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Chest Pain and Inferior ST Elevation.
Conclusion:In hemodynamically stable patients with chest pain, sinus tachycardia aids in the identification of patients unlikely to have type I MI, especially in those with HR> 120 bpm.
Source: Dr. Smith's ECG Blog - June 17, 2018 Category: Cardiology Authors: Steve Smith Source Type: blogs

This physician vows not to rush
My last patient of the day was an elderly woman with metastatic lung cancer, a non-smoker who had been battling this terrible disease for more than a year. I was running thirty minutes behind. I had a packed afternoon with difficult cases and patients who required more of my time and care. I peeked into her room, said hello and apologized for running late. Ms. B.  greeted me with her kind, gentle smile as she always did and said, “I am not in a rush; take your time Dr. T.” “Take your time.” Her words rang through my mind as I completed the visit with the patient before her and stayed with me through the rest of my...
Source: Kevin, M.D. - Medical Weblog - June 12, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/kristine-tatosyan-jones" rel="tag" > Kristine Tatosyan-Jones, MD < /a > Tags: Physician Primary Care Source Type: blogs

7 Easy Sleeping Tips to Prevent Sleep Problem
You're reading 7 Easy Sleeping Tips to Prevent Sleep Problem, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles. We all know how important the sleep is! Sleep is one of the principals for having a better life. Proper sleep helps us a lot to keep our body healthy and the mind calm. But you know what, about one-third of the total world’s population has sleep problems. There are a lot of reasons behind sleep problem. As the sleep has a deep relation to our lifestyle, it’s really important to have at least 5-8 hours sleep a ...
Source: PickTheBrain | Motivation and Self Improvement - June 12, 2018 Category: Consumer Health News Authors: Harris Tags: health and fitness balanced diet good mattress sleep problem Source Type: blogs

Cross-coverage has made me aware of the art in medicine
Perhaps one of the hardest things about medicine is cross-coverage, that is, to be the covering doctor for your partners, whether for the occasional night, weekend, or longer. It’s not something done only in oncology. All specialties in medicine have this system, which allows us to have lives outside of our hospitals and clinics. What’s hard about it, for me, is not the hours covered, but assuming care for patients I do not know. In such circumstances, I rely on my partner’s sign-out, their documentation covering the last outpatient visits, or when necessary, their guidance provided on a phone call. Cross-coverage ha...
Source: Kevin, M.D. - Medical Weblog - May 28, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/don-s-dizon" rel="tag" > Don S. Dizon, MD < /a > Tags: Physician Oncology/Hematology Source Type: blogs

‘Immigrants’ Bring Patient Engagement Energy
By MICHAEL L. MILLENSON An Irish software expert who’d been helping companies sell on eBay walks into a room with a Slovenian inventor who’d built a world-class company in the “accelerator beam diagnostics market.” (Don’t ask.) What they share is not just foreign birth, but “immigration” to health care from other fields. Both have come to the MedCity Invest conference in Chicago seeking funding for start-ups focused on patient engagement. They’re not alone in their “immigrant” status, and their experience holds some important lessons. Eamonn Costello, chief executive officer of patientMpower, works out ...
Source: The Health Care Blog - May 21, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Health 2.0 digital health engineer Entrepreneurs Healthcare Immigration inventor mHealth Michael Millenson patient engagement software start-ups Source Type: blogs

Premarin, whole grains, and why you can ’ t believe headlines
Imagine you have a friend named Justin. He is a schoolteacher. Honest, hardworking, doesn’t smoke, rarely drinks alcohol, sleeps well, doesn’t take drugs, shows up at work every day. He has also chosen to be vegetarian. Another friend of yours, an auto mechanic named Tommy, eats fast food, loves fried chicken, drinks too much beer on the weekends, likes to drive fast cars, and sometimes gets into legal tangles. He smokes cigarettes, though has limited it to only half-a-pack per day. Late weekends, some weekday nights, sleep cut short to just two or three hours. Tommy is not a vegetarian, but likes his burgers r...
Source: Wheat Belly Blog - May 17, 2018 Category: Cardiology Authors: Dr. Davis Tags: Undoctored Wheat Belly Lifestyle Source Type: blogs

Metal Based Detector of Dopamine Receptors May Help Identify Early Signs of Cancer
At Hong Kong Baptist University (HKBU), researchers have created the first metal-based probes for spotting dopamine receptors. While dopamine is best known as a neurotransmitter that plays a major role in defining our mood, dopamine receptors seem to...
Source: Medgadget - May 17, 2018 Category: Medical Devices Authors: Editors Tags: Materials Nanomedicine Oncology Source Type: blogs

What do low-tar cigarettes, low-fat yogurt and healthy whole grains have in common?
Followers of the Undoctored and Wheat Belly books and lifestyle understand a basic truth in logic: Just because something is less bad does not necessarily make it good. Low-tar cigarettes have less of the toxic compounds that leave the brown residue–“tar”–after tobacco is burned, but smoking low-tar cigarettes does not reduce risk for lung cancer, mouth/throat cancer, or cardiovascular disease. From Stanford.edu  on the impact of tobacco advertising: Claims of low ‘tar,’ less ‘tar,’ or even lowest ‘tar’ have been circulating in cigarette advertisements for dec...
Source: Wheat Belly Blog - May 16, 2018 Category: Cardiology Authors: Dr. Davis Tags: Grain Free Lifestyle News & Updates blood sugar diabetes diy health Dr. Davis grain-free grains healthy whole-grains low-carb low-fat undoctored wheat wheat belly Wheat Belly Total Health Source Type: blogs

Real World Evidence (RWE) vs Randomized Control Trials (RCT): The Battle For the Future of Medicine
By DAVID SHAYWITZ, MD Randomized control trials – RCTs – rose to prominence in the twentieth century as physicians and regulators sought to evaluate rigorously the performance of new medical therapies; by century’s end, RCTs had become, as medical historian Laura Bothwell has noted, “the gold standard of medical knowledge,” occupying the top position of the “methodologic heirarch[y].” The value of RCTs lies in the random, generally blinded, allocation of patients to treatment or control group, an approach that when properly executed minimizes confounders (based on the presumption that any significant confound...
Source: The Health Care Blog - May 15, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

The Case For Real World Evidence (RWE)
By DAVID SHAYWITZ, MD Randomized control trials – RCTs – rose to prominence in the twentieth century as physicians and regulators sought to evaluate rigorously the performance of new medical therapies; by century’s end, RCTs had become, as medical historian Laura Bothwell has noted, “the gold standard of medical knowledge,” occupying the top position of the “methodologic heirarch[y].” The value of RCTs lies in the random, generally blinded, allocation of patients to treatment or control group, an approach that when properly executed minimizes confounders (based on the presumption that any significant confound...
Source: The Health Care Blog - May 15, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

New Kentucky Law Excludes Radiologists from Reading Black Lung Radiographs
A new law passed in Kentucky could reduce diagnosis rates of black lung in the state. The bill backed by Republican Representative Adam Koenig allows only NIOSH-certified pulmonologists to interpret chest x-rays in black lung compensation cases. Previously, B reader radiologists could also read chest radiographs in black lung claims.Black lung has become increasingly common among miners. Around one in 14 miners with at least 25 years of experience are diagnosed with the condition.According to  NPR, there are only six pulmonologists in Kentucky with  NIOSHcertification, the qualification to assess pneumoconiosis — other...
Source: radRounds - April 27, 2018 Category: Radiology Authors: Julie Morse Source Type: blogs

Fight gun violence with science
It is well known that smoking cigarettes negatively impacts health and leads to an increased risk of stroke, heart disease, lung cancer and death. No one debates this anymore. But it wasn’t always this way, and it didn’t come easily. In the 1940s, almost half of the population in the United States smoked, and the tobacco industry was subsequently incredibly powerful and politically active. It spent millions of dollars on politicians for their campaigns and the lobbyists who used to persuade them. 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 - April 17, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/jamie-jones" rel="tag" > Jamie Coleman, MD < /a > Tags: Policy Emergency Medicine Surgery Source Type: blogs