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Can Statins Cause Diabetes? - NYTimes.com
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Source: Dr Portnay - July 27, 2016 Category: Cardiology Authors: Dr Portnay Source Type: blogs

Top Scorer: DM / DNB Cardiology Entrance New Test Series 2
Dr. B. Midhun Kumar MBBS, MD (General Medicine) First Year DM (Cardiology) Resident, Madras Medical College, Chennai *Academic details of top scorers as provided by them. Academic details of other top scorers will be added as and when they provide them.
Source: Cardiophile MD - July 27, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs

Should AF ablation require approval from a heart team?
A patient presents with atrial fibrillation (AF) and a rapid rate. He doesn’t know he is in AF; all he knows is that he is short of breath and weak. The doctors do the normal stuff. He is treated with drugs to slow the rate and undergoes cardioversion. During the hospital stay, he receives a stress test and an implantable loop recorder. He goes home on a couple of medications. The expensive implanted monitor shows rare episodes of short-lived AF, less than 1% of the time. The patient feels great. But here’s the kicker: his doctor recommends an AF ablation. This is nuts. The man has had one episode of AF. He has...
Source: Dr John M - July 13, 2016 Category: Cardiology Authors: Dr John Source Type: blogs

How Patient Groups Have Begun To Influence The Value And Coverage Debate
In 2015, two issues related to medicine could be relied on to generate headlines: drug pricing and the proliferation of new value frameworks that claimed to define the value and even the price of drugs in seemingly easy-to-understand ways. In none of the high-profile skirmishes on pricing or frameworks was the voice or perspective of patients and patient groups very much in evidence. But that is beginning to change, in an evolution of a broader shift in the role that patients are playing in the research and development (R&D) enterprise. A New Culture of Engagement Patients and patient organizations are becoming ever mo...
Source: Health Affairs Blog - June 10, 2016 Category: Health Management Authors: Margaret Anderson and Kristin Schneeman Tags: Costs and Spending Health Professionals Organization and Delivery Quality clinical research patient use of evidence venture philanthropy Source Type: blogs

A Free Market Repudiation of Evidence-Based Medicine
By MICHEL ACCAD, MD In a recent article entitled “A Hayekian Defense of Evidence-Based Medicine” Andrew Foy makes a thoughtful attempt to rebut my article on “The Devolution of Evidence-Based Medicine.”  I am grateful for his interest in my work and for the the kind compliment that he extended in his article.  Having also become familiar with his fine writing, I return it with all sincerity.  I am also grateful to the THCB staff for allowing me to respond to Andrew’s article. Andrew views EBM as a positive development away from the era of anecdotal, and often misleading medical practices:  “Arguing for a re...
Source: The Health Care Blog - May 13, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

A Hayekian Defense of Evidence-Based Medicine
BY ANDREW FOY, MD It’s a lousy Saturday morning in Southeastern Pennsylvania. The 100-mile bike ride I had scheduled, the first century of the year, was cancelled at 5 AM due to inclement weather. I’ve been scanning my Twitter feed ever since. I only joined Twitter yesterday, so I’m a bit obsessed at this point. The synapses in my prefrontal cortex are getting fresh hits of dopamine every time I land on another exciting science/political story, journal article, or blog that’s been tweeted about. Yes, I’m a nerd. Through Twitter, I was introduced to Michel Accad less than 24 hours ago. He’s a cardiologist, phil...
Source: The Health Care Blog - May 11, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Making Medicine Great Again
By MICHAEL MILLENSON The annual Lown Institute Conference advocates for the “right” kind of patient care, as in “the correct course of action.” But the political meanings of “right” and “left” also echo, sounding like a healthcare version of the recover-lost-glory demands of Donald Trump and the moral crusade of Bernie Sanders. The program for this year’s meeting, held in Chicago, urged attendees to “take back health [care];” you could almost hear a Trumpian, “Make medicine great again!” In an opening address, the institute’s senior vice president, Shannon Brownlee, proclaimed, “We are gathe...
Source: The Health Care Blog - April 21, 2016 Category: Consumer Health News Authors: Simon Nath Tags: Featured THCB Michael Millenson Source Type: blogs

2015 Front Line of Healthcare Report – CME and Conferences are a More Frequently Utilized Source of Information
Bain & Company, Inc. has published their Front Line of Healthcare Report 2015, a report that focuses on the shifting United States healthcare landscape by the numbers. Bain & Company took a natural survey of 632 physicians across specialties and 100 hospital procurement administrators in the United States in an attempt to update their 2011 Physician Attitudes Survey. To highlight the idea that the dynamics of change vary substantially across different regions of the country, Bain oversampled two regions with distinct market characteristics (Massachusetts and Mississippi/Alabama). Bain found that in states like Ma...
Source: Policy and Medicine - April 4, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Research and Reviews in the Fastlane 126
This article is a well done, RDCT comparing non-dissociative dose intravenous ketamine (0.3 mg/kg) to intravenous morphine (0.1 mg/kg). The authors found no statistically significant difference between the two at 30 minutes. This data gives further credence to the use of ketamine for acute pain relief in the ED though it does not demonstrate superiority. Recommended by Anand Swaminathan Cardiology Kim S, et al. Searching for answers to clinical questions using google versus evidence-based summary resources: a randomized controlled crossover study. Academic medicine : journal of the Association of American Medical Coll...
Source: Life in the Fast Lane - March 16, 2016 Category: Emergency Medicine Authors: Jeremy Fried Tags: Airway Cardiology Emergency Medicine R&R in the FASTLANE EBM Education literature recommendations research and reviews Source Type: blogs

Can I Trust You With This? How Pistis Left My Toolbox One Day
Editor’s Note: Be sure to check out the collection of articles in the March issue and our new blog content for more on the patient voice in medicine. By: Martina Rosenberg, PhD, assistant professor, Department of Biochemistry and Molecular Biology, University of New Mexico Health Sciences Center. Dr. Rosenberg teaches mostly undergraduate biochemistry majors and non-majors, including students in the combined BA/MD degree program. She is interested in barriers of learning in the STEM disciplines. The view from the stretcher in an ambulance racing towards the ER is not particularly intriguing or interesting. Yet, it was wh...
Source: Academic Medicine Blog - March 15, 2016 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective medical education patient centered care patient voice physician-patient relationship Source Type: blogs

Research and Reviews in the Fastlane 125
Welcome to the 125th edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature. This edition contains 6 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Anand Swaminathan and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R project or check ou...
Source: Life in the Fast Lane - March 10, 2016 Category: Emergency Medicine Authors: Jeremy Fried Tags: Cardiology ECG Emergency Medicine Gastroenterology Intensive Care R&R in the FASTLANE critical care EBM Education literature recommendations research and reviews Source Type: blogs

Robert Califf Confirmed as FDA Commissioner 89-4
  Despite months of hand-wringing and opposition, the Senate overwhelmingly voted to confirm Dr. Robert Califf as the next Food and Drug Administration commissioner by a bipartisan vote of 89 - 4. This confirmation follows a cloture vote from earlier this week, despite opposition from some a small group of Senate Democrats, including presidential candidate Bernie Sanders. The opposition was because some alleged Califf had huge ties to the pharmaceutical industry. In the end only four Senators voted against his nomination Senators Blumenthal (D-CT), Markey (D-MA), Manchin (D-WV) and Ayotte (R-NH). Most responded to...
Source: Policy and Medicine - February 24, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Why I Don’t Believe In Science
By MICHEL ACCAD, MD A few days ago, cardiologist and master blogger John Mandrola wrote a piece that caught my attention. More precisely, it was the title of his blog post that grabbed me: “To Believe in Science Is To Believe in Data Sharing.” Mandrola wrote about a proposal drafted by the International Committee of Medical Journal Editors (ICMJE) that would require authors of clinical research manuscripts to share patient-level data as a condition for publication. The data would be made available to other researchers who could then perform their own analyses, publish their own papers, etc. The ICMJE proposal is obviou...
Source: The Health Care Blog - February 16, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Sexism in Medical Education
The medical school professor stands affront  a group of first year students in a mid-size auditorium. “I need a go-to guy,” he says, “someone to direct my questions towards.” He scans the room. “I’ve never actually had a go-to girl, before,” he admits. Later in the lecture, he makes a joke at a male student’s expense. “I joke!” he laughs. “Usually I don’t pick on the girls of the class – they can be too emotional – its true! My wife tells me it’s true.” During an exercise aimed at discussing issues of public health, the facilit...
Source: Disruptive Women in Health Care - February 10, 2016 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Advocacy Health Professions Source Type: blogs

Taking Stock of Our Existence
By MICHEL ACCAD, MD My last post was prompted by a reader’s comment where Victor Frankl’s Man’s Search for Meaning and Atul Gawande’s Being Mortal were juxtaposed.  Since receiving that message, I have had occasion to notice that others also associate these two books. For example, both are mentioned positively in this moving article by Dr. Clare Luz about a friend’s suicide, and in these tweets from Dr. Paddy Barrett’s podcast program: Friends and patients of mine have likewise mentioned these two works to me, expressing praise and testifying to the deep impact the books have had on them. I suspect t...
Source: The Health Care Blog - February 3, 2016 Category: Consumer Health News Authors: Simon Nath Tags: THCB MICHEL ACCAD Source Type: blogs