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Cool Stuff I Taught My EHR to Do

By HAYWARD ZWERLING, MD I am an IT geek physician. I have my an EHR which I created and control. Today, I wanted to understand my diabetic practice a little more, so I dumped all my HbA1c data out of my EHR and into a spreadsheet where I was able to manipulate the data and

Do a cricothyrotomy after a failed Heimlich. But it’s likely to fail.

At the end of an otherwise informative article about the nuances of performing a Heimlich maneuver, New York Times science reporter Jane E. Brody recommends that if all else fails, a cricothyrotomy should be attempted. She goes on to briefly explain how the procedure is done. In the right hands, a cricothyrotomy is safer and […]

A young woman with anemia. A colonoscopy reveals a surprise.

Overtesting and over treatment are big problems in modern medicine.  It sometimes goes like this: Have a minor complaint? It’s probably nothing, but we should do an exhaustive workup because there is a 0.00001 percent chance it could be cancer, maybe. However, if you happen to be that one patient in 10 million that had cancer, and […]

Right heart thrombus visualized on the echocardiogram (PE in transit)

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Quality of Skepticism and Skepticism of Quality

By SAURABH JHA, MD Recently, I was speaking with a “less is more” advocate. He used his superior knowledge of statistics – he had an MPH – to debunk randomized controlled trials. We discussed overdiagnosis, overtreatment, and the shakiness of medical sciences. We spoke about measuring the quality of physicians. I remarked that quality metrics

The Goose and The Elephant

By BRIAN KLEPPER America’s drug and biotech industries are no doubt alarmed by the national firestorm that erupted when Turing Pharmaceuticals raised the price 55 times of its 62 year old lifesaving drug, daraprim. They must worry that CEO Martin Shkreli’s tone-deaf reactions to the public’s scorn could precipitate close scrutiny of broader drug industry

The Dreaded Late Friday Afternoon Press Release From Government. Were We Meant To Miss It?

This appeared in my e-mail late on Friday.Developing a 21st century electronic health record systemMinister for Health Sussan Ley thas announced the Committee that will oversee the rebooted personalised My Health Record system for patients...Show More Summary

The crisis in the Middle East, and the crisis in American health care

There are three visions of peace in the seemingly never ending, but really rather brief, Israeli-Palestinian perpetual crisis. One peace features two independent countries living in collaborative harmony on a piece of land approximately the size of New Jersey. Another peace yearns for a messianic Jewish state stretching from the blue Mediterranean shores to the […]

AusHealthIT Poll Number 291 – Results – 11th October, 2015.

Here are the results of the poll.Do You Believe The PCEHR Will EVER Make A Positive Difference To The Quality, Cost and Safety Of Healthcare In Australia?Yes 12% (13) No 78% (85) I Have No Idea 10% (11) Total votes: 109 An overwhelming majority seem to think the PCEHR will never be a success. Show More Summary

Who said that the older years are golden? They seem pretty grey to me.

I have written about the support that a partner/spouse provides to someone living with cancer — with prostate cancer and for young adults with cancer — and I always include the partner in discussions about treatment choice or sexual difficulties. But a number of my older patients are single, and their experiences of facing treatment and survivorship […]

Why we need to stop calling physicians “providers”

It’s a change in nomenclature that’s come a bit out of the blue over the last few years. The forces appear to be aligning to gradually push the word “doctor” out of the center and towards the periphery of health care. Whether we are talking about administrative communication or health care information technology order entry […]

CFDA Recommends to Submit Self-audit Clinical Trial Data.

The Chinese Food and Drug Administration (CFDA) has come under heavy criticism for its slow and inefficient drug review and approval process, which has resulted in a backlog of 18,600 applications. To improve drug review processing,Show More Summary

The link between obesity and pancreatic cancer

p { margin-bottom: 0.1in; line-height: 120%; }a:link { } In a recent analysis of surgical specimens obesity (with visceral fat more strongly associated than subcutaneous fat) was associated with pancreatic intraepithelial neoplasia (PanIN), a known precancerous condition. A related editorial discusses other evidence, from epidemiology and animal studies, in support of the

Test your medicine knowledge: 55-year-old man with elevated liver enzymes

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 55-year-old man is evaluated during a routine examination. He feels well other than mild knee pain. He drinks six to eight cans of beer per night. He has no personal history of liver disease, but his older brother was recently […]

Weekly Overseas Health IT Links -10th October, 2015.

Here are a few I came 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

Why physicians face a leadership paradox

I admit that on one level hearing and reading about the many complaints from physicians about the changes in health care that make their daily practice steadily less productive, less enjoyable and less satisfying along with insights into all the reasons why our system is dysfunctional is helpful in at least knowing my pain is […]

Healthcare Startups – Why Now and So What?

By LEONARD D’AVOLIO It’s 8:15 on Friday evening.  I’m almost through editing the job description for a user interface engineer after sending off an introductory slide deck to a potential client.  Today I met with a business development prospect, held calls with a potential advisor, a potential client, and finally made those changes to the

The ProPublica Surgeon Scorecard: When journalists become scientists

Most of us would agree that there aren’t enough valid and meaningful health care quality measures to guide patients’ choices of hospitals and physicians. While the federal government has steadily expanded the number of publicly available measures on its Hospital Compare website, it still falls short of what many patients, payers, and providers would like. […]

TYRX Neuro Absorbable Antibacterial Envelopes Cleared for Use with Implantable Neurostimulators in U.S.

Medtronic received FDA clearance for its TYRX Neuro Absorbable Antibacterial Envelopes to be used with implantable neurostimulators. The first implants of Medtronic’s deep brain stimulators within the TYRX Absorbable Antibacterial Envelopes were conducted at the Barrow Neurological Institute in Phoenix. Show More Summary

Optofluidic Chip Allows for Multiple Flu Virus Strain Detection

New on-chip technology enabled researchers from UC Santa Cruz and Brigham Young University to detect multiple strains of the flu virus on a single chip. The chip is composed of microfluidic channels and an intersecting optical waveguide. Show More Summary

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