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Total 377 results found since Jan 2013.

Epic Fails And Deadly IT Cultures (An OPINION Piece)
The Ebola Virus...Image courtesy of scienceblogs.comIt's bad enough that a fellow from Liberia by the name of Thomas Eric Duncan through hubris, stupidity, or simply bad luck brought Ebola to our shores. He did ultimately seek medical attention in the Emergency Room of Texas Health Presbyterian Hospital in Dallas when he became symptomatic with the characteristic fever and pain of an Ebola infection. In fact, he presented twice to the Dallas ER. In between his two visits, Mr. Duncan was set loose on a city of well over a million souls while his disease was at its most infectious level. (He has since died of the disease, an...
Source: Dalai's PACS Blog - October 13, 2014 Category: Radiologists Source Type: blogs

Silver Practice
Twenty-five years ago today, I hung out my shingle. That’s a long time. Not quite half my life ago, but getting closer to that benchmark every day. Twenty-five years. Wow. Every time I think about it, that’s all I can say. In many ways, my practice today is more like it was in the beginning than ever before. I’m back down to just one staffer, two exam rooms, same number of phone lines, even some of the same patients. In many other ways, my life has morphed into one that, twenty-five years ago, I could barely have fathomed in my wildest of dreams. My kids are all grown, all employed, all homeowners…...
Source: Musings of a Dinosaur - October 3, 2014 Category: Primary Care Authors: notdeaddinosaur Tags: Family/Personal Medical Source Type: blogs

Ebola Update
Trends-in-Medicine is offering updates on Ebola, which recently has shown up inside the United States. We don’t normally cover this type of story on Policy and Medicine, but found Lynne Peterson’s articles to provide important information from the Centers for Disease Control and Prevention (CDC). CDC itself is providing daily updates as well, and we have offered some additional coverage of the latest news about Ebola’s spread into the United States. On October 2, the CDC confirmed that the first case of this strain of Ebola outside of Africa has been diagnosed, and that patient is in Dallas, Texas. The New York Times...
Source: Policy and Medicine - October 3, 2014 Category: American Health Authors: Thomas Sullivan Source Type: blogs

The other shoe
I was finally beginning to feel my old self again. Instead of making energy to do things, I had energy to do things. I could read books without falling asleep after two paragraphs. My attitude was improving. I actually cut the weeds for the first time this year, and put up that picture in my mom’s office that I promised to do back in December. I looked forward to weekends and workdays. Life began to be worth living again.More than that. I came home one night about a week ago and I was thinking that really, I was about as happy as I’d ever been in my life.So naturally the other shoe dropped.I still haven’t come to gri...
Source: LifeAfterDx--Diabetes Uncensored - October 2, 2014 Category: Endocrinology Authors: Wil Source Type: blogs

Vaccine anxiety… A teachable moment for doctors?
I’ve read and re-read Dr. Paul Offit’s WSJ opinion piece, The Anti-Vaccination Epidemic. Dr. Offit is a professor of Pediatrics at a leading hospital in the United States. He is also an author, a scientist, and a vaccine-developer. In short, he is a major physician leader. I’ll come back to that point in just a second. His piece addresses the problem of pediatric infectious disease in the United States. Context is important here. Data from the CDC show that infectious disease is not in the top-five causes of death in children. In the US, children older than one are ten times more likely die from unin...
Source: Dr John M - September 26, 2014 Category: Cardiology Authors: Dr John Source Type: blogs

Global Health Update: High Bed Occupancy Rates And Increased Mortality In Denmark
High levels of bed occupancy are associated with increased inpatient and thirty-day hospital mortality in Denmark, according to research published in the July issue of Health Affairs. Authors Flemming Madsen, Steen Ladelund, and Allan Linneberg received considerable media attention in Denmark for their research findings. For one major Television channel, it topped Germany’s victory in the World Cup finals. In another story from the Danish newspaper, Information, Councillor Ulla Astman, Chairman of the North Denmark Regional Council and second highest ranking politician, who runs all of the Danish public hospitals, report...
Source: Health Affairs Blog - September 24, 2014 Category: Health Management Authors: Tracy Gnadinger Tags: All Categories Global Health Hospitals Research Source Type: blogs

Healthcare Update Satellite — 09-15-2014
This study should be required reading in every emergency medicine residency in this country. In fact, the concepts in the studies should be tested on the emergency medicine board exams. Now if the study only compared the type of a patient’s insurance with the likelihood of emergency department recidivism. How else can the media try to tarnish this guy’s reputation? The doctor who oversaw Joan Rivers’ fatal endoscopy was once *sued* 10 years ago. Gasp. The former patient’s attorneys are really trying to create their 15 minutes of fame. They alleged that 10 years ago the patient received no informed ...
Source: WhiteCoat's Call Room - September 15, 2014 Category: Emergency Medicine Authors: WhiteCoat Tags: Healthcare Update Source Type: blogs

Ebola in the United States: A reason not to panic
If an ill patient, who unexpectedly has Ebola, landed in Memphis, it is likely that my partner or I would see him. We work as infectious disease doctors at the hospital closest to the airport. The Ebola patient would present with fever, nausea and vomiting, indistinguishable from a flu or a viral illness that hundreds of patients present with each day at our hospitals. But over a few days of the illness, the Ebola virus would take a devastating toll on my patient’s body. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - September 3, 2014 Category: Journals (General) Authors: Tags: Conditions Infectious disease Source Type: blogs

Integrity In Retail Health Care: Rethinking The Sale Of Tobacco Products
TweetRetail health care is a relatively new development in American health care.  It is true that much of the dispensing of medications has historically occurred through retail pharmacies, which sold a variety of other goods and services, but somehow that was not seen as the provision of health care.   Health care institutions, including doctors’ offices, hospitals and clinics, were the places that people went to be diagnosed and treated.  And those institutions did little other than health care; they did not, and still do not today, offer any products other than provision of care, including testing and treatment.  ...
Source: Health Affairs Blog - September 3, 2014 Category: Health Management Authors: Troyen Brennan, William Shrank, and Andrew Sussman Tags: All Categories Business of Health Care Consumers Health Care Delivery Pharma Policy Public Health Science and Health Substance Abuse Source Type: blogs

Promoting Health, Science, and Public Trust through Laboratory Safety
As you may know from recent news reports, there have been lapses in safety practices at federal laboratories involving potentially lethal microbes such as avian flu (H5N1) and anthrax, including an incident involving discovery of 60-year old smallpox vials in an FDA laboratory building located on the National Institutes of Health (NIH) campus in Bethesda, MD. Such lapses, which undermine public confidence in biomedical research and could put people’s health at risk, remind us of the need for constant attention to biosafety standards. Scientists can never become complacent in routine safety practices—one mistake could h...
Source: NIH Extramural Nexus: Rock Talk Blog - August 27, 2014 Category: Research Authors: Sally Rockey, Francis Collins, Lawrence Tabak, and Amy Patterson Tags: Rock Talk biosecurity General Source Type: blogs

In-flew-enza
Wow, here's the story of how the great flu epidemic of 1918 started in Boston:One this day in 1918, two sailors housed at Boston's Commonwealth Pier reported to sickbay. The men were the first Americans stricken with a strain of influenza that would prove far more dangerous than the German army. By the end of the week, 100 new cases a day were being reported among the sailors at the pier. The disease spread with terrifying speed through both the military and civilian populations. In the next 24 weeks, the epidemic would affect more than 25,000,000 Americans. More than 675,000 would not survive the illness. The flu would ta...
Source: Running a hospital - August 27, 2014 Category: Health Managers Source Type: blogs

Building a Better Mortality Prediction Rule
You will often hear the lament from people within and outside of the hospice and palliative care fields, that doctors are pretty bad at making effective prognostication. Patients and families frequently search for a predictable road map to understand the course they are likely on, and even when they cede the understandable uncertainty to the physician, the doctors will often reply with an unhelpful retorts like, “I don’t know what may happen. There is only one person who does.” I doubt all of those physicians are referring to Dr. Mark Cowen, but they may want to take notice of what he and his colleagues at St. Joseph...
Source: Pallimed: A Hospice and Palliative Medicine Blog - August 22, 2014 Category: Palliative Carer Workers Authors: Christian Sinclair Source Type: blogs

Delete Blood Cancer: What You May Not Know About Bone Marrow Donation
We all know about blood drives and the importance of blood and platelet donations to save lives. And millions of people are registered organ donors (usually when they get their driver’s license). But did you know that there is another renewable, life-saving resource you could give?  It’s your blood stem cells/bone marrow. Only 11 million Americans are registered with the National Marrow Donor Program to help save lives if their blood stem cells match a person fighting any one of 70 blood cancers and diseases. Each year, nearly 20,000 people are in need of blood stem cell/bone marrow transplants as their last hope for ...
Source: Disruptive Women in Health Care - July 22, 2014 Category: Consumer Health News Authors: DW Staff Tags: Access Advocacy Cancer Consumer Health Care Patients Publc Health Source Type: blogs