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Recap of ISFSI Fall Conference Presentations

Last week I presented two sessions at the ISFSI Fall Instructor Conference. Both groups were engaged and added lots of great information to the sessions. Fortunately I arrived plenty early to set-up and test the projector settings. It took a several attempts to figure out why my slides were not being projected. Then I looked […]

2014 ISFSI Fall Conference at Ohio Fire Academy Slides

Today I am presenting two talks to the International Society of Fire Science Instructors Fall Conference attendees at the Ohio Fire Academy. Below are the slides for those presentations. Learn more about the ISFSI Fall Conference. Distraction is Deadly from Greg Friese Integrating Smartphones and Tablet Devices into Fire and EMS Education from Greg Friese

The mystery of diagnosing Lyme disease

Four months ago, a 44-year-old woman was referred to me by her audiologist and ENT for acute deafness of the right ear. She is a healthy woman without any past medical history and was not on any medication. Her otolaryngologist (ENT) could not find any physical reason for the patient’s acute unilateral deafness, including a […]

2014: The death of meaningful use?

The policy known as meaningful use was designed to ensure that clinicians and hospitals actually used the computers they bought with the help of government subsidies. In the last few months, though, it has become clear that the policy is failing. Show More Summary

I will honor my patients by hearing them out

Since the first day of medical school, I was in breathless anticipation of my third year. I came to Harvard with a background in creative writing and the big draw of medicine for me lay in its compendium of human stories. In college, I volunteered at local hospitals where my primary responsibility was to go […]

(Dis)comfort measures

Close to midnight and Tonya is somnolent, lying on an emergency department (ED) stretcher and not in her own bed at home. The change in location alters the fairy tale quality of the word somnolent from sleepy or drowsy to one that’s more sinister and worrisome. Especially when Tonya is dying of brain cancer, a single mother of thirty-four, […]

A process improvement tool for acute pancreatitis

From a recent article in the American Journal of Gastroenterology: METHODS: Design/Setting: Observational study, entitled, The AP Early Response (TAPER) Project. Tertiary center emergency department (ED) and hospital. Participants: Two...Show More Summary

What will future of medicine look like? Start here.

Excerpts from The Guide to the Future of Medicine. Enormous technological changes are heading our way. If they hit us unprepared, which we are now, they will wash away the medical system we know and leave it a purely technology–based service without personal interaction. Such a complicated system should not be washed away. Rather, it […]

NEHTA Is Wanting To Sign Up Private Hospitals To Use The PCEHR. You Have To Wonder How and If This Will Work.

This appeared from NEHTA on Friday November 21, 1014.Invitation to ApplyPrivate Hospital PCEHR Rapid Integration ProgrammeApplications are invited from private hospital organisations seeking a funding contribution to support their deployment...Show More Summary

Reflections after the first cadaver lab

“To help other people overcome their injuries.” This mantra was accompanied by flushed faces, hidden trembling hands, and nervous chuckles as the majority of my peers told the class why they decided to pursue physical therapy as a career. Soon thereafter, this adage was lost as we dived into our studies, learning every bone, muscle, […]

AusHealthIT Poll Number 245 – Results – 23th November, 2014.

Here are the results of the poll.Do You Believe There Is Enough Evidence Of Benefit To Support Continuing Investment By Government In The PCEHR?For Sure 4% (6) Probably 6% (10) Neutral 9% (15) Probably Not 38% (60) Definitely Not 42%...Show More Summary

MakerNurse: Fabricating solutions to challenges on the front lines of care

The Robert Wood Johnson Foundation supports MakerNurse, a community that aims to better understand what drives nurses to innovate and bring nurse making to the forefront of health care. See what they are up to. MakerNurse is collecting stories from inventive nurses across the nation to better understand what drives them to innovate and how best […]

35 years – respect the learners’ time

Students, residents and attending physicians will all agree that in medicine time has great value. Our daily activities depend on having adequate time. Students and residents have work that must be done for good patient care. Since my days as a student, I quickly understood how valuable time management was. As an attending physician I […]

35 years – thoughts on feedback

Attending physicians owe their learners growth. Our responsibilities to the learners include feedback. But it has taken me many years to really understand what feedback is, and how to give it. An important educational concept is that we should consider formative processes rather than summative processes. Too many attending physicians think of feedback only as […]

Medicaid is Obamacare’s sleeping giant

To me, Medicaid is Obamacare’s sleeping giant — the enabler of federal power and control over the health system. It is a far more powerful enabler than health exchanges, which have gotten most of the publicity. It surpasses the number of uninsured and underinsured that the exchanges have enrolled. Continue reading... Your patients are […]

Young physicians should be on Twitter. Here’s why.

You — a medical student, resident physician or newly-minted medical attending — are late in the game.  Sure, you appropriately hopped onto Facebook during your first few years of college, only to rightly disengage around the advent of newsfeeds and cover photos.  You passively signed up to LinkedIn last winter only to remain passively aware […]

Television Documentary about the Future of You

QUEST published a TV documentary about how the so-called wearable revolution will change how we live our lives. An excerpt: Today, there are tens of thousands of health and fitness apps that consumers can download onto their smart phones and tablets. From tracking the calories you burn to helping manage your stress through guided meditation, […]

Transforming primary care to spend extra time with patients

When I started my internal medicine residency, I was pretty sure I was going to rock this primary care thing. I knew the drugs for hypertension, the guidelines for diabetes management, and depression management seemed like nothing more than an algorithm. I felt buoyed by familiarity as I looked at the problem list for my first primary care patient: basically […]

How to start on Twitter: A Nephrologist’s Perfect Tutorial!

Twitter is my favorite tool serving as a channel between my mind and the minds of several thousands of like-minded people every day. It takes time to learn how to use it properly but it is absolutely worth the effort. Now, Joel Topf, nephrologists created a fantastic tutorial about how and where to start! Don’t […]

3D printed personalized medicine prescribed by the doctor and yourself

Mycartis.net published an interview with me about future trends and technologies shaping medicine. Here is an excerpt: “When I go to a doctor now, he will examine me, diagnose me, write a prescription which I will take to the pharmacist, who will then give me my medicines that are mass-produced. In the future, I will […]

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