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The Medical School as Hereditary Plutocracy - Retiring Board Chair Sanford Weill of Cornell Weill Medical School Names His Own Daughter as New Chair

As I have written before, sometimes you just could not have made this stuff up.The Retiring Board Chairman Appoints His Own Daughter to Succeed Him The most even handed reporting on this story was in Inside Higher Ed,Leadership of the...Show More Summary

Inappropriate cath lab activation due to pseudoSTEMI

Inappropriate treatment of patients presenting with chest pain is an increasingly recognized consequence of the performance driven STEMI versus non-STEMI designation. The most widely discussed examples of this take the form of missed coronary occlusion due to over reliance on simple ST segment criteria. Show More Summary

STEMI versus pericarditis: new criteria proposed

From a recent article in the American Journal of Medicine: ..This study aims to assess whether QRS and QT duration permit distinguishing acute pericarditis and acute transmural myocardial ischemia. Methods Clinical records and 12-lead...Show More Summary

Health reform and Gruber: We want simple solutions to complex problems

In the giddy days after the passage of ACA, I was chatting to a PhD student in health economics. He was in love with the ACA. He kept repeating that it would reduce costs, increase quality and increase access. Nothing original. You know the sort of stuff you heard at keynotes of medical meetings; “Healthcare […]

The Argonaut Project Charter

Yesterday, a group of private sector stakeholders including athenahealth, Beth Israel Deaconess Medical Center, Cerner, Epic, Intermountain Health, Mayo Clinic, McKesson, MEDITECH, Partners Healthcare System, SMART at Boston Children’s...Show More Summary

When it comes to health care, I finally understand how beautiful banality can be

She was absolutely perfect.  She had ten perfect fingers and ten perfect toes.  Her eyes were wide and curious and drew you in fondly. She was absolutely perfect everywhere — everywhere except for her nose and mouth. She was born in 1959 with a unilateral complete cheiloschisis and palatoschisis, more commonly known as a cleft […]

INTERCEPT Plasma Transfusion Infection Control System FDA Approved

Cerus Corporation out of Concord, California received FDA approval for its INTERCEPT Blood System for plasma, a product that’s used to prevent infections by treating blood plasma prior to a transfusion. The system relies on using a proprietary molecule to bind to the DNA and RNA of just about everything within the blood plasma sample. Show More Summary

Pfizer's "Humorous" Menopause Ad Mentions the "V" Word

Pfizer marketers have done it again! First it was an all-female Viagra ad campaign for the treatment of ED (erectile dysfunction; read "Oh Yeah, Baby! Show Me More!... Viagra TV Ads Like This. But Don't Let My FDA See It!"). Now, it's...Show More Summary

Tongue cancer in an elderly patient: Thinking of my grandmother

Old age is no place for sissies. -Bette Davis “I want the surgery today!” She started to cry. “I’m ninety-four years old. I’ll accept any risk. Just take this thing out!” She looked back and forth between the anesthesiologist and me. Her golf-ball sized tongue cancer had been growing over the past six months. It […]

2014 Year in Review: Clinician Network Management

Being seasoned veterans of the HIE/CNM market, 2014 was not so much a year of surprises, but one in which HCOs finally coming to grips with reality. There was a tremendous level of exploration of the technical, organizational and incentives-based … Read more ›

Actavis and Namenda

John LaMattina has a column at Forbes about the situation with Actavis and their Alzheimer's drug, Namenda (memantine). That situation is not a pretty one: the company has an extended-release form of the drug coming on, which they believe will be more convenient to dose. Show More Summary

Magnets Finally Used to Guide Nanoparticles Deep Within Body (VIDEO)

Magnetic nanoparticles have been researched extensively over the last few years as vectors for targeted delivery of drugs within the body. While the idea is full of promise, in practice using magnets to guide these particles to locations...Show More Summary

Ethics: The six-letter word of medical practice

In just the past six months months we, the medical community, have been challenged by questions regarding the torture report, #ICantBreathe and #WhiteCoatsForBlackLives hashtags, Ebola research and treatment, the ALS ice bucket challenge, deaths of Brittany Maynard and Joan Rivers, and the Hobby Lobby case.  What these events have in common are not their scientific […]

J. Already Known Chem.

A reader sent along this paper, which recently appeared in JACS. He'd read it and was puzzled - not by the content of the paper, but as to "how it got into JACS". So I had a look. It's on the peptide hormone oxyntomodulin, a 37-residue species closely related to glucagon which stimulates insulin release as an agonist at the GLP-1 receptor. Show More Summary

Highlights of CVS Health’s Latest Specialty Market Forecasts

Yesterday, CVS Health held its annual Analyst Day. The accompanying 224-page slide deck provides great insight into the company’s strategy. Senior executives told investors how everything is awesome. There is even a section titled “We...Show More Summary

A form for a form’s sake: The difficulty of coordinating primary care

Today was (almost) the last straw. If you’ve read this column before, you’ve listened to my diatribes about the insanity of the forms we are required to fill out, the wasted efforts, the missed opportunities, the duplicative care. This one today takes the cake. Going through my mail this morning, trying to clean up the […]

Update on social media as medical education tools

This is a nice compilation of medical education social media resources. Coming from an emergency medicine journal it is biased toward that field but, after all, emergency medicine is where it's mostly happening right now.  

Top stories in health and medicine, December 17, 2014

From MedPage Today: Gene Test Has Promise for Nailing DCIS Recurrence Risk. A multigene panel predicted recurrence risk in ductal carcinoma in situ (DCIS), according to a population-based study. Docs, Guns, and Smokes. One day in clinic, 2 years ago, a patient handed Adam Goldstein, MD, MPH, a request for a concealed weapon permit, soliciting his […]

It Looks Like Using An EHR Can Cost Time But Also Reduce Errors To A Significant Degree.

These appeared a little while ago:Doctors Say Electronic Records Waste TimeA new study shows that technology has slowed doctors' work.By Kimberly Leonard Sept. 8, 2014 | 4:00 p.m. EDT + More Doctors complain that they waste an average...Show More Summary

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