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Clinical obesity, not morbid: A plea to change the diagnosis

Michelle Obama refers to childhood obesity as the tobacco of the 21st century. I agree. Obesity is quickly overtaking smoking as the nation’s No. 1 killer. As a pediatrician who sees firsthand the impact of overweight and obese children, we need to have conversations with our patient families that focus on obesity as a clinical issue. [...]

Becoming Chair of the Board of Regents of the ACP

Later today Chuck Cutler will officially hand over the position of Chair to me. Six years ago I joined the Board of Regents (BOR). This coming year seems like a dream at this point. Readers know my love for internal medicine. Forty years ago, during my medicine clerkship I realized that I am an internist. […]

A simple clinical prediction rule for the presence of CAD in patients presenting with heart failure

Published here in AJC. This may help in selecting those patients who need coronary angiography. The new ACC heart failure guidelines do not make a strong statement on coronary angiography or non invasive imaging indications, leaving it to clinical assessment.

Why so many Americans believe in health care conspiracy theories

There is a JAMA article out that is very telling: Medical Conspiracy Theories and Health Behaviors in the United States. It is a must-read article for anyone who wonders why the public does not seem to advocate for themselves when it comes to their medical care in the US. Continue reading... Your patients are [...]

Weekly Overseas Health IT Links - 12th April, 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

Doctors didn’t sign up to fill out forms

There are reports from across the country regarding severe influenza in young people. In addition to mechanical ventilation, many are requiring extracorporeal membrane oxygenation (ECMO). Given the severity of illness and the presence of multiple organ dysfunction, relying on an oral antiviral for influenza therapy seems unwise. However, at this point, the only option for [...]

How much Medicare pays doctors requires context

The Centers for Medicare and Medicaid Services released a massive amount of information regarding how much money it paid out to individual doctors. For the policy nerds out there, here is the original data.  For everyone else, here is a simple way to look up how much your own doctor made. I decided to search for myself [...]

High-Field MRI-Guided Linear Accelerator Brings Together Imaging, Radiotherapy to Zap Tumors

Radiation therapy using linear particle accelerators can be a bit a hit or miss process, since imaging of tumors and the therapy are done separately. A new system being installed at University Medical Center Utrecht in The Netherlands aims to bring together magnetic resonance imaging and a linear accelerator. Show More Summary

Doctors struggle to treat childhood obesity

Lying in a hospital bed, my seriously obese patient can barely see her swollen and odorous right foot over her abdominal fat. The foot is soon to be amputated, the result of an untreatable infection exacerbated by diabetes and kidney failure, which developed in part because of obesity. Her two children, ages 6 and 12, [...]

Weekly Roundup 4.11.14

A few weeks ago it was snowing.  Today, a walk around the neighborhood yields views of piles of mulch near driveways ready to be loaded into wheelbarrows and spread into the garden beds.  Bags of topsoil are lined up.  Grass … Continue reading ?

The Top 20 DTC Ad Spenders in 2013 Virtually Ignored Digital

April is the nicest month -- for data about direct-to-consumer (DTC) ad spending for the previous year thanks to MM&M magazine, which published Nielsen data in this month's issue. I've summarized the data in a couple of charts as I have...Show More Summary

Electronic medical records: Questions journalists should ask

It’s rare for doctors to turn out en masse for a public protest. But that’s what happened at “Doccupy” in Contra Costa County, California in 2012. A group of safety net physicians testified before county supervisors — in what they only half-jokingly called “Doccupy” — that the cumbersome move to electronic health records (EHRs) had taken an [...]

Seno Imagio Opto-Acoustic Breast Cancer Imaging System Cleared in Europe

Seno Medical Instruments (San Antonio, Texas) received European CE Mark approval for its Imagio opto-acoustic breast imaging system. It’s currently being investigated in the U.S. in a study to determine whether it can help avoid unnecessary biopsies by identifying whether a suspicious lesion is likely cancerous. Show More Summary

Hospitals and health systems refocus on core competency

What is the core competency of a hospital or clinic? Is it information technology (IT)? Should a healthcare organization employ large teams of IT specialists to manage e-mail, file, and storage systems? Shouldn’t the core competency of a hospital or clinic...(read more)

Google Glass Investigated for Parkinson’s (VIDEO)

Google Glass made a big splash as a futuristic consumer device that would change the way we communicate and go about our lives, but it seems that it will have a greater impact in professional and specialty applications. One promising...Show More Summary

NEC’s 30-inch 4 Megapixel Diagnostic Display Cleared by FDA

NEC received FDA 510(k) clearance for its 30-inch MultiSync MD302C4 LCD clinical display for use in diagnostic applications. Featuring a four megapixel resolution (2560 x 1600) and new LED backlighting, the company promises accurate image reproduction even at acute viewing angles. Show More Summary

Ben Goldacre eviscerates Roche and Tamiflu

Today we found out that Tamiflu doesn't work so well after all. Roche, the drug company behind it, withheld vital information on its clinical trials for half a decade, but the Cochrane Collaboration, a global not-for-profit organisation of 14,000 academics, finally obtained all the information. Show More Summary

The population health benefits of EMR implementation done right

I’m back at it again, talking about my continued love/hate relationship with EMRs. From my conversations with doctors at different hospitals in our region, it seems that most docs appear to be falling into the “hate” column. Meanwhile, I’m still chugging along with the EHR that’s been installed in my office. And while it works [...]

Healthcare IT Amateur Kathleen Sebelius Resigns - Good Riddance

The Secretary of the U.S. Department of Health and Human Services (HHS) is resigning.Press reports say she is resigning in large part due to the Exchange Website debacle. This from the New York Times:Health Secretary Resigns After Woes of HealthCare.govhttp://www.nytimes.com/2014/ 04/11/us/politics/sebelius- resigning-as-health-secretary. Show More Summary

Biology Maybe Right, Chemistry Ridiculously Wrong

A reader sent along a puzzled note about this paper that's out in Science. It's from a large multicenter team (at least nine departments across the US, Canada, and Europe), and it's an ambitious effort to profile 3250 small molecules in a broad chemogenomics screen in yeast. Show More Summary

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