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November 2022: More than Broken
"I have this older patient who fell on his buttock at home," said my resident. “He has shoulder pain, but didn't come down on the shoulder and was here within the month with an adhesive capsulitis. He had x-rays and is to see the orthopedist this week. I was only going to x-ray the hips. What do you think?" "Let me take a look," I said while pulling up the old images.The glenohumeral joint space looked rough and narrow. Perhaps there was a calcific tendonitis seen between the acromion and the humeral head. Given the extent of degenerative joint disease, certainly this patient could have chro...
Source: Lions and Tigers and Bears - October 31, 2022 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

I am stupid
Conclusion: Isaac Asimov is stupid(Sorry, no post yesterday because I was doing some heavy cerebral processing.)He ' d have been the first to admit it. All of us are susceptible to cognitive errors and biases. I ' d like to think that Asimov was less susceptible than most, but he must have had his own foibles. It ' s a constant struggle to be mindful and think straight. For my own part, I once had a romanticized view of the Chinese revolution, I was an anthropogenic climate change skeptic, and I entertained the likelihood that medical intervention, on balance, did more harm than good. (Viz Illich, Medical Nemesis.)&nb...
Source: Stayin' Alive - October 28, 2022 Category: American Health Source Type: blogs

The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
October 27, 2022 Edition-----In the UK we have a political farce running with only a day or so to run when you read this, with a new PM (Rishi Sunak) in place..In the US the mid-term elections are coming in a week or so, thus some concern as to where the US is going!In China Xi has his third 5 year term so we all wonder how that will turn out!In OZ we have has a Budget with floods, inflation, data leaks, the threat of recession, Medicare concerns and other issues just rolling on! At least the Budget does not seem to have broken anything!Overall an ‘omnishambles’ as they say!-----Major Issues.-----https://www.afr.com/wo...
Source: Australian Health Information Technology - October 27, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety, Social Media And Security Matters. Lots Of Interesting Perspectives - October 25, 2022.
-----This weekly blog is to explore the news around the larger issues around Digital Health, data security, data privacy, AI / ML. technology, social media and any related matters.I will also try to highlightADHA Propagandawhen I come upon it.Just so we keep count, the latest Notes from the ADHA Board were dated 6 December, 2018 and we have seen none since! It ’s pretty sad!Note: Appearance here is not to suggest I see any credibility or value in what follows. I will leave it to the reader to decide what is worthwhile and what is not! The point is to let people know what is being said / published that I have come upon, a...
Source: Australian Health Information Technology - October 25, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Fight Aging! Newsletter, October 17th 2022
This study investigated whether multimorbidity is associated with incident dementia and whether associations vary by different clusters of disease and genetic risk for dementia. The study used data from the UK Biobank cohort, with baseline data collected between 2006 and 2010 and with up to 15 years of follow-up. Participants included women and men without dementia and aged at least 60 years at baseline. The presence of at least 2 long-term conditions from a preselected list of 42 conditions was used to define multimorbidity. A total of 206,960 participants (mean age 64.1 years) were included in the final sample, of...
Source: Fight Aging! - October 16, 2022 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Better Living Through Better Design
BY KIM BELLARD We’re almost two weeks past Hurricane Ian. Most of us weren’t in its path and so it just becomes another disaster that happened to other people, but to those people most impacted it is an ongoing challenge: over a hundred people dead, hundreds of thousands still without power, tens of thousands facing a housing crisis due to destroyed/damaged homes, and estimated $67b in damages.  It will take years of rebuilding to recover.   In the wake of a natural disaster like a hurricane – or a tornado, a flood, even a pandemic – it’s easy to shrug our shoulders and say, well, it’s Mother Nature, wh...
Source: The Health Care Blog - October 11, 2022 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Policy Public Health Babcock Ranch Hurricane Ian Kim Bellard Source Type: blogs

Fight Aging! Newsletter, October 10th 2022
Fight Aging! publishes news and commentary relevant to the goal of ending all age-related disease, to be achieved by bringing the mechanisms of aging under the control of modern medicine. This weekly newsletter is sent to thousands of interested subscribers. To subscribe or unsubscribe from the newsletter, please visit: https://www.fightaging.org/newsletter/ Longevity Industry Consulting Services Reason, the founder of Fight Aging! and Repair Biotechnologies, offers strategic consulting services to investors, entrepreneurs, and others interested in the longevity industry and its complexities. To find out m...
Source: Fight Aging! - October 9, 2022 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

The Evident Good of Treating Aging as a Medical Condition
It seems a little strange that advocates for aging research must still make the argument that it is a good thing to prevent people from becoming sick and dying. This seems self-evident! It is true that prevention and cure of disease is a goal with widespread support when discussing specific diseases or age-related conditions. Yet, somehow, as soon as one starts to talk about treating aging as a medical condition, the root cause of the majority of disease and suffering, we are right back to objections that amount to defending a world in which people become sick and die. It is a strange situation that is hard to understand. ...
Source: Fight Aging! - October 5, 2022 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

DiGA: How Germany Channeled Digital Health Apps Into Its Healthcare System
Digital health applications and solutions are increasingly becoming part of our healthcare experience. Partially because they offer fast and convenient solutions for problems arising from capacity shortages of the traditional medical systems (like skin checking apps), or because they enhance the capabilities of doctors, medical personnel, or hospitals (like sepsis watch algorithms or A.I. diagnostics models). While these apps are available in a large number of medical specialities, channelling them into state-run healthcare systems to harness the benefits on population-wide scales is challenging.  Germany’s Di...
Source: The Medical Futurist - October 4, 2022 Category: Information Technology Authors: Andrea Koncz Tags: TMF Digital Health Research Healthcare Policy healthcare system germany digital health apps DIGA Source Type: blogs

Health Care Execs Behaving Badly
BY KIM BELLARD In the midst of a pandemic during which health care workers proved themselves to be very bit the heroes we like to think of them as being, it’s sobering to be reminded that the system they work in is filled with perverse incentives that work against patients’ best interests.  Four pieces of excellent journalism – two from The New York Times, and two from Kaiser Health News — this week brought that front and center.   If you haven’t read them yet, I urge you to do so, but, while you might enjoy the writing, don’t expect to enjoy their content. Let’s start with two arti...
Source: The Health Care Blog - September 29, 2022 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: The Business of Health Care Health Care Execs Kaiser Health News New York Times Providence Source Type: blogs

The heartbreak and joy of missions-based pain medicine: a pain physician ’s perspective
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Approximately 30 percent of the world’s population reports living with some form of pain, ranging from headaches to joint pain to cancer-related pain. Unfortunately, pain medicine expertise and the medications and non-drug therapies available to relieve pain are not as widely distributed as the populations Read more… The heartbreak and joy of missions-based pain medicine: a pain physician’s perspective originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - September 27, 2022 Category: General Medicine Authors: Tags: Physician Anesthesiology Surgery Source Type: blogs

Weekly Overseas Health IT Links –24th September, 2022.
This article makes the case and explains what will be required to make it happen.We hear a lot about “digital health” these days. As data about our health piles up — thanks to sources like electronic health records, personal fitness apps and gadgets, and home genome test kits — weshould understand a lot more than we used to about what ’s wrong with our health and what to do about it. But having a lot of data is not enough. We have to be aware of what we have, understand what it means, and act on that understanding. While the challenges are in some ways more acute in the United States because of its fragmented sys...
Source: Australian Health Information Technology - September 24, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

113 Jealousy Quotes to Help You Avoid Envy and Live a Happy and Healthy Life
In this post I’d like to simply share the best and most powerful jealousy and envy quotes. To help you to not get dragged in and down into those two destructive thought habits anymore (or at least a lot less often). And to make you see how other people’s envy and jealousy is something you should not take too seriously or engage in because it's their problem and hurts them the most. I hope you’ll find these quotes as helpful and impactful as I have to live a lighter, kinder and happier life. And if you want even more helpful inspiration and tips then check out this post with quotes on dealing with toxic people and th...
Source: Practical Happiness and Awesomeness Advice That Works | The Positivity Blog - September 22, 2022 Category: Consumer Health News Authors: Henrik Edberg Tags: Inspirational Quotes Personal Development Source Type: blogs

4AM Night
It’s 4 AM. The hospital—once a lively and bustling place with residents responding to codes, nurses checking vitals, physical therapists helping patients walk—is now deadly silent. I stare out of the window into the darkness. Its eerily quiet. I think to myself, only 3 more hours until I am done with my night shift and get to crawl into bed. I am counting the hours. My phone beeps and I look down. It’s a message from my resident. “New admit in the ED with SOB. Interview the patient and present to me.” I chart and read about her history. She has breast cancer with extensive chemo and radiotherapy. I think ...
Source: Academic Medicine Blog - September 21, 2022 Category: Universities & Medical Training Authors: Laura Siegel Source Type: blogs

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety, Social Media And Security Matters. Lots Of Interesting Perspectives - September 13, 2022.
-----This weekly blog is to explore the news around the larger issues around Digital Health, data security, data privacy, AI / ML. technology, social media and any related matters.I will also try to highlightADHA Propagandawhen I come upon it.Just so we keep count, the latest Notes from the ADHA Board were dated 6 December, 2018 and we have seen none since! It ’s pretty sad!Note: Appearance here is not to suggest I see any credibility or value in what follows. I will leave it to the reader to decide what is worthwhile and what is not! The point is to let people know what is being said / published that I have come upon, a...
Source: Australian Health Information Technology - September 13, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs