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Tips for IM Attendings – Chapter 12 – Preparing teaching chunks

Many concepts recur often in medicine.  Patients get admitted for syncope, or chest pain, or edema.  Patients have anemia, or hyponatremia or hypokalemia.  We could make a long list of relatively common situations that we see repeatedly as attending physicians. Our learners need to develop a thoughtful approach to each of those situations.  As an […]

MKSAP: 66-year-old man with polyuria and polydipsia

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 66-year-old man is evaluated in the office after being treated in the emergency department for an exacerbation of chronic obstructive pulmonary disease. While in the emergency department, he was noted to have a random blood glucose level of 211 mg/dL […]

Weekly Overseas Health IT Links – 23rd July, 2016.

Here are a few I came 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

Weekly Roundup 7.22.16

Well, it is really hot. Really really hot. And I am moving kind of slow, as one should probably do in the summer. I didn’t even get to the Weekly Roundup last week, which means that some of what I … Continue reading ?

Today happens once. And we are guaranteed nothing.

As I sat next to her bed in the intensive care unit, I wondered if she knew that today was her last day when she woke up this morning. I didn’t think she knew that it was her last day now. I was sure that she knew that something was wrong but did she know that […]

This is why hospice work is so fulfilling

I make my way down the aisle of the plane, squeezing past my fellow passengers and plop down in my assigned seat.  Sitting next to me is a middle-aged woman with a kind smile. As the plane takes off, she begins making small talk: ”What do you do?” I silently debate, do I adopt my […]

Rural America: A Primer for Washington Officials, Columnists and Dartmouth Economists

By NIRAN AL-AGBA Earlier this week, physicians in small private practices and rural areas breathed a collective sigh of relief.  There is a possibility the implementation of changes to physician reimbursement (known as MACRA) could be delayed.  Thank you, Mr. Slavitt, for listening.  I am grateful to Orrin Hatch (R-UT) and Ron Wyden (D-OR)

Kinsa Unveils Sesame Street Smart Ear Thermometer

Kinsa has partnered with everyone’s friends at Sesame Street to release an Elmo-themed smartphone-connected thermometer. The ear thermometer is based on Kinsa’s popular flagship device, offering wireless connectivity and ability to track the progress of fevers. Show More Summary

Brain Performance Monitoring Startup RC21X Joins StartUp Health Community

RC21X, a brain performance monitoring startup has been selected to join StartUp Health and its exclusive Academy for digital health entrepreneurs. StartUp Health’s global platform is focused on coaching and supporting the rapidly growing...Show More Summary

PillPack Deploys PokitDok’s Pharmacy APIs for Real-Time Pharmacy Eligibility

PokitDok, a healthcare API-focused company has partnered with certified pharmacy Pillpack to deploy PokitDok’s Application Programming Interfaces (API) for instant pharmacy eligibility assessments. The partnership will power improved...Show More Summary

INTRACEPT Nerve Ablation System for Lower Back Pain

Relievant Medsystems obtained FDA clearance for its INTRACEPT intraosseous nerve ablation system. It’s a minimally invasive device that’s used to kill the basivertebral nerve responsible for generating regular pain signals in people with damaged vertebra in the lower back. Show More Summary

N-of-One Raises $7M for Precision Medicine Oncology Decision Support

N-of-One, a precision medicine oncology decision support company has raised $7 million in funding from Providence Ventures and Excel Venture Management. The latest round brings its total funding to $11M. Founded in 2008 by a team ofShow More Summary

How maternity leave cost this physician

When I had my first baby, I was a busy resident trying to complete my residency on time.  I didn’t want to extend my residency even if it meant sacrificing time with my newborn.  In order to get my 8-week leave, I banked days whenever I could.  There was one period I worked 45 days straight (well, […]

Tips for IM Attendings – Chapter 11 – Question & rescue

Many authors condemn “pimping”, yet most learners appreciate questioning as a teaching technique. How can we reconcile these two concepts? Those who condemn pimping define pimping as questioning with embarrassment and humiliation. Since that term can carry a negative connotation, we need to use a new label. I ask questions constantly on rounds and in […]

Primary care physicians should advocate for fewer restrictions on women’s choices

Our patient was a 15-year-old girl who came to the emergency room of our hospital saying she wanted to commit suicide after being raped several weeks ago at a classmate’s party. In the emergency room, a urine pregnancy test was positive. On admission to the hospital, she was very clear that her thoughts of killing […]

Talk About A Long Goodbye! The UK NPfIT Finally Wraps it Up.

Digital ( has written two articles which somehow seem to be a long obituary for one of the largest Health IT initiatives ever!First we have the reporting:National Programme for IT ends, but not...Show More Summary

The day a young patient took charge and grew up

Dustin Ouellete grew up a bit the other day. I had known Dustin as an infant, and his mother before that. Several years ago, the Ouellete family moved away to the big city, but last summer they came back. Dustin came in a few times with his father, and his main concern was migraines. Dustin’s […]

New Radioactive Tracer Lights Up Brain’s Connections to Study Disorders

Various brain disorders change the physical nature of synapses in the brain, but this fact has been useless in clinical practice because evaluating these changes could only be done once the patient passes away. Now researchers at Yale...Show More Summary

A Novel Proposal: Trust Our Doctors

BY PETER PRONOVOST, MD How would you react if you sent your sputtering car to the auto mechanic, and they stopped trying to diagnose the problem after 15 minutes? You would probably revolt if they told you that your time was up and gave back the keys. Yet in medicine, it’s common for practices to

Tiny Probe for Measuring Temperatures Inside Brain

Scientists at the University of Adelaide and ARC Centre of Excellence for Nanoscale BioPhotonics have developed a tiny probe for measuring the temperature inside the brain. As anyone with an extremely high fever will attest to, the brain doesn’t respond well to high heat. Show More Summary

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