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Conversational English Course

Page history last edited by James 6 years, 11 months ago

WELCOME!

 

 

 

Syllabus - CONVERSATIONAL ENGLISH COURSE.docx   

 

Attention -->Topics for Presentation  -- If you have a topic or idea that you would like to present, then please advise me. Otherwise I have provided a list of ideas.  CONVERSATIONAL PRESENTATION TOPICS.docx

 

Medical Conversation Topics - Medical Conversation.docx  

 

Week One -

 

Class One - Orientation/Introductions, Discussion Topic- "The Use of Antibiotics in Animal Feed and the Development of Anti-Microbial Resistance"

 

https://www.youtube.com/watch?v=dkHL7g3KxVQ&spfreload=10

 

https://www.youtube.com/watch?v=iLhSk_0tWJ4

 

https://www.youtube.com/watch?v=mGpFANXkpXI

 

 

 

New England Journal article (March 2014) on Methicillin-resistant   Staphylococcus aureus   staphaureusresistance.pdf

 

Bacterial Strategies-

 

 

 

Class Two - "Genetically Modified Foods"

 

https://www.youtube.com/watch?v=AozZvqERv9M

 

Article on the suspected connections between the development of GMO crops and the use of pesticides. https://www.theguardian.com/us-news/2015/aug/23/hawaii-birth-defects-pesticides-gmo

 

Scientific American article on GMO  https://www.scientificamerican.com/article/the-truth-about-genetically-modified-food/

 

Pros

 

1. Lowers the cost of food

2. Health risks are theoretical

3. Increased farmer safety

4. Allows for crops to grow in dry climates, high/low temperatures, tolerate insects, diseases, herbicides

 

 

Cons

 

1. Safety

2. Use of viral probes to insert DNA

3. Possibility of altered genes inserting into the human genome

4. Long term health problems can be subtle and nearly impossible to link -- Alzheimer's Disease, cancers, autoimmune diseases

 

 

 

 

We will discuss the pros and cons in regards to the use of GMO plants and animals in our food system.

 

Genetically Modified Food.docx

 

 

 

 

Class Three - "Delivering Bad News to Patients"

 

 

" any news that drastically and negatively alters the patient's view of his or her future"

 

Medical Conditions: examples: cancers/leukemia's, HIV, Hepatitis C, Hepatitis B, autoimmune disease (Rheumatoid, SLE, ankylosing spondylitis, etc)childhood diagnoses (cancers, sickle cell, metabolic diseases, Type I diabetes, thalassemia, etc), adult diagnosis (diabetes, heart disease, multiple sclerosis), in-utero diagnoses

 

https://www.youtube.com/watch?v=jaB9M8B_Tuw  Brigham Hospital Boston

 

https://www.youtube.com/watch?v=N4objV7cLYg Mt. Sinai ICU

 

https://www.youtube.com/watch?v=LA5YtZm0Pkk USMLE melanoma

 

https://www.youtube.com/watch?v=KBrmMW9c8_g

 

 

 

The Situation Involves ---  

 

1. Communication Complexity

 

2. Emotional Intensity

 

The Tools Needed ---

 

1. Professionalism

 

2. Communication Skills

 

 

January 2016 article from Baylor University " Delivering Bad News to Patients"  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4677873/

 

Methods:

 

1. SPIKES

 

http://theoncologist.alphamedpress.org/content/5/4/302.long

 

https://www.youtube.com/watch?v=Kh67JV3W0Zk

 

 

2. ABCDE --- from American Family Physician Journal

 

http://www.aafp.org/afp/2001/1215/p1975.html

 

 

Fundamental Communication Skills  http://vitaltalk.org/sites/default/files/Oncotalk_Fundamental_Skills.pdf

 

Let's Talk  http://vitaltalk.org/

 

 

 

Class Four - The Use of Glyphosate in Farming

 

What is Glyphosate?

 

Toxicology ---> The study of the safety and biological effects of drugs, chemicals,  agents, and other substances on living organisms. It includes:

 

           Investigations to study the relationship between the dose and effect.

 

 

          Dosing regimens.

 

 

          Routes of exposure.

 

          Age, gender, environment

 

 

 

 

 

Involves collaboration between chemistry, biology, pharmacology, human and animal medicine, and environmental science. 

 

 

 

 

 

 

American College of Toxicology http://www.acmt.net/

 

 

Glyphosate in the EU debate -  https://www.youtube.com/watch?v=NBapbs5-7b8

 

in Hungary ELISA study - http://bdarvas.hu/download/pdf/Mortletal.pdf

 

 

 

 

 

 

http://www.gmoseralini.org/wp-content/uploads/2013/01/Gasnieral.TOX_2009.pdf

 

http://articles.mercola.com/sites/articles/archive/2013/07/30/glyphosate-toxicity.aspx

 

 

Extra interest -- How to be a Medical Toxicologist  https://www.youtube.com/watch?v=Uxo-O4Few2A

 

 

 

Class Five - Being a History Major

 

 

Bedside Presentation by a medical student    https://www.youtube.com/watch?v=nOewqkejNXc

 

Bedside presentation - https://www.youtube.com/watch?v=allPEamRsok

 

 

 

Getting the Facts -- Interviewing the Patient (inpatient vs outpatient)

 

Not all these categories are used all the time, situation specific, old vs. new patient

 

Quick Assessment in an Emergency Situation---> Mnemonic SAMPLE (Signs/Symptoms, Allergies, Medications, Past Medical/Surgical History, Last Meal, Events preceding Arrival)

 

1. Allergies - medication, food, environmental 

 

2. Medications - prescription, over-the-counter (OTC), supplements/vitamins, home remedies

 

3. Past Medical History - medical, childhood

 

4. Past Surgical History - to include dental, eyes

 

5. Social History - alcohol, illicit drugs, work history, military

 

6. Family History - maternal/paternal, siblings

 

7. GYN/OB History - GP, LMP, menstrual history

 

8. Travel History - as needed

 

9. Review of Systems - ROS

 

 

 

 

Class Six - Medical Marijuana in the United States

 

 

https://www.youtube.com/watch?v=WJhELv4Ayt4

 

https://www.youtube.com/watch?v=YM5eX1qcPJ8

 

https://www.youtube.com/watch?v=QkSnuUu4cY8

 

https://www.youtube.com/watch?v=SSLfOrQWT9Q

 

List of Treatable Conditions: (in Arizona)

 

1. Chronic Pain

2. Glaucoma

3. Amyotrophic Lateral Sclerosis (ALS)

4. Post Traumatic Stress Disorder

5. Cachexia

6. Cancer

7. HIV positive

8. AIDS

9. Hepatitis C

10. Crohn's Disease

11. Agitation associated with Alzheimer's

12. Severe nausea associated any of the above conditions

13. Seizures

14. Muscle spasms

 

 


How it Works in Arizona  http://azmedicalmarijuanacard.com/how-it-works.html

 

https://medicalmarijuana.azdhs.gov/

 

 

Class Seven - Giving Report to Other Providers

 

Mass Casualty Triage - https://chemm.nlm.nih.gov/startadult.htm

 

US Army Triage Doctrine - http://www.cs.amedd.army.mil/FileDownloadpublic.aspx?docid=68aca9a0-9cd7-4d8f-a17f-a4c01264daef

 

 

 

 

Classs Eight - Presenting Patients

 

 

 

 

 

 

 

 

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