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Top stories in health and medicine, November 19, 2014

From MedPage Today: IMPROVE-IT Results Turn Up Volume on Guideline Debate. The long-awaited results of the IMPROVE-IT study comparing Vytorin (ezetimibe/simvastatin) to simvastatin in high-risk patients revealed a small but significant...Show More Summary

Top stories in health and medicine, November 18, 2014

From MedPage Today: Weight Loss Relieves Symptoms in Knee OA. Obese patients with knee osteoarthritis (OA) who maintain an initial weight loss report fewer symptoms compared with their baseline level of symptoms. Age and Sex May Distort Biomarkers in Early RA. Age and sex are independently associated with levels of erythrocyte sedimentation rate (ESR) and C-reactive […]

Walk in the shoes of a cancer patient

We sit, we listen, we attempt to focus and absorb what we are required to know. We learn how to give bad news, even using one another as makeshift “standardized” patients. How does one “standardize” a patient anyway? Who knows, who cares, time to cram for the endocrine exam. But what happens when you stop […]

Position Paper - Clinical Results In The PCEHR. A Good Idea Or Not? - Draft For Comments.

This paper considers the place of holding diagnostic investigation information in the PCEHR. Before reviewing the proposition there are some assumptions which may or may not be true and need to be surfaced.These include:1. That there is a demonstrable benefit of holding diagnostic results in the PCEHR to be accessed by providers and consumers.2. Show More Summary

OTC birth control pills: Let’s replace politics with science

I’ve waited to address this sensitive topic until after the midterm elections, when political slogans such as the phony “war on women” and trumped-up threats to religious liberty were discarded like so many campaign posters. It was curious...Show More Summary

You always remember your first patient

I didn’t think much of it at the time. Most physicians can trace back and recall their first patient.  For some, it is a clinical encounter the third or fourth year of medical school.  The more creative may point to their cadaver during first year anatomy and nod knowingly.  My first patient was a mouse. […]

Cholecystectomies at night: Are they safe?

A new study from surgeons at UCLA found that laparoscopic cholecystectomies done at night for acute cholecystitis have a significantly higher rate of conversion to open than those done during daylight hours. Nighttime cholecystectomies were converted 11 percent of the time vs. only 6 percent for daytime operations, p = 0.008, but there was no difference in […]

P4P: If it works for physicians, why not for teachers?

Just north of Denver, Jefferson County has become a battleground in the fight over performance-based pay for teachers.  The recently elected school board plans on implementing “[a] compensation system that recognizes and rewards our great teachers,” according to school board president Ken Witt. Show More Summary

What chaos theory has to do with family medicine

Open a new browser tab and check your favorite weather forecast website or app. Right now. How many days in the future does it go? Seven? Maybe even 10? Look at the current forecast for the 7th day out from today. Do you trust it to accurately predict the weather for that day? Why? Or why […]

Primary care fits some medical students. Here’s one.

One of the top students at one of the nation’s largest medical schools, Ishan Gohil has made an unusual — and to many of his colleagues — inexplicable decision.  Instead of seeking to train in one of medicine’s most highly specialized and competitive fields, he says, “I elected to pursue a career in family medicine.”  […]

The religion of emergency medicine: It’s time for a reformation

Emergency medicine, like every specialty, is it’s own religion. And on many levels, it tracks right along with the progression of religions from their ancient origins to their modern incarnations. Our unique profession grew out of a pressing need for physicians who could provide immediate and life-saving care to the sick and injured, at all […]

This Really Sounds Like, While They Are Not Saying It Yet, The Opt-Out PCEHR Is Coming.

This appeared today.PCEHR pulls off a billion-dollar comebackPUBLISHED: November 18, 2014David Ramli It has taken four years and over $1 billion but one of Australia’s biggest taxpayer-funded failures has almost been cured, according...Show More Summary

Meaningful use: The independent majority can stop the madness

According to the American Medical Association, there were approximately 685,000 physicians in patient care, post-residency, not employed by the federal government, in 2012. 60 percent of these physicians practiced in independent private practice, and 84 percent were working in small to medium size practices. Show More Summary

Leather Doctor’s Bags: Making a Comeback

The medical device world has been advancing at an unprecedented rate, particularly with the relatively recent advent of batteries and microchips, but there are still classic tools in a physician’s possession that have endured the technological revolution and remain off the electrical grid. Show More Summary

Weekly Australian Health IT Links – 17th November, 2014.

Here are a few I have come across the last week or so.Note: Each link is followed by a title and a 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...Show More Summary

Run your emergency department like a restaurant

Imagine you walk into a restaurant named Luigi’s. From the de?cor and the smell of pasta sauce coming from the kitchen, you assume that this restaurant serves Italian food. You walk forward, your name is taken and you are then told to sit off to the side and wait until your name is called so […]

MOCAheart Device Hopes to Help Track Cardiovascular Health (VIDEO)

Consumer ECG devices have been around for a few years now, helping to detect cardiac arrhythmias in everyday situations. Now a new device is coming out via Kickstarter that aims to provide an altogether different assessment of one’s heart and peripheral vascular health. Show More Summary

Emerging Issues And Complexities Regarding The Commonwealth’s PCEHR System.

Prompted by the recent discussions in some quarters regarding the holding of laboratory and radiology results in the Federal PCEHR I thought it might be worthwhile to go back to basics and ask a basic elementary question.The really key...Show More Summary

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