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The doctor-patient relationship is everything

While doing my doctoral dissertation research at a clinic for kids with diabetes, I observed the attachment that some of them had to the physician faculty member who directed the clinic. I particularly remember one teenager who complained that this doctor “did not care” about her, as he sent “fake doctors” (residents) to take care […]

Reporting an elderly doctor. And suffering from snitch guilt.

He struggled to hear when people talked to him. He asked the same questions over and over. He fell asleep when really important conversations were going on around him. But it wasn’t until he missed an emergency call that I knew I had to act. I spoke to a higher-up about this elderly doctor out […]

EMRs are robbing physicians of their writing skills

Many physicians have become world famous writers, and in Greek mythology, Apollo was the god of both poetry and medicine. I can personally think of many prominent physician writers I have come across in my reading over the years: There was the 12th-century rabbi Maimonides, Copernicus in the 15th century and the poet John Keats […]

The case of a fish hook in the eye

Triage Note: Fish hook in eye. No bleeding. Tetanus up to date. It’s a sunny weekend during cottage season. A young woman is rushed into the ER as she cups both hands over her left eye. She’s in shorts, and flip-flops, and she’s hyperventilating. Her friends follow, hands similarly cupped over their mouths. I read […]

Physicians share same mission across cultures and countries

A guest column by the American College of Physicians, exclusive to KevinMD.com. As part of my role in International Programs at the American College of Physicians (ACP), I have a unique opportunity to travel frequently and engage with internists around the world. In fact, I am writing this while almost 7,000 miles away from home, […]

Abderma, a High Absorbency and Retention Material for Wound Applications

On our visit to Med in Ireland medtech industry event, we had a chance to check out some cool indigenous materials engineering that goes on in Ireland to benefit medtech. Specifically, ATD emolda, a company based outside of Dublin, was showing off its Abderma foam, a product designed for wound management applications. Abderma, a biocompatible […]

What investors are saying about the state of digital health

Health 2.0 caught up with some of our favorite investors who have a strong pulse on what’s happening in digital health care both past and present. We talked about company evaluation, unmet needs in health care, and their biggest surprises yet. Read the full interview featuring Lisa Suennen of GE Ventures, Bryan Roberts of Venrock, Rich Roth ofDignity

Health Care Needs Its Rosa Parks Moment

BY SHANNON BROWNLEE On Wednesday, October 25, 2017 I was at the inaugural Society for Participatory Medicine conference. It was a fantastic day and the ending keynote was the superb Shannon Brownlee. It was great to catch up with her and I’m grateful that she agreed to let THCB publish her speech. Settle back with

The greatest gift a physician can give

Yesterday I looked in the eyes of a mother and told her that her son was likely to die in the next six months, and I had no more ways to try to make his heart stronger. Her son is 36 years old, and a father of two boys. He was on the bed beside […]

Why are you in medicine?

I was recently interviewed on a podcast and was asked the simple question, “Why are you in medicine?” In retrospect, that’s the exact question I silently ask myself in frustration and exhaustion a little bit too often while I’m in the hospital. In those moments I recognize that I feel burnt out. In those moments […]

These are the biggest medical issues of 2017

Periodically we should reflect on what challenges face patients and physicians.  Over the past few days, I have worked on a list of the issues that concern me the most.  I welcome suggestions for expanding the list. 1. Diagnostic errors. All patient care requires that we make the proper diagnosis.  Too often we make errors.  […]

Don’t let the opioid crisis affect the treatment course for your patients

Mrs. Smith is an 81-year-old female. She worked a long time doing very physical work and is now on a fixed income and comes to my office with chronic pain. X-rays show she has degenerative arthritis in her hips, knees and lumbar spine. She has taken Norco twice a day for years and has been […]

Are cultural sensitivities affecting care?

My job as a standardized patient (SP) at several different medical schools means that I spend a lot of time being interviewed and examined by students at every stage of their education. Occasionally, the interview is of such a nature that the SPs are told to dress in a certain “costume” because it signifies to […]

Will CMS Pop the Gross-to-Net Bubble in Medicare Part D With Point-of-Sale Rebates?

Last week, the Centers for Medicare & Medicaid Services (CMS) released its 713-page proposed policy changes and updates for the Medicare program. See the links below. Buried in this document is a radical concept: Part D plans would be required to recognize the value of manufacturer rebates and pharmacy payments in retail prescription prices. Show More Summary

There Are Lots Of Exciting Visions For Digital Health Out There! I Often Wonder How Real They Are?

Three forward looking articles appeared last week:First we had:How data is ushering in the era of personalised healthcareAI, augmented reality and vast amounts of data will help drive a new revolution in healthcare, Murray BrozinskyShow More Summary

In US, More than One-Third Think Government and Business Leaders are Corrupt, Media Shrug

We have noted (most recently here), that health care corruption, particularly its global nature and its presence in developed countries like the US, is a taboo topic and thus remains anechoic. Yet corruption in general, and health care...Show More Summary

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p { margin-bottom: 0.1in; line-height: 120%; }a:link { } From JAMA: Question Does the addition of home noninvasive ventilation to home oxygen therapy prolong time to readmission or death for patients with chronic obstructive pulmonary disease and persistent hypercapnia following a life-threatening exacerbation? Findings In this randomized clinical trial of 116

Who’s really to blame for the obesity epidemic?

Growing up Republican, I have long believed in personal responsibility. In junior high school, when I observed close relatives who struggled with obesity, I vowed to never let myself get out of shape. (“Junior high” is what we called middle school back in the day.) When hip surgery gone wrong dramatically reduced my level of […]

Medgadget Visits Med in Ireland to Check Out Europe’s Medtech Hub

22 hours agoIndustries / Medical : medGadget

Ireland was once a poor country. Agriculture was its main output and Guinness its ambassador to the world. Things have drastically changed in the last couple of decades, so much so that Ireland is now the fastest growing economy in Europe and one of the hottest places for medical technology companies to do business. A […]

That Time A Researcher Wished His Brain Tumor Had A Share Button

Why one researcher and data evangelist wishes he could more easily share the data that was collected in during his own brain surgery.

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