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Total 170 results found since Jan 2013.

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

Drinking diarrhea to save lives
If it weren’t for the coming together of people from all over the globe, the influenza pandemic of 1918, also known as the Spanish Flu, would not have had the devastating effect that it did. It is estimated that at one point this deadly strain infected one out of every five people on earth and ended up claiming the lives of approximately fifty million people (in comparison, nine million combatants and seven million civilians died during the First World War). 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 - March 30, 2015 Category: Journals (General) Authors: Tags: Conditions Infectious disease Source Type: blogs

Where does the doctor stop and computer begin? 
Where does doctor stop and computer begin? Who is in charge? Do we care? Are these silly, academic questions from some sci-fi future or is it an onrushing tomorrow? Consider: Ten years ago, the EMR recorded the date you or your nurse gave Sam his flu shot. Today, the EMR reminds you it is time to have your nurse give Sam his flu shot. Soon, the EMR will order the flu shot that the nurse will give to Sam. Tomorrow, the EMR will instruct Sam when and how to administer his flu shot. This is an exciting, natural and disturbing progression. Continue reading ... Your patients are rating you online: How to respond. Man...
Source: Kevin, M.D. - Medical Weblog - March 26, 2015 Category: Journals (General) Authors: Tags: Tech Health IT Source Type: blogs

The sense of superiority by those who are pro-vaccine
Thanks to the measles outbreak, the news is full of stories on vaccines and anti-vaxxers. The blogosphere and Twitterverse and all the other social media dimensions are buzzing with invective against ignorant unvaccinated savages and their backward science denial. For the record, I’m a pro-vaccine physician. My children have been and are vaccinated, despite being unsocialized homeschoolers. I’ve had my own share of needles; Physicians are mandated to have hepatitis B, influenza, and all the other standards. As a former Air Force officer, I also enjoyed the singular delights of typhoid and yellow fever immunization (alt...
Source: Kevin, M.D. - Medical Weblog - March 19, 2015 Category: Journals (General) Authors: Tags: Physician Pediatrics Source Type: blogs

With vaccines, pediatricians walk a thin line
It’s 2015, and we’re talking about measles. Not Enterovirus. Not Ebola. Not RSV. Not influenza. Instead, we’re talking about a historical virus that was declared eradicated from the United States in 2000. Most pediatricians who began practicing within the last 15 years have never even seen the disease. 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 - March 11, 2015 Category: Journals (General) Authors: Tags: Physician Infectious disease Pediatrics Source Type: blogs

Top stories in health and medicine, March 5, 2015
From MedPage Today: Flu Vaccine: A Matter of Time. The flu vaccine was about 23% effective this season. Supreme Court Spars With Both Sides in Subsidies Case. The Supreme Court pummeled both sides with questions during Wednesday’s oral arguments over the fate of the subsidies granted to people enrolling in health insurance through federally run insurance exchanges. Combo Regimens Active in Advanced Kidney Cancer. A fourth of patients with advanced clear-cell renal cell carcinoma (RCC) responded to treatment that simultaneously targeted two pathways involved in the disease’s pathogenesis. AAMC: Big $$ Needed t...
Source: Kevin, M.D. - Medical Weblog - March 5, 2015 Category: Journals (General) Authors: Tags: News Cancer Infectious disease Nephrology Source Type: blogs

We have the power to prevent disease. But we’re not using it.
We all know them. We see them on TV. We read about them in the paper. And, with the explosion of social media, you hear about it from people you know. If you have a Facebook account with a sizable enough network of friends, you’ve probably seen at least one negative comment about vaccines. On one end of the spectrum, there are the seemingly innocent people who claim that they don’t get a flu shot because every time they’ve gotten one in the past it has made them sick. On the other end, there are the more conspiracy-prone “anti-vaxxers” who believe that vaccines harm — for example, causing autism — rat...
Source: Kevin, M.D. - Medical Weblog - February 22, 2015 Category: Journals (General) Authors: Tags: Conditions Infectious disease Pediatrics Source Type: blogs

Does Tamiflu work and what are the side effects?
The flu season has really gotten into gear now with 46 of our 50 states reporting widespread influenza activity as of January 3, 2015. Influenza is a virus that infects the respiratory tract, causing sore throat, runny nose, fever, and cough. Rarely people with the flu will have nausea, vomiting and diarrhea, but this is not “stomach flu” which is a term some of us use to describe any one of a number of viruses that give us intestinal symptoms. Influenza is the one where you hurt all over, you have a high fever and cold symptoms, then you start coughing and you can barely get out of bed for days. Sometimes it&#...
Source: Kevin, M.D. - Medical Weblog - February 20, 2015 Category: Journals (General) Authors: Tags: Meds Infectious disease Source Type: blogs

Should we give more Tamiflu for influenza? A look at the evidence.
As the Centers for Disease Control and Prevention (CDC) reported that people who received this season’s influenza vaccine were only 23 percent less likely to be diagnosed with influenza than unvaccinated persons, CDC director Tom Frieden was publicly urging high-risk patients and their physicians to use antiviral medications to prevent complications and disease transmission: People who are sick with flu, if they’re very sick in the hospital or if they have underlying, chronic medical conditions, like asthma, diabetes, heart disease, women who are pregnant, children under two and people over the age of 65 ...
Source: Kevin, M.D. - Medical Weblog - February 18, 2015 Category: Journals (General) Authors: Tags: Meds Infectious disease Medications Source Type: blogs

A doctor’s first-hand account of the flu
Even I am not immune to influenza. In Northeastern Ohio, there have been more hospitalizations and school closings this year from influenza. And, let me tell you, as a family physician who also sees patients in the hospital and the office, we have seen a lot more respiratory illnesses versus last year. No, I’m not one of those Dr. Oz hypocrites who skip the influenza vaccine. We already know the credibility of what Dr. Oz says. I received my quadrivalent influenza vaccine back in October. But, as been covered in the news, this year’s flu shot is less effective because of virus mutation. Continue reading...
Source: Kevin, M.D. - Medical Weblog - February 4, 2015 Category: Journals (General) Authors: Tags: Conditions Infectious disease Source Type: blogs

Why getting your yearly flu shot matters, even if it’s not 100 percent effective
There’s been a lot in the press lately about the flu shot not being effective this year. This provides an excellent opportunity to educate about what the flu vaccine is and why it is important. First, a review of basic biology and immunology. Antigens are proteins on the surface of organisms that trigger an immune response. Recognition of these antigens is how your body responds to infection. If your immune system has seen these antigens before, you will have antibodies against those antigens, and then you will have a better and more robust response to that infection. This could mean that your body fights off the inf...
Source: Kevin, M.D. - Medical Weblog - February 2, 2015 Category: Journals (General) Authors: Tags: Meds Infectious disease Source Type: blogs

The marriage between technology and medicine: An interview with John Halamka
Of the nearly 100 people I interviewed for my upcoming book, John Halmaka was one of the most fascinating. Halamka is CIO of Beth Israel Deaconess Medical Center and a national leader in health IT policy. He also runs a family farm, on which he raises ducks, alpacas and llamas. His penchant for black mock turtlenecks, along with his brilliance and quirkiness, raise inevitable comparisons to Steve Jobs. I interviewed him in Boston on August 12, 2014. *** Our conversation was very wide ranging, but I was particularly struck by what Halamka had to say about federal privacy regulations and HIPAA and their impact on his job...
Source: Kevin, M.D. - Medical Weblog - January 22, 2015 Category: Journals (General) Authors: Tags: Tech Emergency Health IT Mobile health Source Type: blogs

The strain of the influenza epidemic on emergency departments
Influenza has arrived refusing to be ignored or be the ugly step-virus to Ebola any longer. This influenza season is officially an epidemic. The Washington Post’s Wonkblog reported earlier this month that December 2014 was “one of the worst flu months in years.”  In fact, they found that it was “the worst December since the polling organization started tracking flu season in 2008.” 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 - January 19, 2015 Category: Journals (General) Authors: Tags: Conditions Emergency Infectious disease Source Type: blogs

Top stories in health and medicine, January 16, 2015
From MedPage Today: Current Flu Vaccine Half as Effective as Previous Years. People receiving this year’s seasonal influenza vaccine are 23% less likely to seek medical treatment for flu-type symptoms relative to unvaccinated individuals, according to an interim CDC estimate based on reports submitted so far for the current season. New Board Offers New Recert Route. The American Board of Medical Specialties (ABMS) has competition for the board recertification process: the newly established National Board of Physicians and Surgeons (NBPAS). Post TIA Microbleed Signals Recurrent Risk. The presence of cerebral microbl...
Source: Kevin, M.D. - Medical Weblog - January 16, 2015 Category: Journals (General) Authors: Tags: News Cancer Infectious disease Neurology Source Type: blogs

Scared of the flu vaccine? Let’s see what’s really inside it.
Dangerous ingredients, like toxins, antifreeze, and mercury, are touted by many as reasons to decline vaccination against influenza. However, toxin is an inaccurate term regarding vaccines (a toxin is a poisonous substance made by cells or organisms and is definitely not in any vaccine), mercury is a non-issue (see below), and there is no antifreeze in vaccines (although some contain propylene glycol, while technically this can be used as antifreeze it is also used in lots of processed foods and baked goods and medications and is most definitely not the antifreeze you buy at the auto parts store). Continue reading ... Yo...
Source: Kevin, M.D. - Medical Weblog - January 15, 2015 Category: Journals (General) Authors: Tags: Meds Infectious disease Source Type: blogs