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  1. Last 7 days
  2. accessmedicine.mhmedical.com accessmedicine.mhmedical.com
    Superior Vena Caval Obstruction
    1
    1. Arshadbhat 05 Apr 2026
      Urgent treatment for neoplasm consists of (1) cautious use of intravenous diuretics and (2) mediastinal irradiation, starting within 24 hours, with a treatment plan designed to give a high daily dose of radiation but a short total course of therapy to rapidly shrink the local tumor. Intensive radiation therapy combined with chemotherapy will palliate the process in up to 90% of patients. In patients with a subacute presentation, radiation therapy alone usually suffices. Chemotherapy is added if lymphoma or small-cell carcinoma is diagnosed

      endovascular stenting emerging as first-line therapy for rapid symptom relief, while definitive treatment targets the underlying cause

      Glucocorticoids (dexamethasone 4 mg every 6 hours) are commonly prescribed but lack robust supporting data; they may be more beneficial in lymphoma or thymoma and as prophylaxis against radiation-induced edema. [2-4] Importantly, SVC syndrome is no longer considered a medical emergency except in rare cases with life-threatening cerebral edema, laryngeal edema, or altered mental status. When thrombosis is present, catheter-directed thrombolysis or aspiration thrombectomy should be performed within 2-5 days of symptom onset before thrombus organization occurs. [3] The role of long-term anticoagulation after stenting remains unclear, though it is standard when significant thrombosis is present The American College of Chest Physicians recommends obtaining histologic diagnosis before treatment in suspected lung cancer cases, as stenting does not interfere with tissue diagnosis. [2] For small cell lung cancer (SCLC), chemotherapy alone is recommended as first-line treatment given rapid response rates. [2] For non-small cell lung cancer (NSCLC), radiation therapy and/or stent insertion are recommended, with response rates of 59% for chemotherapy and 63% for radiation therapy. [2] Patients with chemotherapy- or radiation-refractory disease should receive vascular stents For device-related thrombosis (catheters, pacemakers), catheter removal should be considered in conjunction with anticoagulation. [4] Endovascular therapy is first-line for device-related obstruction, while surgical bypass may be preferred for mediastinal fibrosis. [7] Both approaches show good mid-term patency, though secondary interventions are common (approximately 27-28%
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  3. Jul 2023
  4. docdrop.org docdrop.org
    Video: Sam Parnia - What Do Near Death Experiences Mean? (DocDrop)
    1
    1. stopresetgo 09 Jul 2023
      the big discovery of the 21st century is that actually just because someone's died and I've given them a Death Note as a physician as an intensive care physician the cells inside the body 00:02:15 have not yet died
      • (cell) life after death
        • cells within the body still remain alive after what a physician would normally deem a person dead.
        • cells (including brain cells) go into a hibernation state for many hours after death.
      cell life after death
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  5. Jun 2020
  6. www.thecut.com www.thecut.com
    There’s No Way to Prepare for Grief
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    thecut.com/2020/05/theres-no-way-to-prepare-for-grief.html
  7. Oct 2016
  8. teaching.lfhanley.net teaching.lfhanley.net
    T.S. Eliot
    1
    1. tcastro 15 Oct 2016
      He who was living is now dead We who were living are now dying

      The circle of life, revolves around death and life but also the in-between and what we don't know about the after life is a big mystery, which takes us back to the unseen, the living dead, or just the dead. It reminds me of the lilacs that bloom from dead land, which could possibly signify that even though we lose people, we also gain new life.

      life death after-life unseen lose gain
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    teaching.lfhanley.net/eng528fa16/texts/t-s-eliot/