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S – Smallpox
I – Impetigo
C– Coxsackie virus
C– Contact Dermatitis (Poison Ivy)
G – Gladitorium HSV
E – Eczema
R – Rickettsia Akari
M – Molluscum Contagiosum
S – Scabies
Elevated Troponin Differential Diagnosis Mnemonic – “SPARED HEART PHASE”
MedPage Today: Do you remember your first song?
The first real song I ever wrote was called “I Never Asked to be Born,” which was a letter to my biological father, following the death of my stepfather who had HIV/AIDS due to a heroin overdose, while I was in Navy boot camp in Great Lakes, Michigan.
This song speaks to clinician resilience and the journey from burnout to well-being. It was accepted to the National Academy of Medicine Expression of Clinician Well-Being Gallery, which called on artists to explore what clinician burnout, clinician well-being, and clinician resilience looks, feels and sounds like to people across the country.
1. Atlanto-Occipital Dislocation – Children, Lateral Neck XR, Power’s Ratio greater than 1, craniocervical fusion
2. Atlanto-Axial Dislocation – Rheum, Down Syndrome, Lateral Neck XR, ADI greater than 3.5 is unstable
3. Atlanto-Axial Subluxation – Grisel Syndrome, dynamic CT
4. Unilateral Facet Dislocation – reverse hamburger sign; closed reduction
5. Bilateral Facet Dislocation – reverse hamburger sign; surgery
This song speaks to relationships around death. Verse one is about advance directives for end of life decisions. A family gets a call that their mother has a life threatening condition. What would their loved one want? What is life vs. quality of life? Verse 2 speaks to death following war. Many veterans suffer from survivor’s guilt and PTSD, resulting in 18-22 veteran suicides per day.
Consider volvulus, shock, early sepsis, myocarditis, and intussusception in well appearing children with extreme tachycardia and tachypnea.
In this song, I use basketball players as a metaphor for vasopressors and inotropes used in critical care medicine. Their jersey numbers reflect their maximum dose. Their position reflects how they should be administered, central vs. peripheral. The song is filled with many homonyms, so that each time you listen you may discover something new. On the right side of the screen, I reveal these meanings as the song progresses.
This song highlights the sources, pathophysiology, clinical presentation, and management of cyanide. Special thanks to Dr. Rana Biary and Toxicologists from the New York Poison Control Center.
“He worked with two doctors and a dentist in Iraq who took him under their wing and convinced him that he was smart enough to be a physician himself. So, he enrolled in a community college in San Diego County, transferred to UC Berkeley and did post-bachelor’s work in physiology after graduating from Cal.”