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It is hard for people to swallow pills they can’t afford

Cholesterol pills are one of the great medical advances I’ve witnessed during my professional career. I am talking specifically about a category of medications called statins, drugs like Lipitor and Pravachol. These drugs have prevented probably hundreds of thousands of heart attacks and strokes. Only one problem with these drugs, however: statins won’t help people […]

Is Internal Medicine MOC necessary?

Maintenance of certification is, in my opinion, a good idea. While I had significant concerns about the structure that the ABIM was using, the idea that we have an obligation to maintain our knowledge. I believe that the only legitimate argument is in the definition of how one documents maintenance. The ABIM had two major […]

Rideout Hospital, California: CEO Pinocchio on quality of patient care during hospital computer crash

EHRs and other clinical IT are touted as essential to improving safety, among many other benefits.Yet when hospital systems crash, the common refrain by hospital executives to the press, when such stories are reported, is "...but quality of care was not compromised." In fact, I've made an indexing term for this refrain. Show More Summary

Chlorine Azide For Everyone

One of my "Things I Won't Work With" compounds may have moved into a zone where I'd actually use it. This new paper in JOC describes in situ preparation of small amounts of chlorine azide, which can then react with alkene to give useful beta-chloro azide products. Show More Summary

Promoting Functional Neural Repair Using 3D Printed Nerve Guidance Conduits (VIDEO)

Neural repair following peripheral nerve damage is limited, often necessitating surgical autografts to bridge injury gaps. However, autografts are not always readily available, and are associated with side effects when sourced from donors. Show More Summary

Running late: The bane of every doctor

I’m late! I’m late! For a very important date! No time to say hello, goodbye! I’m late! I’m late! I’m late! – The White Rabbit, Disney’s Alice in Wonderland It is in the very words, “running late.” It is not walking late, or strolling late, or even meandering late. It is always running late, the phrase itself active, implying urgency and speed, rush and anxiety. […]

Power Vest Helps Caregivers to Assist Weak Patients

Hospitalized patients and folks under the care of others often need help getting out of bed, standing up from a chair, and to move around. The best tools for this is still another person’s arms and back to do the heavy lifting. Researchers...Show More Summary

New Molecule Binds to Cancer’s DNA, Prevents Replication

Researches at Bielefeld University in Germany have come upon a new method of disrupting the spread of cancer using molecules that bind to DNA. The team developed a synthetic molecule that has two ions of copper at one end. The copper...Show More Summary

Turn, Turn, Turn - Another Health Care Revolving Door Update

It has been a while since our last revolving door update, so it's time to take another spin.Summary of the Revolving Door Phenomenon Before we get to some cases, though, let me summarize an important article on the revolving door that came out since. Show More Summary

IntelliSense Bone Drill With Auto Depth Measurement and Edge Detection FDA Cleared (VIDEO)

McGinley Orthopaedic Innovations, a Casper, Wyoming company, won FDA clearance for its IntelliSense orthopedic surgical drill. The device simplifies the drilling process, automatically providing the surgeon information about the location of the drill bit relative to the bone it’s moving through. Show More Summary

3 ways to prevent colorectal cancer

March is colon cancer awareness month.  We have made tremendous strides in the fight against cancer especially colon cancer. Between 1991 and 2011, U.S. cancer death rate decreased by 22 percent (1.5 million lives saved), and colon cancer death rate decreased by almost 50 percent. This decrease coincides with widespread adoption of colorectal cancer screening […]

How can we make the EMR note more legible? Here are some ideas.

Despite the well-known rollout problems for hospitals and clinics across the nation, there are many palpable and welcome advantages to using electronic health records. Chief among these are the ability to access the chart from anywhere,...Show More Summary

Of Proteasome Inhibitors and PAINs

Amgen is out with some new data that might well justify their purchase of Onyx a year and a half ago. A big driver for that deal was the proteasome inhibitor Kyprolis (carfilzomib), and the company just reported results in a head-to-head...Show More Summary

3 ways to change the way we pay for care

Incentive structures in health care have to change. Right now, we pay for services, or have a so-called, fee-for-service system. The idea is that the more patients doctors see, the more expensive tests doctors order and the more patients doctors hospitalize, the more money clinics and hospitals make. Show More Summary

Gene Editing Therapies Thunder Along

Here's a one-stop way to get caught up with all the therapeutic gene editing technologies out there, courtesy of Nature Medicine. Huge amounts of money are flowing into this area, because CRISPR/Cas9 looks so solid, compared to the various other things that have been tried in the past. Show More Summary

I lost a patient, but gained a friend

Loss is something all humans face in their everyday lives.  As a physician, the effects are often magnified.  People die, they move away, they graduate from your services, or occasionally they pursue care elsewhere.  Parting can sometimes bring relief, and others a deep sense of failure.  But with Clara, I’m not sure we actually parted.  […]

Systematic review on treatment of calcium blocker overdose

Free full text here.Academic Life in Emergency Medicine summarizes the review: A few findings from the systematic review: The majority of literature on calcium channel blocker overdose management is heterogenous, biased, and low-quality...Show More Summary

Top stories in health and medicine, March 2, 2015

From MedPage Today: Statin Therapy Suppresses Coronary Plaques in HIV Patients. Treatment with potent statin medication appears to reduce plaque burden in coronary arteries of patients infected with human immunodeficiency virus (HIV) while untreated patients experienced expansion of plaques. Show More Summary

IIR's 7th Annual Government Programs Summit

This is the Only Government Programs Event You Need to AttendHow many Government Programs events do you attend a year? IT ONLY HAS TO BE THIS ONE! IIR's 7th Annual Government Programs Summit on March 23-25, 2015 in Arlington is the one-stop-shop...Show More Summary

Weekly Australian Health IT Links – 2nd March, 2015.

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

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