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LITFL Review 263
Welcome to the 263rd LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM. The Most Fair Dinkum Ripper Beauts of the Week A well-written NY Times essay on how social isolation is killing us made the Internet rounds over the holidays, penned by a medical resident.   The Best of #FOAMed Emergency Medicine A very interesting and thought provoking post by Josh Fa...
Source: Life in the Fast Lane - January 1, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Solving Problems by Blaming Others
Many times when people get stuck working on some aspect of their personal growth, it’s because they’ve defined their core problem in a way that it can’t really be solved. One of the most common forms of this is when someone defines their problem as a mental or psychological one. I see this all the time from people trying to overcome procrastination. They usually define the problem as a lack of motivation, drive, self-discipline, passion, etc. Sometimes they see it as a lack of clarity or focus. Other times it’s succumbing to too many distractions. But ultimately they believe that the source of their...
Source: Steve Pavlina's Personal Development Blog - December 19, 2016 Category: Psychiatry & Psychology Authors: Steve Pavlina Tags: Creating Reality Emotions Health Productivity Relationships Values Source Type: blogs

Healthy Holiday Gifts: Some Thoughts. Because What the Hell.
Portable music players: always a classic!photo:xray delta oneBy Crabby McSlackerHoly guacamole, it's been a long time since I've posted on this blog. I kinda thought I might be done forever.But here I am again! I'm not entirely sure why, it just felt like time to reconnect. And if anyone is actually still out there, it would be lovely to touch base with y'all again. My guess is, posting will still be quite sporadic, but who knows?One problem with not posting for a long time: there are a million shlabillion gerbzillion things that have piled up in my head that I feel like I should talk about. (Okay, perhaps my grasp of the ...
Source: Cranky Fitness - December 11, 2016 Category: Consumer Health News Authors: Crabby McSlacker Source Type: blogs

Health Is Not Always Local: Beginning A Cross-Border Health Dialogue
Is health always local? We typically assume that health is always a domestic issue—that is, we tend to focus on the health of a community or a state, but rarely internationally—but if we just keep looking inward, we could lose out on some valuable lessons. Take the example of William Osler, one of the four founding physicians of Johns Hopkins University School of Medicine. Patient interaction was fundamental to Osler’s teachings. He once said, “Listen to your patient, he is telling you the diagnosis.” Osler was Canadian, and while at Hopkins, he revolutionized the teaching of medicine in both the United States an...
Source: Health Affairs Blog - March 22, 2016 Category: Health Management Authors: Oliver Kim and Dani Peters Tags: Featured Global Health GrantWatch Public Health Canada culture of health Effectiveness Health Care Delivery Health Philanthropy Policy Robert Wood Johnson Foundation Source Type: blogs

What medicine is really like isn’t seen in some medical schools
Any Stanford student knows all too well that the immense campus, with its seemingly eternal sunshine and endless rows of palm trees, can make it difficult to want to get outside and experience the real world. When it comes to medical education, this creates a very real concern: Is it possible to experience the full diversity of our health care system when you are living in the so-called “Stanford bubble” — an idyllic college campus in one of the wealthiest counties in the United States? I’ve certainly felt the effects of the Stanford bubble, but interestingly, working with a diverse population of patients has n...
Source: Kevin, M.D. - Medical Weblog - November 24, 2015 Category: Journals (General) Authors: Tags: Education Medical school Source Type: blogs

Health Information Technology: A Guide to Study Design For the Perplexed
This study, which was widely reported in the news media and influenced policy, found significant differences in the rate of flu-related deaths and hospitalizations among the vaccinated elderly compared with their unvaccinated peers. Although it controlled for certain easy-to-measure differences between the 2 groups, such as age, sex, and diabetes, it did not account for other more difficult-to-measure “healthy user” factors that affect the well-being of the elderly, such as their socioeconomic status, diet, exercise, and adherence to medical treatments and advice. The cohort design has long been a staple in studies of...
Source: The Health Care Blog - September 13, 2015 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

The ‘Must Do’ List: Certain Patient Safety Rules Should Not Be Elective
The modern patient safety field was built on a foundation of “systems thinking,” namely, that we should avoid assigning individual blame for errors, instead focusing on identifying and fixing dysfunctional systems. While this approach is largely correct and is responsible for many of the field’s successes, it needs to be balanced with a need for accountability. Today, while there is an increasing appreciation of the importance of achieving such balance, leaders of health care delivery systems are unsure about how and when to enforce certain safety standards and rules. We believe that the time has come to articulate c...
Source: Health Affairs Blog - August 20, 2015 Category: Health Management Authors: Robert Wachter Tags: Health Policy Lab Health Professionals Hospitals Organization and Delivery Population Health Public Health Quality Just Culture Lucian Leape Institute National Patient Safety Foundation National Quality Forum Robert Wachter Source Type: blogs

Dissolving Microneedle Vaccinations
Researchers recently demonstrated that a flu vaccine delivered using microneedles that dissolve in the skin can protect people against infection even better than the standard needle-delivered vaccine.The new microneedle patch is made of dissolvable material, eliminating needle-related risks. Not to mention the sea change it may mean for patients with severe needle anxiety!  I suspect this approach may also be more tolerable for many patients than oral and nasal vaccination methods. It is also easy to use without the need for trained medical personnel—making it ideal for use where healthcare resources are limited.“...
Source: The A and P Professor - July 14, 2015 Category: Physiology Authors: Kevin Patton Source Type: blogs

Prince Charles’ letters confirm that he’s not fit to be king
Jump to follow-up This post was written for the Spectator Health section, at short notice after the release of the spider letters. The following version is almost the same as appeared there, with a few updates. Some of the later sections are self-plagiarised from earlier posts. Picture: Getty The age of enlightenment was a beautiful thing. People cast aside dogma and authority. They started to think for themselves. Natural science flourished. Understanding of the natural world increased. The hegemony of religion slowly declined. Eventually real universities were created and real democracy developed. The modern world wa...
Source: DC's goodscience - May 15, 2015 Category: Science Authors: David Colquhoun Tags: Duchy Originals Foundation for Integrated Health Freedom of Information Act Prince Charles Prince of Wales Prince's Foundation Anti-science antiscience badscience CAM herbal medicine herbalism homeopathy politics quackery Que Source Type: blogs

Prince Charles ’ letters confirm that he ’ s not fit to be king
Jump to follow-up This post was written for the Spectator Health section, at short notice after the release of the spider letters. The following version is almost the same as appeared there, with a few updates. Some of the later sections are self-plagiarised from earlier posts. Picture: Getty The age of enlightenment was a beautiful thing. People cast aside dogma and authority. They started to think for themselves. Natural science flourished. Understanding of the natural world increased. The hegemony of religion slowly declined. Eventually real universities were created and real democracy developed. The modern world wa...
Source: DC's goodscience - May 15, 2015 Category: Science Authors: David Colquhoun Tags: Duchy Originals Foundation for Integrated Health Freedom of Information Act Prince Charles Prince of Wales Prince's Foundation Anti-science antiscience badscience CAM herbal medicine herbalism homeopathy politics quackery Que Source Type: blogs

Virology for planet Earth
It is the first week in May, which means that the spring semester has just ended at Columbia University, and my annual virology course is over. Each year I teach an introductory undergraduate virology course that is organized around basic principles, including how virus particles are built, how they replicate, how they cause disease, and how to prevent infections. Some feel that it’s best to teach virology by virus: a lecture on influenza, herpesvirus, HIV, and on and on. But this approach is all wrong: you can’t learn virology by listening to lectures on dozen different viruses. In the end all you will ha...
Source: virology blog - May 6, 2015 Category: Virology Authors: Vincent Racaniello Tags: Basic virology Information columbia university control course lecture pathogenesis replication videocast viral virus Source Type: blogs

10 secrets to success as an academic surgeon
1. Be yourself and learn to be flexible. Don’t ever change who you are as a person. It’s OK to have a personality of your own. If you secretly listen to Taylor Swift’s Shake it Off on the way to work, it’s OK. As a junior member of the team it’s very unlikely your iPhone playlist will make the cut for the operating room (OR) entertainment anyway, so go ahead and keep it on your most played list. On the flip side, being successful means being flexible, learning new things, being wrong sometimes, and even changing the way you do things. It can be mind-blowing to learn that there is more than one way to accomplis...
Source: Kevin, M.D. - Medical Weblog - March 30, 2015 Category: Journals (General) Authors: Tags: Physician Surgery Source Type: blogs

A "PR Pawn" Confounds the Public Relations Burnishing of Texas Health Resources and its CEO
The Ebola virus epidemic in Africa is hopefully winding down.  The uproar, if not panic, over Ebola virus in the US has been eclipsed by the latest  internet craze.  However, we are still learning from the echoes of the brief, and thankfully very localized US experience with Ebola.In particular, the country's response to the virus should continue to inspire unease about how our supposedly market based, managerially focused health care non-system can handle real public health threats.Background - Ebola at Texas Health PresbyterianStarting on October 2, 2015, we discussed numerous concerns about whether proble...
Source: Health Care Renewal - March 5, 2015 Category: Health Management Tags: Ebola virus generic management generic managers public relations Texas Health Presbyterian Hospital Texas Health Resources Source Type: blogs

Public trust, the CDC and Tamiflu
Why do doctors lose credibility? Consider the few public doctors out there with millions of followers. The majority of the stuff they recommend is perfect: eat good food, exercise, be nice. and sleep. Check. No problem. Everyone is good with that until they shatter the sense with nonsense. One miracle cure or stupid supplement or financial conflict ruins everything. That goes, too, for the Centers for Disease Control (CDC). These guys must have the highest of the moral ground. For if we are to believe them about public health matters, there can be no conflicts of interest. The public good, pure evidence, that is all. I rec...
Source: Dr John M - February 13, 2015 Category: Cardiology Authors: Dr John Source Type: blogs