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A Health Plan CEO Daydreams
By MICHEL ACCAD, MD Jim was at his desk, looking weary. The last few weeks had been brutal.  Despite working twelve-hour days, he felt that he had little to show for it.  His annual board meeting was to take place the next day, and he expected it to be tense. With a replacement bill for the ACA about to be voted on, and with Trump in the White House, the situation seemed particularly precarious.  The board members had asked him to present a contingency plan, in case things in DC didn’t go well. As CEO of a major health insurance company, Jim was well aware that business as usual had become unsustainable in his l...
Source: The Health Care Blog - May 4, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized AHCA health reform MICHEL ACCAD repeal and replace Source Type: blogs

The 3 Tesla Prisma Promises Benefits Unmatched by Other MRIs
New super charged MRI technology is being implemented in London hospitals that could expedite scanning and treatment for diseases in the heart and brain. The 3 Tesla Prisma, scheduled to be operational next month, is turbo charged with supplementary Siemens software that will enhance MRI processing power. According to theExpress, the 3 Tesla Prisma can produce scans for around 6,000 patients a year.Tesla (T) is not only the name of a self-driving car, it ’s also a unit of measurement calculating the strength of a magnetic field. This cutting-edge MRI is financed by the Queen Square Enterprises (QSE) and the University Co...
Source: radRounds - April 22, 2017 Category: Radiology Authors: Julie Morse Source Type: blogs

How useful is a cardiac calcium CT scan?
Being a radiologist, I rarely speak to patients, but I was asked to counsel Mrs. Patel (not her real name), who was worried about the risks of radiation from cardiac calcium CT scan. Because of her risk factors for atherosclerosis, her cardiologist wanted her to take statins for primary prevention, but she was reluctant to start statins. They eventually reached a truce. If she had even a speck of calcium in her coronary arteries, she would take statins. If her calcium score was zero, she wouldn’t. This type of shared decision making is the most frequent reason why cardiologists order calcium scans at my institution. A ca...
Source: Kevin, M.D. - Medical Weblog - April 19, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/dr-saurabh-jha" rel="tag" > Dr. Saurabh Jha < /a > Tags: Conditions Radiology Source Type: blogs

Small Clots on Replacement Aortic Valves Deserve Attention
This study, like all good studies, raises many questions for future study. I look forward to learning more about this issue. This discovery also highlights the challenge of making progress in cardiology. It’s hard work. I may be wrong, but it’s likely we are in a period of slow incremental progress. JMM Related posts: Possible clot issue on replacement aortic valves slows momentum of TAVR Why shouldn’t Cardiology lead the way in shared decsion-making? The top three Cardiology stories of 2010…and three predictions for 2011
Source: Dr John M - April 6, 2017 Category: Cardiology Authors: Dr John Source Type: blogs

Who Won When the ACA Failed?
By ANISH KOKA, MD You may have heard that repealing and replacing Obamacare recently failed.  The analysis of what went wrong comes from many corners.  Andy Slavitt, former insurance executive and most recent director of CMS, writes that the ‘failure of Trumpcare can be seen as a rejection of policies that Americans judged would move the country backward.’  Apparently, the theory goes, moderate republicans, especially in states that expanded heavily and rely on Obamacare Medicaid expansion, were skittish of a repeal and replace plan that endangered the healthcare of millions of constituents.  The conservative Davi...
Source: The Health Care Blog - April 3, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Anish Koka repeal and replace Town Hall Source Type: blogs

Calcium Scan and Subtractive Medicine
By SAURABH JHA MD Being a radiologist, I rarely speak to patients, but I was asked to counsel Mrs. Patel (not her real name, so calm down HIPAA totalitarians), who was worried about the risks of radiation from cardiac calcium CT scan. Because of her risk factors for atherosclerosis, her cardiologist wanted her to take statins for primary prevention, but she was reluctant to start statins. They eventually reached a truce. If she had even a speck of calcium in her coronary arteries she would take statins. If her calcium score was zero she wouldn’t. This type of shared decision making is the most frequent reason why cardiol...
Source: The Health Care Blog - April 3, 2017 Category: Consumer Health News Authors: at RogueRad Tags: Patients Small Practice Source Type: blogs

HAART 300 Aortic Annuloplasty Device Cleared by FDA to Repair Aortic Valves
BioStable Science & Engineering, a company based in Austin, Texas, won FDA clearance for its HAART 300 Aortic Annuloplasty Device. Having received the CE Mark clearance last year, the company has already begun distributing the device in a few sp...
Source: Medgadget - March 24, 2017 Category: Medical Equipment Authors: Editors Tags: Cardiac Surgery Cardiology Source Type: blogs

BIOTRONIK Releases New Line of MR-Conditional Pacemakers, CRT-Ps
BIOTRONIK is releasing a new line of MR-conditional pacemakers, the smallest the company has produced, and new quadripolar cardiac resynchronization therapy pacemakers (CRT-P). The Edora devices allow patients to receive MRI exams, as long as certa...
Source: Medgadget - March 23, 2017 Category: Medical Equipment Authors: Editors Tags: Cardiology Radiology Source Type: blogs

Can you virtually improve your knee pain?
Follow me on Twitter @RobShmerling If you’ve ever had significant or persistent knee pain, you know it can be a major problem. Climbing stairs or just walking around can be agony, and trying to exercise on a bad knee can be impossible. For people with severe osteoarthritis of the knee — the type most closely linked with aging or prior injury — knee pain may be unrelenting and often worsens over time, causing disability and reduced quality of life. Osteoarthritis is also expensive: we spend billions of dollars taking care of this condition each year in the U.S. The prevalence of osteoarthritis and the costs of caring ...
Source: Harvard Health Blog - March 20, 2017 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Arthritis Health Managing your health care Pain Management Source Type: blogs

ARTIS pheno, Siemens ’ New Flagship Angiography C-arm Cleared by FDA
Siemens won FDA clearance for its new ARTIS pheno robotic angiography C-arm. The system is essentially an upgraded version of the company’s Artis zeego (even the capitalization of the name has changed), sporting a zen40HDR flat panel detecto...
Source: Medgadget - March 17, 2017 Category: Medical Equipment Authors: Editors Tags: Cardiology Critical Care Emergency Medicine Pediatrics Radiology Surgery Vascular Surgery Source Type: blogs

FDA Cleared: Medtronic ’s Reveal LINQ Insertable Cardiac Monitor with TruRhythm Detection
Medtronic won FDA clearance for its Reveal LINQ Insertable Cardiac Monitor with TruRhythm Detection. The device is used to spot and analyze difficult to diagnose arrhythmias over periods as long as three years. It is an upgrade of the original Revea...
Source: Medgadget - March 14, 2017 Category: Medical Equipment Authors: Editors Tags: Cardiology Medicine Source Type: blogs

Undoctored: Giving back control over individual health
The new Undoctored book is scheduled for release this coming May 9th, 2017, a book that shows how you can be freed from the bonds of a predatory, profit-seeking healthcare system.  Here’s a bit more from the book, now available in pre-release.   Undoctored: An excerpt Unquestionably, there are situations in which doctoring and the healthcare system are needed. If you are bleeding, injured, or struggling to breathe with pneumonia, some old-fashioned suturing, bone-setting, or antibiotics can still do the trick. Nobody around here is going to replace their own hip joint or treat a urinary tract infection with sal...
Source: Wheat Belly Blog - March 12, 2017 Category: Cardiology Authors: Dr. Davis Tags: Wheat-Free Lifestyle autoimmune diabetes gluten grains hypertension Inflammation metabolic undoctored Weight Loss wheat belly Source Type: blogs

Clarius Wireless, Handheld Ultrasounds Cleared in Europe
Clarius, a company based in British Columbia, Canada, received European CE Mark approval for its wireless C3 and L7 ultrasound scanners. These devices are highly portable, battery powered, and use an Android or iOS smartphone or tablet for displayin...
Source: Medgadget - February 21, 2017 Category: Medical Equipment Authors: Editors Tags: Anesthesiology Cardiology Critical Care Emergency Medicine Military Medicine Ob/Gyn Pediatrics Radiology Sports Medicine Surgery Urology Vascular Surgery Source Type: blogs

A Million Jobs in Healthcare ’ s Future
By PRAVEEN SUTHRUM “The Future is Here. It’s Just Not Evenly Distributed.” It’s true. Science fiction writer William Gibson said that right. We simply have to look around enough – now – to find out what the future holds. The future may never be evenly distributed. But it’s surely becoming the present faster. What would you do when… Here are a series of what-would-you-do-when questions to think about. Each of these are a reality today, somewhere. There’s more medical data than insight Kaiser Permanente presently manages 30 petabytes of data. Images. Lab tests. EHRs. Pat...
Source: The Health Care Blog - February 21, 2017 Category: Consumer Health News Authors: John Irvine Tags: Tech Uncategorized Source Type: blogs

Gaming the System
This post was originally published by  The Health Care Blog  on February 11.  As physicians ready themselves for the future of medicine under onerous MACRA regulations, it seems appropriate to glance into the future and visualize the medical utopia anticipated by so many.  Value-based care, determined by statistical analysis, is going to replace fee for service. Six months ago, I received my first set of statistics from a state Medicaid plan and was told my ER utilization numbers were on the higher end compared to most practices in the region.  This was perplexing as my patients tend to avoid ER visits at all cost...
Source: Disruptive Women in Health Care - February 15, 2017 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Medicaid Source Type: blogs