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Does publicly reporting hospital mortality rates improve outcomes?

Get a group of health policy experts together and you’ll find one area of near universal agreement: We need more transparency in health care. The notion behind transparency is straightforward; greater availability of data on provider performance helps consumers make better choices and motivates providers to improve. And there is some evidence to suggest it […]

MKSAP: 52-year-old woman with type 2 diabetes mellitus

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 52-year-old woman presents for follow-up evaluation after being diagnosed with type 2 diabetes mellitus 6 weeks ago. Her initial HbA1c level was 8.0%. Management at this time is with lifestyle modifications. She has worked closely with a diabetes educator and […]

Mineralocorticoid excess and related syndromes

p { margin-bottom: 0.08in; }a:link { } This was the topic of a recent review in Advances in Chronic Kidney Disease. Below are some take home points. Hyperaldosteronism has deleterious effects beyond hypertension and hypokalemia such as hypertension independent LVH, myocardial fibrosis and an increase in other organ manifestations (eg hemorrhagic stroke) compared to the

Finally Seem To Have A Working System And Plan To Return Tomorrow.

Computers and connectivity permitting! David This is the initial part of the post - read more by clicking on the title of the article. David.

A false positive is precaution by another name

Diagnostic tests such as CT scans are not perfect. A test can make two errors. It can call a diseased person healthy: a false negative. This is like acquitting a person guilty of a crime. Or a test can falsely call a healthy person diseased: a false positive. This is like convicting an innocent person of a crime […]

Google, Mayo Clinic, Harvard Team Up for Easy Symptom Search

  Roughly 1 percent of searches on Google are symptom related. Starting  this week, when consumers access Google’s mobile search for information about certain symptoms, they will quick, accurate facts on relevant related medical conditions up front on their smartphone or other mobile device. Show More Summary

Telehealth Provider American Well Appoints Freshman as New CTO

Telehealth provider American Well has appointed longtime executive team member and engineering lead Jon Freshman to become the Company’s Chief Technology Officer (CTO). In his new role as CTO, Jon will oversee the three arms of American...Show More Summary

Premature ventricular contractions: everything you wanted to know and more

p { margin-bottom: 0.08in; }a:link { } A detailed review was recently published, which should be read in the original. Below are a few key issues covered. Mechanisms: Known or purported mechanisms include automaticity, triggered activity and re-entry. Automaticity causes ventricular ectopy (VE) by premature depolarization of pacemaker cells. This results from a

HealthPrize Nabs Series B for Medication Adherence Gamification

HealthPrize, a digital health startup focused on patient engagement and medication adherence solutions has announced the closing of its Series B round of financing to support the company’s internal growth and international expansion. Participating...Show More Summary

Heart Rhythm Society Waffles on MOC

6 days agoIndustries / Medical : Dr. Wes

On Thursday (yesterday), I received this notice from the Heart Rhythm Society (HRS) concerning their stance on the American Board of Medical Specialty's (ABMS) Maintenance of Certification (MOC) referendum at the recent AMA House ofShow More Summary

It’s time to change the way we choose medical students

The USA trains its physicians differently from every other Western country I know. Everyone (with rare exceptions) who goes to medical school first must get a four-year undergraduate college degree in something. There are no such degrees in medicine, although the overwhelming majority of students going on to medical school major in one of the sciences, […]

Bariatric Surgery Streamed in Virtual Reality on Youtube

Virtual reality (VR) is not only a way of watching movies and playing video games. It also lets you experience a space far from where you’re located. A weight-loss clinic in Tijuana, Mexico just performed the first live streamed bariatric surgery which you can now watch via Youtube. Show More Summary

XPrize, IBM Watson Launch $5M Artificial Intelligence Competition

XPRIZE has teamed up with IBM Watson to launch IBM Watson AI XPRIZE, a $5 million, four-year global competition challenging teams to develop and demonstrate how humans can collaborate with powerful artificial intelligence (AI) technologies to tackle the world’s greatest challenges. Show More Summary

Time to Brexit the Health Care System?

By JOE FLOWER Can’t. Won’t work. We’re stuck with this. We have to fix it. But “Brexit” was a great logo/hashtag/campaign meme, with echoes of “Britain, break it, exit” all in one. Falls right off the tongue, it does. And it described fairly exactly the mood behind it, one of breaking, getting out. So in

Oticon’s Internet-Connected Smart Hearing Aids

Oticon, one of the most innovative companies in the hearing aid business, has unveiled what it describes as “the world’s first internet connected hearing aid.” What that means is that smart devices around the house, such as thermometers, electronic locks, and smoke detectors, can be made to talk with the new Oticon OPN hearing aids. Show More Summary

Mayo Clinic, GE Set to Unveil Innovative Compact MRI Scanner

On June 28th, Mayo Clinic will unveil a new first of its kind compact 3T magnetic resonance imaging (MRI) scanner developed in collaboration with General Electric’s (GE) Global Research Center. The investigational, research device was...Show More Summary

The Trouble with Movies: II

Much that is wrong with the movies can be blamed on what I call the terrain—the cashier in her glass house, the difficulty of reaching one’s seat, the location of the men’s room, the poor quality of the candy—if something isn’t done about removing such obstacles between you and the movie, television is going to be brought back. Show More Summary

The Trouble with the Movies

The trouble with the movies is that they so seldom get below the surface of a story and its characters, that their whole is rarely as good as the parts, and the characters of their players—Gary Cooper or Margaret Sullavan, for instance—are usually more powerful than the characters they play. Show More Summary

What went wrong with health care IT

One of the topics’s that I’ve written most about, and also do a considerable amount of non-clinical consulting work on, is how we can improve health care information technology and electronic medical records. As they currently exist, there are unfortunately many drawbacks to health care IT systems, and they have as yet failed to fulfill their immense […]

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