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This episode features Jeanna Qiu (Harvard Medical School, Boston, MA, USA). Maintaining quality of life for patients with malignant fungating wounds requires collaboration of diverse healthcare specialties, from oncology and palliative care to wound care. Research has explored the experiences of patients with malignant fungating wounds and the nurses who treat them. It is essential to understand the experiences and perceived roles of clinicians from different specialties and disciplines who treat patients with malignant fungating wounds Different clinical specialties assumed the leading role at different points of the clinical care timeline with medical oncology prominent throughout care. Identifies the points in time when collaboration between specialties is essential, when communication fails, or when clinicians from different specialties have differing perspectives and experiences. Wound care and medical oncology must collaborate effectively to ensure accurate assessment of the progression of the wound and cancer. Palliative care and oncology must partner effectively to ensure patients’ quality of life and when to stop curative treatment. Strategies like joint visits or strengthening the professional relationships across specialties such that palliative care and oncology clinicians can have open conversations about patients may help to reduce the prevalence of conflicting messages to patients.
Hosts: Vincent Racaniello, Dickson Despommier, and Daniel Griffin The TWiP triumvirate solve the case of the Thai Woman with Facial Swelling, and explain how Th17 T cells protect against the intracellular parasite Trypanosoma cruzi. Become a patron of TWiP. Links for this episode: Th17 cells protect against Trypanosoma cruzi (PLoS Path) Plasticity of helper CD4+ cells (Science) Image credit Letters read on TWiP 120 This episode is sponsored by CuriosityStream, a subscription streaming service that offers over 1,400 documentaries and nonfiction series from the world's best filmmakers. Get unlimited access starting at just $2.99 a month, and for our audience, the first two months are completely free if you sign up at curiositystream.com/microbe and use the promo code MICROBE. Case Study for TWiP 120 A 48 yo man from Mali comes to hospital ER in Washington Heights in NY with profuse watery diarrhea. Born in Mali, came to US at 18, working in US as long haul truck driver for 30 y, frequently visits Mali, recently to attend his father’s funeral. Got symptoms one week after return (was there for 3 weeks). 3 liters diarrhea/day. No past med/surg history, not seen doctor in long time. No allergies. Unknown what father died of, Mother in Mali is ok. No medications. Some alcohol, marijuana use. Does report that has exposure to professional female sex workers, no condoms. Temp of 39 C, bp down 80/40, heart over 110, rapid breathing high 20s, cachectic. Wasted. Fungating lesion perianally. Undergoes HIV testing, clade B. T cells
This episode features South African-born, UK-based writer and editor Candice Holdsworth. The discussion focuses on the manner in which modern, or third wave feminism, disempowers women by encouraging them to constantly seek victimhood. Roman raises the myth of the gender wage gap and Jonathan ponders society's aversion to the differences between the sexes. Candice comments on the cultural relativism which has infected the West and prevents honest dialogue on the real oppression of women in many parts of the world. The conversation peels away at the many false layers of supposed rape culture and the damage it has caused through its innate anti-intellectualism.
Dr Piers Mitchell an orthopaedic surgeon and medical historian looks at which types of diseases Rivenhall women was likely to be carrying. Meanwhile Ms Abi Bouwman an biomolecular archaeologist is looking at new ways of detecting treponemal DNA in ancient bone.
Transcript -- Dr Piers Mitchell an orthopaedic surgeon and medical historian looks at which types of diseases Rivenhall women was likely to be carrying. Meanwhile Ms Abi Bouwman an biomolecular archaeologist is looking at new ways of detecting treponemal DNA in ancient bone.
Dr Piers Mitchell an orthopaedic surgeon and medical historian looks at which types of diseases Rivenhall women was likely to be carrying. Meanwhile Ms Abi Bouwman an biomolecular archaeologist is looking at new ways of detecting treponemal DNA in ancient bone.
Transcript -- Dr Piers Mitchell an orthopaedic surgeon and medical historian looks at which types of diseases Rivenhall women was likely to be carrying. Meanwhile Ms Abi Bouwman an biomolecular archaeologist is looking at new ways of detecting treponemal DNA in ancient bone.