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COMMENTARY: COVID-19 Diary Day 2: Insomnia -- The Mark of Medical Practice  - web md

COMMENTARY: COVID-19 Diary Day 2: Insomnia -- The Mark of Medical Practice

Don Dizon shares how he is dealing with the pandemic, knowing that despite COVID-19, people still need care, chemotherapy needs to be administered, and new patients are still coming in for evaluation.
web md - 16 hours ago
COVID-19 Hitting Some African American Communities Harder  - web md

COVID-19 Hitting Some African American Communities Harder

In states such as Michigan and Louisiana, as well as in cities like Chicago and Milwaukee, African American people are making up a disproportionately large number of COVID-19 cases and deaths, officials say.
web md - 16 hours ago
What’s it like to be a healthcare worker in a pandemic? - harvard

What’s it like to be a healthcare worker in a pandemic?

Millions of healthcare workers on the front lines of the fight against the coronavirus have a much higher risk of becoming infected, and are being put in further danger due to shortages of protective equipment, but they continue to do their jobs while adapting to current conditions. The post What’s it like to be a healthcare worker in a pandemic? appeared first on Harvard Health Blog.
harvard - 17 hours ago
No School Forces Many Medical Workers to Stay Home  - web md

No School Forces Many Medical Workers to Stay Home

About 29% of U.S. health care workers have children between 3 and 12 years of age, the analysis showed. In households without a non-working adult or a sibling age 13 or older to care for them, 15% of health care workers will require child care if schools close.
web md - 2 days ago
Mysterious Heart Damage Hitting COVID-19 Patients  - web md

Mysterious Heart Damage Hitting COVID-19 Patients

Most of the attention in the COVID-19 pandemic has been on how the virus affects the lungs. But evidence shows that up to 1 in 5 infected patients have signs of heart damage and many are dying due to heart problems.
web md - 2 days ago
Patients on Steroids With COVID-19 Might Need Rescue Steroids  - web md

Patients on Steroids With COVID-19 Might Need Rescue Steroids

Those on steroids because of known adrenal disease, and for more common ailments, may need additional 'stress' doses of IV corticosteroids in the case of severe infection with COVID-19, endocrinologists urge.
web md - 2 days ago
Lifestyle changes are important even if you take medications - harvard

Lifestyle changes are important even if you take medications

People who are prescribed medication for high cholesterol or high blood pressure may be more likely to gain weight and less likely to exercise, but for those who are on such medications, it's even more important to commit to making healthier lifestyle choices. The post Lifestyle changes are important even if you take medications appeared first on Harvard Health Blog.
harvard - 2 days ago
Test for Coronavirus Antibodies Approved by FDA  - web md

Test for Coronavirus Antibodies Approved by FDA

The test checks for protective antibodies in a finger prick of blood, revealing whether a patient has ever been exposed to the coronavirus and now may have some immunity, The New York Times reported.
web md - 5 days ago
COMMENTARY: NYU Med Student Joins COVID Fight:

COMMENTARY: NYU Med Student Joins COVID Fight: 'Time to Step Up'

New York med schools asked fourth-year students to graduate early and volunteer to help battle COVID. One student discusses how he weighed the potential life-or-death decision to join the front lines.
web md - 5 days ago
Coronavirus Hangs Around After Symptoms Subside  - web md

Coronavirus Hangs Around After Symptoms Subside

It took about five days from the time patients were infected until symptoms appeared, and about eight days before they disappeared. Patients were contagious for one to eight days, the researchers said in a news release from the American Thoracic Society.
web md - 5 days ago
WalMart Will Check All Workers

WalMart Will Check All Workers' Temperatures

Employees with a temperature of over 100 degrees Fahrenheit will be sent home for at least three days and may be advised to seek medical treatment. The workers will be paid for showing up for work, CBS News reported.
web md - 6 days ago
In Some Cases, COVID-19 May Harm the Brain  - web md

In Some Cases, COVID-19 May Harm the Brain

It's believed the brain can be damaged by viral infection whenever a patient's immune system overreacts to the virus. This immune system hyperactivity triggers a "cytokine storm" -- an overproduction of immune cells and their activating compounds, known as cytokines.
web md - 6 days ago
How does cardiovascular disease increase the risk of severe illness and death from COVID-19? - harvard

How does cardiovascular disease increase the risk of severe illness and death from COVID-19?

Initial investigation into COVID-19 focused on its respiratory effects, but a more recent report describes serious cardiovascular complications in people with pre-existing heart disease. How does this underlying condition increase risk for these people? The post How does cardiovascular disease increase the risk of severe illness and death from COVID-19? appeared first on Harvard Health Blog.
harvard - 6 days ago
Top 10 Must-Dos in ICU in COVID-19 Include Prone Ventilation  - web md

Top 10 Must-Dos in ICU in COVID-19 Include Prone Ventilation

With new European Society of Intensive Care Medicine guidelines on caring for critically ill COVID-19 patients covering more than 50 recommendations, Medscape asked one author for his essential top 10.
web md - 6 days ago
Top 10 Tips for Diabetes Telehealth Prophetic in Face of COVID-19  - web md

Top 10 Tips for Diabetes Telehealth Prophetic in Face of COVID-19

A new article sets the stage for routine virtual diabetes visits, offering 10 top tips that will undoubtedly be of use for transforming care during the COVID-19 pandemic, and likely for long afterwards.
web md - 6 days ago
Abortion Access Shifting in Some States Amid COVID-19  - web md

Abortion Access Shifting in Some States Amid COVID-19

In addition to challenges the coronavirus pandemic already poses to women seeking healthcare, several states have included surgical abortions as restricted procedures in executive orders related to COVID-19.
web md - 6 days ago
Ranitidine (Zantac) recall expanded, many questions remain - harvard

Ranitidine (Zantac) recall expanded, many questions remain

The FDA has not yet released the results of its testing of the heartburn medication ranitidine. The testing method used by the online pharmacy that originally alerted the FDA may have affected their results. The post Ranitidine (Zantac) recall expanded, many questions remain appeared first on Harvard Health Blog.
harvard - 6 days ago
Taking Stock - positively positive

Taking Stock

My intention is to walk this part of my life’s journey with a tremendous amount of compassion for myself and others. To navigate with as much positivity as I can muster, to set the intention to come out the other side knowing myself more, connecting a bit more deeply with the world outside my door even if it is over Zoom, and realizing that when push comes to shove, we sure as hell do know how to come together when faced with a difficult time. The post Taking Stock appeared first on Positively Positive.
positively positive - 1 week ago
FDA Requests Zantac Be Pulled From the Market  - web md

FDA Requests Zantac Be Pulled From the Market

Six months after independent testing first raised the possibility that popular heartburn drug ranitidine (Zantac) might break down into the powerful carcinogen n-nitrosodimethylamine (NDMA), the FDA has asked for the removal of all ranitidine products from the market.
web md - 1 week ago
EPA Didn’t Tell Residents About Gas Risks: Report  - web md

EPA Didn’t Tell Residents About Gas Risks: Report

A new government report has rebuked the U.S. Environmental Protection Agency for failing to tell residents about the health risks they face by living near facilities that release cancer-causing ethylene oxide gas.
web md - 1 week ago
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harvard
Vestibular migraine: Progress in the search for treatments

Vestibular migraine: Progress in the search for treatments

harvard - 3 months ago

Nearly 15% of the worlds population has migraine, a condition in which moderate-to-severe headache is associated with neurological abnormalities such as visual dysfunction, sensitivity to light, disordered speech, nausea, vomiting, or dizziness. While we now have many options to treat the head pain associated with migraine, we are often helpless in treating these other associated neurological symptoms.

One of the most bothersome neurological symptoms patients report is vertigo or dizziness-associated with migraine, a condition we call vestibular migraine, and in which patients feel as though they, or the environment around them, is spinning. At present, we have no adequate treatment for vestibular migraine.

What is vestibular migraine?

Vestibular migraine is often diagnosed when vertigo occurs during a migraine headache, or shortly before or after one. It remains unclear precisely what causes vestibular migraine, but one hypothesis is that neural connections between the sensory systems, which process head pain, and the vestibular systems, which establish a sense of spatial awareness and balance, could communicate during a migraine attack.

Treatment options for vestibular migraine are extremely limited, so current treatment is focused primarily on reducing the frequency of migraine attacks.

Vagal nerve stimulation may reduce migraine-associated vertigo

Emerging research suggests that a new application of an existing treatment may hold some promise. The treatment, called noninvasive VNS (nVNS), involves placing a small handheld device over your neck to deliver a short electrical pulse to activate your vagus nerve. The vagus nerve is a long nerve that descends from your brainstem through your neck and regulates all organs in your body including your heart rate, gut motility, and mood. Electrical stimulation of the vagus nerve is used to treat both epilepsy and depression. And there is evidence that nVNS may effectively treat migraine headache, as well as vertigo not associated with migraine.

A recent study published in the journal Neurology tested whether nVNS could be used to treat vertigo symptoms in migraine patients. The study found that 13 of 14 migraine patients who used nVNS reported significant improvement in the vestibular symptoms occurring during a migraine attack. The only side effect noted with this treatment was a slight tugging sensation on the neck during the electrical pulse. These results are consistent with multiple prior studies demonstrating that nVNS is safe.

It is important to note that a control group was not included in this study, so it is unclear to what extent vestibular improvement was due to nVNS itself, or to a combination of nVNS and a placebo effect. Nevertheless, this study provides exciting early data that nVNS may be an effective treatment for vestibular symptoms associated with migraine, and should prompt larger controlled trials in the future.

Where we are now

Because there are few treatment options available for vestibular symptoms associated with migraine, there is great excitement about the possibility of using nVNS to treat these symptoms in a safe, noninvasive way. More research is needed before nVNS can be recommended as an effective treatment for vestibular migraine, but its promising results and absence of worrisome side effects offer new hope to migraine patients.

The post Vestibular migraine: Progress in the search for treatments appeared first on Harvard Health Blog.

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