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Professionalism: A commitment to lifelong learning aimed at the care of the patient

I am a doctor today because of Dr. J.W. Epstein, my pediatrician in Cleveland in the 1950s. An immigrant from the Nazi terror in Europe (it was family lore that he had escaped the Holocaust), he had trained in Vienna and spoke English with a Germanic accent. His house calls are etched permanently in my […]

Weekly Roundup 1.23.15

It seems 2015 is moving even faster than 2014 as we prepare for the last week of January even though it feels as if the holidays were only last week. It has been that time of year for reflection, looking … Continue reading ?

Watch 2 magicians destroy the anti-vaccine movement in 90 seconds

Measles in Disneyland should be a wake-up call for the anti-vaccine movement.  Will it? Magicians Penn and Teller do their part and show us why anti-vaccination is nonsense. Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.

Elizabeth Warren's "Pharma Swear Jar" Idea

Elizabeth Warren has come out with a proposal for what she's calling a "pharmaceutical swear jar". Once a drug company had been fined, this bill would earmark a percentage of their profits over a multiyear period for use in NIH funding. Show More Summary

3 amazing medical advances that haven’t caught on

The life cycle of a medical advance usually goes something like this: from discovery at the research bench and replication of findings to translational research and clinical trials, to implementation. The bottleneck can be at any one of these stages, and often it is in the discovery one; we just haven’t yet found the thing […]

My diagnosis project week 2

Of course, my project is biased and not very scientific, but here is my observation from the second attending rotation. We had 9 new patients and 7 had diagnostic questions as a key portion of their admission. We could discount two of the patients because they had clear lower extremity infections. But they had the […]

The ECG in stress cardiomyopathy versus acute coronary syndrome

I've blogged this topic a couple of times before. Though the two conditions are superficially similar clinically and electrocardiographically they are completely different pathologically. It makes sense that there would be distinctions evident on close examination. Show More Summary

Wither the physician? The future of primary care.

You may not be ready to admit it even to yourself, but you know it’s changing. Permanently. Some say it’s for the better. Others say it’s for the worse. Most don’t really care much one way or the other. After all, health care has been evolving and changing over thousands of years, and the experts […]

Transparency is Good in Theory, But Not in Practice

I attended SMi's Social Media in the Pharmaceutical Industry conference this week and, as usual whenever I attend these conferences in the UK, I meet some very interesting people and get a new perspective on important issues that usually are not discussed in the U.S. Take ethics, for example. Show More Summary

Top stories in health and medicine, January 23, 2015

From MedPage Today: Eating Fish While Pregnant — Worth a New Look? In babies of women who consumed a lot of fish while pregnant, the benefits of n-3 polyunsaturated fatty acids in the fish outweighed the potential adverse effects of mercury exposure. With RA Remission, Try Cutting TNF Dose. A substantial proportion of patients in remission […]

Running Tips For Geeks: Wearable Devices and Smartphone Apps

It’s really hard to find motivation to go out for a run or to do exercises every single day. I struggle with that, just like you. I only go out for a run if I can measure data, I’m a geek. Here are the wearable devices and smartphone apps that help me find the motivation […]

The USA Seems To Be Having Some Difficulties Moving Ahead With Meaningful Use. Not Good News!

This appeared a little while ago.Little To Show For $26 Billion Health IT InvestmentBy Christine KernThe electronic sharing of information (health information exchange) plays a critical role in improving the cost, quality, and patient experience of healthcare. Show More Summary

Arrowhead EMS Conference Slides

I am presenting two sessions at the Arrowhead EMS Conference in Duluth, Minnesota on Friday, January 23, 2015. Below are the slide decks. Distraction is Deadly from Greg Friese Social Media Concepts and Tools for EMS Education from Greg Friese

Bill Cosby and Dr. Healthcliff Huxtable: What they mean to minority physicians

Dr. Heathcliff Huxtable.  Black America’s favorite physician is under fire.  Multiple allegations have surfaced and re-surfaced accusing Bill Cosby of various insidious perpetrations.  This blog is not intended to persecute or defend Mr. Show More Summary

Windows 10 and Microsoft HoloLens, implications for health and medicine

So yesterday was a big day here at Microsoft. Like many of you, I was glued to my computer screen while our business and product leaders updated the world on Windows 10, Windows Phone, Xbox, and more. We learned that Cortana will be taking up residence...(read more)

The marriage between technology and medicine: An interview with John Halamka

Of the nearly 100 people I interviewed for my upcoming book, John Halmaka was one of the most fascinating. Halamka is CIO of Beth Israel Deaconess Medical Center and a national leader in health IT policy. He also runs a family farm, on which he raises ducks, alpacas and llamas. His penchant for black mock turtlenecks, along with his […]

Who should be held accountable for risk management and cybersecurity in healthcare institutions?

I’ve been involved in building many life-critical and mission-critical products over the last 25 years and have found that, finally, cybersecurity is getting the kind of attention it deserves. We’re slowly and steadily moving from “HIPAA Compliance” silliness into a more mature and disciplined professional… Read More

The final gift of the dying

I assumed many things that morning.  For instance, I thought it was likely that Ronald’s fatigue was from lung cancer that had metastasized to the liver.  Or that he decided to stay in his room in the nursing facility because the decision to elect hospice had finally taken its toll. I was sure that he […]

Get Your Spirocyclic Compounds Here

If you do early-stage medicinal chemistry, you'll probably be interested in this overview of spirocyclic scaffolds. It has examples from the recent literature, and an update on synthetic methods to get into this chemical space. I've made several compounds like this over the years, without much success in the assays so far. Show More Summary

Lowering health care costs is more than cost awareness

I wish lowering health care costs was as easy as “cost awareness,” but as one patient put it, “I never pay the first few bills, because the amount changes every time a new bill is sent.”  The payment system is so fragmented that it’s hard to know what will become an expense with any given […]

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