Anesthesiology Blogs This is an OPML file. It can be used to export all the MedWorm RSS feeds on this topic into your personal RSS reader (usually you have to save this file to your own computer before clicking on an Import OPML command in your own feed reader to upload the file which will then import all the feeds) or it can be used by webmasters to integrate MedWorm feeds with their own website. This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 17.

Out of joint: The story of the Articular Surface Replacement -- bmj.com
Out of joint: The story of the ASR Deborah Cohen, investigations editor + Author Affiliations 1BMJ, London WC1H 9JR, UK dcohen@bmj.com Why did it take so long to recall from the market a hip implant after it became apparent that it was causing pain and disability in patients. In an investigation for the BMJ and Channel 4 Dispatches, Deborah Cohen describes how companies dictate the fate of their own devices and exert an unduly strong hold over surgeons It is one of the biggest disasters in orthopaedic history, according to one senior surgeon. On 24 August 2010, DePuy, a subsidiary of American giant Johnson...
Source: PharmaGossip - May 16, 2011 Category: Pharma Commentators Source Type: blogs

Post Spinal Anesthesia Intramedullary Injury
A young lady 2months after undergoing Caesarean section complaints of both lower limbs weakness with non-specific distribution . In he history, during the epidural anesthesia for caesarean, she experienced severe shooting pain in to the Right lower limb, which resolved with medication. MRI shows longitudinal ill defined cord signal abnormality possibly hydrosyrinx from D11 to conus with no bleed, expansion or arachnoiditis or epidural collections. Submitted by Dr MGK Murthy and Mr Hari Om. Epidural anaesthesia is one of the safest procedures, but occasional complications are kno...
Source: Sumer's Radiology Site - May 15, 2011 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Cleaning/Brushing Italian Greyhound Teeth (Video). There's Definitely a Learning Curve
Last summer we took Marty and Cooper to the vet to get their teeth cleaned under animal anesthesia. They spent the entire day in a semi sedated state of sleepiness. Here's a picture of Marty looking half drunk hours after getting his teeth cleaned. That was quite the sight to see. Neither one of them could hold their heads up without falling over for hours at a time. But I got some great adorable shots of them in their state of anesthesia let down. They're almost eight years old now. The older they get, the harder it will be for them to tolerate anesthesia. So it's importa...
Source: The Happy Hospitalist - May 14, 2011 Category: Internists and Doctors of Medicine Authors: The Happy Hospitalist Source Type: blogs

Medscape Physician Compensation Survey
Here are the latest headlines from an annual salary survey of over 15,000 US physicians representing 22 specialties conducted by Medscape:The demand for primary care doctors continues to grow, but specialists still earn the most money.The highest earning medical specialties are orthopedic surgeons and radiologists (median compensation: $350,000), followed by anesthesiologists and cardiologists ($325,000).If they had to do it all over again, primary care doctors were least likely to choose the same specialty (43%).More than one fourth of primary care physicians (29%) spend between 13 and 16 minutes with each of their patien...
Source: Running a hospital - May 13, 2011 Category: Health Managers Source Type: blogs

Kudos To A Pain-Free Dental Practice
Ordinarily, I’m wary of all things dental. I had too many cavities as a child. As a young man, I had a root canal done on the wrong tooth, followed immediately by the correct one. My dental memories are a bit tainted. Not an indictment of the entire profession so much as a kind of PPSD…post procedure stress disorder. But when I moved to South Carolina, my wife and I found a wonderful general dentist in Dr. Ronald Moore, in Seneca, SC. Rarely would I ascribe the words ‘painless dentistry’ to one of the practitioners of that esteemed profession. But I have to give credit where credit is due. His hygenis...
Source: Better Health - May 13, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrEdwinLeap Tags: True Stories Dentistry Emergency Medicine Kudos Pain-Free Root Canal SC Technology Teeth Cleaning Source Type: blogs

How To Find A Difficult Vein (Video Straight Out of Star Trek)
Here's how we used to find a difficult vein. If a floor nurse could not get an IV in, they asked one of their colleagues to try. If their colleague could not find the impossible to locate vein, they contacted an ICU nurse. If the ICU nurse couldn't get one, sometimes an ER nurse or a flight nurse would try. If they still couldn't get an IV, then I would be paged to ask if they could get an order for an anesthesiologist to try. And if the anesthesiologist couldn't figure out how to find a difficult vein, we got a PICC line with the PICC nurse or with the radiologist or I placed a cen...
Source: The Happy Hospitalist - May 12, 2011 Category: Internists and Doctors of Medicine Authors: The Happy Hospitalist Source Type: blogs

the hometown crew
The book event in NYC last night was...well, take a look.The event was awesome. I was a little concerned about attendance beforehand, because it was a Wednesday, and a little early for some people getting off work, maybe a little late for others. But the turnout was fantastic, we pretty much sold out all the books in stock, and the discussion afterwards was really good. Thanks for coming out, New York!(Philly, are we going to be having some fun too? Come on then! I'm a little anxious about Philly because it's the city that I begged to have added to the tour but also the only city where I've ne...
Source: the underwear drawer - May 11, 2011 Category: Anesthetists Authors: Michelle Au Source Type: blogs

A root canal as ballet…
Ordinarily, I’m wary of all things dental. I had too many cavities as a child. As a young man, I had a root canal done on the wrong tooth, followed immediately be the correct one. My dental memories are a bit tainted. Not an indictment of the entire profession so much as a kind of PPSD…post procedure stress disorder. But when I moved to South Carolina, my wife and I found a wonderful general dentist in Dr. Ronald Moore, in Seneca, SC. Rarely would I ascribe the words ‘painless dentistry’ to one of the practitioners of that esteemed profession. But I have to give credit where credit is...
Source: edwinleap.com - May 11, 2011 Category: Emergency Medicine Doctors Authors: Edwinlea Tags: Physician wellness Uncategorized emergency medicine encouragement for doctors medicine in general technology Source Type: blogs

My Friend: The Stunningly-Beautiful, Totally-Fricking-Amazing, Nurse Charlene
One of the best things about getting kicked out of your hometown by non-profiteering liars-and-thieves are the people you meet on medicine's yellow-brick-road. I most certainly would not trade some of the friends-I-never-would-have-met-had-I-not-saved-the-life-and-blown-that-whistle for sixteen peaceful/uneventful years in Asheboro working for the losers running Randolph Medical Associates & Randolph Hospital.Before we get started talking about my stunningly-beautiful, totally-fricking-amazing friend, Charlene, I have a new "Freaky Mennonite" update. (For the rec...
Source: Dr.J's HouseCalls - May 11, 2011 Category: Pediatricians Source Type: blogs

Spinal cord AVM
A 44yo woman presented with sudden onset flaccid paraparesis and a sensory level at T12. MRI demonstrated acute haemorrhage in the distal cord and conus medullaris. MR angiography confirmed the presence of an arteriovenous malformation. Under general anaesthesia, spinal angiography was performed, demonstrating a glomus-type medullary AVM of the spinal cord. A microcatheter was advanced along the anterior spinal artery and the nidus and draining vein occluded with ethyl vinyl alcohol copolymer. The patient made an excellent recovery and regained normal power and sensation in her lower limbs. The montage demonstrates initial...
Source: Radiology Picture of the Day - May 10, 2011 Category: Radiologists Authors: Dr Jason Wenderoth Tags: Spine Source Type: blogs

ASA: Drug shortages continue to impact anesthesiologists and patients
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com.by Mark A. Warner, MDDrug shortages of a number of drugs, including anesthetics, continue to impact anesthesiologists and patients each day. Throughout the shortages, anesthesiologists will be committed to ensuring patients remain safe and receive quality care.(...)Read the rest of ASA: Drug shortages continue to impact anesthesiologists and patientsCategory: Meds | Tags: Medications, Primary care, Surgery | 1 comment
Source: Kevin, M.D. - Medical Weblog - May 9, 2011 Category: Family Physicians Authors: Kevin Tags: Meds Medications Primary care Surgery newtag Source Type: blogs

radiolucent
Hey everyone, hope your Mother's Day was swell. And thanks again for all the great photos you've been sending me--I have them all saved, but I'm going to preempt them for this series, which I received from Bea, Eve, Jess and Tony, some of my old friends from med school. They got quite into the spirit of things, as you can see. AND I LOVE IT.Here is my book getting a mammogram. Or rather, my book as a boob.And here Natalie, a patient care assistant, demonstrates that reading my book can make getting a mammogram a slightly less unpleasant experience.Tony, my old med school classmate, poses in the CT s...
Source: the underwear drawer - May 7, 2011 Category: Anesthetists Authors: Michelle Au Source Type: blogs

Under the Knife – Part 6
I turned around, shuffled backward, and eased myself back onto the clean bedsheets. Mrs. WhiteCoat removed the lines from the IV pole and moved the pole to the other side of the bed so it was on the same side as the arm where the IV was placed. Then she gently hung the Foley catheter bag back on the bed. I told her “Dang, this thing hurts,” referring to the catheter. “Then hit the button,” she replied, nodding to the PCA pump. “It doesn’t help when I do hit the button anyway. Simple physics. Think about it. Look at the IV line. It is about 4 or 5 feet in length. Every time I hit the butt...
Source: WhiteCoat's Call Room - May 7, 2011 Category: Emergency Medicine Doctors Authors: WhiteCoat Tags: Random Thoughts Source Type: blogs

EXAMINE NURSING COURSE OPTIONS
This is a guest post by Patricia Walling who is a web content creator with an avid interest in healthcare and nursing. Patricia can be reached by email at: patwalling85@gmail.com As a field, nursing has seen an explosion in growth in recent years. The aging of the American population has led the Bureau of Labor and Statistics to predict job growth to increase by 22 percent by 2018, far out-stripping the national average. For many, the good pay and job security (which is even better than that of other popular fields, such as medical transcription) of nursing have made it an ideal career path, and nursing schools have blo...
Source: Nursing Comments - May 7, 2011 Category: Nurses Authors: Stephanie Jewett, RN Tags: Advice/Education Home/Articles Nursing/Nursing Students ADN APN bsn LPN medical profession nursing accrediting commission nursing courses nursing schools rn study nursing Source Type: blogs

Going Once … Going Twice … Medical Patents on the Auction Block
Might the same kind of live auction used to sell a Monet or a Picasso also be used to sell a patent on an experimental drug? We’d never heard of such a thing until we read Nature Medicine’s news feature on auctions — yes, with a gavel and everything — for intellectual property rights, including life-science and medical patents. The appeal for an individual or company trying to sell a patent is clear; an auction avoids the cost and inefficiency of targeting individual buyers for a given piece of IP, as Igor Gonda, the CEO of specialty-pharma company Aradigm, tells Nature Medicine. “It costs us ...
Source: WSJ.com: Health Blog - May 5, 2011 Category: Health Medicine and Bioethics Commentators Authors: Katherine Hobson Tags: Drugs Legal Source Type: blogs

Doctor Tips on How to Quit Chronic Pain at Work
Did you know that it’s North American Occupational Health and Safety Week? Neither did we, so don’t feel too badly. Even though we don’t happen to work in an inherently dangerous industrial factory, mine, on a construction site, or an oil rig, sometimes going to work can be a real pain. Meaning that, aside from the normal stresses that can surround our daily job, where and how we toil can actually cause serious chronic pain. And because most of us spend an inordinate amount of time at work, we’d prefer it to be a pleasant, rather than painful experience. So how can we avoid developing physical pain ...
Source: Genetics and Health - May 5, 2011 Category: Geneticists and Genetics Commentators Authors: Christine Egan Tags: chronic disease/chronic illness FEEL career issues finding-happiness physical health vision workplace issues Source Type: blogs

but when I'm on microfiche, that's when I'll know I've hit the big time
I don't mind telling you that I feel like I'm stretched a little tight these days. At this point, I'm used to balancing the working thing and the parenting thing, and up until this point, the book had always been something that I'd had on the back burner at a low simmer--a thing that required some low-grade attention but not a lot of constant energy. But as the publication date approaches and the book has actually become available, that has changed. Publicizing a book takes a lot of time and effort, and I'm lucky enough that I have a team of awesome people at my publisher to help me with some of the nitty...
Source: the underwear drawer - May 4, 2011 Category: Anesthetists Authors: Michelle Au Source Type: blogs

Blending clinical medicine with entrepreneurship
I know several physicians who have full-time clinical careers but they also carve out time to explore entrepreneurial ventures. There are certain medical specialties that allow you to have more flexibility with your schedule so that you can blend patient care with entrepreneurial spirit. Those specialties include: emergency medicine, anesthesia, hospital medicine, and urgent care medicine. You can go into family medicine or internal medicine and find yourself with a flexible schedule if you choose to work in shifts (urgent care, hospitalist, etc.). Having a blended career that includes elements of direct patient care plu...
Source: Non-Clinical Physician Jobs, Careers, and Opportunities - May 4, 2011 Category: Technology Consultants Authors: Dr. Joseph Kim Source Type: blogs

Placed A Laryngeal Mask Airway Today!
Today was my second day on Anesthesia. Unfortunately, none of the cases required an endotracheal tube placement. So I could not get that procedure signed off today. However, the attending did let me place a Laryngeal Mask Airway (aka LMA) on one of the older patients. And by older, I mean teen-aged. You can click the link above to see a description about what it is and what it does. But below is a picture of how an LMA might look. Silicon & PVC LMA I placed one that looks like the second, clear one. Once the patient is sedated with the anesthesia, you open their mouth and push that mask into their mouth and down into...
Source: JeffreyMD.com - May 3, 2011 Category: Medical Students Authors: Jeff W Tags: Medical School My Life anesthesia Source Type: blogs

Is palatal injection mandatory prior to extraction of permanent maxillary tooth: A preliminary study
Conclusion: The extraction of permanent maxillary tooth is possible by depositing 2 mL of lidocaine to the buccal vestibule of the tooth without the need for palatal anesthesia.
Source: Dental Technology Blog - May 3, 2011 Category: Dentists Source Type: blogs

Swearing In Moderation May Ease Pain
Swearing really can relieve pain, but only if one doesn’t do it daily. Researchers at Keele University in England have considered this topic before, and most recently, they studied whether people who swear more often in everyday life get as much pain relief from cursing as those who swear less frequently. Researchers recruited 71 participants who completed a questionnaire that assessed how often they swore. Pain tolerance was assessed by how long participants could keep their unclenched hand in icy water (5° C, capped at 5 minutes) while repeating a chosen word. The word was either a swear word (self-selected from a...
Source: Better Health - May 2, 2011 Category: Health Medicine and Bioethics Commentators Authors: RyanDuBosar Tags: Humor Research Anesthesiology Curse Words Foul Language Internal Medicine Pain Management Pain Reduction Physical Medicine And Rehabilitation Swearing Source Type: blogs

The Continuing Parade of Legal Settlements by Health Care Organizations: Cardinal, Cerberus, Dartmouth-Hitchcock, Masonicare
Here is our latest round-up of the more colorful legal settlements made by some US health care organizations.Cardinal HealthCardinal Health is a pharmaceutical services company. Per the Kansas City Star:A pharmaceutical distributor has settled a federal anti-kickback lawsuit by agreeing, in part, to pay $760,000 to former Kansas City Chiefs player Dan Saleaumua and a consultant.That money is part of an $8 million settlement that Cardinal Health Inc. of Ohio agreed to pay the U.S. government to settle the lawsuit.The lawsuit alleged that Cardinal offered Saleaumua and consultant Kevin Rinne an illegal $440,000 kickback so i...
Source: Health Care Renewal - May 2, 2011 Category: Health Medicine and Bioethics Commentators Tags: Cerberus legal settlements Dartmouth Cardinal Health fraud Source Type: blogs

An Orgasm May Just Cure Your Migraine
Migraine: n. A severe recurring headache (check), usually affecting only one side of the head (yep), characterized by sharp pain (understatement) and often accompanied by nausea, vomiting (a la Regan MacNeil), and visual disturbances (sounds like a peyote hangover, but, check, check, check). My migraines date back to (surprise!) starting my first real job after college – in the federal government. One night, I awoke to find the right side of my head throbbing and seemingly on fire. I couldn’t have lights on. I was nauseous. Noises and smells of any kind exacerbated the pain. Way back in high school, I had been convince...
Source: Genetics and Health - May 2, 2011 Category: Geneticists and Genetics Commentators Authors: Lia Serbyn Tags: emotional health FEEL anxiety disorders digestive issues ibs prescription drugs Sex Advice Source Type: blogs

The Neighbor Who Rides a Rocket to Work…
I met my new neighbors late yesterday afternoon. I got up some courage as I was at my mailbox and walked across the street and shook his hand. I could see some Asian heritage in his face as I got closer and the kids were adorable. They’ve moved into the house immediately opposite to mine. He is a anesthesiologist at the local hospital. They seem like solid good folks. He has been a literal whirlwind of activity getting the house ready to move into. He also drives an awesome and extremely fast looking crotch rocket (Japanese motorcycle) and a new model Infinity sedan. He must be making decent money...
Source: The 4th Avenue Blues - April 29, 2011 Category: Mental Illness Authors: Andrew Source Type: blogs

Journal Club : Classic Single Unit Physiology in Barrel Cortex
This one is for the aficionados. Here is a little review of four classic single-unit physiology papers investigating the response properties and information flow from whisker through thalamus and into cortex. It’s quite interesting comparing this data taken from sedated or anesthetized rats to my own in awake, behaving animals. That’s a story for another time and publication venue though Filed under: electrophysiology, in vivo Tagged: barrel cortex, single unit physiology
Source: Brain Windows - April 29, 2011 Category: Neurologists Authors: andrewhires Tags: electrophysiology in vivo barrel cortex single unit physiology Source Type: blogs

Old Dogs and MS
Multiple Sclerosis can really muck with our sleep patterns. There’s what I call “MS Sleep” which is an anesthetized sleep, “lay-down-or-fall-down” sleep and there is the other side of the spectrum. Sometimes my brain is racing so to find new pathways around damaged areas that I can’t seem to turn it off and sleep. Then, there are the other symptoms of MS which can wake us from much needed rest; restless legs and limbs, the MS hug and an over-active/spastic bladder. One of our dogs has recently celebrated her 16th birthday and she’s been having some of the latter these past few nights. As she’s been adjustin...
Source: Life with MS - April 29, 2011 Category: Other Conditions Authors: admin Tags: MS MS blog MS symptoms Multiple Sclerosis health dog Life with MS blog living with muliple sclerosis ms and sleep multiple scelrosis multiple scelrosis blog multiple sclerosis bladder Source Type: blogs

Leading Health IT Authority Dr. Harry Greenspun Joins Deloitte
Congrats again Harry! WASHINGTON, D.C., April 28, 2011 — Harry Greenspun, M.D., a highly regarded leader on clinical transformation and health information technology (HIT), has joined the Deloitte Center for Health Solutions, the health services research arm of Deloitte LLP. Dr. Greenspun will focus on helping Deloitte’s health sciences and government clients address key HIT and clinical transformation issues and lead Deloitte’s research agenda on these topics. Dr. Greenspun joins Deloitte from Dell Inc., where he served as executive vice president and chief medical officer, providing strategic clinical input to t...
Source: Medicine and Technology by Dr. Joseph Kim - April 27, 2011 Category: Technology Consultants Authors: Dr. Joseph Kim Source Type: blogs

RUCing About - Conflicts of Interest Affecting the Members of the RBRVS Update Committee
Since 2007, we have been writing about the secretive RUC (RBRVS Update Committee), the private AMA committee that somehow has managed to get effective control over how Medicare pays physicians. The RUC has been accused of setting up incentives that strongly favor invasive, high technology procedures while disfavoring primary care and other "cognitive medicine." Despite the central role of (perverse) incentives in raising health care costs while limiting access and degrading quality, there was surprisingly little discussion about the pivotal role played by the RUC until the formation of the "Replace the RUC" movement (...
Source: Health Care Renewal - April 26, 2011 Category: Health Medicine and Bioethics Commentators Tags: perverse incentives biotechnology medical devices pharmaceuticals health care prices RUC health insurance conflicts of interest Source Type: blogs

Shout Outs
Dispatches from Second Base is the host for this week’s issue of Grand Rounds! You can read this week’s edition here. Welcome to Grand Rounds! First, a quick shout-out to Nick Genes, an emergency medicine physician who blogs at blogborygmi (possibly the best blog name ever) and is one of the founders of Grand Rounds. I had no plans to host GR a second time until I saw Nick’s APB for April hosts. I had forgotten how much fun this was until the posts started coming in. So thanks, Nick. The theme this time is what gives your life or work meaning. One of the loveliest, most contemplative posts I’ve seen on this topi...
Source: Suture for a Living - April 26, 2011 Category: Plastic Surgeons Tags: NPR shout outs science medicine Source Type: blogs

Answer to the question: Tried meth 1st time 4 days ago and have used it last at 3am.How long for recovery + other questions?
It’s Q&A time again. This one comes from ‘Anxious about oral surgery’ who is asking… I completely regret having ever tried this drug and am stopping immediately. Unfortunately since I first used recently, I’ve used it daily and hardly slept. I’ve drank a lot of water during this time and also taken some multivitamins each day.Tuesday, first time trying it, i snorted it about 9 and then a little more later, no sleep.Wednesday- went to work, never ate, smoked some and snorted some, ate a couple protein bars and some orange juice, slept 2 hoursThursday – went to an appointment th...
Source: Addiction Recovery Blog - April 26, 2011 Category: Addiction Authors: Addiction Recovery Author Tags: Meth Recovery Source Type: blogs

Back From the Dead
Back from the Dead highlights the fascinating documentary by Dr Kevin Fong investigating a pioneering technique of extreme cooling that is being used to bring people back from the dead.
Source: Life in the Fast Lane - April 25, 2011 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Anaesthetics Education eLearning Emergency Medicine Health Infectious Disease BBC Horizons Cooling CPR Dr Kevin Fong Therapeutic Hypothermia Source Type: blogs

Challenge To Policy Prohibiting Military Medicine Malpractice Suits Looming
The United States Supreme Court seems to be taking some interest in the legal upswell to overturn the Feres doctrine that prohibits military members for suing for medical practice complaints for care given in military hospitals. The latest of a series of challenges to the policy over the years centers around the severe brain injury and subsequent death suffered by Air Force Staff Sgt Dean Patrick Witt, who was injured after a nurse anesthetist place the endotracheal tube in his esophagus instead of the trachea.
Source: Inside Surgery - April 22, 2011 Category: Surgeons Authors: Editor Tags: Medical News Wire Dean Patrick Witt Feres doctrine military medicine malpractice severe brain injury Source Type: blogs

Healthcare Update — 04-19-2011
US health care providers aren’t the only ones who are concerned about patients gone wild. 89% of emergency physicians in China have been threatened with violence and 37% of Chinese emergency physicians have been physically attacked. US agencies aren’t the only ones failing to address the issue, either. Chinese emergency physicians and nurses are studying martial arts to protect themselves against incidents during their shifts. I guess that keeping a 9mm strapped to your leg is out of the question. So THAT’S where my bald spot came from. Getting weaves in your hair may cause permanent hair loss. Attorneys ...
Source: WhiteCoat's Call Room - April 19, 2011 Category: Emergency Medicine Doctors Authors: WhiteCoat Tags: Healthcare Update Source Type: blogs

McGill University Researcher Creates the World's First Intubation Robot
Dr. Thomas M. Hemmerling, a McGill University professor who also happens to be the creator of the McSleepy automated anesthesia system, has created another device to assist anesthesiologists in the operating room. The Kepler Intubation System, or KIS, is the world's first intubation robot designed to facilitate the intubation procedure and reduce some complications associated with airway management. The device consists of a robotically mounted video-laryngoscope that is controlled by a joystick to accurately and effortlessly insert an endotracheal tube used during general anesthesia. Article from McGill University: Int...
Source: Medgadget - April 17, 2011 Category: Technology Consultants Authors: Scott Jung Source Type: blogs

Changing Processes Will Change Results
It can't be easy to problem-solve the current state of health affairs. Nothing like having a growing population of older adults requiring care... an unfit society for all age groups... and dumping a boatload of people into a system that will be bursting at the seams to accommodate all their needs. Timely access to care isn't going to happen. Cutting the budget will just hurt the majority even more because providers can't accept lower payments for services. Adding a "quality" reporting system (of more than 100 quality measures) won't actually change the final outcome. A resubmergence of a health maintenance organization spi...
Source: MyPhysicalTherapySpace.com - April 17, 2011 Category: Physical Therapists Authors: Selena Horner Tags: back pain physical therapy Source Type: blogs

surgeon superhero
this is a post i wrote as a guest post for another blog a few years ago. since then that blog has been retired, so i decided to import the post back here. yes i have an alter ego. yes, i dress in funny clothes with a cap covering my head and a mask covering my face. and yes, dressed as such i try to fight the powers of evil (mainly sepsis and bleeding and cancer and the like). i am ... a superhero. but there is often little understanding for what goes on under the paper thin masks and baggy gowns we wear. certain …um…occurrences, well, occur with us just as much as with other people. a common cold behind a thea...
Source: other things amanzi - April 15, 2011 Category: Surgeons Authors: Bongi Source Type: blogs

Hypoglossal Nerve Injury
The hypoglossal nerve (CN 12) descends from the cranium and crosses the internal carotid artery above the bifurcation It It innervates the hyoglossus, thyrohyoid, and genioglossus muscles. Hypoglossal nerve (CN 12) descending between internal jugular and internal carotid artery before crossing artery to innervated tongue muscles (illus. courtesy Wikipedia) Injury to the hypoglossal presents in paralysis of one side of the tongue, so that when the patient sticks his tongue out, the tongue deviates toward the damaged nerve because of unopposed action of the contralateral (opposite) genioglossus. This injury is most common af...
Source: Inside Surgery - April 14, 2011 Category: Surgeons Authors: Editor Tags: Tip of the Day carotid endarectomy genioglossus hyoglossus hypoglossal nerve retractor placement thyrohyoid tongue deviation Source Type: blogs

Pain Management: One Size Doesn’t Fit All
When it comes to treating chronic pain such as arthritis or low back pain, it’s important to remember that what works for one patient may not work for the next patient. Some people are able to control their pain by taking a nonprescription medication such as acetaminophen (Tylenol), while others may need an opioid (also known as narcotics). Tablets or capsules containing the opioid hydrocodone plus acetaminophen (known as Vicodin or Lortab) are among the most commonly dispensed medications in the US. But remember: just because this medication is popular doesn’t make it the best pain reliever for everyone! For example, ...
Source: Better Health - April 14, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrMaryLynnMcPherson Tags: Health Tips Anesthesiology Opioids Pain Description Pain Management Pharmaceuticals Physical Medicine And Rehabilitation Source Type: blogs

John
Its John’s first time out with us. He’s a senior consultant (professor??) in anaesthetics in Australia and the CMO for a major moto track event. We did some maths, he’s been a consultant for longer than I’ve been alive. He qualified as a doctor when my parents were in high school. Frankly, what he doesn’t know about sick and broken people, I’m not interested in learning. I’m confident he has forgotten more than I will ever know. But despite this, he played the “new boy” card like a pro. He was deferent (sometimes embarrassingly so) to other members of the team and when...
Source: Trauma Queen - April 14, 2011 Category: Ambulance Crew Authors: Kal Tags: ADDC 2011 Source Type: blogs

Premature ejaculation , sexual self-esteem and infertility
Most infertile men have poor sexual self-esteem. As it is , they feel inadequate because they cannot get their wife pregnant. On top of this, if they cannot perform in the bedroom, this makes a bad situation even worse.Sexual problems are as common in infertile men as they are in fertile men. Premature ejaculation is the commonest male sexual problem. It is very distressing , because it makes the man feel inadequate and inferior.Remember that there is an evolutionary advantage to being a premature ejaculator and this seems to be hard-wired in our genes ! in the past ,wen who could have sex quickly could get lots of women p...
Source: The Patient's Doctor - April 14, 2011 Category: Obstetricians and Gynecologists Tags: Premature ejaculation Orgasm Health Sexual intercourse Sexual dysfunction Human sexual activity Masturbation Source Type: blogs

Discussing the value of the MBA for physicians at the Annual MD/MBA Conference
Over the weekend, I had a great time at the 9th Annual MD/MBA Conference at Texas Tech. I enjoyed all the conversations that I had with medical students and I enjoyed the presentations. On Saturday, Mark Boswell, MD, MBA, Professor and Chair, Department of Anesthesiology at the University of Louisville School of Medicine, spoke about the evolving business of medicine. He reminded MD/MBA students that they will face challenges in the field of medicine but they will also have opportunities to use their MBA skills as they get involved in things like: operational assessment of charges and collections, practice benchmarking, q...
Source: Non-Clinical Physician Jobs, Careers, and Opportunities - April 13, 2011 Category: Technology Consultants Authors: Dr. Joseph Kim Source Type: blogs

Shareable Ink
Ever since HIMSS (still seems like yesterday, but was really a month and a half ago), I’ve been wanting to do a writeup about the company Shareable Ink. A number of people asked me at the show what the most innovative thing I’d seen at HIMSS was and my most common answer was Shareable Ink. The interesting thing about Shareable Ink is that they provide such an interesting middle ground between a technical solution and continuation of paper. I remember about 5 years ago when I heard someone describe the perfect clinical documentation system. It was completely flexible. Required little to no training. Supported ev...
Source: EMR and HIPAA - April 13, 2011 Category: Technology Consultants Authors: John Tags: EHR Electronic Health Record Electronic Medical Record EMR HealthCare IT EHR Documentation EMR Documentation HIMSS HIMSS 11 HIMSS 2011 Hybrid EMR Shareable Ink Source Type: blogs

True Story: An Anesthetist Attempts To Sabotage A Surgeon
There is a sort of love/hate relationship between the surgeons and the anesthetists. Neither one can survive without the other. We supply them with work and they get the work to lie still while we cut and dice. Yet their job is to keep the patient alive while we challenge their ability to stay alive. At the moment of surgery they play good cop and we play bad cop. Of course after surgery the good cop is suddenly the surgeon through and through. But that is another story. I really appreciate a good anesthetist (I‘ve had bad ones) and to tell the truth these days I’m spoiled by the quality of the gas monkeys that...
Source: Better Health - April 12, 2011 Category: Health Medicine and Bioethics Commentators Authors: Bongi Tags: True Stories Abdominal Closure Anesthesia Anesthesiology Muscle Relaxant South Africa Surgery Source Type: blogs

Physicians And Hospitals Protect Their Turf With Patient-Safety Arguments
Prototype ‘BS’ meter. So many folks express views that are obviously self-serving, but they try to masquerade them as altruistic positions that benefit some other constituency. These attempts usually fool no one, but yet these performances are common and ongoing. They are potent fertilizer for cynicism. Teachers’ unions have been performing for us for decades. Their positions on charter schools, school vouchers, merit pay and the tenure system are clear examples of professional advocacy to protect teachers’ jobs and benefits; yet the stated reasons are to protect our kids. Yeah, right. While our kids are no...
Source: Better Health - April 12, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrMichaelKirsch Tags: Health Policy Opinion Anesthesiology BS BS meter Gastroenterology healthcare Hospitals Medicine Patient Safety Physicians Truthfulness Turf Turf Wars Turfulness Source Type: blogs

Own the ECMO
Feature post showing the excellent presentation on ECMO by Dr Hergen Buescher.
Source: Life in the Fast Lane - April 11, 2011 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Anaesthetics Education eLearning Emergency Medicine Intensive Care ECMO Extra Corporeal Membrane Oxygenation Source Type: blogs