#peds

[emgoesmed]

6/15/2024

Looking forward to a weekend reset after kicking off orientation for residency!

I have 2 more weeks of orientation & I’m alternating between feeling extremely nervous and excited about starting intern year.

I’ve been decompressing after being blasted with information every day by squishing the cat when I get home.

[848ellie]

Office Feet 💗 My feet hurt after a long day, and the pressure builds up while I sit at my desk. I need relief, so I slip off my heels and stretch my legs out while I'm on the phone. As I press my thumbs into my arches, I can’t help but let out a soft moan, the tension easing with each touch.

[queerstringcheese]

mommy is mommying

[mcatmemoranda]

5210! I always forget the number. It stands for eating 5 servings fruits/veggies a day, limit screen time to 2 hours a day, get 1 hour of exercise daily, and drink 0 sugar-sweetened beverages.

[cerealsensei]

[kaapstadmk]

Just sharing this article here, because it's given me hope. As someone in medicine, working with neurodivergent kids, who is neurodivergent himself, I love seeing the pendulum finally begin to swing, as there's interesting recognition that autism is different, broader than we previously understood

[teachingrounds]

A posterior fossa tumor arising from the fourth ventricle in a child is likely an ependymoma (image 1, Case courtesy of Jini P Abraham, Radiopaedia.org, rID: 98653).

A tumor arising from the brainstem, particularly the pons, is likely a diffuse midline glioma, although pilocytic astrocytomas and gangliogliomas can also arise here (image 2, Case courtesy of Jeremy Jones, Radiopaedia.org, rID: 68486).

[gingintigtig]

"if it isn't the consequences of my own actions"

For real, though. If anyone looked at him and thought "yup, that's natural" then IDK what to tell you.

We need better PE in schools. We just do. The fact that people thought this dude was natural to the point where he was a multi-millionaire from supplement sales shows that the average joe has zero fucking clue what a natural body actually looks like or how it functions.

Plus, just because he's cut glass ripped doesn't mean he's going to be healthy. I'd wager his internal organs are going to be fucked.

[tgotgainz]

The Pros and Cons of Anabolic Steroid Use in Teenagers: What You Need to Know https://delicatefitness.blogspot.com/2023/05/the-pros-and-cons-of-anabolic-steroid.html #anabolics #steroids #peds #supplements #workout #Gym #teens #teenager #fitness #delicatenutrition #muscles #weightlifting #performance #athlete #lifting #cardio #bodybuilding

[opiatemasses]

Drug usage within the sporting community – A dangerous epidemic? Or a chance for change?

“The sad thing about doping is how much it obscures our appreciation of greatness” – Malcom Gladwell

Drugs-use has been an ongoing societal problem. Within the sporting world, athletes are commonly regarded as role models for promoting health and wellbeing.

Stereotypically, drug abusers are thought to be anyone but high-profile professional athletes. It is therefore, surprising that drugs within sport are becoming more prevalent and publicised.

Drug-use in competitive sport specifically, is an issue that has been around for many years, dating back to the ‘remarkable’ performance of East Germany in the 1972 Summer Olympics. Nowadays, drug-use is prevalent, with the sporting world having expanded significantly both financially and socially. Consequently, the risk to reward factor of competitions are greater, therefore placing more pressure on individuals to perform at the highest level possible, creating a fast becoming crisis.

According to Hildebrandt et al. (2011) Performance Enhancing Drugs (PEDs) are ‘substances used for improving one’s performance and likelihood for personal achievement’.

Some of the most commonly used PEDs include:

Steroids – often hormones that are taken illegally by athletes to increase muscle mass or strength.

Human Growth Hormone – a substance that is injected by athletes in order to help them recover faster from injuries, which can lead to negative side effects such as diabetes or cancer.

Blood doping – when an athlete injects themselves with their own blood or someone else’s to boost their oxygen levels.

If you are interested in the effect these drugs have on your body, view the short clip below:

‘What Do Performance-Enhancing Drugs Do To Your Body?’

A quick Google News search around the term ‘doping’ in sport presented over 7,500 results. Evidently this illustrates the scale of the ‘epidemic’ problem we are facing.

Some of the historic cases include, drug use in the youth Olympics to a more famous case in the 2010 Tour de France involving Alberto Contador.

With drug-use in sport being such a problem, it becomes easy for us – the public - to take a critical stance, demonising drugs in sport and those involved.

However, it’s important to understand both sides, and why athletes may participate in this ‘illegal’ activity before judging and forming your opinion.

Personally, my opinions surrounding drug-use don’t condone nor criticise. I ruminate between two viewpoints and consider the specifics of each situation (e.g., what the drugs are being used for).

One viewpoint you could investigate when considering drugs in sport, is that PEDs create an unfair advantage amongst athletes. Traditional sporting values of fair-play and equality are sacrificed as a result and therefore we should maintain the strict regulations against drugs.

This perspective mirrors similar views to Houlihan’s which feature in chapter 16 of his book ‘sport and sociology’.

With the laws on drug-use in sport now being very strict, due to the potential rewards behind gaining a competitive advantage, the emergence of transgender athletes in sport has taken a significant impact because of certain hormonal drugs now being prohibited. This means that athletes will need to either raise their testosterone levels to be in with a fair chance of winning in male categories of sport or lower their testosterone levels so that their ability isn’t miles ahead of other competitors in female categories of sport.

Due to this, female athletes transitioning to male athletes and vice versa, will face significant scrutiny when seeking to compete, which has already been shown when Sebastian Coe recently stated that “biology trumps identity�� and that “fairness is non-negotiable”.

This leads me onto my alternative viewpoint. This involves a margin of allowance for PEDs so that injured athletes can accelerate their recovery in order to minimise the anxiety and pressure surrounding physical or mental impairment, as well as other reasons why athletes may choose to self-medicate.

Whilst being monitored, this perspective can then be implemented to positively impact transgender individuals wishing to compete in sport, demonstrating inclusivity – one of sports’ traditional values.  

Have a Think…

As the sporting world is regarded as a community, our primary concern should be the welfare of the athlete.

If a drug does not expose an athlete to excessive risk, should we allow it even if it enhances performance?

If countries have the money to train at altitude and adapt their bodies whilst some countries don’t, does taking respiratory improving drugs close that advantage gap and makes things fairer?

Should we dismiss this entirely and return to historic beliefs, or should we rethink the meaning of sport as a 21st century society? The crusade against drugs has failed and will continue to fail, so rather than fearing drugs in sport, should we not embrace it?

“Performance enhancement is not against the spirit of sport; it is the spirit of sport. To choose to be better is to be human. The legalisation of drugs in sport may be fairer and safer” – J. Savulescu

N0936752

[mcatmemoranda]

Have a kid who fell with toothbrush and the toothbrush punctured a hole in the back if his pharynx. If it hit a carotid artery, that's a life threatening injury. Luckily, the kid is stable abd didn't have any active bleeding. We ordered a CT soft tissue neck with contrast to rule out arterial injury.

[stormfazer]

Here’s how things are going over on BlueSky:

“MAP” = “Minor Attracted Person” aka a Ped

[teachingrounds]

Q. What are the most common causes of in-toeing in children?

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A. It depends on the age of the child.

0-1 year    metatarsus adductus = medial deviation of the forefoot relative to the hindfoot. If flexible, will typically resolve on its own. If inflexible, start serial casting early.

1-3 years   tibial torsion = rotation (usually internally) of the foot under the knee. If unilateral, L > R. Usually resolves on its own by 4 years. If external and associated with gait instability or pain, refer to Orthopedics for evaluation.

3+ years    femoral anteversion = inward rotation of the femur --> knees and feet both turn inward, the true "pigeon toe." Runs in families and exacerbated by W sitting. Generally resolves by 10 years as child grows and bones mature.

[lycaonfeetus]

Toptygin I relax

[dailyplanet-loislane]

Enhanced Athletes' Illegal Advantages in Olympic Events

[fitzloves]

its amazing how much pediatric patients will like you and respect you (plus cooperate with you) if you just treat them like actual human beings instead of witless dolls