Internists and Doctors of Medicine Blogs
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Could This Be the ACC Meeting of the Future?
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Click image to enlargeI couldn't help but notice the "Heart Hub" at the American College of Cardiology Meeting this year, pictured above. There were doctors nicely nuzzled up to a bar in a relaxed atmosphere where a bartender served cranberry juice, soft drinks and perhaps a small snack, as doctors watched and interacted with any of four talks occurring simultaneously at the meeting. Some were interesting case discussions with a question and answer format where you could text message your answer to a multiple-choice question on your cell phone and, like American Idol, the results would be instantly displayed on the screen ...
Source: Dr. Wes - March 17, 2010 Category: Internists and Doctors of Medicine Tags: education cardiology American College of Cardiology Source Type: blogs
Dr. A Show 155 Preview: Dr. Lucy HornsteinEmail this article to a colleague.
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Hope you're able to join me this week for Doctor Anonymous Show 155 where our guest with be author Dr. Lucy Hornstein who wrote the book, "Declarations Of A Dinosaur: 10 Laws I've Learned As A Family Doctor." As you may or may not know, I am also a family medicine physician. So this should be a good interview. In case you're not familiar with the 10 laws here they are:Laws of the DinosaurFirst Law: The art of medicine consists of amusing the patient while nature takes its course.Second Law: It is impossible to make an asymptomatic patient feel better.Third Law: The urgency of the test is inversely proportional to the IQ of...
Source: Doctor Anonymous - March 17, 2010 Category: Internists and Doctors of Medicine Source Type: blogs
AAFP is "Pawn" In Health Care Reform?Email this article to a colleague.
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I just read this very interesting point/counterpoint piece over on the website of the American Academy of Family Physicians. As you may or may not know, I am a proud Family Medicine Physician. And, yes, I am (still) a dues paying member of the AAFP. I owe a lot to the Academy including introduction to organizational medicine as well as leadership training as a medical student, family medicine resident, and now.The post I read was in their letter to the editor section and it was called "AAFP Is 'Pawn' In Health Care Reform; Academy Says 'Not So'. The first letter is from former AAFP president Michael Fleming, MD. I first me...
Source: Doctor Anonymous - March 17, 2010 Category: Internists and Doctors of Medicine Source Type: blogs
Critical Care Nephrology at Google BooksEmail this article to a colleague.
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Large portions of the book are available for browsing. (Source: Notes from Dr. RW)
Source: Notes from Dr. RW - March 16, 2010 Category: Internists and Doctors of Medicine Source Type: blogs
Radiology learning resourceEmail this article to a colleague.
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Loaded with images, lectures and case studies, and it's free. H/T to Dr. Wes. (Source: Notes from Dr. RW)
Source: Notes from Dr. RW - March 16, 2010 Category: Internists and Doctors of Medicine Source Type: blogs
The latest study on electronic health recordsEmail this article to a colleague.
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---like those preceding it showed a soft relationship with certain performance measures (depending on what features of the EMR were used) and did not look at outcomes. Via Medical Care. (Source: Notes from Dr. RW)
Source: Notes from Dr. RW - March 16, 2010 Category: Internists and Doctors of Medicine Source Type: blogs
Part I - Background: A Chance to Size Up Two Health Care SystemsEmail this article to a colleague.
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Being here at the American College of Cardiology Scientific Sessions in Atlanta, Georgia, USA, I have had a unique opportunity to meet with an interventional cardiologist from "across the pond" in England: Sarah Clarke, MD. Sarah is a Consultant Interventional Cardiologist at Papworth Hospital, Cambridge UK. Her undergraduate years were spent at the University of Cambridge, UK and postgraduate training was undertaken in the region. She attained an MD from the Univeristy of Cambridge. She was awarded a Fellowship in Interventional Cardiology at the Massachusetts General Hospital in Boston, and returned to take up her Consul...
Source: Dr. Wes - March 16, 2010 Category: Internists and Doctors of Medicine Tags: health care reform Source Type: blogs
Back By Popular Demand: Sex, the Heart, and EDEmail this article to a colleague.
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Today, I proved what I suspected: if you want readership, write or Tweet about sex and the heart. Needless to say, in a little over 30 minutes, I garnered 30 new Twitter followers by live-tweeting what I learned in the "Sex, the Heart, and Erectile Dysfunction (ED)" session at the American College of Cardiology meeting in Atlanta. For those who might have missed it, I have organized the tweets in chronicalogical order for your enjoyment benefit:Okay, at Sex/Heart session: Standing room only. Docs, pharma here. Um, will doctors attending please stand up? #acc10NEWS! Most people with CAD have ED! Up next: Cardiac response to...
Source: Dr. Wes - March 15, 2010 Category: Internists and Doctors of Medicine Tags: ED sex heart blog American College of Cardiology Twitter ACC10 Source Type: blogs
Carry on DoctorEmail this article to a colleague.
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My boss is currently in the throes of a horrendous personal crisis. Not that you’d know. She’s a picture of professionalism. Here on time. Doing her job perfectly, and then occasionally popping off to cry in her office. This got me thinking about my the horrendous personal crises my colleagues have worked through.
Once one of my house officers began to have some PV bleeding when she was 9 weeks pregnant. I rang the O&G reg on call who did a scan which showed that she was still pregnant so she carried on working. 2 days later she had a miscarriage, she choose to manage it conservatively and came into wo...
Source: FtM Doctor - March 15, 2010 Category: Internists and Doctors of Medicine Authors: Z Tags: Medicine Source Type: blogs
Boston Scientific Issues New ICD Advisory and Halts Sales of All ICDsEmail this article to a colleague.
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Despite the excitement of the American College of Cardiology meeting in Atlanta, Boston Scientific issued a self-reported advisory about all of their high-voltage defibrillators (pacers are not affected) stopping sales until "administrative issues" regarding a change in manufacturing processes and changes of their IS-4 lead connector. This advisory does NOT affect existing implanted devices, but rather halts the sales of further devices:The Company has determined that some manufacturing process changes were not submitted for approval to the U.S. Food and Drug Administration (FDA). At this time, the company has identified t...
Source: Dr. Wes - March 15, 2010 Category: Internists and Doctors of Medicine Tags: defibrillator advisory American College of Cardiology recalls Boston Scientific Source Type: blogs
How to Follow the ACC Meeting in Near Real-TimeEmail this article to a colleague.
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Both Sarah Clarke, MD (@doctorsarah), pictured above, and I (@doctorwes) will be trying to Twitter (is that a verb?) several of the ACC Sessions while providing running commentary on the meeting today. (Stopping to open a laptop as I run from session to session just isn't realistic, I'm finding.)If you have no idea how to get set up on Twitter, I explain it here. Also, comments made by ourselves and others in attendance can be viewed by searching for the hashtag "#ACC10" or "#acc10".See you there.-WesMusings of a cardiologist and cardiac electrophysiologist. (Source: Dr. Wes)
Source: Dr. Wes - March 15, 2010 Category: Internists and Doctors of Medicine Tags: American College of Cardiology ACC10 Source Type: blogs
Do Patient Satisfaction Surveys Guarantee Quality Medicine?Email this article to a colleague.
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Chris Jennings and Congressman Paul Ryan confer before their 14 March 2010 session at the ACC10 meetingThis morning, Kevin Pho, MD has published on op-ed on a commonly-used tool to determine "quality medicine" from the patient's perspective: patient satisfaction surveys. Like pay-for-performance, this seems like a great idea. One might even logically conclude that doctor's pay should be tied to both pay-for performance measures and patient satisfaction.But Kevin and Edwin Leap, MD (whose article is referenced in Kevin's piece) point out their concerns with this approach:Quality health care sometimes means saying "no" to pa...
Source: Dr. Wes - March 15, 2010 Category: Internists and Doctors of Medicine Tags: compensation doctors survey Source Type: blogs
ACC10 March 14, 2010: A Few Noteable QuotablesEmail this article to a colleague.
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"If we're going to count radiation exposure an adverse event, perhaps we should consider sternotomy one, too."-Ted Feldman, MDPrinciple Investigator of the Everest II Trial, responding to a critique of minimally invasive mitral valve repair compared to open chest valve repair surgery."This is one of the most amazing things I've ever done in medicine."Cardiologist - (Sorry, missed his name)Maine Medical Center investgiator from the Everest II trial "What 22 year-old wants to rack up $300,000 in debt to pursue medicine just to become a government employee?"-U.S. Congressman Paul Ryan"It is an outrage we keep doing this year ...
Source: Dr. Wes - March 15, 2010 Category: Internists and Doctors of Medicine Tags: American College of Cardiology ACC10 Source Type: blogs
Basics of Atrial Fibrillation Pharmachologic ManagementEmail this article to a colleague.
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... nicely reviewed by interventional cardiologist and a fellow physician blogger, Sarah Clarke, MD over at the BCS blog.-WesMusings of a cardiologist and cardiac electrophysiologist. (Source: Dr. Wes)
Source: Dr. Wes - March 15, 2010 Category: Internists and Doctors of Medicine Tags: dronedarone atrial fibrillation amiodarone Source Type: blogs
Why the ACC Meeting Is GreatEmail this article to a colleague.
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The ACC Meeting in Atlanta is great because when you sit down for lunch, you get to meet nice people fresh off the treadmill with EKG stickers all over their, um, torso:Claire Nicholson, fitness model for Welsh Allen, having lunchYep, great meeting.Learning a lot.Really.-WesMusings of a cardiologist and cardiac electrophysiologist. (Source: Dr. Wes)
Source: Dr. Wes - March 15, 2010 Category: Internists and Doctors of Medicine Tags: American College of Cardiology humor ACC10 Source Type: blogs
Dr. A Show 155: Dr. Lucy Hornstein - Mar 19,2010Email this article to a colleague.
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Dr. Lucy Hornstein, author of the book "Declarations Of A Dinosaur: 10 Laws I've Learned As A Family Doctor," will be joining us. She is also author of the blog "Musings Of A Dinosaur"Doctor | Anonymous | Dr Lucy Hornstein | Declarations Of A Dinosaur | Musings Of A Dinosaur (Source: Doctor Anonymous Live)
Source: Doctor Anonymous Live - March 14, 2010 Category: Internists and Doctors of Medicine Authors: Doctor Anonymous Tags: Health Source Type: podcasts
When Hospitals Mandate Where Patients Are TreatedEmail this article to a colleague.
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... it can lead to conspiracy and racqueteering charges. From a letter from the Chairman of the Board of Citizens Medical Center to one of the cardiologists filing suit:"While it is certainly your right to exercise your medical judgement as you see fit, likewise, it is the responsibility of the Board of Directors at Citizens Medical Center to exercise their judgement as to what is in the interest of the business of Citizens Medical Center and its patients and Medical Staff. It is the Board's firm belief that it is in the best interest of Citizens Medical Center for patients who are capable of being treated at Citizens Medi...
Source: Dr. Wes - March 14, 2010 Category: Internists and Doctors of Medicine Tags: cardiology hospital referrals Source Type: blogs
Dr. A Show 154: Pre-ABL Drunk Show - Mar 14,2010Email this article to a colleague.
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The Annie & Burl Live show will be talking about the serious topics of alcohol effects on motor and mental functions. On this "pre-show" extravaganza, we'll be talking about that along with the fun topics of our predictions for the 2010 ABL Drunk Show....Doctor | Anonymous | Annie and Burl Live | Drunk Show | Medicine (Source: Doctor Anonymous Live)
Source: Doctor Anonymous Live - March 14, 2010 Category: Internists and Doctors of Medicine Authors: Doctor Anonymous Tags: Health Source Type: podcasts
Tracking Medical Procedures via the iPhoneEmail this article to a colleague.
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If it's free, it's for me.Especially if it's an iPhone app to track medical procedures:That’s why Dr. Shanti Bansal developed a free iPhone application — “app” in Apple-talk — that lets doctors keep a record of each case and which procedure, from a cardiac MRI to a biopsy, they perform.“The goal is to help physicians in training be the best physicians they can,” said Bansal, who practices at Yale-New Haven Hospital. “One of the reasons I came up with this is that I’m a cardiologist and in cardiology we do a lot of procedures. I lost track of hundreds of procedures during my first and second year” of res...
Source: Dr. Wes - March 14, 2010 Category: Internists and Doctors of Medicine Tags: cardiology iPhone electrophysiology ACC10 Source Type: blogs
Blogging the ACC: A Note from the UnwashedEmail this article to a colleague.
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Forgive me Lord, for I have sinned...I was a speaker for Medtronic a while back, I'm not sure when. I was paid a fee to do this, but I can't recall exactly how much. (No doubt Senator Grassley knows by now.) I'm not even sure if my contract with Medtronic is still in effect, but I disclosed that former relationship to the American College of Cardiology before their upcoming meeting since I am blogging the conference this year.And I was shunned.Oh sure, they paid my registration fee - that was the original agreement (my "pay" if you will) - but because of my unwashed status as a former speaker for a company, there will be n...
Source: Dr. Wes - March 13, 2010 Category: Internists and Doctors of Medicine Tags: conflict of interest American College of Cardiology ACC10 Source Type: blogs
Working the Backup PlanEmail this article to a colleague.
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With health care reform going as it has in the US, it might be useful to consider blending a little cardiology and country music, like cardiologist Cleve Francis, MD did:A woman hobbles up to Francis and leans on her cane. "You were wonderful!" she says. "I had to come see you; you gave me my stress test before I had knee surgery." Francis asks how she's getting along. "I'm still going!" she says. He smiles. "Do you mind taking a picture with us?" says a young fan with a parent on either arm. "You saved my dad's life." Francis obliges, putting an arm around the man, who whispers something into his physician's ear before am...
Source: Dr. Wes - March 13, 2010 Category: Internists and Doctors of Medicine Tags: cardiology humor Source Type: blogs
For Cardiologists: A Twitter PrimerEmail this article to a colleague.
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With the explosion of social media, I am amazed at how many cardiologists I encounter who know little to nothing about blogs, Twitter, Facebook, Google Buzz and the like. "I'm too busy." "Who has time for that stuff?" "I wouldn't have time for anything else." "How can I possibly keep up?"And yet today, as more and more patients reach out to the web to find medical information or, more importantly, their doctor, physician specialists of all types should probably be asking, "Can I afford to not be connected with social media in one way or another?"Google yourself.That's right. Type your name in Google's search box. What appe...
Source: Dr. Wes - March 13, 2010 Category: Internists and Doctors of Medicine Tags: cardiology Twitter ACC10 Source Type: blogs
Pick yourself up, dust yourself off, and come back for the next shift.Email this article to a colleague.
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Joe was a big chap, so big he couldn’t really breath properly at the best of times. Add in a pneumonia and things weren’t looking great. When I first saw him in A&E he seemed to be getting better. I know people this fat have a tendancy to go downhill bloody fast, so I sorted out a bed on HDU.
‘He’s getting better mate ,’ said my SHO, ‘ you’re just bored because we haven’t had any ill people tonight so you’re trying to find some’
‘Hopefully he is’ I replied ‘ but I’m in charge and he’s going to HDU’.
I wanted to put an...
Source: FtM Doctor - March 12, 2010 Category: Internists and Doctors of Medicine Authors: Z Tags: Medicine Source Type: blogs
Dr. A Show 154: Pre-ABL Drunk Show - Mar 14,2010Email this article to a colleague.
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The Annie & Burl Live show will be talking about the serious topics of alcohol effects on motor and mental functions. On this "pre-show" extravaganza, we'll be talking about that along with the fun topics of our predictions for the 2010 ABL Drunk Show....Doctor | Anonymous | Annie and Burl Live | Drunk Show | Medicine (Source: Doctor Anonymous Live)
Source: Doctor Anonymous Live - March 12, 2010 Category: Internists and Doctors of Medicine Authors: Doctor Anonymous Tags: Health Source Type: podcasts
The Waning Popularity of Scientific Sessions as Told By Google TrendsEmail this article to a colleague.
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What has the been the marketing impact of the American College of Cardiology's Scientific Sessions been each year?Just turn to Google Trends to see the answer:Click image to enlargeIt appears the search spikes for the American College of Cardiology" each March are shrinking in amplitude significantly while the news reference volume spikes are increasing as marketers try as hard as they can to ensure doctors get their message anyway. One wonders, given all that is transpiring in health care today, what it would take to reverse the trend? -WesMusings of a cardiologist and cardiac electrophysiologist. (Source: Dr. Wes)
Source: Dr. Wes - March 12, 2010 Category: Internists and Doctors of Medicine Tags: #ACC10 American College of Cardiology Source Type: blogs
Dr. A Show 153: Greg Friese - Mar 12,2010Email this article to a colleague.
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Emergency medicine podcaster Greg Friese will be joining us to talk about his social media projects including the EMS Education Podcast, Everyday EMS Tips Website, and writing for various publications.Doctor | Anonymous | Greg Friese | EMSEduCast | EverydayEMSTips (Source: Doctor Anonymous Live)
Source: Doctor Anonymous Live - March 12, 2010 Category: Internists and Doctors of Medicine Authors: Doctor Anonymous Tags: Health Source Type: podcasts
Meet My Counterpart Covering ACC.10 Across the PondEmail this article to a colleague.
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Sarah Clarke, MD will be blogging ACC10 and i2 Summit from a uniquely British perspective over at The BCS Blog.Geez. Competition? Nah.Camaraderie. -WesMusings of a cardiologist and cardiac electrophysiologist. (Source: Dr. Wes)
Source: Dr. Wes - March 12, 2010 Category: Internists and Doctors of Medicine Tags: blog ACC10 Source Type: blogs
Will Physician Assistants Replace Cardiologists?Email this article to a colleague.
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... in some remote areas, they already are:Officials with Saint Vincent Healthcare say current heart patients have already been notified two of the center's cardiologists will no longer be offering service come May 31st, 2010.Marketing Director for Saint V's, Margo Aldrich said Tuesday, the hospital will offer patients a chance to transition into other cardiology practices currently affiliated with Saint Vincent Healthcare. In the meantime, the Yellowstone Heart Center's two physician assistants, Heather Heggem and Tanja Wardell will continue to serve heart patients.In a written response issued Tuesday by Aldrich, the comp...
Source: Dr. Wes - March 11, 2010 Category: Internists and Doctors of Medicine Tags: cardiology health care reformcardiology Source Type: blogs
Preview of the ACC: Percutaneous Mitral Valve RepairEmail this article to a colleague.
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"[The procedure is] very new and involves repairing my leaky valve using a clip device, without open heart surgery, so that my heart will function better"-Elizabeth Taylor, via Twitter 6 Oct 2009Percutaneous mitral valve repair will be the talk of the ACC Scientific Sessions for interventional cardiology this year, especially since coronary artery stent procedures are so, well, yesterday.One valve repair technology popularized by Ms. Taylor's tweet that corrects a leaky mitral valve will be presented Sunday morning at the ACC meeting in Atlanta when the EVEREST II trial results are released (Larry Husten over at Cardiobrie...
Source: Dr. Wes - March 11, 2010 Category: Internists and Doctors of Medicine Tags: mitral insufficiency EVEREST Trial MitraClip mitral valve prolapse Source Type: blogs
Is metformin's creatinine threshold too strict?Email this article to a colleague.
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Review in the American Journal of Health-System Pharmacy. (Source: Notes from Dr. RW)
Source: Notes from Dr. RW - March 11, 2010 Category: Internists and Doctors of Medicine Source Type: blogs
Methadone responsible for a disproportionate number of deathsEmail this article to a colleague.
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--compared to the number of prescriptions written, according to a poster presentation at the American Academy of Pain Medicine 26th Annual Meeting. (Source: Notes from Dr. RW)
Source: Notes from Dr. RW - March 11, 2010 Category: Internists and Doctors of Medicine Source Type: blogs
Straight talk about hand washingEmail this article to a colleague.
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Vanderbilt University Medical Center (VUMC) recently reported a hand washing compliance rate of 78%, far better than has been reported elsewhere. Why? Well, as early as 35 years ago I remember folks there like William Schaffner harping on it. And nowadays they're addressing it as a system problem. The approach focuses on aggregate compliance rather than a punitive approach against individuals:“Hand hygiene remains the single most important clinical safety practice that we can improve upon,” Kaiser said. “Now, to the credit of our overall health system, it's finally agreed that the only way to have success is to have ...
Source: Notes from Dr. RW - March 11, 2010 Category: Internists and Doctors of Medicine Source Type: blogs
Turning Off Implanted DefibrillatorsEmail this article to a colleague.
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End-of-life issues with implantable cardiac defibrillators (ICDs) and the need (or not) for deactivation policies is being discussed at the palliative medicine blog, Pallimed. Shoot on over and lend your $0.02 to the discussion.-WesMusings of a cardiologist and cardiac electrophysiologist. (Source: Dr. Wes)
Source: Dr. Wes - March 11, 2010 Category: Internists and Doctors of Medicine Tags: palliative care ICD defibrillator defibrillation Source Type: blogs
On the Surgical Ablation of Atrial FibrillationEmail this article to a colleague.
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It seems okay that if a surgeon wants to cut apart the atrium and sew it back together to fix atrial fibrillation (called the surgical MAZE procedure) during open heart surgery, that's okay. But if the surgeon wants to use a device that heats the tissue non-invasively to create non-conducting lines in the atrium, that's not okay in the eyes of the law because it isn't labeled for that use specifically for use in the left atrium by the FDA, even though the FDA approved (one example) the device for medical use.You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls p...
Source: Dr. Wes - March 11, 2010 Category: Internists and Doctors of Medicine Tags: catheter ablation atrial fibrillation Source Type: blogs
Dr. A Show Tonight!Email this article to a colleague.
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Thursday, March 11, 2010 at 9pm ETJoin me tonight for Doctor Anonymous Show 153 with our guest Greg Friese who is an EMS podcaster and educator. Greg is involved in a number of projects like the EverydayEMSTips blog and the EMSEduCast podcast. Greg has recently written for JEMS.com, Wilderness Medical Associates, JEMS Magazine, EMSResponder.com and EMS Magazine, the NAEMSE Educator Newsletter, and EMSLive.com. One of the many topics that we may also be talking about is the recent EMSToday Expo in Baltimore last week.If you are new to the show, I encourage you to catch us live. There is a great chat room that also goes on. ...
Source: Doctor Anonymous - March 11, 2010 Category: Internists and Doctors of Medicine Source Type: blogs
tPA treatment for ischemic strokeEmail this article to a colleague.
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Conclusions—Most patients who experience SICH have severe baseline infarcts and already are destined for poor outcomes. For every 100 patients treated with tPA, approximately 1 will experience a severely disabled or fatal final outcome as a result of tPA-related SICH.In other words the clinically relevant number need to harm is higher than one might expect.But there's more than one way to interpret the NINDS data as illustrated by this recent analysis:MethodsWe used the original data from the NINDS trials to create graphs showing the effect of treatment on neurologic function in all 624 individual patients in the trial. ...
Source: Notes from Dr. RW - March 10, 2010 Category: Internists and Doctors of Medicine Source Type: blogs
Benefits of inhaled steroids in COPDEmail this article to a colleague.
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Conclusion: ICS therapy decreases inflammation and can attenuate decline in lung function in steroid-naive patients with moderate to severe COPD. Adding LABAs does not enhance these effects. (Source: Notes from Dr. RW)
Source: Notes from Dr. RW - March 10, 2010 Category: Internists and Doctors of Medicine Source Type: blogs
Dr. A Show 153 Preview: Greg FrieseEmail this article to a colleague.
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I invite you to join us for Doctor Anonymous Show 153 when our guest will be EMS Podcaster and Educator - Greg Friese. I have felt that I have really gotten to know some of those in the EMS/Fire social media community in the past few weeks. I had no idea that community was so active in the social media space.Greg's name kept popping up in all the EMS/Fire podcasts that I have been listening to and in my opinion, is one of the leading voices in that community. I am very much looking forward to our interview. As you can see from Greg's linked in page, he is involved in a number of projects including EverydayEMSTips, EMSEduCa...
Source: Doctor Anonymous - March 10, 2010 Category: Internists and Doctors of Medicine Source Type: blogs
You Know It's Going to Be a Good Day in the EP Lab WhenEmail this article to a colleague.
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... you can find a contribution to SpontaneousSmiley.com on your blood pressure cuff just before it was placed on our first patient of the day:Yep. Good day all around.-WesMusings of a cardiologist and cardiac electrophysiologist. (Source: Dr. Wes)
Source: Dr. Wes - March 9, 2010 Category: Internists and Doctors of Medicine Tags: humor Source Type: blogs
Inflammatory bowel disease and the risk of venous thromboembolismEmail this article to a colleague.
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I never really understood why IBD was such a high risk condition. Apparently it was known to be so because the Chest guidelines gave it special mention in their recommendations for VTE prophylaxis in medical patients.Now a new Lancet paper reports this:13756 patients with inflammatory bowel disease and 71672 matched controls were included in the analysis, and of these 139 patients and 165 controls developed venous thromboembolism. Overall, patients with inflammatory bowel disease had a higher risk of venous thromboembolism than did controls (hazard ratio 3·4, 95% CI 2·7–4·3; p less than 0·0001; absolute risk 2·6 per...
Source: Notes from Dr. RW - March 9, 2010 Category: Internists and Doctors of Medicine Source Type: blogs
The History of DefibrillationEmail this article to a colleague.
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.. told in the New York Times:While the surgeon massaged the man’s heart manually, the article said, “a makeshift ‘defibrillator’ was rigged to administer instantaneous electric shock treatment.” The article described a process that was shocking in more ways than one. When the man’s heart went into ventricular fibrillation — an event that means death in less than five minutes — operating room workers hooked two copper electrodes to an examining lamp that happened to be in the room, touched the other ends to the man’s heart, and shocked it into normal rhythm.The “Philadelphia specialist” who dared to a...
Source: Dr. Wes - March 9, 2010 Category: Internists and Doctors of Medicine Tags: case study Source Type: blogs
Innovation in Batteries - Coming to Pacemakers?Email this article to a colleague.
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Solid state technology, could it be reliable enough to power a pacemaker? Perhaps, provided the patient keeps moving or is moved:Imagine a pacemaker battery change every twenty years...Pretty cool.Then again, given the business model involved...... maybe not.-WesMusings of a cardiologist and cardiac electrophysiologist. (Source: Dr. Wes)
Source: Dr. Wes - March 8, 2010 Category: Internists and Doctors of Medicine Tags: pacemaker innovations Source Type: blogs
Wagging the DogEmail this article to a colleague.
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"There's a crisis in the Whitehouse..." begins the trailer from the 1997 movie, Wag the Dog, "...and to save the election... you just gotta distract 'em..."Durbin, D-Ill., said health insurance premiums could increase up to 60 percent in Illinois this year. Meanwhile, he said, insurance companies are experiencing some of their highest profits in history."The outrageous premium prices which they have been pushing on the American people in order to drive up their profited are unacceptable and unfair." Durbin said. "We're going to start watching them more closely ... The party's over." -"Durbin blasts health insurance premium...
Source: Dr. Wes - March 8, 2010 Category: Internists and Doctors of Medicine Tags: health care reform Source Type: blogs
Bizarre thing found in my Blog StatsEmail this article to a colleague.
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I’m not as obsessed with my blog stats as I used to be. I still tend to check them once or twice a month, week, day. WordPress shows you know what people were typing into google when they found your blog. So I know that a lot of you are looking for free MRCP questions, or stuff about testosterone or pregnant men. Today I came across something really bizarre:
‘How does a male doctor have sex with a female doctor?’
What? Now I’m fairly used to being asked ’so how do transsexuals have sex?‘ Clearly someone wishes to know how doctors have sex, so in the public-spirited nature of t...
Source: FtM Doctor - March 8, 2010 Category: Internists and Doctors of Medicine Authors: Z Tags: Medicine Source Type: blogs
Dr. A Show 153: Greg Friese - Mar 12,2010Email this article to a colleague.
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Emergency medicine podcaster Greg Friese will be joining us to talk about his social media projects including the EMS Education Podcast, Everyday EMS Tips Website, and writing for various publications.Doctor | Anonymous | Greg Friese | EMSEduCast | EverydayEMSTips (Source: Doctor Anonymous Live)
Source: Doctor Anonymous Live - March 7, 2010 Category: Internists and Doctors of Medicine Authors: Doctor Anonymous Tags: Health Source Type: podcasts
A Cardiology Website to BookmarkEmail this article to a colleague.
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Whether you're a medical student, resident, fellow, or staff cardiologist, once in a while you need a simple, succinct reference for a talk on the basics of cardiovascular disease. Who knew it would come from a radiologist: LearningRadiology.com was conceived, designed, developed, is published, managed and maintained and its content is produced in its entirety by William Herring, MD, FACR. Dr. Herring is the Vice-Chairman and Radiology Residency Program Director at Albert Einstein Medical Center in Philadelphia, Pennsylvania, where he has been the Radiology Residency Program Director for over 25 years. All material on the ...
Source: Dr. Wes - March 7, 2010 Category: Internists and Doctors of Medicine Tags: education cardiology radiology medicine Source Type: blogs
Dr. A Show 152: Saturday Night - Mar 07,2010Email this article to a colleague.
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Looking for somewhere to relax on a Saturday night, why not come on into The Doctor Anonymous Show as we talk about the serious and not-so-serious news stories of the week including the areas of medicine/health, entertainment, pop culture, and whatever else comes up. I'll also be talking about my big week which included talking with a bunch of people at this week's HIMSS Conference (the largest Health IT conference of the year) and my shows this week with Dr. Val and Dr. RobDoctor | Anonymous | Medblogger | Social Media | Medicine (Source: Doctor Anonymous Live)
Source: Doctor Anonymous Live - March 7, 2010 Category: Internists and Doctors of Medicine Authors: Doctor Anonymous Tags: Health Source Type: podcasts
Tips from Evangelicals (are there any?)Email this article to a colleague.
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Sometimes, especially in times of economic tsunamis like these, it is helpful to examine whether we have anything in common with our neighbor, even if you believe that your neighbor is a knuckle-dragger. Well, let's imagine that you are a mainstream-denominational-American-Christian, or an agnostic, or an atheist, or a non-Christian (and I will assume that the former will have no problem being associated with the others): can you imagine in your wildest dreams having anything in common with an evangelical ('good news") Christian? Well, being a knuckle-dragger, let me elucidate your trek toward--enlightenment? Maybe, maybe ...
Source: DoctorMental - March 6, 2010 Category: Internists and Doctors of Medicine Source Type: blogs
Dr. A Show 152: Saturday Night - Mar 07,2010Email this article to a colleague.
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Looking for somewhere to relax on a Saturday night, why not come on into The Doctor Anonymous Show as we talk about the serious and not-so-serious news stories of the week including the areas of medicine/health, entertainment, pop culture, and whatever else comes up.Doctor | Anonymous | Medblogger | Social Media | Medicine (Source: Doctor Anonymous Live)
Source: Doctor Anonymous Live - March 5, 2010 Category: Internists and Doctors of Medicine Authors: Doctor Anonymous Tags: Health Source Type: podcasts
Diagnosis of lung cancer in patients hospitalized with pneumoniaEmail this article to a colleague.
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ConclusionA small, but clinically important, proportion of patients are diagnosed with pulmonary malignancy posthospitalization for pneumonia. Additional research is needed to examine whether previously undiagnosed pulmonary malignancies might be detected at admission, or soon after, for those hospitalized with pneumonia.This underscores the importance of out patient follow up after hospitalization for pneumonia. Patients should have their chest xrays followed to clearance. (Source: Notes from Dr. RW)
Source: Notes from Dr. RW - March 5, 2010 Category: Internists and Doctors of Medicine Source Type: blogs
