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EMSEduCast Reunion at NAEMSE

Last week at the 2014 National Association of EMS Educators Symposium Bill Toon, Rob Theriault, and myself met face-to-face for the first time. Even though we had co-hosted more than 100 episodes of the EMSEduCast we had never gathered in the same place. Turns out that I enjoy their company as much (actually more) in person […]

Estrogen therapy and breast cancer: The pharmacist said no

It’s not often that I find myself speechless. I have heard all sorts of stories in my office — as a sexuality counselor, I am often humbled by the trust that people place in me and how much they disclose about their private lives. But one conversation I had with a patient literally made my […]

NEHTA Produces A Guide For GPs Using The PCEHR - Very Interesting Indeed And Not Good.

This appeared just a few days ago - Document created 23/09/2014:eHealth Guide for General Practice Getting Started with eHealth – A guide for General Practice is designed for practices or organisations using the eHealth record system...Show More Summary

Fall Colors

Late blooming sunflower.     Spectacular maple along our driveway.

AusHealthIT Poll Number 237 – Results – 28th September, 2014.

Here are the results of the poll.Do DoH and NEHTA Understand The Issues Of Clinical Safety That May Surround The Deployment And Use Of Health IT Systems?For Sure 4% (6) Probably 5% (7) Neutral 15% (22) Probably Not 33% (47) No Way 41% (58) I Have No Idea 1% (2) Total votes: 142 This is a pretty clear and enthusiastic outcome. Show More Summary

Workplace wellness programs: Are they really failures?

There’s been a lot of controversy recently about workplace wellness programs: Do they save money for employers on health care costs? Can they produce measurable benefits for employee health? Do they unfairly punish people who are unable to participate? Are these programs just a ploy to shift medical costs to unhealthy employees? Continue reading... […]

When your child doesn’t poop: Solving the constipation death spiral

Michelle wrote in: “We trained my 3-year-old son approximately 3 months ago, and it’s been great. He’s been having virtually no accidents. The problem is that he’s terrified of making ‘dirty’ on the toilet. He does it in his pamper at night when he’s sleeping. He’s very verbal about it, and tells me that he’s […]

Emergency room doctors can safely use bedside ultrasound

I have been following the progress of bedside ultrasound (using ultrasound as a diagnostic tool during my physical exam of patients) as it gets a foothold in standard medical practice since I first started learning to do it about 3 years ago. Every so often a study comes out which warms my heart as it […]

What personal responsibility means to a physician

She was sick.  Not sick like a high fever, body aches and a runny nose.  Sick like she had spent the last half a decade in nursing homes as most of her internal organs failed.  There was oxygen, and dialysis, and a colostomy.  She propelled herself vigorously through the crowded halls in the custodial wing […]

Complications are a reality of medical life

If you are a physician like me who performs procedures, then rarely you will cause a medical complication. This is a reality of medical life. If perforation of the colon with colonoscopy occurs at a rate of 1 in 1,500, and you do 3,000 colonoscopies each year, then you can do the math. Continue reading […]

Stop the Clot

An on line resource on thrombosis and hypercoagulability.

To reduce health costs, everyone needs to be on the same page

“Mr. Jones’ chest x-ray looks normal,” the intern said to me on morning rounds. Mr. Jones just had a transhiatal esophagectomy (THE).  The esophagus is the muscular tube that connects the back of one’s throat to their stomach.  It can develop cancer or become completely dysfunctional because of benign processes, and therefore need to be […]

Weekly Overseas Health IT Links - 27th September, 2014.

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

On the road for Clinical Mobility

I’m writing this today from Sydney, Australia. This past week I’ve been working with my teammates here on something we’re calling the Clinical Mobility Roadshow. On each of the last four days we’ve been hosting a breakfast event in a different city. We...(read more)

Vulnerability is a virtue in medicine

Medical students are repeatedly taught the importance of the physician-patient relationship.  We are told that to be a good doctor we must strive to exhibit compassion, empathy, respect, professionalism and confidence all while applying our medical knowledge to figure out a diagnosis and treatment plan. If you add in the pressure of doing this within […]

Implanted Pulley System Gives Strength to Nerve Damaged Hands

Damaged nerves can lead to muscles not working correctly, leading to loss of control of hands, feet, and other parts of the body. Specifically, people with high median ulnar palsy lose the ability to use their hands, but a procedure that reattaches finger tendons to a properly functional muscle can help return some of the lost ability. Show More Summary

How hospitals discourage doctors: A step by step guide

Not accustomed to visiting hospital executive suites, I took my seat in the waiting room somewhat warily. Seated across from me was a handsome man in a well-tailored three-piece suit, whose thoroughly professional appearance made me — in my rumpled white coat, sheaves of dog-eared paper bulging from both pockets — feel out of place. Continue […]

Shire Settles Claims of Deceptive Marketing of Multiple Drugs for $56.8 Million, No Individual Held Responsible

Here we go again. A big drug company has settled claims of deceptive marketing, yet no individual was held accountable. The most extensive coverage came from the Philadelphia Inquirer, presumably since the announcement came from the local US Attorney.The basics were: Shire Pharmaceuticals L.L.C. Show More Summary

Pebilepsy Uses Fitness Tracker to Monitor Night Time Seizures

Tracking the frequency, length, and severity of epileptic seizures can help guide therapeutic decisions. While seizures that occur during the day are obvious to the patient, ones that happen at night may not be even noticed. A new app developed for the Pebble fitness tracking smartwatch may help measure night time seizures. Show More Summary

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