Filtered By:
Therapy: Palliative

This page shows you your search results in order of date. This is page number 4.

Order by Relevance | Date

Total 84 results found since Jan 2013.

DM / DNB Cardiology Entrance Mock Test 7
Please wait while the activity loads. If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled. If loading fails, click here to try again Click on the 'Start' button to begin the mock test. After answering all questions, click on the 'Get Results' button to display your score and the explanations. There is no time limit for this mock test. Start Congratulations - you have completed DM / DNB Cardiology Entrance Mock Test 7. You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rate...
Source: Cardiophile MD - January 23, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs

Truncus arteriosus
is a cyanotic congenital heart disease in which one single great vessel with a single semilunar valve gives rise to the aorta, pulmonary arteries and the coronary arteries. There are three morphological types depending on the origin of pulmonary arteries from the truncus. In type I, a common pulmonary trunk arises from the truncus arteriosus and divides into left and right pulmonary arteries. In type II, the two pulmonary arteries arises separately, but adjacent to each other, from the truncus. In type III, the two pulmonary arteries arise separately from either side of the truncus. The older classification had a type IV ...
Source: Cardiophile MD - December 3, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: ECG / Electrophysiology General Cardiology Source Type: blogs

Right Care Action Week — rational care
I wrote yesterday about how a broken healthcare system favors overuse of procedures. Today I will discuss rational care. Remember the goals of the Lown Institute: We think healthcare should be affordable, effective, rational and available to all. Rational means in accordance with reason or logic. Hardly a day goes by that I don’t see irrational care. Why it happens is complicated. Patients may expect irrational care. Doctors and nurses can get pushed into delivering it. Then, insidiously, unreasonable and illogical care become normal; and rational care stands out as an outlier. Some examples: It’s not rational ...
Source: Dr John M - October 19, 2015 Category: Cardiology Authors: Dr John Source Type: blogs

Cambridge University Hospitals Trust IT Failures: An Open Letter to Queen Elizabeth II on Repeated EHR Failures, Even After £12.7bn Wasted in Failed NHS National IT Programme
In conclusion, Your Highness, it might benefit your citizens (and those of the U.S.) if a national re-education programme were instituted to de-condition your leaders from unfettered belief in cybernetic miracles in medicine, a mental state they attain in large part due to mass EHR vendor and pundit propaganda.A more sober mindset is recommended by your subject Shaun Goldfinch in "Pessimism, Computer Failure, and Information Systems Development in the Public Sector" (Public Administration Review 67;5:917-929, Sept/Oct. 2007, then at the University of Otago, New Zealand):  The majority of information systems developmen...
Source: Health Care Renewal - September 24, 2015 Category: Health Management Tags: Addenbrooke Hospital Cambridge University Hospitals healthcare IT dangers healthcare IT risks Mismanagement NPfIT Patient care has not been compromised Rosie hospital Source Type: blogs

A More Cohesive Home: Integrating Primary And Palliative Care For Seriously Ill Patients
Treatment for Mr. M’s advanced heart failure was no longer extending or improving his life. He was becoming increasingly short of breath and confused -and hospital stays provided only short-term relief. Mr. M’s cardiologist contacted Dr. P, his long-time primary care physician, to initiate a discussion about his goals of care. Dr. P met with Mr. M and his family at their home. Mr. M was adamant that he would rather spend time with his family than go to the hospital again. Dr. P referred Mr. M to hospice and collaborated with hospice nurses to manage his pain and breathlessness. Mr. M later died peacefully a short while...
Source: Health Affairs Blog - August 3, 2015 Category: Health Management Authors: Ravi Parikh, Anya Lepp and Russell Phillips Tags: Equity and Disparities Health Professionals Long-term Services and Supports Organization and Delivery Population Health Quality Dying in America End-of-Life Care integrated care Palliative Care patient-centered medical homes Ravi Par Source Type: blogs

Aortic Stenosis
Aortic stenosis can be congenital or acquired. Congenital aortic stenosis is often secondary to degenerative changes in a bicuspid aortic valve. Calcific aortic stenosis of the elderly is related to dyslipidemia and atherosclerosis. Rheumatic fever is an important cause for aortic stenosis in the developing countries. Rheumatic aortic valve disease is often a combination of stenosis and regurgitation. Severe aortic stenosis causes left ventricular hypertrophy and angina pectoris as a result of coronary supply demand mismatch. When a person with severe aortic stenosis exercises, syncope can occur due to the fixity of cardia...
Source: Cardiophile MD - April 23, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology Source Type: blogs

Update: Social justice of AF care, NOAC monitoring, population health and two new podcasts
Hi All, Here is a short update of the past week. The first thing to say is the Atrial Fibrillation Care: Put the Catheter (and Rx Pad) Down post has gotten a lot of attention. It stayed on the most popular list all week. It has over a 130 comments, and I have received many emails on it. It is a big moment in AF care. I would also point you to an interview I did with Dr. Prash Sanders from Adelaide. Prash is the senior researcher on the LEGACY trial. His team’s work has been most responsible for the change in thinking of AF care. The title of the post: LEGACY PI Throws Down the Gauntlet to US Physicians Is AF care fai...
Source: Dr John M - April 20, 2015 Category: Cardiology Authors: Dr John Source Type: blogs

An update on cycling and writing and video (gulp)
Hi all, Things have changed for me. I have taken on a larger role at theheart.org | Medscape Cardiology. This means I have less time for original posts here. I write and read a lot more, though. Almost every day. Writing has morphed into what cycling was: a source of contentment. It used to be that if I had a good workout, I felt good during that day. Now I get those same sensations from writing. I still exercise but its place in my self-esteem bucket is smaller. Except last Tuesday night during the local “ride,” I was dropped out of a break because of an asthma attack. That sucked. But I redeemed myself last n...
Source: Dr John M - April 8, 2015 Category: Cardiology Authors: Dr John Source Type: blogs

Writing update: Lown Institute Conference and ACC2015
Hi all, I have been busy in the last few weeks. Here is an update of my happenings and posts. From March 8-11, I attended and presented at the third annual Lown Institute Conference in San Diego. I have never felt more at home in a conference than I did at the Lown conference. Take a look at the About Us page of the Lown Institute and you will see why. Lown Institute Core Values No matter how things turn out for me in Medicine–today or tomorrow–I am happy and proud to be on the same side as Dr. Bernard Lown and his Institute. The motto of the conference was RightCare. That is perfect. Here is a link to a front ...
Source: Dr John M - March 23, 2015 Category: Cardiology Authors: Dr John Source Type: blogs

Introducing Dr. Staci Mandrola — @DrStaciM
It took me four years to convince my wife, Dr. Staci Mandrola, to join Twitter. Like many (previously) analog docs, Staci was resistant. “I don’t need another distraction,” went one of the arguments. Yet I knew if she tried Twitter, she would love the medium. If you care about a topic, if you are curious, and if you are comfortable in your own skin, Twitter works. This is why I predict Staci will do well in the digital realm. The one bad thing about @DrStaciM being online is that one of my secrets is out. All these years, I have had an advantage–sort of like cheating. How does a cardiologist know th...
Source: Dr John M - February 25, 2015 Category: Cardiology Authors: Dr John Source Type: blogs

I will host Hospice and Palliative Care Tweet Chat — #HPM
This Wednesday Feb 11th, at 9 PM EST, one day after PBS Frontline features Dr. Atul Gawande and his new book Being Mortal, I will guest host the Hospice and Palliative Care (#HPM) Tweet Chat. Dr. Christian Sinclair is a physician leader in HPM and a co-editor of Pallimed. He recently commented on my stewardship piece on theHeart.org. Christian then emailed me to ask whether I wold host #HPM chat on Twitter. I agreed because I know cardiologists could benefit from talking with hospice and palliative care pros. The good news about medical technology is that people are living longer. That is also the challenge. Cardiolog...
Source: Dr John M - February 10, 2015 Category: Cardiology Authors: Dr John Source Type: blogs

Marijuana Doctors' Lounge at Colorado Hospital is Nation's First.
Denver, CO -  Brooks Hospital holds the honor of being the first and only medical facility in the country to offer a full service marijuana physician lounge and doctors say they wouldn't have it any other way.  Shortly after Colorado legalized possession of one ounce or less of recreational marijuana, the private physician area was opened at the urging Dr. Jeffrey Potter, a Hospitalist upset with the declining diagnostic skills of his fellow colleagues.Physician smoking marijuana in doctors' lounge"I was shocked at the number of H&Ps and consult notes that had 'heart problems' or 'vision changes' as the final...
Source: The Happy Hospitalist - December 30, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Cardiology MCQ: Plastic bronchitis
Plastic bronchitis is seen after: a) ASD repair b) Arterial switch c) Fontan repair d) VSD closure Correct answer: c) Fontan repair Plastic bronchitis is characterised by marked obstruction of the large airways due to the formation of bronchial casts with rubber like consistency. Elevated central venous pressure leading to endobronchial lymph leakage is thought to be the mechanism of plastic bronchitis in post Fontan state. Plastic bronchitis can occur in those without heart disease as well. In those due to inflammatory lung disease, the casts are cellular (type I casts) while in those with underlying heart disease, the ca...
Source: Cardiophile MD - November 28, 2014 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiac Surgery Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs

Medical decisions — tradeoffs, emotions, preferences and experts
Maybe you wonder why I, a cardiologist, writes about vaccines and mammography. It is because I have grown intensely interested in the medical decision. As a doctor in a preference-sensitive field, electrophysiology, how do I help patients understand and choose the best path–of which there are many. This seems like a simple task, but with humans, it is not. Especially these days, when we choose from so many tools. Many forces play on the act of deciding on action or inaction. There is how I feel as a doctor about the risks and tradeoffs. That’s important because we influence decisions based on how we present the...
Source: Dr John M - October 24, 2014 Category: Cardiology Authors: Dr John Source Type: blogs

Physician Payments Sunshine Act: Organizations Respond to CMS
  September 2nd marked the last day for comments on CMS’ proposed rule to eliminate the accredited continuing medical education (CME) exemption from Sunshine Act reporting.  In an overwhelming display of support for the exemption, over 800 comments were submitted encouraging the agency to either maintain or expand the current exclusion. -Total comments supporting maintenance or expansion of the CME exemption:  820 -Total comments supporting elimination of the CME exemption:  approximately 20 -Percentage of comments supporting the CME exemption: 98% We have followed this issue closely, and recentl...
Source: Policy and Medicine - September 8, 2014 Category: American Health Authors: Thomas Sullivan Source Type: blogs