MelroseWakefield Hospital’s Post

🏅 Don't Forget Your Skittles - I write about why it's important to celebrate our accomplishments, recalling an interaction with one of my daughters when she was much younger. It's a 2 min read. Here's some brief context As we get older, our lives become busier and more complicated. There's more to do. There's more at stake. There's more to balance. We're always trying to catch up, and sometimes we're simply trying to be a little less far behind. Time becomes a resource to be optimized or efficiently used; checklists serve as our guide. We finish one shift, paper, or project, and move on to the next. After all, there's so much more to be done. We do this despite knowing there will always be one more shift, one more paper, or one more project... Intrigued? The full article is available free via the included link. I would love to hear your thoughts from you all and learn what you're celebrating. Society of Hospital Medicine Skittles #JournalOfHospitalMedicine Mark Shen Mark Shapiro, MD Vineet Arora MD MAPP Vineet Chopra Vineeta Mittal, MD MBA Michele Fronckiewicz Kris Rehm, MD, MMHC, SFHM Flora Kisuule Cincinnati Children's https://lnkd.in/gN3aV5wS

✨ New Open Access paper out in Global Philosophy (with Mattia Andreoletti and Davide Dalla Rosa). Philosophy and Clinical Reasoning in Rehabilitation Sciences: Bridging the Gap https://lnkd.in/derRyic6 #rehabilitation #philosophyofmedicine #clinicalreasoning

more about the power of listening to people

Another published article!! 🗒️ This time in @pathwaystofamilywellness from the @icpa4kids and I couldn't be more honored!! 😊 Check it out here: https://lnkd.in/gxJ3RN5x #author #worldchanger #pediatricchiropractic #pediatricchiropractor #icpa #letsgo

Check out this new article published in the Journal of Elder Abuse & Neglect by Center faculty Kristin Furfari, MD, MS, Professor Emerita Jacqueline Glover, PhD, HEC-C, our CU VESPA colleagues! Follow this link to learn more about the VESPA team at the University of Colorado: https://lnkd.in/gJ67Mz-9

Why don't we solve problems before they happen?  The curious case of Developmental Dysplasia of the Hip (DDH) (1/2). Here's my story as a physician who suffered DDH baby hip medical complications during his career. Now, I'm remembering baby cries and parent´s desperation. Thanks to the inspirational podcast by Pablo Castañeda (International Hip Dysplasia Institute IHDI, USA) interviewing Emily Schaeffer, PhD (Hip Hop Network, Canada), on hip global registry and pathways, now I can elaborate this rationale.  Current medical paradigm is prophylactic. Sometimes, parents claim in the office, “why don´t they perform a clinical exam/hip ultrasound on my baby on time?”. It's a tricky question, especially if it's the first time you are viewing the baby at 6 months of age with developmental dysplasia of the hip or hip dislocation. Just waiting to have the baby hip problem clear for diagnosis could be discouraging. In my region, we have no DDH screening and registry programs. Therefore, parents acting as “doctors only for today” are taking care of their babies with hip braces. Sometimes parents ask in the middle of the night, “are you sure this brace is good for my baby, he/she can´t sleep?” …  Parent´s education is mandatory: if they don´t understand the goal of brace treatment on hip development, they can abandon this treatment and waste time. Moreover, in complicated cases, we're performing more surgical treatments than expected, all of them with highly demanding surgical skills. Sometimes, demanding hip procedures are so delicate that one could prefer “don´t touch”. Surgical risks are the best reasons to have DDH screening and registry programs. For example, even in high level specialized hospitals to be sure if hip reduction after a treatment of hip dislocation is not easy, having risks of hip re-dislocation, proximal femur growth disturbing or residual hip dysplasia with a final outcome of hip osteoarthritis. Anesthesia risk in young baby is a concerning as well. Postoperative exams to evaluate hip reduction, just like Magnetic Resonance Imaging, need anesthesia or sedation, toxic contrast, etc. Radiographs and sonographs need careful interpretation. Further, it's important the surgeon´s ability who must achieve a good hip reduction and/or bony reconstruction with the minimum of blood loss, surgical manipulation, and surgical time. This is the way, we (family and health providers) are living inside the DDH problem. Now, we're waiting for the demonstration that this problem is a problem. Yes, that's the way science works. When we have more data from national and global registries, we will be able to answer more key questions and be accurate in diagnosis and treatments. Finally, to prevent DDH and hip dislocation is less complicated than treating them. Going upstream to face this problem (being early in diagnosis and treatment) is better than going downstream (arriving delayed to solve the problem with avalanche-effect). #pediatrics

Cooperation for national screening and registry programs of Developmental Dysplasia of the Hip (DDH) (2/2)   Developmental Dysplasia of the Hip (DDH) is a public health problem in the world because of delayed diagnosis and treatment.   Next are some words of wisdom from a parent trying to teach me how to cooperate with my partners to solve DDH problem. Please don´t forget most of parents are updated on science and arts because they help educating their children. She said that it´s incredible what we can achieve if we cooperate. In human history, small and great events are possible when people cooperate.  Examples: arriving to the moon thanks to 400.000 people cooperating, daily going to the supermarket for food thanks to people from cities and farmers cooperating, surfing on internet or artificial intelligence developing thanks to planetary cooperation, etc. It is a fantasy to have something done in isolation.   Every region could do their best efforts to face DDH issues, and it depends on who is sensitized to the health problem. Parents who suffered complications during the processes of hip diagnosis and treatment or physicians who are involved in these processes are sensitized to this health problem. After such an experience, they use to be concerned and supportive each other and become a booster for social mind changing on DDH. Institutions are surprised taking parent´s concerning and physicians hope a new paradigm to face this public health problem on time.   Stablishing a national registry or national screening programs take time, but the principle is clear: early diagnosis and early treatment in DDH are the best. DDH diagnosis is mandatory, so we must clarify if treatment, follow-up, or discharge are recommended. Parents need explanations based on evidence; therefore, screening and registry are crucial for having data now and conclusions in the future.   This is not matter of being afraid of having complications during DDH diagnosis or treatment, but it is matter of taking care of the problem in any way, from parents’ side and health providers´ side. So, if we are sensitized to this problem, we must take a decision and act right now. This is real life. On the other hand, evidence-based medicine can take its time and wait for demonstrations that screening and registry programs are good ideas. We think so.   Therefore, these both decisions are fine for moving forward: professional decision in the office performing an early clinical exam/hip ultrasound screenings or politician decision funding a national screening and registry programs. Although, on this public health issue, final responsibility is on cooperating community, so government health agency must oversee these responsibilities instead of isolated physician initiative, like vaccination national programs. International Hip Dysplasia Institute #pediatrics #orthopedics #DDH #Pavlik #Developmentaldysplasiaofthehip

His contribution and influence in the field of medicine are indeed immeasurable, and the country needs talents like him，

Our 2023 Impact Report is live! Click on the link below to read about our impact in the community in the past year! https://lnkd.in/dcBqYM2u

Did you know we have a team providing QAS with evidence-based research which all contributes to the way we care for Queenslanders? Tan is one of our Research Fellows and he’s identified nine areas in the state where people are less likely to survive a cardiac arrest – and learning CPR is one way we can turn this around. Bystander CPR is critical to cardiac arrest survival and is one of the first steps in the Chain of Survival. While most people can do it – they might not have the confidence, but we can change this… https://lnkd.in/gMchjt7d