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Mad Libs for medicine. Do you think you can use these?

Do you remember Mad Libs from when you were a child? A story is filled with blanks, and as you fill them in with inappropriate and ridiculous words, you laugh until you can’t see straight. You laugh until you can’t breathe, and your parents beg you to stop! Let’s be children again. Share these with […]

Telemedicine: Why professional concern shouldn’t be dismissed

The current state of telemedicine — that is, teleconferencing with a physician over one’s smartphone — worries many critics because it assumes patients can be evaluated without a physical exam.  The critics are right that those with a financial interest in “disrupting” health care typically minimize the trade-offs. Show More Summary

Stealing a Page From Medicine’s Playbook: The American Board of Baseball

By RICHARD GUNDERMAN, MD As kids growing up in the Midwestern United States, my friends and I loved baseball.  We spent many hours each summer day playing the game, and when we weren’t out on the sandlot, we were reciting the stats of top players, arguing the merits of our favorite teams, and trading baseball

Welcome to the meaningful use series! Who’s going to win, and why?

“Welcome back health care fans!  I’m Dr. Rob.” “And I’m Dr. Rob’s evil twin.” “Good to see you again, Dr. Evil” “Nauseated, as always, to see you, Dr. Rob.  We’ve got a thrilling lineup in store for you tonight, as the Washington Senators take on the Mighty Docs in the third round of the meaningful use […]

Designing With Data Across Devices

By MATTHEW HOLT If flying an airplane without cockpit instruments is equivalent to having no data about healthcare delivery, then flying an airplane with an overwhelmingly complex cockpit data environment is probably just as dangerous. In this compelling webinar (Online, Tues July 7th, 2-3 PM) you’ll learn strategies that will let you visually present data

Point of care echo to evaluate patients with non shockable rhythm cardiac arrest

P { margin-bottom: 0.08in; }A:link { } From a recent paper in Resuscitation: Methods This prospective and observational cohort study evaluated ICU patients with CPA in asystole or pulseless electrical activity (PEA). Intensivists performed TTE during intervals of up to 10?s as established in the treatment protocol. Myocardial contractility was defined as intrinsic

Are you a selfie parent? Here are 4 clues that you are.

The selfie, for those of you living under a rock, is a photo of yourself, taken by yourself, by holding your phone out in your outstretched arm, pointing it at your own face, and snapping away. You then post it on your Facebook or on your Twitter for all the world to see and admire. […]

Some Intelligent And Hardly Complementary Commentary On The Government Plans For The PCEHR. There Are Some Serious Issues Raised Here.

DoH asked for submissions on their plans for the Legislation around a modified PCEHRHere is the link: closed on June 24, 2015.In response, first...Show More Summary

A physician enters rehab. What happens next should disturb you.

I’m a physician, and I’m adrift. I am pretty much lost at sea. I’ve often thought of writing this column, but afraid I’d be recognized, I’ve hesitated for years. Even now, I’ll most likely remain anonymous, because I’m in a vulnerable position. Let me preface my remarks with the reassurance that I’m not a bad […]

AusHealthIT Poll Number 277 – Results – 5th July, 2015.

Here are the results of the poll.Is Conducting Trials Of Opt-Out Of The PCEHR In Defined Geographical Areas A Practical and Implementable Idea?Yes 5% (5) Probably 13% (14) Neutral 8% (9) Probably Not 23% (25) No Way 51% (56) I Have No...Show More Summary

The intersection of illness and incarceration: How racism makes us sick

Despite rates of drug use similar to white counterparts, black men are 11.8 times as likely to be arrested for drug offenses compared to whites. African Americans constitute 14 percent of regular drug users, and yet represent 37 percent of people arrested for drug offenses, 55 percent of drug convictions, and 74 percent of people sent to prison for […]

Test your medicine knowledge: 40-year-old man with headache and epistaxis

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 40-year-old man is admitted to the emergency department with a 1-day history of headache and epistaxis. He has had type 1 diabetes mellitus requiring insulin for 30 years and two episodes of ketoacidosis in the past year. On physical examination, […]

The fourth year of medical school should be eliminated. Here’s why.

I came across an article featured on NPR and it immediately grabbed my attention.  Traditionally medical student education is accomplished in a four-year program in medical schools nationwide but University of California, Davis is now offering their medical training as a three-year obligation. Show More Summary

How doctors celebrate Independence Day: They don’t

It’s July 4th! All across the country, Americans are celebrating freedom, liberty, and the pursuit of happiness. Families and friends are relishing potato salad, apple pie, barbecues and parades. Is your doctor decked out in red, white, and blue enjoying fireworks from his yacht? Probably not. Have you seen any medical students waving little flags? […]

Weekly Overseas Health IT Links -4th July, 2015.

Here are a few I have come across last week. Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration...Show More Summary

Comparison of temperature targets in patients with non shockable rhythm cardiac arrest

P { margin-bottom: 0.08in; }A:link { } From a recent study: Purpose Despite a lack of randomized trials in comatose survivors of out-of-hospital cardiac arrest (OHCA) with an initial non-shockable rhythm (NSR), guidelines recommend induced hypothermia to be considered in these patients. We assessed the effect on outcome of two levels of induced hypothermia in comatose

Music is better than medicine. This physician-musician gives you 10 reasons why.

1. You don’t have to make an appointment with your doctor, or sit in a crowded waiting room for hours, to get music — you can just download it instantly from iTunes or pick up an instrument and play it. 2. Music costs far less than a medical office co-pay or out-of-pocket fee-for-service charge. And for […]

STEMI: now you see it, now you don't!

P { margin-bottom: 0.08in; }A:link { } The STEMI versus non-STEMI distinction is unreliable in emergency decision making in patients with ACS for several reasons I have posted before. This study illustrates yet another reason: Objective. To determine the prevalence and significance of ST-segment elevation resolution between prehospital and first hospital ECG...Results. We

Aetna to Buy Humana for $37B, Largest Insurance Deal Ever

Health care-insurance giant Aetna has agreed to acquire smaller rival Humana for $37 billion in cash and stock making it the largest ever deal in the insurance industry.  The rapid consolidation in the U.S. health care industry. brings...Show More Summary

A Declaration of Data Independence Through the Lens of the Patient

By BRIAN AHIER Data Liberación is our battle cry… Six years ago I wrote a blog on Independence Day. In 1776 the 56 citizens of the 13 British colonies signed their names to a document declaring that the King was abusing the colonies and violating the basic principles of human decency bestowed by God. So they declared independence from Great

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