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Total 22 results found since Jan 2013.

Warning about Ketamine in the American Journal of Psychiatry
The dissociative anesthetic and ravey club drug ketamine has been hailed as a possible “miracle” cure for depression. In contrast to the delayed action of standard antidepressants such as SSRIs, the uplifting effects of Special K are noticeable within an hour. “Experimental Medication Kicks Depression in Hours Instead of Weeks,” says the National Institute of Mental Health. NIMH has been bullish on ketamine for years now. Prominent researchers Duman and Aghajanian called it the “the most important discovery in half a century” in a recent Science review.But in 2010, I pondered whether this use of ketamine...
Source: The Neurocritic - March 5, 2014 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs

An open letter to Psychological Medicine, again!
In conclusion, noted Wilshire et al., “the claim that patients can recover as a result of CBT and GET is not justified by the data, and is highly misleading to clinicians and patients considering these treatments.” In short, the PACE trial had null results for recovery, according to the protocol definition selected by the authors themselves. Besides the inflated recovery results reported in Psychological Medicine, the study suffered from a host of other problems, including the following: *In a paradox, the revised recovery thresholds for physical function and fatigue–two of the four recovery measures–were so lax ...
Source: virology blog - March 23, 2017 Category: Virology Authors: Vincent Racaniello Tags: Commentary Information adaptive pacing therapy CFS chronic fatigue syndrome clinical trial cognitive behavior therapy Dave Tuller exercise graded exercise therapy mecfs myalgic encephalomyelitis outcome PACE trial recovery Source Type: blogs

Veinplicity Makes Veins Fatter for Easier Access (Interview)
Venous access is famously difficult in many patients, and devices have been developed in the past to make veins easier to see. Seeing narrow veins doesn’t make it much easier to get inside of them, but the Veinplicity device from Physeon, a Sw...
Source: Medgadget - October 30, 2018 Category: Medical Devices Authors: Editors Tags: Anesthesiology Emergency Medicine Exclusive Pediatrics Source Type: blogs

The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
The objective most consistent with recent operations is to conquer Luhansk, Donetsk, and Kherson, with a view to their eventual annexation and Russification. But not only are they some way from achieving that (w ith much of Donetsk still in Ukrainian hands and the Russia position in Kherson highly contested) it would also require an explicit Ukrainian surrender for it to serve as the basis for a declaration of victory. That will not be forthcoming.-----https://www.afr.com/world/europe/how-britain-giggled-its-way-into-crisis-20220710-p5b0giHow Britain giggled its way into crisisBoris Johnson has exposed the costs of Britain...
Source: Australian Health Information Technology - July 21, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Acupuncture is a theatrical placebo: the end of a myth
Conclusions It is clear from meta-analyses that results of acupuncture trials are variable and inconsistent, even for single conditions.  After thousands of trials of acupuncture, and hundreds of systematic reviews (Ernst et al., 2011), arguments continue unabated.  In 2011, Pain carried an editorial which summed up the present situation well. “Is there really any need for more studies? Ernst et al. (2011) point out that the positive studies conclude that acupuncture relieves pain in some conditions but not in other very similar conditions. What would you think if a new pain pill was shown to relieve muscu...
Source: DC's goodscience - May 30, 2013 Category: Professors and Educators Authors: David Colquhoun Tags: Academia acupuncture badscience Bait and switch quackademia CAM quackery Source Type: blogs

Back into hte soup
Here in the Eastern Mass area we're back into the soup, yet another hot HOT, steamy heat wave. It's too hot to think, let alone do anything as strenuous as typing. Speaking of typing one reason I hardly write much any more is I have developed a form of dyslexia over the past few years. The doctor said it might be due to side effects from medication or a complication of the degenerative neurological condition I have. It all started over 20 years ago after a spinal injury. It could also be due in part to medication side effects or damage done during surgery when I was under general anesthesia on 3 separate occasions. Whateve...
Source: Nightmare Hall - Welcome to my nightmare - June 24, 2013 Category: HIV AIDS Source Type: blogs

Kat Bit Her Tongue
Kids jump and fall and run and climb and play – and it’s not unusual for me to get called when one of their tongues happens to be in the wrong place at the wrong time, caught between chomping teeth. Ouch! A tongue bite can bleed a lot and look terrible, but still heal on its own fast – or it may need emergency repair.     Things to Consider The rich blood supply to the tongue enables it’s activity and rapid healing when damaged. Certain bites are most likely to need stitches: Goes through tongue from the top to the bottom Rips an edge of the tongue Splits the front of the tongue Gash longer than 1 cm Mis...
Source: Conversations with Dr Greene - May 20, 2013 Category: Pediatricians Authors: Dr. Alan Greene Tags: Dr. Greene's Blog Toddler Fun & Play Toddler Health & Safety Tongue Source Type: blogs

The RUC. "an Independent Group of Physicians?" - But It Includes Executives and Board Members of For-Profit Health Care Corporations and Large Hospital Systems
Introduction We just discussed how a major story in Politico has once again drawn attention to the opaque RUC (Resource Based Relative Value System Update Committee) and its important role in determining what physicians are paid for different kinds of services, and hence the incentives that have helped make the US health care system so procedurally oriented.  (See the end of our last post for a summary of the complex issues that swirl around the RUC.)The Politico article covered most of the bases, but notably omitted how the RUC may be tied to various large health care organizations, especially for-profit, and how the...
Source: Health Care Renewal - August 28, 2014 Category: Health Management Tags: AMA boards of directors conflicts of interest health care prices healthcare executive hospital systems perverse incentives regulatory capture RUC Source Type: blogs

An open letter to The Lancet, again
On November 13th, five colleagues and I released an open letter to The Lancet and editor Richard Horton about the PACE trial, which the journal published in 2011. The study’s reported findings–that cognitive behavior therapy and graded exercise therapy are effective treatments for chronic fatigue syndrome–have had enormous influence on clinical guidelines for the illness. Last October, Virology Blog published David Tuller’s investigative report on the PACE study’s indefensible methodological lapses. Citing these problems, we noted in the letter that “such flaws have no place in publis...
Source: virology blog - February 11, 2016 Category: Virology Authors: Vincent Racaniello Tags: Information chronic fatigue syndrome Lancet mecfs myalgic encephalomyelitis PACE request for data Richard Horton vexations Source Type: blogs

Once Again, Lancet Stumbles on PACE
This report outlines such egregious failings as outcome thresholds that overlapped with entry criteria, mid-trial promotion of the therapies under investigation, failure to provide the original results as outlined in the protocol, failure to adhere to a specific promise in the protocol to inform participants about the investigators’ conflicts of interest, and other serious lapses. Virology Blog first posted the open letter in November, with six signatories (link to letter). At that time, Dr. Horton’s office responded that he would reply after returning from “traveling.” Three months later, we still...
Source: virology blog - August 29, 2016 Category: Virology Authors: Vincent Racaniello Tags: Commentary adaptive pacing therapy chronic fatigue syndrome cognitive behavior therapy graded exercise therapy mecfs myalgic encephalomyelitis PACE trial specialist medical care The Lancet Source Type: blogs

Five Lessons From 30 Years Of Bundled Payments
In recent years, large employers, physician groups, and commercial and governmental payers have been increasingly interested in the use of episode-based bundled payments as a mechanism to promote high-quality health care and smarter spending. A “bundled payment” occurs when a payer provides reimbursement to providers for a full range of care, rather than paying individual bills for parts of that care such as the surgery, physician fees, and post-acute care. The Comprehensive Care for Joint Replacement model and the recently announced acute myocardial infarction and coronary artery bypass graft bundled payment programs ...
Source: Health Affairs Blog - October 3, 2016 Category: Health Management Authors: Alan L. Kaplan, Chad Ellimoottil and J. Thomas Rosenthal Tags: Costs and Spending Featured Organization and Delivery Payment Policy Alternative Payment Models Bundled Payments California Comprehensive Care for Joint Replacement model Source Type: blogs

An open letter to Psychological Medicine about “ recovery ” and the PACE trial
In conclusion, noted Wilshire et al., “the claim that patients can recover as a result of CBT and GET is not justified by the data, and is highly misleading to clinicians and patients considering these treatments.” In short, the PACE trial had null results for recovery, according to the protocol definition selected by the authors themselves. Besides the inflated recovery results reported in Psychological Medicine, the study suffered from a host of other problems, including the following: *In a paradox, the revised recovery thresholds for physical function and fatigue–two of the four recovery measures–were...
Source: virology blog - March 13, 2017 Category: Virology Authors: Vincent Racaniello Tags: Commentary Information adaptive pacing therapy CFS chronic fatigue syndrome clinical trial cognitive behavior therapy Dave Tuller exercise graded exercise therapy mecfs myalgic encephalomyelitis outcome PACE trial recovery Source Type: blogs

Kat Bit Her Tongue
Kids jump and fall and run and climb and play – and it’s not unusual for me to get called when one of their tongues happens to be in the wrong place at the wrong time, caught between chomping teeth. Ouch! A tongue bite can bleed a lot and look terrible, but still heal on its own fast – or it may need emergency repair.     Things to Consider The rich blood supply to the tongue enables it’s activity and rapid healing when damaged. Certain bites are most likely to need stitches: Goes through tongue from the top to the bottom Rips an edge of the tongue Splits the front of the tongue Gash longer than 1 cm Mis...
Source: Conversations with Dr Greene - May 20, 2013 Category: Child Development Authors: Dr. Alan Greene Tags: Dr. Greene's Blog Toddler Fun & Play Toddler Health & Safety Tongue Source Type: blogs

Garlic Oil for Ear Infection Pain
In this study of about 100 children, the herbal drops worked as well as the prescription drops. This is great news, except the study is from July 2001 and Otikon Otic Solution is no longer available, or at least not in the United States. From my perspective, eardrops of some type should play a large role in the management of ear infections. My favorite would be to use garlic oil for ear infections, in a potent high-quality extra virgin olive oil as a base. They would include mullein and other key organic and wild foraged herbs. Many ear infections can be safely managed without antibiotics if children are given pain relie...
Source: Conversations with Dr Greene - January 14, 2019 Category: Child Development Authors: Dr. Alan Greene Tags: Dr. Greene's Blog Bambini Ear Infections Garlic Oil Remedies Source Type: blogs

First Kicks by Dr. Greene: Track Your Baby ’ s Development During Pregnancy, by Week
Sign-up here for a set of week-by-week newsletters so you can follow your baby’s development from now until the beautiful moment of birth. Get Dr. Greene's Pregnancy Newsletter Sign up for Dr. Greene's FREE week-by-week newsletter, timed to your pregnancy to keep you up to date on every stage of your baby's development. Success! Now check your email to confirm your subscription. There was an error submitting your subscription. Please try again. First Name Your baby's due date? ...
Source: Conversations with Dr Greene - May 2, 2017 Category: Child Development Authors: DrGreene Team Tags: Uncategorized Source Type: blogs