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Please forgive us for prescribing controlled drugs to just about everybody

Lately I’ve had the opportunity to work in an outpatient clinic where the regular doctor is out sick for a prolonged period of time. It is a breathtakingly beautiful little community, with green hills and a crystal clear river. It is also troubled by methamphetamine and prescription drug abuse. The little clinic in town is […]

Why cancer centers advertise to the general public

If you were a cancer center trying to get patients to come to receive care at your facility, what message would you send them? In other words, what would you as a cancer center director think people would value in choosing a place to receive cancer care? Continue reading... Your patients are rating you […]

This is why it’s so hard to rein in mammogram screenings

I was driving to work the other day, and there was a story on the radio about the Congressional reaction to the latest recommendations for breast cancer screening from the United States Preventive Services Task Force (USPSTF). Here’s the background. USPSTF published recommendations in late 2009 for the use of screening mammography in different age […]

Common sense guidelines for children with lice

A new clinical report from the American Academy of Pediatrics is a rare beacon of coherent thought about lice and children. Rather than humiliating children and driving them away like lepers, the AAP recommends common-sense steps to identify and treat lice. Some facts really shouldn’t be in dispute: Continue reading... Your patients are rating […]

Top stories in health and medicine, May 25, 2015

From MedPage Today: Time to Retire Lithotripsy for Kidney Stones? More than 30 years ago, extracorporeal shock wave lithotripsy (ESWL) had a highly anticipated, much-ballyhooed introduction as a nonsurgical therapy for kidney stones. Obviating the need to cut the skin or insert a device into the body, ESWL would use acoustic shock waves to pulverize stones […]

Weekly Australian Health IT Links – 25th May, 2015.

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

Telemedicine is medicine’s sexiest new field, but why aren’t we ready for it?

Imagine a surgeon removing a gallbladder miles away from where he or she actually is. Imagine when you are ill, a physician has the ability to diagnose you from your living room. Telemedicine. Telemedicine itself is not a concept that is all that new. In the 1930’s, Italy used telemedicine to communicate with ships at […]

The taboo nature of miscarriage must end

Thankfully, many medical conditions that once were never discussed in public, such as cancer, AIDS, and even infertility, have largely shed their stigma and sense of secrecy. Miscarriage holds an unusual place in medicine in being both common and something that many in society thinks is rare. One in four pregnancies ends in miscarriage, and there […]

A nurse is an essential partner to patient care

Some years ago when my father underwent bypass surgery, he was anxious, depressed and in pain as he lay in the hospital bed tied to IV catheters and tubes. Each day, his surgeon, his hospitalist, and other consultant doctors whisked in and out, asking how he was feeling and then ordering a treatment plan. A […]

I Flew A Drone With My Thoughts

In one of my recent videos, I talked about how I try to improve my cognitive skills, how I measure my brain activities, and how I try to live a relaxed and focused life with devices. I have always wanted to improve my focus and the way I can immediately focus on something when needed. Now […]

Fixing health care really depends on the economy

Recently, I was back in the United Kingdom for a short trip home. It happened to be the week of the general election, and after a long campaign the country finally went to the polls on Thursday. For those of you unfamiliar with U.K. politics, for the last five years there’s been a coalition government […]

It Seems My Concern About What Is Going On In Hospital IT In South Australia Is More Than Warranted! A Whistle Blower Strikes!

A couple of weeks ago I published a blog suggesting there was a need for a review of what was going on with the EPAS project.Wednesday, May 06, 2015It Looks Like The South Australian Implementation of EPAS Is Going Pretty Badly. An External...Show More Summary

The ABIM, Its Finances, and the Great Collusion

4 days agoIndustries / Medical : Dr. Wes

Yesterday, Newsweek Pulitzer-prize finalist and reporter Kurt Eichenwald pulled back the curtain on the Great and Powerful Oz of medical credentialing, the American Board of Internal Medicine (ABIM) when he meticulously dissected the organization's most recent financials. Show More Summary

3 things that make a surgeon great

I wasn’t the first simple country surgeon, you know. When I was a resident, our training program broke us into two teams — one that served general surgery, pediatric surgery, and trauma; the other, general surgery, transplant, and oncology.  Every day was an intricate dance to see all the patients (generally between 20 and 40) […]

AusHealthIT Poll Number 271 – Results – 24th May, 2015.

Here are the results of the poll.Do You Agree With The Decision To Replace NEHTA With A New Australian E-Health Commission? (Updated)Yes 27% (31) No 47% (54) I Want Neither Funded By Government 22% (25) I Have No Idea 4% (5) Total votes: 115 What an interesting outcome. Show More Summary

EBM, Guidelines – intended and unintended consequences

Who can argue against evidence based medicine? Who can argue with using evidence to develop guidelines? The key to practicing great medicine must involve using the best evidence to guide our protocols. My son, while in college, was an English major. I remember reading his papers. He often used the phrase “on further reflection”. I […]

A medical student on her obstetrics rotation: Behind the scenes

An excerpt form Baby City: An Inside Look into Labor & Delivery. I am going to make this medical student cry. I don’t know how I know it, but somehow I can sense it. I know it the second she walks into the resident room on labor and delivery at Cadence Hospital, her perfect blond ponytail […]

Three Digital Services in Diabetes

When I wrote about why diabetes management is facing extraordinary times, I included digital services. I recently came across some new services I haven’t heard about and thought I would share them with you. Hopefully, patients managing diabetes will find them useful. 1) VoyageMD: It helps diabetes patients who need to travel. Created by Professor David Kerr, […]

Imaging IT: Purchases Report 2015

A quick note about the Imaging IT Purchasing Report that just came out from peer60. See below an example of what providers plan to buy in the next year. An excerpt: The imaging IT market continues to grow worldwide. Our research found that 46% of providers plan to make purchases in the next 12 months. […]

What this radiologist learned from his obstetrics rotation

I was volunteering at one of the free clinics associated with my medical school last weekend, and while teaching a medical student how to sew a cut, he queried, “That is an interesting technique, who taught you how to suture? Are you a surgeon?” “I am actually a radiologist,” I replied. “To answer your first […]

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