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Anesthesiology

This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 3.

I am not a chicken
One of my favorite books is ‘Orbiting the Giant Hairball‘ by Gordon MacKenzie. Subtitled “A Corporate Fool’s Guide to Surviving with Grace,” my favorite chapter is titled ‘A Chicken’s Fate’. In it, the author described his fathers’ discovery that chickens can be mesmerized: The cousin led the way to the ramshackle chicken coop out behind the farmhouse. There he selected a fine white hen. He carried her under his arm to the front of the house, produced a piece of chalk and drew a short line on the porch. He stood the creature over the chalk line and held her beak to it....
Source: Waking Up Costs - May 3, 2014 Category: Anesthesiology Authors: Clark Tags: Anesthesia Medicine Source Type: blogs

Male Scent May Compromise Biomedical Research | Science/AAAS | News
Jeffrey Mogil's students suspected there was something fishy going on with their experiments. They were injecting an irritant into the feet of mice to test their pain response, but the rodents didn't seem to feel anything. "We thought there was something wrong with the injection," says Mogil, a neuroscientist at McGill University in Montreal, Canada. The real culprit was far more surprising: The mice that didn't feel pain had been handled by male students. Mogil's group discovered that this gender distinction alone was enough to throw off their whole experiment—and likely influences the work of other researcher...
Source: Psychology of Pain - April 29, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Valerie Arkoosh, MD – Candidate for Congress (Part 2 of 3)
Dr. Val Arkoosh is an Anesthesiologist by training and a current candidate for Congress in the Pennsylvania 13th Congressional District. We recently had the chance to speak to Dr. Val to get her thoughts on being a doctor and being a candidate. Why did you decide to leave full time clinical practice at Jefferson and go to into administration? The position I left Jefferson to take was a pretty exciting one. You might remember that Allegheny opened this hospital for women. It was PCOM’s old hospital on City Ave. And they opened it up and reconfigured I to be a hospital for women. So they moved all the OB GYN, gyn onc ,brea...
Source: Inside Surgery - April 27, 2014 Category: Surgery Authors: Editor Tags: Interviews 13th candidate congress Hahnemann Pennsylvania Tenet Source Type: blogs

Commissioning guide: provision of general children’s surgery
Royal College of Surgeons (RCS) - This commissioning guidance does not focus on single-condition care pathways, but covers the provision of treatment for the wide range of children’s conditions that may require elective surgical intervention and/or anaesthesia for planned procedures and investigations. Guidance RCS - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - April 23, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Commissioning Source Type: blogs

Valerie Arkoosh, MD – Candidate for Congress (Part 1 of 3)
Valerie Arkoosh, MD, is an Anesthesiologist, past President of the National Physicians Alliance, and a candidate for Congress running in Pennsylvania’s 13th Congressional district, located in Northeast Philadelphia and Montgomery County. We recently spoke to Dr. Arkoosh about her roles as a physician and health policy expert. Where were you born and raised? I was born and raised in Omaha, Nebraska. Where did you go to college and what was your major? Northwestern University and I got a BA in Economics. Why did you choose Economics and not a more traditional pre-med major? I knew I wanted to go to medical school but I al...
Source: Inside Surgery - April 21, 2014 Category: Surgery Authors: Editor Tags: Interviews Anesthesiology candidate congress National Physicians Alliance Northwestern Source Type: blogs

Deadly Medicines and Organised Crime: a review
This is a web version of a review of Peter Gotzsche’s book. It appeared in the April 2014 Healthwatch Newsletter. Read the whole newsletter. It has lots of good stuff. Their newsletters are here. Healthwatch has been exposing quackery since 1989. Their very first newsletter is still relevant. Most new drugs and vaccines are developed by the pharmaceutical industry. The industry has produced huge benefits for mankind. But since the Thatcherite era it has come to be dominated by marketing people who appear to lack any conscience. That’s what gave rise to the Alltrials movement. It was founded in January 2013...
Source: DC's goodscience - April 16, 2014 Category: Science Authors: David Colquhoun Tags: Academia badscience Big Pharma blogosphere Martin Keller Peter Gotzsche Pharmaceutical Industry Richard Eastell Source Type: blogs

Surge in Prescriptions for Opioid Painkillers for Pregnant Women - NYTimes.com
Doctors are prescribing opioid painkillers to pregnant women in astonishing numbers, new research shows, despite the fact that risks to the developing fetus are largely unknown. Of 1.1 million pregnant women enrolled in Medicaid nationally, nearly 23 percent filled an opioid prescription in 2007, up from 18.5 percent in 2000, according to a study published last week in Obstetrics and Gynecology, the largest to date of opioid prescriptions among pregnant women. Medicaidcovers the medical expenses for 45 percent of births in the United States. The lead author, Rishi J. Desai, a research fellow at Brigham and Women's Ho...
Source: Psychology of Pain - April 14, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

A Five-Dimensional View of Pain | Pain Research Forum
Leaders of a major effort to systematically classify all common chronic pain conditions expect to have the first stage completed by mid-July 2014. The Pain Taxonomy, a project of the ACTTION public-private partnership, and the American Pain Society is one of two independent initiatives launched last spring to fill a widely perceived need for an updated evidence-based approach to improve diagnosis, treatment, and research of chronic pain (seePRF related news story). Key issues and decisions of the initial consensus meeting held in May 2013 are summed up in the March 2014 issue of The Journal of Pain. The paper also des...
Source: Psychology of Pain - April 8, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Can we measure diastolic blood pressure by palpation ?
Learned physicians will agree, BP recording by classical auscultatory   method  is  not always an  easy task ! Such an important clinical sign is left to the whims and fancies of human ear’s ability to detect  of low pitched vibrations emanating from deep seated brachial artery .(5 phases of Korotkoff ) Since  Korotkoff sounds are low frequency sounds , it is best heard with bell of the stethoscope ? How many of us do it ? There is little surprise , two BP  recordings  rarely  match even if it’s performed minutes  apart  ! While phase one is easily identified , the gap between phase 4 and 5 can be v...
Source: Dr.S.Venkatesan MD - March 31, 2014 Category: Cardiology Authors: dr s venkatesan Tags: Clinical cardiology blood pressure measurment how to measure diastolic bllod pressure by palpation korrotkoff sounds measuring bp without stethoscope Source Type: blogs

Clinical efficacy of a computerised device (STA™) and a pressure syringe (VarioJect INTRA ™) for intraligamentary anaesthesia
ConclusionWe recommend including specific trainings in intraligamentary anaesthesia in the dental curriculum. (Source: Dental Technology Blog)
Source: Dental Technology Blog - March 25, 2014 Category: Dentists Source Type: blogs

EHR recall: Use of this affected product may cause serious adverse health consequences, including death
Here is another example of a grossly defective health IT product, this from last year but only posted by FDA publicly on 3/14/2014 at http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm389356.htm: "There was an occurrence where the patient case data did not match the patient data when the case was recalled in the Anesthesia Care Record (ACR) in that it included data from another case. Use of this affected product may cause serious adverse health consequences, including death."One wonders why problems like this are found in the field when real patients are involved, not in the testin...
Source: Health Care Renewal - March 24, 2014 Category: Health Medicine and Bioethics Commentators Tags: FDA recall healthcare IT defects healthcare IT risk McKesson McKesson Anesthesia Care Source Type: blogs

Ketamine - A Professor Writes
For the past six months, I've fielded increasingly more questions about ketamine.My patients: "Will ketamine help me?" My colleagues: "Is ketamine safe for my patients?"Ketamine is an FDA- (Food and Drug Administration) approved drug for anesthesia during surgery and for pain relief -- in adults and children. Several studies (including one report published recently) have shown its rapid, positive effects in depression as well as rapid effects in obsessive-compulsive disorder (OCD) -- a persistent and often disabling disorder in which individuals have repetitive thoughts and behaviors.Because ketami...
Source: PharmaGossip - March 24, 2014 Category: Pharma Commentators Authors: insider Source Type: blogs

Non-drug approaches for people with fibromyalgia
No-one wants to be told their pain is “in your head”. But given our increasingly sophisticated understanding of pain neurobiology, there’s plenty of reason to agree that thinking, feeling and doing things differently makes life far more rewarding and rich than feeling helpless, fatigued and sore. Some proponents of purely biomedical interventions, notably musculoskeletal physicians, argue that if only the “source of the nociception” was found, the nerve “zapped” or anaesthetised, then all this psychosocial claptrap could be safely ignored. I think this belief shows ignorance and pe...
Source: HealthSkills Weblog - March 23, 2014 Category: Occupational Therapists Authors: adiemusfree Tags: Coping strategies Pain Pain conditions Research Therapeutic approaches biopsychosocial CBT Chronic pain Cognitive Behavioural Therapy fibromyalgia pain management Source Type: blogs

Physicians specializing in the patient experience
Imagine — where would elective surgery be today if patients still worried about operating rooms exploding or developing liver and kidney failure from anesthesia? Having major surgery would be a very different experience without anesthesia.  Before the advent of safe anesthesia techniques, the world of surgery was basically limited to amputations and other attempts at life-saving maneuvers.  Dr. Bigelow’s publication describing the safe administration of ether changed everything, and the New England Journal of Medicine called this the most important article in its history.  With this article, the science and ...
Source: Kevin, M.D. - Medical Weblog - March 22, 2014 Category: Family Physicians Tags: Physician Surgery Source Type: blogs

HAMILTON-H900 Humidifier with Built-In Condensation Prevention Technology
Hamilton Medical (Bonaduz, Switzerland) has unveiled a new clinical humidifier. The device was designed to reduce the number of cables used, to integrate components into a simpler system, and to help control condensation and “rain-out” within the tubing. Since a cool tube having warm humid air moving through it will form condensation on its walls, the device integrates heating coils within the tubing so that the temperature of the air stays constant throughout its journey. The device can be controlled through a touch interface or can also be connected and operated through a compatible ventilator. The HAMILTON...
Source: Medgadget - March 20, 2014 Category: Technology Consultants Authors: Editors Tags: Anesthesiology Critical Care Source Type: blogs

The “Punch” Line
Q: How do you get a room full of little old ladies to all use obscene language at the same time? A: Yell “BINGO!” When elderly patients blurt out obscenities, most of the time it takes everything I can do not to laugh out loud. No offense intended. I just get flashbacks of my mom sitting and putting her fingers in her ears while watching scenes in certain movies or seeing her gasp in shock if an F-bomb catches her off guard. I don’t expect to hear obscenities from someone who just rolled by me with a walker. For example, a while ago I posted a story about one lady from a nursing home who caught me off guard with an M...
Source: WhiteCoat's Call Room - March 19, 2014 Category: Emergency Medicine Doctors Authors: WhiteCoat Tags: Patient Encounters Source Type: blogs

Evoked Potential Assessment Device Prevents Arms and Legs from Falling Asleep During Surgery
All of us have fallen asleep on an arm or sat too long on a twisted leg only to get up and feel like the limb itself has fallen asleep. Nerves can get stretched and compressed, and blood vessels squeezed, and, if a person’s position is not corrected soon enough, it can lead to permanent tissue damage, compartment syndrome and such . This scenario can happen during surgery, but since the patient is anesthetized and can’t feel, the situation usually goes undetected and can lead to significant damage. A new product from SafeOp, a company out of Hunt Valley, Maryland has received FDA clearance for “positionin...
Source: Medgadget - March 19, 2014 Category: Technology Consultants Authors: Editors Tags: Anesthesiology Cardiac Surgery Neurology Ob/Gyn Orthopedic Surgery Thoracic Surgery Vascular Surgery Source Type: blogs

A Medical Device Recall of an EHR-like Product
The recent recall (links below) for McKesson’s Anesthesia Care system raises interesting questions about potential information system failure modes as well as what system/software functions cross the imaginary line between unregulated EHRs and regulated medical devices. First the facts. The FDA announced McKesson’s voluntary recall of its Anesthesia Care system in several on-line (here, here and here)  postings. This trio of postings is interesting because the first links only to the second, the second does not link to either of the other two. The third also does not link to the other two, and was not part of any of t...
Source: Medical Connectivity Consulting - March 19, 2014 Category: Technology Consultants Authors: William Hyman Tags: Healthcare IT Standards & Regulatory EMR regulation FDA recall Source Type: blogs

10 Steps To Finding A Good Doctor And Having A Great Healthcare Experience
I’m excited to announce that US News and World Report has invited me and some other social-media savvy physicians to participate in a live Twitter chat about how to find a good doctor. The chat will be held on Thursday, March 20th at 2pm EST. You can join the conversation by following the #DoctorFinder hashtag or take the pre-chat poll here. Most people, including physicians, rely on personal references to find a good doctor. But what do you do when you’re far from home, or you don’t know anyone with firsthand knowledge of local doctors? My parents recently asked me to recommend a physician for them in a...
Source: Better Health - March 18, 2014 Category: Health Medicine and Bioethics Commentators Authors: Dr. Val Jones Tags: Announcements Health Tips #DoctorFinder Best Doctors Doctor Finder Doximity eDocAmerica Healthgrades.com How To Find A Good Doctor Twitter Twitter Chat Twitterview US News And World Report Vitals.com Source Type: blogs

Hospital Quality Measures: Value Based Purchasing 2.0 (The Funny Version).
For years, hospital quality measures have been tracked by private and government insurance programs to try and improve the healthcare services received by their beneficiaries.  The most recent example is the Value-Based Purchasing Program (VBP) initiative by The Centers For Medicare & Medicaid Services (CMS).  How does CMS describe VBP?"Under the Program, CMS will make value-based incentive payments to acute care hospitals, based either on how well the hospitals perform on certain quality measures or how much the hospitals' performance improves on certain quality measures from their performance during a basel...
Source: The Happy Hospitalist - March 14, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Patients who have dental extractions before cardiac surgery are still at risk for poor outcomes
To pull or not to pull? That is a common question when patients have the potentially dangerous combination of abscessed or infected teeth and the need for heart surgery. In such cases, problem teeth often are removed before surgery, to reduce the risk of infections including endocarditis, an infection of the inner lining of the heart that can prove deadly. But Mayo Clinic research suggests it may not be as simple as pulling teeth: The study found that roughly 1 in 10 heart surgery patients who had troublesome teeth extracted before surgery died or had adverse outcomes such as a stroke or kidney failure. The findings are pu...
Source: Dental Technology Blog - March 13, 2014 Category: Dentists Source Type: blogs

This Was Just a Flesh Wound. Get Over It Already!
I am constantly amazed by my own stubbornness. I am even stubborn in the face of facts. What are facts, after all, to goals and wishful thinking? Fah! I spit upon them!People tried to tell me that the surgery I underwent on my elbow last Thursday was a big deal. They tried to explain things to me. I'm sure I even listened. However, all that stuck in my head was “This is no big deal.” I mean, I've had moles removed before. This was just a bursa that developed under my skin due to that car accident I was in last year. It was growing and interfering with arm movement, and painful and unsightly to be sure, but they'll just...
Source: The Splintered Mind by Douglas Cootey - March 11, 2014 Category: Mental Illness Tags: ADHD Journaling Therapizing Writing Source Type: blogs

Incessant Regular Wide Complex Tachycardia
A male in his 50's presented after a witnessed syncopal episode. He reported multiple syncopal events over the last 1-2 months with increasing frequency, as well as recent fatigue.  He had a remote history of in-hospital cardiac arrest during surgery.  He had no anginal symptoms, no CP or SOB.  Prehospital tracings were concerning for monomorphic sustained regular wide complex tachycardia with repeated runs of bigeminy, and no clear evidence of a current of injury.In the ED, he had VT on the monitor, and the following 12-lead ECG:There is a regular monomorphic wide complex tachycardia with no P-waves. The co...
Source: Dr. Smith's ECG Blog - March 11, 2014 Category: Cardiology Authors: Steve Smith Source Type: blogs

Aviation and anesthesiology: The importance of training
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Comparisons between the airline industry and anesthesia care are common.  One of the most commonly heard analogies is that the takeoff and landing of a jetliner are similar to induction and emergence during a general anesthetic.  But there are other equally important analogies between the two professions.  Today, payers, health care organizations and medical providers are focused more than ever on cutting costs.  In this environment, it is helpful to look at other similarities between aviation and anesthesiology. Continue reading ....
Source: Kevin, M.D. - Medical Weblog - March 8, 2014 Category: Family Physicians Tags: Physician Surgery Source Type: blogs

Tramadol: Uses, Side-Effects, and Interactions
When it comes to pain pills, tramadol is one of the most common prescription painkillers currently prescribed by doctors. It is often used to manage severe pain and it is readily available.  In fact, you can even buy tramadol online in the UK without a prescription.  At least, you don’t need a prescription when you start the process. In reality, however, the legitimate sites that let you buy tramadol with no prescription have doctors who issue a prescription for the purchase. I found out that some pharmacies in the UK even include a doctor’s prescription in the cost of the medication.  Visit this site for more infor...
Source: Mental Nurse - March 7, 2014 Category: Nurses Authors: Author037 Tags: Health Source Type: blogs

What A Fabulous Collection Of Techno Inventions In Healthcare That Might Actually Not Be Worth It!
This appeared a little while ago.ECRI Cautions Hospitals About Tech HypeCheryl Clark, for HealthLeaders Media , February 12, 2014 Independent research from the non-profit ECRI Institute aims to distinguish between must-have hospital technologies and manufacturer hype.A device that allows untrained nurses to sedate colonoscopy patients without an anesthesiologist, hospital gowns woven with infection-fighting copper, and oral drugs embedded with sensors are among the emerging technologies senior executives may be pressured to bring into their hospitals and healthcare systems.But the 2014 edition of the ECRI Institute's annua...
Source: Australian Health Information Technology - March 7, 2014 Category: Technology Consultants Authors: Dr David More MB PhD FACHI Source Type: blogs

Enter the smaccGOLD RUSH!
  As you already know smaccGOLD promises to be an amazing event… Now it is shaping up to be ludicrously awesome… If you can demonstrate that you can function as part of the ultimate multi-disciplinary critical care team during the conference, your team will win $5,000 cold hard cash. That’s right, FIVE GRAND! Here’s the low down, from ICN’s Oli Flower on behalf of the smaccGOLD organising committee: Competition Objective Teams should visit as many trade exhibits as possible and complete the short (< 5 minute) challenge at each stand. The challenges are scored out of 10 at each stand...
Source: Life in the Fast Lane - March 5, 2014 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Conference Emergency Medicine Featured Intensive Care SMACC competition critical care GOLD RUSH prize smaccGOLD Source Type: blogs

Warning about Ketamine in the American Journal of Psychiatry
The dissociative anesthetic and ravey club drug ketamine has been hailed as a possible “miracle” cure for depression. In contrast to the delayed action of standard antidepressants such as SSRIs, the uplifting effects of Special K are noticeable within an hour. “Experimental Medication Kicks Depression in Hours Instead of Weeks,” says the National Institute of Mental Health. NIMH has been bullish on ketamine for years now. Prominent researchers Duman and Aghajanian called it the “the most important discovery in half a century” in a recent Science review.But in 2010, I pondered whether this use of ketamine...
Source: The Neurocritic - March 5, 2014 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs

How can you avoid shampoo buildup? The Beauty Brains Show episode 20
Did you know that most shampoos today are secretly 2-in-1′s? In today’s episode we tell which ingredients to avoid if you’re worried about shampoo buildup. Plus, we discuss the case the disturbing plastic surgery app! Click below to play Episode 20: “How to avoid shampoo buildup” or click “download” to save the MP3 file to your computer. Show Notes Beauty Science News: “The case of the disturbing plastic surgery app” Putting the app in inappropriate. It’s called “Plastic Surgery & Plastic Doctor & Plastic Hospital Office for Barbie version.” It lets children play plastic s...
Source: thebeautybrains.com - March 4, 2014 Category: Physicians With Health Advice Authors: Randy SchuellerThe Beauty Brains Tags: Podcast Problems Source Type: blogs

Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks (ACTTION)
The mission of the Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks (ACTTION) public-private partnership with the United States Food and Drug Administration (FDA) is to identify, prioritize, sponsor, coordinate, and promote innovative activities — with a special interest in optimizing clinical trials — that will expedite the discovery and development of improved analgesic, anesthetic, and addiction treatments for the benefit of the public health. ACTTION is a multi-year, multi-phase initiative that is closely aligned with the FDA's Critical Path Initiative. ...
Source: Psychology of Pain - March 3, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

SGR Fix The Final Deal?
On Thursday, February 6th, a bipartisan group of congressional lawmakers announced they had reached a deal on legislation to repeal Medicare's widely criticized sustainable growth rate formula, replacing volume-based payments with measures that reward care efficiency and quality. The legislation is described below, but stakeholders should be cautious about its prospects given the remaining political hurdles it faces. SGR Repeal and Medicare Provider Payment Modernization Act The bill, the SGR Repeal and Medicare Provider Payment Modernization Act, was jointly announced by the chairmen and ranking minority members of th...
Source: Policy and Medicine - March 3, 2014 Category: Health Medicine and Bioethics Commentators Authors: Thomas Sullivan Source Type: blogs

When chronic pain is there before surgery
In this study, therefore, the researchers monitored the use of opioids pre and post-operatively. After some serious statistical work, the group found that younger people, anaesthetic technique, having a total knee replacement (as opposed to a total hip replacement), and longer stays were more likely to use a greater amount of opioid. And, more importantly, the scores obtained for fibromyalgia corresponded the most – an increased opioid consumption of 9.1mg for every 1-point increase on the 0 – 31 point scale. What does this mean for nonmedical clinicians working with people in that important post-operative per...
Source: HealthSkills Weblog - March 2, 2014 Category: Occupational Therapists Authors: adiemusfree Tags: Coping strategies Occupational therapy Pain Pain conditions Physiotherapy Chronic pain function pain management self management surgery surgical pain THKR total knee joint replacement Source Type: blogs

FDA Draft Guidance Analgesic Indications: Developing Drug and Biological Products
The FDA recently released a new draft guidance with recommendations on how sponsors of analgesic painkillers should develop products in preparation for future marketing authorization. The draft, "Analgesic Indications: Developing Drug and Biological Products", is intended for sponsors of analgesic products intended to treat acute, chronic and breakthrough pain. All three types of pain—acute, chronic and breakthrough—are characterized by the need for long-term, regular treatment with analgesics. FDA notes that while it is important to understand how a single dose of the drug works, it's even more interested in underst...
Source: Policy and Medicine - February 27, 2014 Category: Health Medicine and Bioethics Commentators Authors: Thomas Sullivan Source Type: blogs

New and Established Patient E/M Definitions (CMS vs. CPT®)
I get lot of requests from readers of The Happy Hospitalist asking how to know if a patient is a new or established patient.  Identifying the correct classification will prevent delays or denials of payment.  Many evaluation and management (E/M) codes are by definition described as new or established.  This lecture will attempt to explain various important clinical aspects related to this determination.  Keep in mind while the Centers For Medicare & Medicaid Services (CMS) uses  Current Procedural Terminology (CPT) codes, CMS definitions do not always agree with CPT® definitions.  This di...
Source: The Happy Hospitalist - February 27, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

First Do No Harm
As I’ve become balder and more grey, I have come to think about the health system as much as the delivery of acute care.  This is another advantage of FOAMed.  It allows you to broaden your horizons and still stay in touch with the latest in your chosen specialty.  I would like to share a story that has brought me out of the blogging wilderness. Last week, I looked over the fence and noticed my neighbour had her arm in a cast.  She told me she had fallen over playing tennis and fractured her wrist.  She had been seen by her GP first, then sent up to a local private emergency department.  This would have cost he...
Source: Life in the Fast Lane - February 26, 2014 Category: Emergency Medicine Doctors Authors: Sean Rothwell Tags: Administration Emergency Medicine Featured Health expenses First Do No Harm out of pocket private insurance public health Source Type: blogs

Why Getting Good Mental Health Treatment is Complicated
As long-time readers of World of Psychology know, there’s no easy fix to the convoluted, second-class mental health care system in the United States. People with mental disorders — like depression, anxiety, ADHD or bipolar disorder — are shunted away from the mainstream healthcare system into a patchwork quilt of “care” that varies greatly depending upon where you live, what kind of insurance you have (if you have any), and whether you want to pay cash for treatment instead of using your insurance. It shouldn’t be this way. It shouldn’t be so hard to find a good treatment provider....
Source: World of Psychology - February 25, 2014 Category: Psychiatrists and Psychologists Authors: John M. Grohol, Psy.D. Tags: General Mental Health and Wellness Minding the Media Policy and Advocacy Professional Psychiatry Psychology Psychotherapy Treatment Health Care System Medication Mental Health Professional Mental Health Treatment Source Type: blogs

HIMSS, Continua launch Personal Connected Health Alliance
ORLANDO, Fla.—As HIMSS President and CEO hinted at yesterday in his podcast with me, HIMSS today announced the formation of the Personal Connected Health Alliance, in conjunction with the Continua Health Alliance and the HIMSS-owned mHealth Summit. This short video from HIMSS explains: Also, Lieber mentioned that HIMSS has not signed on to a letter from 48 organizations—led by CHIME—to HHS Secretary Kathleen Sebelius, calling for more time and flexibility in meeting Meaningful Use Stage 2 requirements., Lieber said HIMSS declined to sign because the requests were, in his opinion, “very vague.” Today, the...
Source: Neil Versel's Healthcare IT Blog - February 24, 2014 Category: Technology Consultants Authors: Neil Versel Tags: CIOs CMS consumerism EMR/EHR health IT health reform Healthcare IT HHS HIMSS Innovation meaningful use mobile ONC regulations remote monitoring video CHIME Continua Health Alliance Kathleen Sebelius mHealth Summit P Source Type: blogs

An acerbic opinion versus a sweet solution towards chronic pain
CONCLUSION: Glucose sublingual is and effective analgesic in infants between 1 and 12 months of age Barry E. Levin,1,2 Vanessa H. Routh,3 Ling Kang,2 Nicole M. Sanders,4 and Ambrose A. Dunn-Meynell1,2. Neuronal Glucosensing. What Do We Know After 50 Years? DIABETES, VOL. 53, OCTOBER 2004 Min-tsai Liu1, 2, Susumu Seino3, and Annette L. Kirchgessner1, 2 Identification and Characterization of Glucoresponsive Neurons in the Enteric Nervous System. The Journal of Neuroscience, December 1, 1999, 19(23):10305-10317 J. Antonio Gonzàlez1, Frank Reimann2 and Denis Burdakov1.Dissociation between sensing and metabolism of glucose in ...
Source: HealthSkills Weblog - February 16, 2014 Category: Occupational Therapists Authors: adiemusfree Tags: Pain conditions Professional topics Therapeutic approaches Chronic pain healthcare Source Type: blogs

Factors affecting the success rate of buccal infiltration anaesthesia in the mandibular molar region
ConclusionsThe differences in the injection sites did not affect the anaesthetic success rates for the mandibular second premolar and molar teeth. However, articaine buccal infiltration produced a higher anaesthetic success rate in the second premolar and first molar teeth of Korean female patients. (Source: Dental Technology Blog)
Source: Dental Technology Blog - February 13, 2014 Category: Dentists Source Type: blogs

Patient Modesty: Volume 63
Discussion Blog)
Source: Bioethics Discussion Blog - February 10, 2014 Category: Health Medicine and Bioethics Commentators Source Type: blogs

Pain | VQR Online
My father was never one to complain. On the morning of the day he died, an ulcer he'd suffered from for years, and left untreated, ruptured and began to bleed. Two days later I met with the town coroner. He told me the end had been painless, that, as his life leached away, my father would only have felt increasingly weak and light-​headed. The coroner, trying to make me feel better, was lying. By any other account, when an ulcer perforates and blood, bile, bacteria, and partially digested food begin to spill into the abdominal cavity, you feel as if a knife has just been buried in your guts. You might faint. You migh...
Source: Psychology of Pain - February 7, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Prescription Drugs May Cause Forgetfulness
Most of us have had moments of forgetfulness at one time or another throughout our lives. Memory loss is commonly associated with the signs of getting older and is a symptom of Alzheimer’s disease. Alcohol and illicit drug abuse have also been shown to impair memory. What many people are not aware of is that certain commonly prescribed medications can impair memory too. Being aware that a prescription drug may cause memory problems is important information that needs to be shared with patients. “Scientists now know that memory loss as you get older is by no means inevitable,” writes Dr. Armon B. Neel, a geriatric ...
Source: Cliffside Malibu - January 28, 2014 Category: Addiction Authors: Richard Taite Tags: Richard Taite Source Type: blogs

In the treatment of pain, OPIOID helps caregivers weather the regulatory storm
What follows is a guest post. James Patrick Murphy, MD, MMM is board-certified in Pain, Addiction, and Anesthesiology. He is President of The Greater Louisville Medical Society and the Course Director for OPIOID — Optimal Prescribing Is Our Inherent Duty. Dr Murphy, a friend, writes on the matter of optimal prescribing of pain therapy. It’s a timely and important topic. As a bike racer, I have experienced the anguish of pain. From a patient perspective, the problem with pain is not just that it hurts, but also, that it’s hard to see the end of suffering. Thankfully, I have been lucky to have had compassio...
Source: Dr John M - January 27, 2014 Category: Cardiology Authors: Dr John Source Type: blogs

Why you should ignore altmetrics and other bibliometric nightmares
Conclusions about bibliometrics Bibliometricians spend much time correlating one surrogate outcome with another, from which they learn little.  What they don’t do is take the time to examine individual papers.  Doing that makes it obvious that most metrics, and especially altmetrics, are indeed an ill-conceived and meretricious idea. Universities should know better than to subscribe to them. Although altmetrics may be the silliest bibliometric idea yet, much this criticism applies equally to all such metrics.  Even the most plausible metric, counting citations, is easily shown to be nonsense by simply...
Source: DC's goodscience - January 16, 2014 Category: Professors and Educators Authors: David Colquhoun Tags: Academia altmetrics bibliometrics open access peer review Public relations publishing acupuncture badscience bibliobollocks publication regulation Source Type: blogs

The unmentionable pain down there
Chronic pain isn’t a popular topic in health, or even socially. Chronic pain “down there” (yes, I’m talking genitals and in both women AND men) must be the least popular topic in pain management. I think it might be a throwback to the Victorian past, or maybe that pelvic pain isn’t usually a compensable pain so it doesn’t get blamed for work loss, but whatever, it’s just not featured all that often in pain management. Courtesy of my wonderful friend Sandy Hilton from Entropy Physio Therapy I’ve been prodded into looking at this problem, and came across a preprint of the Briti...
Source: HealthSkills Weblog - January 12, 2014 Category: Occupational Therapists Authors: adiemusfree Tags: Chronic pain Clinical reasoning Interdisciplinary teams Pain conditions healthcare pelvic pain physiotherapy Source Type: blogs

Burn, baby, burn... on strep throat, insufficient anesthesia, and other woes
Disclaimer: This is not a real advertisement, it is not a real product,and Jackie Chan has not endorsed it. Yet.So, it happened that over the last Thanksgiving I was stricken for the first time with the dreaded strep throat. A miserable business. In addition to the antibiotics, the Doc gave me a prescription for a lidocaine rinse to ease what was a surprisingly incredible amount of pain for a sore throat. Turned out to be about as useful as a snooze button on a smoke detector. You can't swish and gargle the stuff because it's as viscous as honey, but you're not supposed to swallow it either (presumably because you don't wa...
Source: Across the Bilayer - January 12, 2014 Category: Medical Scientists Source Type: blogs

Pain-Topics News/Research UPDATES: Another Book About Pain; Only Much Better
Of nearly 240 million adults in the United States, more than 4 in 10, or about 100 million, live with chronic pain of some sort. Yet, the professional and popular news media focus more on abuses of pain medications than the dreaded conditions the drugs are intended to treat. Meanwhile, the suffering of untreated or mistreated patients with pain is largely overlooked. In her new book — A Nation in Pain: Healing Our Biggest Health Problem — author Judy Foreman provides a deeply researched account of today's chronic pain crisis and reasons behind it, and she discusses some solutions that could be within reach. Far mo...
Source: Psychology of Pain - January 6, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

How Can We Forget?
** This post is meant to be read in tandem with its more complimentary cousin, Electroconvulsive Therapy Impairs Memory Reconsolidation, at The Neurocomplimenter. **spECTrum 5000Q® ECT device (MECTA)Bad memories haunt a significant number of people with serious mental illnesses, such as chronic major depression and post-traumatic stress disorder (PTSD). If it were possible to undergo an experimental procedure that selectively impairs your memory for an extremely unpleasant event, would you do it? If this sounds like the plot of Eternal Sunshine of the Spotless Mind, you're not alone.A pet peeve of mine is reference to thi...
Source: The Neurocritic - December 31, 2013 Category: Neurologists Source Type: blogs

Healthcare Update Satellite — 12-30-2013
More updates on my other blog at DrWhiteCoat.com North Las Vegas VA Hospital emergency department repeatedly “disrespected and mistreated” a 78 year old diabetic volunteer with more than 5,000 hours of service at local VA facilities. A few weeks after two visits for a colon problem, the patient died in a hospice. When the patient’s friend went to get video of the events from the emergency department, the footage had been erased. What types of things do Australian emergency departments see on Christmas? Stonefish stings, jet ski accidents, inhaled foreign bodies … not that different from the US, although I had no id...
Source: WhiteCoat's Call Room - December 30, 2013 Category: Emergency Medicine Doctors Authors: WhiteCoat Tags: Healthcare Update Source Type: blogs