. In this world of rushed, inattentive doctors, a person with an infection of the spine can be dismissed as a "common back pain" case when in fact discitis is the culprit.
A 58 year old woman who had years of lumbar pain came to me one and a half years following a complicated lumbar fusion; the surgery was complicated by the fact that the surgeon had to operate twice in order to get the hardware placed correctly. Unfortunately, the surgery did not cure her pain; and she came to me for pain management.
Two months into her treatment with me, she had a severe episode of low back pain after shoveling snow. She went to her primary doctor with not only complaints of worsening back pain, but she also had a fever and an upset stomach. That ...
A recent task force has determined that women are at higher risk for developing neck pain than men. What accounts for this gender difference? A number of factors contribute to neck pain including coping skills, personalities, work environments and physical activities. But, as a patient eloquently stated while lifting her shirt, "What about these?" Are breasts a major contributor to the higher incidence of neck pain in women? In 1996, our judicial system examined the evidence and determined (Bancroft v Tecumseh Products) that breast reduction surgery was indeed medically necessary to relieve headache , neck pain and shoulder pain. This verdict establishes the cause and effect relationship between breasts and neck pain.
A closer examination into the breast risk factor can illuminate a multitude of reasons why size A, B, C, D, or DD really matters to the spine. Let's think in terms of triple "B's".
B reasts :
Are your breasts big, small, not at all (absent) or just righ...
Medications Dozens of antibiotics are available for treating pneumonia, but selecting the best drug is sometimes difficult. Patients with pneumonia need an antibiotic that is effective against the organism causing the disease. When the organism is unknown, "empiric therapy" is given, meaning the doctor chooses which antibiotic is likely to work based on factors such as the patient's age, health, and severity of the illness. In determining the appropriate antibiotic, the physician must first answer a number of questions: How severe is the pneumonia? Mild-to-moderate cases can be treated at home with oral antibiotics. Severe pneumonia usually needs intravenous antibiotics administered in the hospital. If the organism causing the pneumonia is not known, was the disorder community- or hospital-acquired? Different organisms are usually involved in each setting, and the physician can use this information to guess the most likely organism causing the pneumonia. If the organism is known, is it typ...
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