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PLS Evaluate this Blog

Wednesday, 15 July 2009

MY LAST ELECTIONS!!!



خسارة بطعم الفوز فى الانتخابات الأخيرة *
كيف دونت ما حدث؟

ملحوظة: المقال من أجل الترفيه فقط، و هو بخصوص إحدى الانتخابات لجمعية عربية علمية. تقدمت لها و لم أفز. و أنا اهنئ زملائى الذين فازوا.

*****************************************
حوار مع مدونتى
:


أنا:اختى الطبيبة ...اخى الطبيب ....يسعدنى و
المدونة: لا مش الخطبة دى يا إيمى!
أنا: أيها المواطنون....لقد قررت أن
المدونة: لا ولا دى كمان!
أنا:الأخوة و الأخوات...أحييكم
المدونة: لا لا لا! انت نسيتى ولا إيه؟
أنا: ؟؟؟
المدونة: إنتى فاكرة نفسك نجحتى ؟ أنت خسرتى فى الانتخابات!!!!
أنا: (آهو ه ده اللى ما كنتش عاملة حسابه خاااااالص)

أنا: يبدو أننى حصلت على المركز الخامس من أصل عشرة مرشحين. بينما اختير فقط أربعة لعضوية المجلس. مباااارك للأربعة الذين سبقونى. وهااااردلك للخمسة الذين لحقونى. و ما بين سابق و لاحق تكون الحياة الانتخابية. إذن أنا لم أنجح لكن لم أخسر، نعم لأنى استفدت من التجربة الانتخابية جيدا. بأن ترشحت و فكرت ماذا ينقص الجمعية العلمية و تقدمت ببرنامج انتخابى علمى و عملى واضح. وعرفت أنه رشحنى البعض و ممن احترم رأيهم و احترم ايضا من لم يرشحونى فربما لم تتح لهم الفرصة لمعرفتى أو رأوا أن هناك من هم أفضل للموقع الآن. و كل هذا نعتبره نجاحا أو نسميه هزيمة بطعم الفوز. وهناك من كان يستحق الفوز حقا فهنيئا لهم. إنها الدبلوماسية فلا تتعجبين يا مدونتى العزيزة.

إِذا لم تستطع شيئاً فَدَعهُ وَجاوِزهُ إِلى ما تستطيعُ

المدونة: تمام هو ده ... بتفكرينى بشخص امتحن لوحده و طلع التانى.
********************************************
أنا و الصحافة :
مانشيتات الجرايد العالمية: أصغر اخصائية قلب مصرية تترشح ثم تفوز بعضوية بان عربية (الباشدا). إنه جيل الشباب.
أول حديث صحفى مع الجرائد القومية: وعدت فأوفت... فوز ساحق للدكتورة إيمى اليمينية..البدء فى تنفيذ البرنامج الانتخابى لسيادتها بالعبور فورا للمستقبل (برا)...
و أول حديث صحفى مع الجرائد المعارضة: إنه انتصار لقوى الشعب المتهالكة...إنها روح التغيير...إنها (انتوا عارفين الباقى هاتوا اى جرنال معارضة او جرنال كان بيرشح اوباما)
و جرائد عربية شهيرة تتحدث عن شعب الاطباء: قالت لهم كما قال سابقوها: انتخبونى و حاسبونى.. فهل فعلت مثلهم؟ ( مقال تكتبه اختى عنى فى الشرق الاوسط بعد نجاحى).
جرائد صفراء خبيثة: بعد فوزها... كيف ستسدد مصاريف و فواتير الانتخابات؟ أرد عليهم بسؤال يفحمهم: هانعمل كمان ايه فى استعدادات الاحتفال المرتقب اللى حوشتها من مرتبى الهزيل؟ نتبرع بيها لسداد ديون مصر؟ و لا احتفل و خلاص بالهزيمة؟ على فكرة أنا كل دعايتى كانت على النت. وأهو خربان من شهر. مبسوطين!!

بس اقابل صغار النواب ازاى فى العالم العربى ؟

و كاد الناس أن يهتفوا لى : وي لاف يو إيمى..
طبعا انتوا سامعينهم دلوقت بعد ماخسرت غيروا الهتاف: بالروح بالدم نفديكى يا إيمى.
انا اخطب فيهم : بيكفى. ولا هانعترض و لا ها نعمل مظاهرات. احنا كلنا اخوة و اخوات زى ما علمونا فى التلافزيون و الراديون و المدارس: ان العرب اخوة. وانا مسالمة طول عمرى من ايام الحلم العربى لحدة الضمير العربى....يكفينى شرف المحاولة..ثم أحور لكم نهاية قصيدة سفر للشاعر العربى بسيسو سواء فزت أو خسرت لأقول:


ما الانتخابات البداية
ما الانتخابات النهاية
إنها أول أيام العمل
عمل عمل عمل
طال العمل
عاش العمل
عمل عمل عمل


الكورة و الانتخابات:
الغريب انى عاملة زى نادى الاسماعيلى الكبير فى نهائى الدورى المصرى . لما يخسروا ويقولوا ولا يهمنا الدورى عندنا. أنا برده اقول ولا يهمنا السنة الجاية نتقدم للانتخابات و ننجح باذن الله. فعلا الخسارة دى بطعم الفوز. طعمها لذيذ لا يذوق الا اهل الاسماعيلية.
********************************

الاستقبال الشعبى من صغار الاطباء:
و لا النواب اللى كانوا بيباركولى مقدما على النت و انا كان نفسى اهديهم اللاب توب و وصلة الاتصالات (اللى الشركة ضحكت علي فيها) و كنت ناوية أقول لهم يحنن بخصوص 5 عين لانها مخصصة لكل طبيب مسكين و طبعا مفيش طبيب مسكين فى العالم لان المسكين الذى لا يملك قوت يومه. وفى النهاية أحب اهديهم أغنية: أحمد ربنا إنك عايش. للفنان الكبير الصغير.

الديموقراطية الانتخابية:
ده انا كنت عاملة جو انتخابى فى البيت و مجندة كل اخواتى الصغيرين و الكبارعلشان يعملوا لى دعاية و يختاروا معى الصور و الشعارات. ده انا حتى كنت ديموقراطية خاااالص و سيبتهم يقولوا رأيهم بحرية من غير ما اعتقل حد و فى الاخر نفذت اللى انا عايزاه طبعا زى الحكومة تمام. مش هى دى برده الديموقراطية و لا العكس؟ يبقى اخسر ليه؟

و على الصعيد السياسى العالمى:
يا خسارة سهر الليالى فى مذاكرة الابحاث الجديدة اللى ممكن تفيد المنطقة العربية و عمايل لوح الاعلانات على المدونة العلمية و الدعاية على الفيس بوك. ده انا اشتركت فى تويتر مخصوص. وجديا فكرت إنى ارشح نفسى فى مجلس الشعب و لا الشورى. ( قعدت أفكر مستقلة و لا و طنى و لا أحزاب تحت التأسيس؟ و كيف سأخدم الناس؟ فغيرت رأيى).
اه الظاهر إنى متقدمة زيادة عن اللزوم . هو ده اخرة الانترنت و الفضائيات الاخبارية و السى ان ان وغيرهم اللى لحسوا مخى على رأى ماما. ده أنا بطلت اتفرج على البى بى سى إلا بالعنجليزى و أدمنت كل قنوات الجزيرة. ده أنا عملت لستة من 30 قناة اخبارية و ثقافية لوحدى. خلاص ارجع اتفرج على سبيس تون. أهو كله اطفال: قلب اطفال ولا كارتون اطفال.


النساء قادمات بعد الهزيمة:
معروف إن النساء و خاصة العرب بتسامح لكن ما بتنسى....ثلاث طبيبات خسرن دفعة واحدة.... نحن لسنا مثل سارة بالين الامركانية القمراية تخسر و تعلن انها تعتزل الحياة السياسية... لا نحن و لا كليوباترة و لا شجرة الدر. نحنا باركنا للناجحين بسرعة و أول حاجة قلتها لهم ماتنسوش تنتخبونى فى الانتخابات الجاية...انها سياسة النفس الطويل العربى...المرة الجاية ان شاء الله هنفوز كلنا... و كله بالدستور وبالقانون... المفروض كانوا عملوا لنا نسبة ثابتة 10 % (كوتة) يعنى مقعد ثابت للنساء.


ماذا فعلت بى الانتخابات الأخيرة؟:
ده انا ماشية اقول قبل اى فصل اذاكره من كتاب برونولد: يس وي كان... اوه اوه!!
و ساعات يصحونى من النوم يلاقونى بانفزع واقول: ويرز ماي فوت؟
لكن الان باقول ليل نهار: اراب اند اراب بان اراب ( مقال لى بالانجليزية)

انتظروا سلسلة أخرى من المقالات
......تحياتى و مودتى

Wednesday, 8 July 2009

300 SCIENTIFIC SITES

· 100 Web Resources For Medical Professionals Noedb
· 57357 الصفحة الرئيسية
· A Real Believer Love Allah Anyhow
· A.E.P.C. Homepage
· ABC News Health Index
· Academic Earth - Cardiology I
· ACCOMPLISH Trial
· ACLS Cartoon
· Acute Rheumatic Fever Remains
· Adult Congenital Heart Association
· AHA Guidelines For ACLS/PALS/NRP
· Alexandria Medical Research Institute
· All Conferences/ Health/ Medicine
· Allhealthcare.Com Making It In Medicine
· AMA American Medical Association
· American Academy Of Pediatrics Vermont Chapter
· American Academy Of Pediatrics Web Site
· American Echocardiography Yahoo Group
· American Telemedicine Association
· Angioplasty, Stents, PTCA
· Arabmedicare.Com Cardiology Center
· Archive Of Texas Heart Institute Journal.
· ASU-Exzellenzzentrum
· Atrial Fibrillation Video Northshore University Healthsystem
· BBC - Health
· Better Health » Cartoons
· Biomedicine
· Blogs USASK CA Medical education
· BMJ.Com
· Book TV
· Brain Takotsubo Syndrome 2008 - Google Search
· British Cardiovascular Society
· British Heart Foundation - Home
· British Heart Foundation Newsletter
· Broken Heart Syndrome
· Cardiac Surgery In The Adult
· Cardio smart
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· Cardiology
· Cardiology .Pdf EBook Download
· Cardiology Fellowship Application Thread
· Cardiology Journals
· Cardiology line
· Cardiology Online - International Academy Of Cardiology
· Cardiology Rounds
· CardiologyForum.ORG - A Professional & Personal Networking
· Cardionics - Leaders In Auscultation
· Cardiovascular News & Cardiology News
· Cardiovascular Ultrasound Home Page
· Child Obesity Linked To Diabetes And Heart Problems. -- Current
· Children's Heart Foundation Oregon Chapter
· CIRCJ Japanese Circulation Journal
· Circulation
· Circulation Research
· Clinical Trial Results The International Leader In Medical Media
· CNN Arabic.Com - طبيب تونسي يتوصل لتركيبة طبية لعلاج الكوليسترول
· Conferences Online
· Coping With Death, Grief And Loss - The Light Beyond
· Cordis FP7 Find A Call
· CSI - Congenital Structural Interventions - Frankfurt 2008
· Ctsnet The Cardiothoracic Surgery Network
· DAAD - Branch Office Cairo
· DAAD - Deutscher Akademischer Austausch Dienst
· Daily med
· Database Search Request Form
· Deutsche Gesellschaft Für Kardiologie - Herz- Und Kreislaufforschung
· DFG - Deutsche Forschungsgemeinschaft
· Diagnosispro - The Ultimate Medical & Differential Diagnosis
· Doctors & Medical Students -
· Doctor's Guide- Global Edition
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· Download Free Medical EBooks
· Download Your Favorite Medical Books - Medical Community
· Dr. Essam Heggy Personal Web Page
· Dujour.Ws - The Official Dujour Website
· EAE Research Grants
· ECG
· ECG Pedia
· ECHO IN CONTEXT
· Echocardiography
· Education & Training - Department Of Pediatrics
· Education UK - Innovative. Individual. Inspirational.
· Educational Catalog
· Egy calendar Events
· Egydoctors.Net - الصفحة الرئيسية
· Egypt Professional Distance Learning
· Egyptian Patent Office - مكتب براءات الإختراع
· Egyptian Working Group Of Pediatric Cardiologists
· EHJ -- Table Of Contents (March 2008, 29 [6])
· EHS Website
· Embrace Your Heart Heart Attack-Survivor
· E-Medicine Diabetes
· Emedicine The Continually Updated Clinical Reference
· Emergency And Everyday Medical Advice And Answers
· E-Nile.Com
· ESC Guidelines & Surveys Guidelines Products Pocket
· ESC Web Site Search
· Europcronline.Com!
· Evolution, Genetics, GUARDIAN
· Face Book Health News
· Familydoctor.Org Home -- Familydoctor.Org
· FDA
· Fetal Echocardiography Homepage
· Free Medical BOOKS By Amedeo.Com
· Free Medical JOURNALS By Amedeo.Com
· Free Medical VIDEO
· FREE MEDICAL VIDEOS - 3D ANIMATIONS
· Fun Pages AHA
· German Egyptian Research Long-Term Scholarship - GERLS
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· Graduate Studies Prospectus Entry Requirements
· GRM International United Kingdom Office
· Health And Wellness News Blogs And Video -- Baltimoresun.Com
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· Health Groups Yahoo
· Healthcare Blogger Code Of Ethics » MEDICAL BLOGS
· Healthcare Blogger Code Of Ethics » PHYSICIAN BLOGGERS
· Heart & Vascular Institute Swedish Medical Center
· Heart And Education In Heart BMJ
· Heart BMJ
· Heart Cartoons - Andertoons Cartoons About Heart
· Heart Disease Cartoons By T. Mccracken
· Heart Disease On Medicinenet.Com
· Heart Failure Guidelines - Heart Failure Society Of America
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· Heart Risk Lessens With More Exercise « Dr Hsu’s Forum
· HEART VIEWS
· Heart link
· Heart smith Locket Jewelry History Of The Heart
· Hopkins Medicine Magazine
· Hopkins Study Supports Use Of CT Scan Of Heart -- Baltimoresun.Com
· IHJ International Heart Journal Japan
· IMPHA.Com International Muslim Physicians Assembly
· Inbox - Cardiologyrounds.Com
· Independent News On Natural Health, Nutrition And More
· Institute Of Heart math - Empowering Heart-Based Living
· International Medical Center
· International Society For Heart Research--Japanese Section
· Iran Ped Card
· Is Prophylaxis For Endocarditis Essential
· ISCU
· Japan Foundation - Cairo Office
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· JHJ Japanese Heart Journal
· Journal Of The American College Of Cardiology JACC
· Journal Of The Saudi Heart Association - SHA
· Journey Of Hearts A Healing Place For Those Dealing With Grief
· Keep My Heart Beating., World Heart Day Card
· Kevin's Home Page
· L Lateral Decubitus Film Shows Layering Of The Pleural Effusion
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· الموقع الرسمى لكتاب العالم أحمد زويل - عصر العلم
· الموقع الرسمى للنقابة العامة لأطبـــاء مصــــر
· الميثاق الإسلامي العالمي للأخلاقيات Islamic Code Of Health Ethics
· الهيئة العالمية للإعجاز العلمي في القرآن والسنة
· الهيئة العامة للتأمين الصحى
· وحدة المعرفة KNOL
· وزارة التعليم العالى مصر
· وزارة الصحة و السكان مصر

Sever MS & Severe TS

Sever MS & Severe TS
Lastly, I had seen a case with severe MS but mildly symptomatic and even lying flat during echocardiography. Residents raised the question of: why she is asymptomatic? Interestingly, this case has severe TS with sever MS. This is one of cases with Rheumatic TS in Egypt.
Review:
Despite the coexistence of MS, the symptoms characteristic of this valvular lesion (i.e., severe dyspnea, orthopnea, and paroxysmal nocturnal dyspnea) are usually mild or absent in the presence of severe TS because the latter prevents surges of blood into the pulmonary circulation behind the stenotic mitral valve.
Indeed, the absence of symptoms of pulmonary congestion in a patient with obvious MS should suggest the possibility of TS (Braunwald, 2008).

Friday, 12 June 2009

Second opinion and telemedicine



Dear visitor, this post is extension regarding second opinion.
Here is a case of End stage CHD that I managed in 2005. Then, I sent for second opinion. You may notice the format (PDF)I used through GE machine. It nicely collects your data in many formats (JPEG, AVI, DICOM,.... . ). This allows storing, further sending for second opinion. Even, most new echo machine gives you a chance of telemedicine at once.


Tuesday, 9 June 2009

Pulse Oximetry and Detection of Cardiac Abnormalities in Newborns




Update2: to know about pulse oximetry

Update1: What are the take-home messages from this review?

Beliefs: I do believe that developing countries should develop through simple procedures. i.e. screening PHC, home visits,... etc.
To start screening you should apply the safest and cheapest procedure.

Applicability: This is so simple and should e applicable in any centre after birth. I know that each Nursery, labor department in any hospital has Pulse Oximetry. Alternatively, even, it could be applied from other departments or store. There is no cost at all. Furthermore, we need it to be documentary, routine, and obligatory in our FILE SYSTEM.

Manpower: The Obstetrician or paediatrician, or nurses will examine the newborn. They should check ALL PUSLES and PULSE OXIMETRY. It could be added as a routine item in checklist of newborn BEFORE DISCHARGE.

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Pulse Oximetry and Detection of Cardiac Abnormalities in Newborns. (Review) By Dr Eman Altahawy 2009

Background


· Neonatal screening started in the 1960s with the Guthrie bacterial inhibition test for detection of phenylketonuria.
· Screening test should reliably identified when asymptomatic, with a low false positive rate, and when treated early death or disability are prevented.


Background

· Between 1 and 1.8 babies per 1,000 live births have duct dependent circulation.
· About 30% are not diagnosed before discharge. Duct-dependent cardiac lesions are especially difficult to diagnose before discharge now that most newborns are discharged before 72 hours of life, which is about when the ductus arteriosus closes.

Background

· These babies return to the hospital in circulatory collapse, respiratory distress, metabolic acidosis, sudden death, or die at home. So, we need a Challenge .

· At first sight, universal pulse oximetry screening for this disease seems to contravene the above principles.

SWEDISH STUDY

· Impact of pulse oximetry screening on the detection of duct dependent CHD: a Swedish prospective screening study in 39 821 newborns (BMJ 2009).
· Using a new generation pulse oximeter before discharge from well baby nurseries in West Götaland.
· Comparing with other regions not using pulse oximetry screening but only physical examinations.



Main outcomes

· It measures Sensitivity, specificity, positive and negative predictive values, and likelihood ratio for pulse oximetry screening and for neonatal physical examination alone.

Procedure

· Nurses measured preductal oxygen saturation in the right hand and postductal oxygen saturation in either foot ( simple).
· total procedure time: 5 minutes (rapid).
· If both preductal and postductal oxygen saturation were <95%>3%, the screening was considered positive and the measurements were repeated.


Procedure

· Infants with three positive measurements underwent echocardiography.

· Doctors were blinded to oximetry readings unless oxygen saturation was 90%; in these cases, the treating doctor was immediately notified and an echocardiogram was performed.

Results Sensitivity
• Adding pulse oximetry screening to a pre-discharge physical examination increased the sensitivity of detecting duct dependent circulation from 62.5% to 82.8%.
• It detected 100% of the babies with duct dependent lung circulation.

False-positive

· The false-positive rate of 2.09% (low).
· Although pulse oximetry resulted in 69 false-positive cases, 44.9% of those had other conditions, some of which required immediate attention. (even it is good).
· Therefore, referring all babies with positive pulse oximetry results for echocardiography resulted in only 2.3 excess ECGs for each true-positive case.

False-positive

· False positive rate with pulse oximetry was substantially lower than that with physical examination alone (0.17% vs. 1.90%, P<0.0001), color="#ff0000">False negative

· Five cases were missed (all with aortic arch obstruction).

· The risk for discharge with an undetected duct-dependent lesion was significantly higher in a cohort of infants from other regions in Sweden where pulse oximetry was not performed (relative risk, 3.4).


Cost

· The authors estimated that pulse oximetry screening would be at least cost-neutral in the short term and probably cost-effective in the long term due to reduced need for preoperative neonatal intensive care.



Conclusion

· Introducing pulse oximetry screening before discharge improved total detection rate of duct dependent circulation to 92%.
· High predictive value
· Low false-positive rate
· Cost-neutral in the short term
· Cost-effective in the long term.

Recommendations


· Routine pulse oximetry before hospital discharge in newborns.
· I suggest further similar work among Arab countries.

References
· Granelli A et al. Impact of pulse oximetry screening on the detection of duct dependent congenital heart disease: A Swedish prospective screening study in 39 821 newborns. BMJ 2009 Jan 8; 338:a3037.

· Pulse Oximetry Improves Detection of Cardiac Abnormalities in Newborns. Journal Watch Pediatrics and Adolescent Medicine February 11, 2009.


Thank you

Sunday, 7 June 2009

COMING SOON



Friday, 5 June 2009

Go for survey





*****


Thank you


Till now, three had shared...
Join them


Thursday, 4 June 2009

They used to say...Nostalgia



They used to say…
Few years ago, they used to say: no way, the child would not continue in our live more than 6 month.


Now, they never say it for any family even if diagnosed late.
In the coming years, we hope we can diagnose CHD very early.

More important, we hope we can interfere once diagnosed and not be limited with financial or administrative issues.

Shall we stay relaxed in our golden clinics; waiting for them to come?
Am I enforced to see all children with congenital heart diseases in one or two pictures? Either cyanosed or in heart failure,…..or concisely at the end stage of their illness. At this moment, the only solution will be heart-lung transplantation. I dislike this moment.

Can we see them earlier than this stage? One year, one month before.
Can we go and move out of our places to discover them in their home.


Just a Nostalgia...

Tuesday, 2 June 2009

Aspirin & Prevention of CVD




Aspirin for the Prevention of Cardiovascular Disease:

A 57-year-old woman with high-normal blood pressure and no known cardiovascular disease fears that she will have a stroke because her mother died of ischemic stroke at the age of 79. The patient does not smoke, but she consumes 4-5 cups of coffee a day and usually drinks wine with dinner. She describes a history of dyspepsia and heartburn, for which she regularly takes over-the-counter famotidine. Her physician advised that she undergo endoscopy, but she refused because of the expense.


Sunday, 31 May 2009

Vote for me...election 2





















Vote for me...election 1





















Tuesday, 26 May 2009

Sometimes it is mid thoracic... COA

A 20-year-old man presented with hypertension resistant to antihypertensive medication. Computed tomography showed focal stenosis of the mid-portion of the descending aorta at the T4 to T5 level (A). The aortic arch, its branches, and the aortic isthmus showed well-developed contours without stenosis (B). The abdominal aorta and its major branches and aortic bifurcation were also morphologically normal (C and D).


Monday, 25 May 2009

Second Opinion: An Issue for Discussion

Dear visitors,
I found this tag and my answers are here. KindlY share us with your kind comments:
· Do you take second opinion in your decisions and management plans?
· How frequent? Which cases?
· Do you take the full opinion and follow completely? Alternatively, do you discuss with them and take what you need and agree only?
· For your patients, is it a problem?
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New Tag: Second Opinion and Doctors

Do you take second opinion in your decisions and management plans?
Sure, I do.

How frequent? Which cases?
Now, not so frequent. At the start of my learning practical life, I was storing nearly most of my echocardiography cases in Flash memories from GE Machine. Then I was revising with myself the cases at the end of day before releasing the full reports. After wards, I was selecting some interesting or complex cases to discuss with my friends, seniors, and professors worldwide through internet. It was like a quality control.
However, for some clinical cases, I was not sure of full correct diagnosis or proper plan of management. I was sending clear statement; this is for second opinion.

Do you take the full opinion and follow completely? Alternatively, do you discuss with them and take what you need and agree only?
Mostly, I am convinced with the other opinion and understand the plan strategy, I follow.
However, rarely I do not understand or accept the opinion. If so, usually I ask for clarification. Because second opinion is not only help me. Also, teach me. You know different methods of thinking and approaches of diagnoses. You know their different or higher levels of education.

For your patients, is it a problem?
For patients and doctors, it should be very useful. I advice: do not hesitate to take second opinion.
Nowadays, Egyptian patients accept and respect doctors whom seeking other opinion. Sometimes patients are doing this step themselves. Then, come for you to tell that your decision was correct or accepted by other doctor. Some patients do not have any idea about this option. They may think that all doctors have the same scientific background, Knowledge, experience, or practical levels.
Some Arab patients do this option especially before major operation. They are aware with the importance of this. They know well this is their right. Even, they take this step while in hospital easily with aid of the treating team. It depends on how cooperative the treating doctors are. They should accept second opinion issue with no offense.

Just to tell



I came just to tell what I am doing now:


1-Free download form



2-Study AHF from Braunwald


Bye for now

Friday, 22 May 2009

Hands-Only CPR Skips Steps




The result was as following:
55 % Yes
10% No
35% Do not know the changes
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Thanks for those shared in the poll.
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Here is a recent article on NPR matching our subject;
Hands-Only CPR Skips Steps but Saves Lives
It concludes that: the American Heart Association remains skeptical. It wants more conclusive evidence before it changes its guidelines any further.