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Total 88 results found since Jan 2013.

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

In Defense of the Hyperangulated Blade
Let me begin, as is my wont, with a story. Let's say, for the sake of discussion, that I was moonlighting at Janus General Hospital. I had a patient signed out to me by my partner: a young patient with COPD, influenza, and pneumonia. He was on BiPAP and supposedly stable waiting for an ICU bed. Murphy's law being what it is, immediately after my partner left, the patient deteriorated and clearly was going to require intubation. He had all the predictors of being a tough tube, so I made sure to have my back-up plans articulated and ready to go.My go-to technique for quite a few years is video laryngoscopy (VL) with the hype...
Source: Movin' Meat - February 4, 2015 Category: Emergency Medicine Source Type: blogs

LITFL Review 161
Welcome to the 161st 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 chuck of FOAM.The Most Fair Dinkum Ripper Beauts of the WeekExcellent discussion of the role of Human Factors in medicine from the PHARM podcast featuring Nick Chrimes and Martin Bromiley. [AS]The Best of #FOAMed Emergency Medicine“The Opiate Free ED” –  A better approach to pain control in the Eme...
Source: Life in the Fast Lane - December 21, 2014 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Product Review: The Nice Voice Surgical Mask
Boston, MA --  Healthcare professionals have reason to rejoice with TLC Industry's new language  transformation filter - The Nice Voice - that promises to allow medical professionals to speak their minds without fear of losing their jobs.Never let honesty get you in trouble again.The Nice Voice was created by Robin Hruska, a hospital floor nurse reprimanded last year for telling an attention seeking  20 year-old female admitted through the ER with generalized weakness - after she refused to go home and take care of herself - to put down her phone, stop being a whiny little brat and get her ass out of bed.Tho...
Source: The Happy Hospitalist - December 15, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Microhippie
I have five minutes before I leave for the dentist, where I will be scrupulously honest about exactly how often I floss, so this is going to be what the young'uns call a microblog. I just wanted to record a few recent observations about life atHippie Do As You Please School.Charlie is learning to weld. A parent brings in, I don't know, a travel forge or something, sets it up in a convenient alcove, and...teaches kids to weld. On welding days Charlie comes home incandescent with happiness, full of stories of what thing he welded to what other thing. (The stories...are kind of short: Rod, rod. Bolt, plate. Piece of m...
Source: a little pregnant - October 1, 2014 Category: Child Development Authors: Julie Tags: Charles in charge Source Type: blogs

Government Failure: More from Paul Light
Chris Edwards NYU’s Paul Light provides thoughts on government failure in the Wall Street Journal today. Congress returned to its investigation of the General Motors faulty ignition switch Tuesday with a blistering Senate hearing on the National Highway Traffic Safety Administration’s failure to act. As the House Energy and Commerce Committee concluded on the same day, the agency had more than enough information in 2007 to prevent further tragedy, but gave GM a pass. Lest anyone think that the neglect was an aberration in an otherwise invulnerable government, the cascade of highly visible failures has been acceler...
Source: Cato-at-liberty - September 18, 2014 Category: American Health Authors: Chris Edwards Source Type: blogs

Bruce Bethancourt, MD on building the medical group of tomorrow (transcript)
This is the transcript of my recent podcast interview with Dr. Bruce Bethancourt, chief medical officer of St. Vincent Medical Group. Dr. Bruce Bethancourt, MD, CMO of St. Vincent Medical Group David E. Williams: This is David Williams from the Health Business Group. I’m speaking today with Dr. Bruce Bethancourt. He is Chief Medical Officer of Saint Vincent Medical Group. Bruce, could you first describe Saint Vincent Medical Group and what your role is there? Dr. Bruce Bethancourt: Saint Vincent Medical Group is a relatively new group that came together three years ago. It’s really three groups. We have an amazing ...
Source: Health Business Blog - May 28, 2014 Category: Health Managers Authors: David Williams Tags: Uncategorized Bruce Bethancourt Saint Vincent Medical Group Source Type: blogs

I am pleased to report that I am no longer a starfish.
Starting Friday night, I turned my stomach inside-out every hour or two for twenty-eight hours. It SUCKED.Somehow I've managed to avoid--and here I'm knocking frantically on every piece of wood within reach--sinus infections, the flu, things falling on my head, alien abduction, and major broken bones this year. But I got whatever stomach bug is going around, and it SUCKED.But now I'm better. 'Bout damn time, too.Mongo, when I got home on Friday, was solicitous. He did everything but hold my hair back for me (because I have no hair to speak of) and then curled up next to me on the couch, carefully avoiding my stomach, ...
Source: Head Nurse - February 24, 2014 Category: Nurses Authors: Jo Source Type: blogs

It's coming. It's coming for all of us.
At this point, it doesn't matter whether it's a mismatch between this year's flu shot and this year's virus, or a secret government plot, or just plain crappy luck: everybody I know, practically, has the flu.We have nine full-time nurses in our unit. Two of them have pneumonia. A third is out for another week, until the Tamiflu and chicken soup kick in. The remaining half-dozen of us are bathing in alcohol foam, refusing to get too close to each other (I swear; it's like Sweden up in there), and running away from anybody with the slightest hint of a cough. I myself have taken to bathing daily in boiling bleach and wrapping...
Source: Head Nurse - February 5, 2014 Category: Nurses Authors: Jo Source Type: blogs

Hospital Horrors
The bullet hit me just below my rib cage, punching out a huge section of my liver and collapsing my right lung. Waves of pain rippled round my chest like a stone thrown in a still pond or echoes reverberating off sandstone cliffs.I gasped for breath but could find none. I tried to scream but had no voice.I rolled onto my back, clutching the entry wound with both hands, felt the wet, blood-soaked T-shirt beneath my fingers, sodden and cold.Wait… A bizarre fact flickered across my consciousness. The temperature of the human body is 98.6 degrees Fahrenheit. The blood spilling from my torn abdomen should be warm—not cold.I...
Source: LifeAfterDx--The Guardian Chronicles - February 1, 2014 Category: Diabetes Authors: Wil Source Type: blogs

You know how, sometimes, things get brown and ucky and dull?
That's the way things have been around here, lately. Every couple of years I kind of brown-out--not burn out--on work, and blogging, and people and nursing generally.Then I get better.That is what happened this last couple of months: I browned out and then got better.A lot of it had to do with work. You guys might've heard that the flu season has started. We have a thirty-bed medical CCU, and sixteen of those beds are filled by people under the age of 50 on ventilators or ECMO (a way of oxygenating blood by taking it out of your body, zapping it with O2 through a membrane, and returning it--sort of like lung dialysis) beca...
Source: Head Nurse - January 16, 2014 Category: Nurses Authors: Jo Source Type: blogs

A huge list for Santa
I've been fairly ill, mostly GI tract and spinal issues, so being in a lot of pain 24x7, I have little to say. For those of us who celebrate the traditional Christ-mas holiday, maybe you and yours have a safe, sane and joyful Christmas and hopefully a healthy adn prosperous New Year, for everyone else, do whatever it is you do this time of year; shop til you drop, get drunk, etc....just don't go ragging on Christians who wish to remember the birth if our Lord and Savior Jesus Christ Anyway I have been killing time watching a lot of videos online, listening to long lost music and indulging in non zionist controlled news. Wa...
Source: Nightmare Hall - Welcome to my nightmare - December 21, 2013 Category: HIV AIDS Source Type: blogs