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  •   Anti-NMDA Receptor Encephalitis The neurological condition resulting in sudden and severe behavioral changes. By Jenny Ewen, BA, NREMTEditor-In-Chief OverviewFirst identified in 2007 by Dr. Joseph Dalmau, anti-NMDA receptor encephalitis is an auto-immune disease where antibodies attack the NMDA receptors in the brain (specifically the GluN1 subunit), causing a litany of symptoms due to the…

  • Knee Pain with Respiratory Distress

    Knee Pain and Respiratory DistressA combination of symptoms result in a surprising diagnosis.By Marven Ewen, MDMedical DirectorImagine you are seeing an elderly patient who says he feels weak and appears short of breath. He has a rapid breathing rate and increased effort. He says he just gradually started not feeling well throughout the day. He…

  • Clean Hands

    Clean Hands In a time of necessary infection prevention, this is how doctors wash their hands.By Marven Ewen, MDMedical DirectorCurrently, the COVID-19 pandemic is a reminder of the importance of infection control. Handwashing is the most important part of preventing the spread of infection. The CDC recommends 20 seconds of handwashing with soap and water…

  • Huntington’s DiseaseThe genetic brain disease that has no cure.By Jenny Ewen, BA, NREMTEditor-In-ChiefOverviewHuntington’s disease is an autosomal dominant genetic disease causing a breakdown of nerve cells in the brain, resulting in decline of a person’s physical and mental abilities. Most commonly, Huntington’s disease emerges during adulthood when someone is in their 30s or 40s. When…

  • Calcaneal Fracture

    Calcaneal FractureOne of the bones you really don’t want to break.By Marven Ewen, MDMedical DirectorI was seeing a middle-aged tradesman. He told me how he misjudged the last couple of steps of the ladder and ended up dropping onto his right foot with his knee in a fully extended position. He was wearing stiff boots…

  • HemophiliaThe disorder that causes unstoppable bleeding.By Jenny Ewen, BA, NREMTEditor-In-ChiefA Little Bit of HistoryIn 1837-1901, Queen Victoria of England ruled and was believed to have passed on the traits of hemophilia B to three of her nine children. Her daughters then passed it on to their children, one of whom married Tsar Nicholas of Russia,…

  • Bell’s Palsy

    Bell’s PalsyA look at a case of Bell’s Palsy.By Marven Ewen, MDMedical DirectorThe patient was 34-years-old and well into her third pregnancy. She came to the ER concerned that she was having a stroke. Her pregnancy and general health had been unremarkable until she awoke this morning. Something didn’t seem right about the right side…

  • Celiac DiseaseThe most serious reason to request “gluten-free” food.By Jenny Ewen, BA, NREMTEditor-In-ChiefOverviewThere has been a trend towards gluten-free food options over the last decade, but while some people avoid gluten simply for a healthier diet or weight loss, others have to avoid it to the degree that even a crumb of regular bread from…

  • A Close Shave

    A Close ShaveHow shaving can trigger a cardiovascular response.By Marven Ewen, MDMedical DirectorThe day started out fairly quiet in the ER. Pretty good for early Sunday morning. All the usual Saturday night characters had been discharged or admitted. That is when the local EMS service rolled up with an elderly male patient. His story was he…

  • ProgeriaThe accelerated aging disease.By Jenny Ewen, BA, NREMTEditor-In-ChiefOverviewThe concept of accelerated aging sounds like it belongs in movies, but there is a rare and fatal condition that is recognized by its main symptom: accelerated aging in young children. Hutchinson-Gilford Progeria Syndrome (also called Progeria or HGPS) was first written about in England in the nineteenth…