MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'hold'. Sat, 03 Sep 2011 02:09:20 +0100 http://www.medworm.com/index.php?rid=4172061&cid=t_107871_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Famia-board-%25e2%2580%259chold-harmless%25e2%2580%259d-clause-in-emr-contracts-is-unethical%2F2010.11.16 Last Friday the board of the American Medical Informatics Association (AMIA) published a position paper in its journal saying that the “hold harmless” clause is unethical. One of the paper’s authors is Dr. Danny Sands, currently President of the Society for Participatory Medicine. I hope to write more about it this week, after attending the AMIA conference in DC, but here’s the basic issue: – For ages, makers of electronic medical record systems (EMR) have insisted on a “hold harmless” clause in the contracts a system buyer must sign. It says, in essence, that if any harm comes to anyone because of a system problem, the buyer (the hospital) will hold the manufacturer harmless. – In other words, if anything goes wrong with the system and someone gets hurt, it’s not... Better Health blogs http://www.medworm.com/rss/comments.php?id=4172061 Tue, 16 Nov 2010 15:00:17 +0100 4172061 http://www.medworm.com/index.php?rid=4159185&cid=t_107871_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2010%2F11%2Freport-of-amia-special-task-force-on.html The views on healthcare IT safety, ethics, management practices, etc. appearing on the Healthcare Renewal blog and on my once-controversial academic health IT website "Contemporary Issues in Medical Informatics: Common Examples of Healthcare Information Technology Difficulties" (started in 1999) are now becoming mainstream.As I wrote recently at this link:I was somewhat taken aback by the appearance of the article by Karsh et al. entitled "Health information technology: fallacies and sober realities" (covered at Healthcare Renewal here) in the Oct. 2010 Journal of the American Medical Informatics Association (JAMIA).I was taken aback since the article rains heavily on the academic memes of healthcare IT as a benign and deterministic solution to healthcare's ills, and of health IT-related a... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=4159185 Fri, 12 Nov 2010 00:24:00 +0100 4159185 http://www.medworm.com/index.php?rid=3197582&cid=t_107871_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2010%2F01%2Fgrassley-asks-hospitals-about.html At a brief Oct. 24, 2009 posting "Washington Post: EMR's No Cure-All; Sen. Grassley Sends Letter of Inquiry to health IT vendors" (link) I mentioned an Oct. 16, 2009 letter to major healthcare IT vendors from Senator Charles E. Grassley (ranking member of the United States Senate Committee on Finance) initiating a Senate investigation of corporate practices. That letter is here (PDF).A followup investigation has now begun by Sen. Grassley of hospitals themselves. Here is a link to his Senate website and a copy of the new letter dated Jan. 20, 2010.This followup letter is being sent to:Banner Health, Brigham & Women's Hospital Case Western Reserve University Hospital Health System, Catholic Healthcare West, Cedars Sinai Children’s National Medical Center, Geisinger Medical Center, Hac... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=3197582 Thu, 21 Jan 2010 03:34:00 +0100 3197582 http://www.medworm.com/index.php?rid=3193680&cid=t_107871_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2010%2F01%2Fgrassley-asks-hospitals-about.html At a brief Oct. 24, 2009 posting "Washington Post: EMR's No Cure-All; Sen. Grassley Sends Letter of Inquiry to health IT vendors" (link) I mentioned an Oct. 16, 2009 letter to major healthcare IT vendors from Senator Charles E. Grassley (ranking member of the United States Senate Committee on Finance) initiating a Senate investigation of corporate practices. That letter is here (PDF).A followup investigation has now begun by Sen. Grassley of hospitals themselves. Here is a link to his Senate website and a copy of the new letter dated Jan. 20, 2010.This followup letter is being sent to:Banner Health, Brigham & Women's Hospital Case Western Reserve University Hospital Health System, Catholic Healthcare West, Cedars Sinai Children’s National Medical Center, Geisinger Medical Center, Hac... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=3193680 Thu, 21 Jan 2010 03:34:00 +0100 3193680 http://www.medworm.com/index.php?rid=2846520&cid=t_107871_129_f&fid=36035&url=http%3A%2F%2Fwww.everydayhealth.com%2Fblog%2Flife-with-chronic-pain%2Flearning-to-recover%2F Here in the beautiful Northwest, we have the very helpful presence of the U.S. Coast Guard. At the mouth of the Columbia River the freshwaters of the river can become quite violent when they are met by the salt waters of the Pacific Ocean. Driven by winds and rain, the channel can be torrential in its violence and sadly, each year many boats end up in trouble. Capsized or floundering in dangerous water is, I’m certain, a most frightening experience. Each year lives are lost, usually due to a lack of knowledge of these waters and their risk. When the waters are particularly violent, the Coast Guard has a line of ships which have the capability to roll over and right themselves. If your small sailboat has been tossed and turned and you end up in the water alone or with someone you care abo... Life with Chronic Pain blogs http://www.medworm.com/rss/comments.php?id=2846520 Tue, 29 Sep 2009 19:23:52 +0100 2846520 http://www.medworm.com/index.php?rid=2737726&cid=t_107871_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2009%2F08%2Fcross-occupational-invasion-of-medicine.html I have written on these pages about a cross-occupational invasion of medicine by IT personnel, wherein the IT personnel seem to forget that they are facilitators of healthcare, not enablers, with a primary purpose of serving the needs of clinicians.The HISTalk site recently posted an attorney's views on the "hold harmless" and "defects nondisclosure" controversy first reported on by Koppel and Kreda in JAMA, and amplified in my letter to the editor in the same publication. The attorney's views at HISTalk (link below) are quite reasonable regarding such practices.However, the user comments thread reveals some attitudes exemplifying the "invasion" of which I've written. Both the attorney's post and the responses by a poster under the nom-de-blog "Programmer" to others' concerns can be read a... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=2737726 Thu, 27 Aug 2009 04:15:00 +0100 2737726 http://www.medworm.com/index.php?rid=2715946&cid=t_107871_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2009%2F08%2Fon-hit-vendor-nondisclosure-of.html Seen at the HIStalk blog in News of 8/19/09:A couple of readers wisely suggested that I not consider running nondisclosure language from vendor contracts. Reasons: (a) it might identify the client since terms are often customized; (b) it might violate vendor privacy requirements and get a client or me in trouble; (c) clients might not want to share anyway since they may like the idea of being prohibited from sharing patient safety information. A couple of vendors e-mailed to say they don’t include such terms. I’d be very surprised if Cerner and Epic don’t based on my limited history with them.My response to the HISTalk blog owner, Tim, and other interested parties:Sent: Thursday, August 20, 2009 7:32 AM To: mr_histalk@yahoo.co... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=2715946 Thu, 20 Aug 2009 11:46:00 +0100 2715946 http://www.medworm.com/index.php?rid=2712102&cid=t_107871_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2009%2F08%2Fcchit-has-company.html It appears CCHIT, an offspring of the large HIT trade association HIMSS, won't get its wish for Health IT Certification hegemony. I think the outcome of a multidisciplinary HIT policy workgroup's deliberations on this issue reasonable: Aug. 17, 2009iHealthBeat.orgPolicy Committee OKs Plan To Establish Multiple EHR CertifiersOn Friday, the [HHS] Health IT Policy Committee adopted recommendations that called for multiple entities to certify electronic health record systems, Health Data Management reports.The committee's certification and adoption work group issued the recommendations (Goedert [1], Health Data Management , 8/14).To receive official certification, EHR systems must meet a minimum set of criteria and achieve the "meaningful use" objectives of the federal economic stimulus packa... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=2712102 Tue, 18 Aug 2009 17:53:00 +0100 2712102 http://www.medworm.com/index.php?rid=2688649&cid=t_107871_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2009%2F08%2Fshareholders-take-notice-that-patients.html At my Jan. 2009 post "Waste Feared in Digitizing Patient Records: Wall Street Journal" and others I have written about the illegitimacy and abuse of patient rights, as well as abuse of clinician trust committed by health IT vendors using patient care settings as an unconsented software development laboratory and beta testing site. I wrote:The IT industry uses hospitals, doctor offices and patients as alpha and beta test sites and subjects, unregulated by the FDA or other agency. When HIT fails, there is no central agency to report the failures to, only the vendor. Fixes go into a "queue" for remediation, with priority level decided by the vendor.Clinicians are also used by HIT vendors as a form of bank and insurance company. HIT vendors depend on (free!) physician and nurse ingenuity in f... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=2688649 Tue, 11 Aug 2009 00:21:00 +0100 2688649 http://www.medworm.com/index.php?rid=2667423&cid=t_107871_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2009%2F08%2Fmaking-hospitals-safer-by-making.html At my July 24, 2009 HC Renewal post "Inquiry to Joint Commission on points raised in my July 22, 2009 JAMA letter on HIT", I reproduced a letter I sent to the Joint Commission seeking their opinions on the issue of Health IT "hold harmless" and "defects nondisclosure" contractual terms. (See "Health Care Information Technology Vendors' Hold Harmless Clause - Implications for Patients and Clinicians", JAMA 2009;301(12):1276-1278 and my HIT difficulties website essay here.)Those contractual terms cause hospital executives to violate Joint Commission safety standards and their own fiduciary responsibilities to people both providing and seeking care in hospitals. My inquiry was acknowledged, and I await a reply.In Making Hospitals Safer for Patients, New York Times, Aug. 2, 2009 , Mark R. Cha... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=2667423 Mon, 03 Aug 2009 14:19:00 +0100 2667423 http://www.medworm.com/index.php?rid=2637802&cid=t_107871_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2009%2F07%2Finquiry-to-joint-commission-on-points-i.html As I posted here, my letter "Health Care Information Technology, Hospital Responsibilities, and Joint Commission Standards" was published in JAMA on July 22, 2009. A preview of the letter can be seen here, or a full version here if you subscribe to JAMA.This JAMA letter covered some of the same points I addressed extensively at my Drexel HIT website essay "Hold Harmless and Keep Defects Secret Clauses", including the major point that hospital executives signing HIT "Hold Harmless" and "Defects Nondisclosure" contracts are in violation of Joint Commission standards for conduct related to safety, and in violation of their fiduciary responsibilities towards patient and employee safety and freedom from undue liability.I've sent the following inquiry to Paul M. Schyve, M.D., Senior Vice Presid... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=2637802 Fri, 24 Jul 2009 14:08:00 +0100 2637802 http://www.medworm.com/index.php?rid=2615337&cid=t_107871_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2009%2F07%2Fireland-physicians-opt-out-of-vital.html Well, no, actually. Irish physicians did not opt out of "maintaining" the healthcare of patients and refuse to release their medical records. Even imagining such an event is absurd.IT providers in Ireland did, however, opt out of caring for the HIT of 180+ hospitals and releasing the source code so others could do it:HSE fails in bid to secure IT servicing for 180 hospitalsBy Tim HealyThursday July 16 2009The HSE [Health Service Executive - ed.] has failed to get a High Court order compelling a company to continue providing vital computer maintenance services for 180 hospital and other sites around the country.Ms Justice Mary Laffoy also refused to grant an injunction requiring the company, Eamon Keogh, trading as Keogh Software, Harold's Cross, Dublin, to temporarily release source codes ... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=2615337 Sat, 18 Jul 2009 18:10:00 +0100 2615337 http://www.medworm.com/index.php?rid=2347937&cid=t_107871_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2009%2F04%2Fcomplacency-and-hit-who-is-taken-more.html In this post I make a very shameful comparison. Shameful to the healthcare industry, that is, and coming from an unusual perspective due to my diverse professional background.I received quite interesting comments from a number of informatics colleagues regarding the linked patient's account of Health IT mayhem at "A Most Interesting Patient Account of Misery by EHR". The comments suggested that patient's account was not unusual.Example:Without being specific I can say from first hand information that this is not an isolated incident... the horrific experience is unfortunately in my direct experience typical. and this:... As you know, I’ve been in the HIT business, advocating for full integration of computing into clinical care, for more than three decades. The upshot, though, is that thi... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=2347937 Sat, 18 Apr 2009 02:52:00 +0100 2347937 http://www.medworm.com/index.php?rid=2306977&cid=t_107871_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2009%2F03%2Fwill-true-incidence-of-healthcare-it.html The article Health Care Information Technology Vendors' "Hold Harmless" Clause - Implications for Patients and Clinicians, Ross Koppel and David Kreda, Journal of the American Medical Association, 2009; 301(12):1276-1278 (JAMA) has caused much discussion in healthcare IT circles.I have become aware of discussions centered on issues such as:The factors besides vendor design flaws and defects that contribute to the unsafe and ineffective use of health information technology,The degree of effect caused by end user organization customizations,whether a focus on legal or regulatory action is misplaced Whether such regulation could "stifle innovation", andOther interesting and stimulating related issues.These discussions miss the forest for the trees, unfortunately.They are all speculation.I cou... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=2306977 Mon, 30 Mar 2009 22:15:00 +0100 2306977 http://www.medworm.com/index.php?rid=2306982&cid=t_107871_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2009%2F03%2Fchief-medical-informatics-officer.html In thinking further about the "hold harmless" and "defects gag clause" originated by Health IT vendors and agreed to by hospital executives as I described at Have Hospital Executives Violated Their Fiduciary Responsibilities by Signing Such Contracts?, I can state I feel a sense of (past) betrayal.Only now thanks to a Penn sociologist and a software consultant (plus the fortitude of JAMA, under some criticisms recently on other matters, in publishing this article) do we formally find out that hospitals have been literally "dumping" on physicians by signing contracts with the HIT vendors leaving the docs "holding the bag" for software errors and malfunctions, and gagging their organizations from openly talking about defects and problems. In other words, physicians hold the risk, everyone el... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=2306982 Thu, 26 Mar 2009 17:19:00 +0100 2306982 http://www.medworm.com/index.php?rid=2306983&cid=t_107871_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2009%2F03%2Fhealth-it-hold-harmless-and-defects-gag.html Regarding healthcare IT "Hold Harmless" and Defects Gag Clauses as revealed by the JAMA article Health Care Information Technology Vendors' "Hold Harmless" Clause - Implications for Patients and Clinicians by Koppel and Kreda:Have hospital executives violated their fiduciary responsibilities by signing such contracts, and violated Joint Commission standards of hospital leadership conduct as well?Fiduciary (fidOO'shēe"rē), in law, a person who is obliged to discharge faithfully a responsibility of trust toward another. Among the common fiduciary relationships are guardian to ward, parent to child, lawyer to client, corporate director to corporation, trustee to trust, and business partner to business partner. In discharging a trust, the fiduciary must be absolutely open and fair. Certain b... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=2306983 Thu, 26 Mar 2009 09:16:00 +0100 2306983 http://www.medworm.com/index.php?rid=2306985&cid=t_107871_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2009%2F03%2Fhealth-care-information-technology.html Dear fellow physicians, nurses and other clinicians:You thought frivolous medical malpractice suits were a problem?Guess what:It's worse. Along with your patients you are nonconsented beta testers and experimental subjects of the health IT industry, and potential victims of the computer industry's arrogance and dysfunction.In the remarkable article Health Care Information Technology Vendors' "Hold Harmless" Clause - Implications for Patients and Clinicians, Ross Koppel and David Kreda, Journal of the American Medical Association, 2009;301(12):1276-1278, we learn that:Healthcare information technology (HIT) vendors enjoy a contractual and legal structure that renders them virtually liability-free—“held harmless” is the term-of-art—even when their proprietary products may be implicat... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=2306985 Tue, 24 Mar 2009 22:59:00 +0100 2306985 http://www.medworm.com/index.php?rid=2183213&cid=t_107871_87_f&fid=36050&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FBreastfeeding123%2F%7E3%2F3O4jgqXP6gc%2F I watched Jerry O’Connell co-host Live with Regis and Kelly the other day. It was cute to see how excited he is about his newborn twin girls with wife Rebecca Romijn. He could hardly contain his excitement and it was very sweet to see. Apparently he still had the same enthusiasm when he appeared on The Ellen DeGeneres Show today. O’Connell said: I don’t know why I’m getting nervous saying this — I’m not saying anything dirty, it’s natural but [Rebecca] does what we call the double football – which is just incredible, because it’s like three beings attached. It’s like something out of Cirque du Soleil. It’s crazy. He talks about Rebecca using the breast pump: My wife also … I’m sure I can say this on television, it’... Breastfeeding 1-2-3 blogs http://www.medworm.com/rss/comments.php?id=2183213 Fri, 13 Feb 2009 18:18:57 +0100 2183213 http://www.medworm.com/index.php?rid=2786027&cid=t_107871_109_f&fid=38952&url=http%3A%2F%2Fschlockdoc.blogspot.com%2F2009%2F01%2Fopen-letter-of-apology-to-patient-i-saw.html (Source: psychobabble) psychobabble blogs http://www.medworm.com/rss/comments.php?id=2786027 Sun, 25 Jan 2009 06:56:00 +0100 2786027 http://www.medworm.com/index.php?rid=1883659&cid=t_107871_87_f&fid=36050&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FBreastfeeding123%2F%7E3%2Fny7Zbd8cRDg%2F In this video Dr. Jack Newman guides a woman in using the cross-cradle hold to latch her baby onto the breast. While there are many different breastfeeding positions, the cross-cradle hold can be particularly helpful for newborns. Note how the mother is not forcefully pushing the baby’s head onto the breast, but rather is simply supporting the head and bringing the baby tummy-to-tummy and using her arm on the baby’s back and hand under the baby’s face. This position also allows for breast compressions (using the mother’s thumb on top of the breast and four fingers underneath the breast to compress the breast when baby is just “nibbling” and not actively sucking and swallowing large mouthfuls). Tags: breastfeeding-video, cross-cradle hold, Dr. Jack New... Breastfeeding 1-2-3 blogs http://www.medworm.com/rss/comments.php?id=1883659 Fri, 17 Oct 2008 00:57:03 +0100 1883659 http://www.medworm.com/index.php?rid=1683388&cid=t_107871_109_f&fid=35677&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FBrainBasedBusiness%2F%7E3%2F356957204%2Ffinancial_woes_that_make_you_s.html  Firms tend to go down in flames when finances trump people … or when monetary concerns snuff out human potential. Have you noticed?In fact, financial woes become the first indication that it may be time to reboot the brains where you work. Do you agree? Here are 5 instances  I’ve spotted where financial woes make people smarter:1. Gas prices leap off the chart … and people tend to consider the world’s distribution of wealth … so they pony up wiser travel options. They may not buy a smart car … but neither do they dash out to buy gas guzzlers proliferated before gas became gold.2. Housing takes a nosedive … and suddenly people begin to value their shelters as well as budget for reasonable living conditions they can afford.3. Health c... BrainBasedBusiness blogs http://www.medworm.com/rss/comments.php?id=1683388 Wed, 06 Aug 2008 03:14:38 +0100 1683388 http://www.medworm.com/index.php?rid=1266565&cid=t_107871_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2008%2F02%2F28%2Fcommunicating-with-the-one-you-love%2F All of us have our insecurities, and some of us have our secrets. Sometimes we share these with the ones we love, and sometimes we feel trapped, ashamed or simply unable to do so. Sometimes our insecurities are just the random issues of self-esteem or feeling like we’re not good enough in anything we do, often as a result of our childhood or just bad experiences as a young adult or teen. And sometimes we don’t share things because we’re ashamed of something that we feel others wouldn’t understand. Even those we love and hold close to our hearts. To the one who later learns of the insecurities or secrets, it feels like a betrayal of the love and trust and everything they hold dear in the relationship. It’s not about the actual thing not shared. It’s abou... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1266565 Fri, 29 Feb 2008 03:40:39 +0100 1266565 http://www.medworm.com/index.php?rid=1162540&cid=t_107871_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2008%2F01%2F19%2Fscare-tactics-to-prevent-psychological-tests-on-ebay%2F Our friends over at The National Psychologist alerted us to a change in eBay’s policy about selling “protected” psychological tests — they now allow the sale (and resale) of such tests, whereas before this policy change they did not. Their reasoning? Test publishers have not shown any basis, other than pure speculation, that making such tests available for sale could cause the public harm. Many psychological tests are “protected” or “secured,” meaning they are originally sold only to certain qualified professionals (e.g., licensed professionals or researchers), with proof of their qualification. This is done to protect the integrity of the test. The more people know about a specific test (say, one of the IQ tests commonly used, or the MMPI... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1162540 Sat, 19 Jan 2008 15:44:15 +0100 1162540 http://www.medworm.com/index.php?rid=1130978&cid=t_107871_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2008%2F01%2F04%2Fbritney-spears-hospitalized-involuntarily-held-for-mental-evaluation%2F We feel badly for Britney Spears. Watching her self-destruct in the public eye over the past year has just been beyond words. Most people find such self-destruction good fodder for entertainment, but I’m disturbed by the seeming lack of anyone able to get through to her and get her into real treatment. Maybe last night’s events will get through to her. Whether she likes it or not, she appears to have been hospitalized overnight in California on a 5150 hold, which refers to the legal code that allows a California hospital to hold a person involuntarily due to psychiatric concerns. Specifically, because the clinicians or who initially evaluated her were concerned that she was a danger to herself or to others. These are not just used if a person is drunk — they have to hav... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1130978 Fri, 04 Jan 2008 16:03:40 +0100 1130978 http://www.medworm.com/index.php?rid=807030&cid=t_107871_109_f&fid=35677&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FBrainBasedBusiness%2F%7E3%2F145638049%2F16_ways_your_brain_opens_spigo.html Imagine for a minute how you could convince your brain to top up your bank account on the way home from work today. With a few facts in hand…you can create new revenue streams from your brain to your bank – in ways that few realize.   Why work harder,  relax less, stress more, and often arrive an hour late and a dollar short? Short of winning a lottery – you likely won’t see a windfall overnight.  But if you program in a few new routines you can tilt your brain in the direction of significant profitability. Worth a try? Here are a few tactics that will rejuvenate your brain’s potential for financial return – for a competitive advantage that lasts.1. Make one money move daily – Whenever you do a thing – small as it ma... BrainBasedBusiness blogs http://www.medworm.com/rss/comments.php?id=807030 Sun, 19 Aug 2007 00:39:17 +0100 807030 http://www.medworm.com/index.php?rid=729947&cid=t_107871_109_f&fid=35677&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FBrainBasedBusiness%2F%7E3%2F133001260%2Fwhy_we_hold_on_and_how_to_let.html A few days ago I sat in on a meeting where a new leader took over a major project – that the former leader clearly could not let go. The project pace slowed to grinding halts each time the past president raised another objection or silly question. Nothing seemed to please him, as he watched his pet project careen off the road he’d paved well for years. The new leader’s vision was lost for the evening, as we all tried to maintain the older man’s dignity in tact, while edging a new leader’s forward. What would you do?The whole scene reminded me that regardless of how passionately we hold onto visions … or how well we lead projects –a time comes to let go as a way to move the vision forward with new talent. Why then do people hold on when it’s ... BrainBasedBusiness blogs http://www.medworm.com/rss/comments.php?id=729947 Thu, 12 Jul 2007 15:04:56 +0100 729947 http://www.medworm.com/index.php?rid=688940&cid=t_107871_133_f&fid=35096&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FAutismVox%2F%7E3%2F126911966%2F We may have (according to some) plenty of pollution here in New Jersey; as of Thursday evening, we also have a package of five autism bills on detection, teacher training, and the needs of autistic adults that have been approved by both the state Senate and Assembly and are headed to the desk of Goveror Joe Corzine. (Though I hope these bills will ultimately be for and in the best interests of autistic persons, rather than being seen as “anti-autism measures.”) Politics NJ refers to the five bills as a “landmark autism awareness package.” The Star-Ledger’s blog states that the package of bills was approved “in the wake of a national study that found New Jersey had the highest rate of autism in the nation” (a reference to the CDC’s study on au... Autism Vox blogs http://www.medworm.com/rss/comments.php?id=688940 Fri, 22 Jun 2007 04:48:18 +0100 688940 http://www.medworm.com/index.php?rid=573709&cid=t_107871_87_f&fid=34867&url=http%3A%2F%2Fwww.thediabetesblog.com%2F2007%2F04%2F27%2Fedmonton-protocol-on-hold%2F Filed under: Type 1, Childhood, Drugs, Research, Daily News, EventsThe Edmonton Protocol has been temporarily put on hold due to fears the human form of mad cow disease might infect patients. The source of an enzyme used in transplants was reported to derive from cow brains. Transplants of these treated islets have been put on hold until a source for this enzyme can be found that doesn't use cow brains. Dr. James Shapiro, the surgeon who developed the Edmontol Protocol said, "we just decided to put the program on hold". Shapiro and his team transplant healthy islet cells into the pancreas of people with Type 1 diabetes. The healthy cells allow recipients to again begin producing insulin crucial to the body's ability to regulate sugar digestion. The National Institutes of Health was creati... The Diabetes Blog blogs http://www.medworm.com/rss/comments.php?id=573709 Fri, 27 Apr 2007 04:00:00 +0100 573709 http://www.medworm.com/index.php?rid=506831&cid=t_107871_87_f&fid=34865&url=http%3A%2F%2Fwww.thecancerblog.com%2F2007%2F03%2F28%2Fcannibis-linked-kind-of-to-lung-cancer-risk%2F This study may prove otherwise.Read | Permalink | Email this | Linking Blogs | Comments (Source: The Cancer Blog) The Cancer Blog blogs http://www.medworm.com/rss/comments.php?id=506831 Wed, 28 Mar 2007 04:00:00 +0100 506831