Burkholderia pseudomallei

Inspired by Xiao et al 2022.[1] Cerevisae, CC BY-SA 4.0, via Wikimedia Commons.  DM – diabetes mellitusT6SS – type VI secretion systemT3SS – type III secretion systemCT – computed tomographyTB – tuberculosisMRI – magnetic resonance imagingIV – intravenouskey to acronyms Also known as Pseudomonas pseudomallei, sure enough this Gram-negative, bipolar, aerobic, motile, rod bacterium appears … Continue reading Burkholderia pseudomallei

PID regression 2021

Inspired by Hu et al 2021.[1] Photo by Neonbrand on Unsplash. PID – prolapsed intervertebral discIMHO – in my humble opinionMRI – magnetic resonance imagingkey to acronyms Over the years I have seen many patients with back pain, including those with the source of pain in the back that presents as pain somewhere in the … Continue reading PID regression 2021

Needle retrieval 2021

Inspired by Ikoma et al 2021.[1] Photo by SUNBEAM PHOTOGRAPHY on Unsplash. I have mentioned embedded needle fragments and the surgical retrieval of such fragments several times previously on this blog. But this is the first account of successful image-guided percutaneous retrieval of needle fragments using myocardial biopsy forceps. myocardial biopsy forceps The report includes … Continue reading Needle retrieval 2021

Fatal bilateral pneumothoraces

Inspired by Yamaguchi et al 2021.[1] PMCT – postmortem computed tomographyEA – electroacupunctureCPR – cardiopulmonary resuscitationCXR – chest x ray filmBMI – body mass indexkey to acronyms Photo by Robina on Unsplash. This case report comes from Tokyo and involves PMCT. The last reported case was from Shanghai, and I highlighted it on this blog in November 2018. … Continue reading Fatal bilateral pneumothoraces

Does acupuncture reduce opioid use?

Stimulated by Pham et al 2021.[1] Photo by Alexandru G Stavrică on Unsplash.Woman in a field of poppies... the original source of opiates – the natural subset of opioids. NSAIDs – non-steroidal anti-inflammatory drugsPT – physical therapyTENS – transcutaneous electrical nerve stimulationED – emergency departmentkey to acronyms This is another large retrospective observational cohort trial, … Continue reading Does acupuncture reduce opioid use?

Context effects in LBP

Stimulated by Bishop et al 2021.[1] Photo by Benjamin Wedemeyer on Unsplash. LBP – low back painRCT – randomised controlled trialRMDQ – Rowland Morris Disability QuestionnaireMCID – minimum clinically important differencekey to acronyms I have been interested in context effects since Fabrizio Benedetti described the dramatic difference between open and closed administration of opioids in … Continue reading Context effects in LBP

POCUS for pneumothorax

Stimulated by Weagle et al 2020.[1] Photo by Pavan Krishna on Unsplash. POCUS – point of care ultrasoundPOTUS – president of the United StatesUS – ultrasoundTV – television (the original ones were black and white)key to acronyms Not another case report of pneumothorax I hear you cry, that is not news to the acupuncture community. … Continue reading POCUS for pneumothorax

Consider acupuncture for chronic pain

Stimulated by NG193.[1] Photo by Arno Smit on Unsplash. NICE – National Institute for Health & Care ExcellencecLBP – chronic low back painMSK – musculoskeletalGERAC – German acupuncture trials (large 3 arm trials with ~1000 patients in each)MCID – minimum clinical important differenceLA – local anaestheticCRPS – complex regional pain syndromeRFD – radiofrequency denervation.key to … Continue reading Consider acupuncture for chronic pain

EA for LBP after back surgery

Stimulated by Heo et al 2020,[1] and Choo et al 2021.[2] Image created by MC EA – electroacupunctureLBP – low back painSR – systematic reviewUC – usual careQoL – quality of lifeCAM – complementary and alternative medicinekey to acronyms I was attracted to Heo et al because it involved EA and was published in the … Continue reading EA for LBP after back surgery