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Encryption at rest and encryption in transit for HIPAA compliance are not easy questions to answer

Given the number of breaches we’ve seen this Summer at healthcare institutions, I’ve just spent a ton of time recently on several engineering engagements looking at “HIPAA compliant” encryption (HIPAA compliance is in quotes since it’s generally meaningless). Show More Summary

Health care big data will fail unless we remove the silos

A few days ago a colleague of mine was inching south through the mother of all traffic jams: 60 straight miles of construction work on I-95 just south Washington, DC. The three-lane highway was jammed. Route 1, which runs parallel to I-95 was also jammed. Cars were stalled in the middle of the highway having […]

EHRs and patient safety

If you wonder where I’ve been, I’ve, for one thing, been blogging a bit for (very little) pay over at and writing a lengthy cover story for the September issue of Healthcare IT News. The Healthcare IT News piece actually breaks...Show More Summary

CanGaroo ECM Envelope Bioscaffold Holds Cardiac Implants, Turns Into Vascularized Tissue

Implantation of medical devices such as pacemakers and defibrillators can cause significant damage to nearby tissue, while afterwards the implants can move around, causing more problems. CorMatrix, a company that develops novel biomaterials,...Show More Summary

Hansen Medical Magellan Transport System

Hansen Medical has received the final clearance necessary from the FDA to introduce the Magellan Transport System for its Magellan robotic arm. The device allows a single clinician to move the robotic arm, which is used for intravascular...Show More Summary

Masimo rainbow DCI-mini Hemoglobin Spot-Check Sensor Cleared in Europe, Japan

Masimo has received European and Japanese regulatory approvals to introduce the rainbow DCI-mini non-invasive hemoglobin (SpHb) sensor. Intended for infants and small kids weighing 3 to 30 kg (6.6 lbs to 66 lbs), the sensor connectsShow More Summary

FDA Clears SHILLA Growth Guidance System for Children with Severe Scoliosis

Children with early onset scoliosis can have a few difficult years growing up, as regularly scheduled surgeries are necessary to adjust the spine to keep up with growth. Dr. Richard McCarthy, an ortho surgeon at University of Arkansas...Show More Summary

Confessions of a rebound doctor: The impact of narrow networks

“We lost our regular doctor with Obamacare, so now we have to see you.” I routinely ask my new patients how they heard about our pediatric office, and this is the answer I dread most. My pediatric practice is a very nice and modern private office, and in my opinion, full of excellent physicians. I entrust my […]

The medical chart is coming to an end. Here’s why.

“Dr. Sevilla, I have a question for you,” a patient asked me this week. “I’m going to tell you something, but I DO NOT want it put in the chart.” Hmm, I asked myself, can I really do that? It’s the patient’s wish, right? The patient went on to tell me that she heard about this […]

The Future of Medicine in One Word Cloud

My book, The Guide to the Future of Medicine, will become available on in black&white paperback, colored paperback and Kindle formats on the 2nd of September. After sharing an excerpt of the table of contents revealing what trends are featured in the book; here is a word cloud presenting the main concepts and companies […]

Walgreens and Greenway Health Complete System Wide EHR Deployment

Greenway Health has completed what they’re calling one of the largest centralized pharmacy cloud-based electronic health record systems ever deployed, Walgreens Cloud EHR. Walgreens has deployed the system chain-wide, giving pharmacy...Show More Summary

Why Liberians raided the Ebola clinic

“No Ebola in West Point” was the reported cry of the local crowd that attacked a quarantine center and freed patients in a township near Liberia’s capital.  Their words signaled skepticism toward the Liberian government and disbelief in the spread of the Ebola virus. Continue reading... Your patients are rating you online: How to […]

Why is the anion gap elevated? Is it the salve?

Case presented to me recently: Young man goes fishing (in Alabama) with his buddies (obviously some beer drinking is involved). The next day he has a diffuse weeping rash over the exposed areas of his legs and arms. His grandmother applies a salve and wraps the salve with saran wrap. The next day he feels […]

New OIG Report Confirms Our Worst Fears About 340B Contract Pharmacy Abuses (rerun)

I’m taking a break from blogging this week and rerunning some popular posts from the past 12 months. Click here to see the original post and comments from February 2014. Moments after yesterday's post on the booming 340B contract pharmacy...Show More Summary

Inhaled medications: Nefarious reasons for the lack of competition

Check out the prices for nebulizer solutions of albuterol and budesonide (generic Pulmicort). They are totally affordable. $4 for a month for albuterol. $14 for a month for budesonide respules. Pulmicort respules used to be very expensive. Now even the branded budesonide is  less than 10% of a monthly cable bill. Continue reading... Your […]

Clinical trials to see if nutty ideas work

Don't laugh, because our tax money has been paying for such “research” for years. A recent paper outlines a little of the history, gives some examples and calls for it to stop.From the opening of the paper: A new phenomenon in clinical trials has arisen over the past 20 years. Show More Summary

A Last Summer Day Off

I'm going to be taking an extra day of vacation before the kids start back to school, so I'm adding to the Labor Day weekend today. Blogging will resume on Tuesday, unless something gigantic happens before then. If I can come up with something appropriate, maybe I'll put up a recipe!

Top stories in health and medicine, August 29, 2014

From MedPage Today: Thyroid Problems May Up BP Risks in Pregnancy. Women with hyperthyroidism and even high-normal free T4 during early pregnancy had an elevated risk for developing hypertensive disorders. Study Questions Surveillance Colonoscopy. Show More Summary

Another Example Of Definite Success In The Use Of EHR. Basic Medication Management Really Making A Difference.

This appeared a little while ago:Meaningful use medication measures reduce ADEs by 35%Author Name Jennifer Bresnick | Date August 18, 2014 | Hospitals that adopt all five of the core medication management measures inherent in meaningful...Show More Summary

Have We Finally Confirmed That EHRs Do Actually Make A Positive Difference?

This appeared a little while ago.Ending debate on EMR effectiveness?Posted on Jul 28, 2014By Jack Beaudoin, Special ContributorHealth Data MinerFor at least the last decade, the health IT field has seen a scholarly back-and-forth on the effectiveness of electronic medical records. Show More Summary

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