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PhysicalAndRehabilitationMedicine

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IF YOU ARE AN EXPAT, AND ENGLISH IS NOT YOUR FIRST LANGUAGE , HAVE YOU HAD TROUBLE WITH IDIOMS?

TROUBLE WITH IDIOMS. After finishing medical school in Louvain Belgium, I came to Schenectady, NY in the US to do my internship. My knowledge of English was what I knew from my high school language classes. this translates into “very little practical knowledge”. At first I struggled but caught on fast (I had to). What did not come so fast was my understanding of the use of idioms. In earlier blogs I related my embarrassment with “pain in the neck” and “prick”. Here is an other one which at the time gave me a red face but now after so many years makes me chuckle. Anne and I lived in a small apartment close to the hospital and got by on a small, very small, salary (this was the late fifties). So did all the other interns. Therefore our entertainment consisted of pot-luck weekend evenings at each other’s apartments on a rotating basis. When it was our turn to host the get together we had told our friends to come around 8:00 pm. In Belgium this means arrival at the earliest around 8:15 or even later. Of course this is quite different in the punctual American culture. That evening the bell rang at 8:01 with the arrival of the first guests. I opened the door, sat them down, started the background music and offered them a drink, as other guests arrived. While they all were sipping their wine, whiskey, or soft drink, someone asked where Anne was. She was still getting ready, not expecting any one until sometime after 8 pm. I told them “Anne is taking a douche.” Now, a douche is actually the French word for shower and is also commonly used in the Dutch language, but of course in the English language that word has quite a different meaning. When I told everyone quite innocently, that Anne was taking a douche, people’s mouths fell open and I could see on their faces the disbelief and hidden thoughts …”what kind of party is this going to be?” A similar confusion occurred toward the end of our stay in Schenectady, when the student nurses, many of whom had befriended Anne, who was now in her first pregnancy, told me that they were planning to give her a baby shower. They asked me not to say anything and keep it as a surprise. However, I felt compelled to warn Anne that she was going to receive a gift of a shower for the baby, rather than a bath. I felt that I needed to prepare her for this unusual gift, as I knew that babies in Belgium are washed in a small bath and not in a shower. Of course we had a good laugh when we realized our misunderstanding. And so it goes!! If you want to read more and similar experiences you can read my book “Crosscultural Doctoring. On and Off the Beaten Path. You can download it for free from Smashwords at: https://www.smashwords.com/books/view/161522. Our just google: Crosscultural Doctoring. I would love to hear about similar experiences from people, medical or non medical, around the world who have had difficulty with english idioms.  
DR William LeMaire
about 3 years ago
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Musculoskeletal Examination - Spine, Hip, Knee, Ankle and Foot

Video of Examination of Lower extremity and the back  
youtube.com
about 3 years ago
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René Laennec - Wikipedia, the free encyclopedia

René-Théophile-Hyacinthe Laennec[1] (French: [laɛnɛk]; 17 February 1781 – 13 August 1826) was a French physician. He invented the stethoscope in 1819, while working at the Hôpital Necker, and pioneered its use in diagnosing various chest conditions.  
en.wikipedia.org
about 3 years ago
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Imaging Case of the Week 208 Answer

On the frontal chest x-ray, the button battery is seen as a double ring (halo), whereas on the lateral chest x-ray, it has a step off. However, it may be difficult to differentiate between a coin and button battery on x-ray.  
emergucate.com
over 3 years ago
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Rotator Cuff Repair in the Elderly: Is It Worthwhile?

Find out when to consider surgical treatment for rotator cuff tears in the elderly -- and when conservative management might be the better option.  
medscape.com
over 3 years ago
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RA: Creatine Increased Muscle Mass, Not Strength

Patients with RA gained lean muscle mass but not strength or improved physical function in trial of creatine supplementation, showing creatine is not a substitute for resistance training.  
medscape.com
over 3 years ago
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Cardiac Rehabilitation

Physical activity is healthy for your heart—even after you've had a heart attack or bypass surgery. It's important to start out slowly, under the supervision...  
youtube.com
over 3 years ago
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Adding Electroacupuncture to Splinting for Carpal Tunnel Pain

Combining electroacupuncture with splinting may help relieve pain from chronic carpal tunnel syndrome (CTS), according to a new trial.  
medscape.com
over 3 years ago
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Experimental Collar Minimizes Effects of Concussion

The collar compresses the jugular vein, increasing blood volume in the cranium and reducing the brain slosh that occurs during traumatic brain injury in contact-sport athletes, new research shows.  
medscape.com
over 3 years ago
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Francisco Gento - Wikipedia, the free encyclopedia

Gento began his career at Racing Santander in 1952 and moved to Real Madrid the following season. He appeared in a joint record eight European Cup finals, winning a record six, as well as winning 12 La Liga titles.  
en.wikipedia.org
over 3 years ago
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Imaging Case of the Week 207 Answer

The chest x-ray shows major neck vessels that are outlined by air, producing the tubular artery sign. This is suggestive of pneumomediastinum.  
emergucate.com
over 3 years ago
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Tai Chi Resembles Drugs, Aerobics in Blood Pressure Lowering

Results from a new meta-analysis suggest that tai chi can lower blood pressure in older people as effectively as drugs or other exercise.  
medscape.com
over 3 years ago
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Lumbar Disk Disease

Your lumbar spine, or low back, is made of five vertebrae separated by cushioning disks of cartilage. Degenerative conditions or trauma can damage a disk, al...  
youtube.com
over 3 years ago
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Estrogen Benefits Bones in Transgender Hormone Conversion

One year of transgender hormone therapy shows the greatest increase in bone-mineral density in male-to-female conversions, while female-to-male conversions benefit most in postmenopausal women.  
medscape.com
over 3 years ago
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Save Your Bones: Osteoporosis Update 2014 - Research on Aging

(Visit: http://www.uctv.tv) Osteoporosis may have no symptoms, but it causes bones to become weaker. As many as half of all women and a quarter of men older ...  
youtu.be
over 3 years ago
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Muscle Strength Positively Predicts Bone Outcomes in Aging Men

Muscle strength -- as distinct from muscle mass -- declines with age, shows a study in men over age 40, with a knock-on effect on bone outcomes and fracture risk. Differences were seen between ethnic groups.  
medscape.com
over 3 years ago
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Imaging Case of the Week 207

The frontal chest x-ray is from a 23 year old with shortness of breath after inhaling a chemical. What radiological sign can be seen?With thanks to Dr. Basil Muharb for the image.  
emergucate.com
over 3 years ago
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Chemotherapy for Bone Sarcoma in Adults

Read how clinicians at MD Anderson manage adults with bone sarcoma using extrapolated findings from pediatric studies and their own experiences.  
medscape.com
over 3 years ago
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Single-Dose Drug Decreases Bone Loss in Newly Treated HIV

A single dose of zoledronic acid given at the start of ART decreases bone loss over the course of 48 weeks in HIV, according to a small, single-center, proof-of-concept study.  
medscape.com
over 3 years ago