As a medical student, I strongly support vaccination. It works, it’s safe, and it doesn’t cause autism. But I also understand why many parents don’t believe me and the medical community when we beg them to vaccinate their kids. Medicine has come a long way from “do no harm.” Now we talk about risks and […]
I grew up most of my life avoiding doctors and hospital visits. I never fancied getting shots or blood draws as a child, and without health insurance; I didn’t have much of a choice. This lack of access is what drew me to volunteer at the county hospital I was born at. Every Wednesday morning, […]
As Meaningful Use winds down and incentive dollars are fully spent, what is the optimal role for ONC going forward?Some pundits have suggested that ONC step aside and return all aspects of HIT policy and technology to the private sector. Show More Summary
Another round of snow this week, perhaps the last gasp of winter? I can’t say there is any hint of Spring in the air in these parts, but sure hope there is where you are. In any event, I am … Continue reading ?
So, I figure someone out there knows the answer to this, and I’ll share my guess, but I can’t find an answer on the internet. My Question: Why does my cell phone ignore (or add) a “1” with a phone call, but my POTS line phone doesn’t. Not only does it not just ignore unnecessary […] No related posts.
Leonard Nimoy, famous for playing the half-breed, super-logical alien Spock on “Star Trek,” died this morning of chronic obstructive pulmonary disease (COPD), caused by years of smoking tobacco — even though he gave up the habit three decades ago. Just a few months ago, he tweeted: Don’t smoke. I did. Wish I never had. LLAP — […]
The mainstreaming of the PAINs concept continues, with editorials from Jonathan Baell in ACS Med. Chem. Letters and Dan Erlanson in J. Med. Chem.. Both are definitely worth a read. Baell emphasizes that real hits tend to have real SAR around them. Show More Summary
Word came yesterday that AstraZeneca is spinning off its anti-infectives division into a separate subsidiary company. This does not appear to have been their first choice - they've been shopping these assets around for actual cash, but had no takers (at least, on their terms). Show More Summary
The DNA is a highly tangled string that even seasoned fishermen would be impressed by. Conventional DNA sequencing breaks up the molecule into tiny pieces that are then reconstructed using a computer. DNA mapping relies on longer sections to identify the general structure of a string, but stretching out this complicated molecule has been a challenge. Show More Summary
Penumbra, an Alameda, California firm, will be releasing its new POD vascular embolization device next week at the Society of Interventional Radiology’s annual meeting in Atlanta, Georgia The POD (Peripheral Occlusion Device) is delivered...Show More Summary
Study Urges Greater Financial Disclosure by Nonprofit Integrated Health Systems Jill Bronstein in National Academy of Social Insurance “A study came out from the National Academy of Social Insurance looking at the societal value of IDNs. The study had several … Read more ›
My mother-in-law texted me about The Dress, random friends are blowing up my inbox, and the nurses in the emergency department were huddled around the computer at 2 a.m. debating the color of the dress. Everyone in the world seems to be wondering what color the dress really is and why. Continue reading... Your patients are […]
Cancer patients depend on denial. Without its protection, we would be overwhelmed by terror. Denial filters and slows bad news, so we can digest reality in the merciful morsels; thus, we cope. Without denial, we would shut down, withdraw, and lose hope; healing would not be possible. However, if we do not move beyond denial, […]
Some people who argue against vaccinations claim that vaccine policies infringe on their “rights” — their rights, as parents, to make medical decisions for their children. It’s a scary, misleading, and chilling message. We need to be careful about where one person’s rights end and the next person’s rights begin. We need to remember that […]
After a brief foray into the uncomfortable position of being publicly humiliated, the American Board of Internal Medicine is now telling is they have begun a "transformation" of their Maintenance of Certification program. They said they got "it" wrong. Show More Summary
Today’s guest post comes from two physician-leaders of major accountable care organizations (ACOs): Anthony Slonim, MD, DrPH, CPE, FACPE; President and CEO of Renown Health, Reno, NV; Chair, CMR Institute’s Board of Directors Jeffrey...Show More Summary
I’ve been thinking about this post for awhile, and finally, am going to spill some “secrets” about me and my colleagues. We are in debt. I mean, real debt. We are in debt. I mean, real debt. It actually costs most of us almost 1 million dollars to become your doctor. It has taken us […]
Recently I wrote about the problems with maintenance of certification requirements. One of the phrases I repeatedly read when I was researching the piece was “the patient as customer.” Here’s a quote from the online journal produced by Accenture, the management consulting company: Patients are less forgiving of poor service than they once were, and […]
In this study the inclusion of atypical coverage was not associated with reduced mortality but did result in shortened time to clinical stability.
These are the people who get sent home from the ER then have to be called back because their blood cultures turn positive. In this study from a single institution it appeared to be a benign entity: Methods This is a retrospective cohort...Show More Summary