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That elephant in the room thing
This weekend I was incredibly fortunate to speak at Le Pub Scientifique (the next one is the super intelligent Tasha Stanton!) about one part of our pain conversation that’s absent: how do we have a conversation about when pain persists and doesn’t respond to any treatments?
I still don’t have any research to show how we might broach this topic in a way that respects the person with pain, acknowledges just how poorly our treatments do, and provides a framework for us to collaborate. It’s like this big bogey sitting in our clinics that we pretend isn’t there.
Why do we need to have this c...
Source: HealthSkills Weblog - July 19, 2020 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Chronic pain Coping strategies Pain conditions Science in practice Therapeutic approaches Clinical reasoning empathy persistent pain self-compassion Source Type: blogs
Update: Repetitive negative thinking may increase (or perhaps be caused by) Alzheimer ’s pathology
Time for a new edition of SharpBrains’ e‑newsletter, featuring this month 13 research findings, resources and brain teasers for lifelong brain and mental health.
#1. “We found that people who exhibited higher repetitive negative thinking patterns experienced more cognitive decline over a four-year period. They also had specific declines in memory (which is an early sign of Alzheimer’s disease), and had more amyloid and tau deposits in their brain … There’s increasing evidence that chronic stress is both harmful to your body – and your brain. But more research is needed to understand this link.” Repetit...
Source: SharpBrains - June 25, 2020 Category: Neuroscience Authors: SharpBrains Tags: Cognitive Neuroscience Education & Lifelong Learning Health & Wellness Technology Alzheimer’s Disease biofeedback brain health Brain Teasers DSM FDA mental health neurotechnology noninvasive neurotechnologies noninvasive ne Source Type: blogs
All the Things in Digital Health You ’ ve Missed During COVID-19
It’s been enough for a bit, isn’t it? For three months now, there has been little space in the world for any other kind of news. That is, news without the word ‘coronavirus’. But there was innovation, there is excitement and, well, even some weird (although useful!) inventions that appeared while the world has been in lockdown. So here’s an outlook on such news, all, promise, without that particular C-word.
Hospitals have been facing great challenges recently. But they are on the verge of a new era that brings better care and more focus on the patient. This is a trend we have been talking about since The Medic...
Source: The Medical Futurist - May 26, 2020 Category: Information Technology Authors: Judit Kuszkó Tags: Artificial Intelligence Robotics Telemedicine & Smartphones Virtual Reality amazon diabetes smart contact lens Stanford University pharmacies Fitbit fitness trackers genome sequencing diabetes management genomic data 5G robot Source Type: blogs
The New Normal is Still Unknown, on Earth as it is in Healthcare
By HANS DUVEFELT, MD
From the vantage point of our self-quarantined shrunken universes, we cannot see even the immediate future, let alone what our personal and professional lives will look like some years from now.
Factories are closed, luxury department stores are in bankruptcy, hospitals have stopped performing elective procedures and patients are having their heart attacks at home, unattended by medical professionals. New York office workers may continue to work from home while skyscrapers stand empty and city tax revenues evaporate.
Quarantined and furloughed families are planting gardens and cooking at h...
Source: The Health Care Blog - May 22, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Medical Practice Hans Duvefelt Source Type: blogs
" Strike Two " : A Pediatrician ' s " Dance " with Alan Levine/Ballad Health - And WHY We Need Federal Medical Whistle-blower Protection For ALL Healthcare " Workers " NOW
This is the story of how government failed me as a Pediatrician - for the second time. The saddest thing of all is that there is a " Strike Three " . Nobody cares about Pediatrics - or Pediatricians. They haven ' t for a very long time. This is a long post. Don ' t whine about it. Read it. CARE that somebody trying to stand up for your children lived it - and not for the first time.Twenty-two years ago, the morally-bankrupt executives of my now fiscally-bankrupt hometown hospital (in Asheboro, North Carolina) railroaded me out of town . . . after I intervened in a nursery case being...
Source: Dr.J's HouseCalls - May 12, 2020 Category: American Health Tags: Alan Levine Ballad Health Cooperative Agreement COPA ETSU Medical Whistle-blower Pediatric Hospitalist Ralph Northam Randolph Hospital Tennessee Department of Health Virginia Department of Health Source Type: blogs
Paul O ’Neill, Health Care Hero
By MICHAEL MILLENSON
Paul O’Neill, who died from lung cancer earlier this month at age 84, was one of my personal heroes, but not because of anything he accomplished as Alcoa’s chief executive officer or as Secretary of the Treasury.
O’Neill was my hero because he saved patients’ lives.
Two decades ago, when few dared speak openly about medical error, this titan of industry put his considerable clout behind a radical idea: not a single patient should be injured or killed by their medical care. And in pursuit of that goal, hospitals had to continually make care measurably safer.
No one of O’...
Source: The Health Care Blog - April 27, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Michael Millenson Source Type: blogs
A Dream Deferred? Price Transparency in the American Healthcare System
By JOANNE RODRIGUES-CRAIG
Financial well-being, or the state
of an individual’s personal monetary affairs, is one of the six core indicators
of wellness in the Gallup-Healthways Well-Being Index. Poor financial
well-being can lead to a whole host of short and long term mental and physical
health issues, including depression, anxiety, troubled relationships and
chronic stress.[1]
[2]
It is surprising how American
hospitals and other health providers have neglected financial well-being when
considering their patients’ health. In a recent study by the American Cancer
Association, 56% of Americans suffer from hardsh...
Source: The Health Care Blog - April 21, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Economics The Business of Health Care clinicpricecheck joanne rodrigues-craig price transparency Source Type: blogs
Flipping the Stack: Can New Technology Drive Health Care ’s Future?
Conclusion & Implications
As with any analysis of
technology promising “disruption”, the careful reader needs to ask themselves
one primary question. Is this change real? Or is this just another PowerPoint
from a futurist that will be brushed off by the “mother of all adaptive
systems”?
The technology trends we
have described are already in motion. The question is, how big their impact
will be in health care? And how long will it take? Here are a few suggestions
for hospitals executives to help them understand the transition and assess the
rate of change.
Get familiar with the technologies...
Source: The Health Care Blog - April 11, 2020 Category: Consumer Health News Authors: matthew holt Tags: Health Tech Matthew Holt Flipping the Stack Indu Subaiya Source Type: blogs
OK, boomer: You ’re not the only one who needs testing for hepatitis C
It turns out that many more people than just boomers can benefit from testing for hepatitis C, a viral infection of the liver that often causes no symptoms. If you’re a member of the baby-boom generation (born between 1946 and 1964), your doctor may have already recommended the test. But those born before or after those years may not have known about the test unless they had a risk factor for hepatitis C, such as a history of intravenous drug use. A new guideline is changing this approach.
Why the different recommendations for baby boomers?
In 2012–2013, the CDC and the US Preventive Services Task Force (USPSTF) establ...
Source: Harvard Health Blog - March 31, 2020 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Digestive Disorders Health Infectious diseases Men's Health Sexual Conditions Women's Health Source Type: blogs
Coronavirus and Regulation
Thomas A. Firey andPeter Van DorenCrises often illuminate “inefficient” public policies—ones with costs that outweigh their benefits. Society can tolerate (and may not even notice) them in ordinary times, allowing the policies to continue and protect and enrich special interests. But in crises, their costs become less tolerable.Because of the coronavirus, the U.S. economy is experiencing simultaneous negative shocks todemand andsupply. The demand shock is broadly understood: “social distancing” is causing people to avoid (and governments to close or curtail) mass transit, restaurants, personal services, and other...
Source: Cato-at-liberty - March 20, 2020 Category: American Health Authors: Thomas A. Firey, Peter Van Doren Source Type: blogs
A Full-Scale Assault on Medical Debt, Part 2
By BOB HERTZ
The first section of this article stated that many forms of medical debt can be reduced or cancelled by stronger enforcement of consumer protection laws. These debts are not inevitable and are not due to poverty. It would not require trillions of federal dollars to cancel them, either – just the willingness to go against lobbyists.
Therefore
I advocate the following attacks on medical debt:
Phase One
We must
cancel balance bills and surprise bills if there was no prior disclosure.
In most cases,
providers will not have the right to collect anything more than what the insurers pay them.
...
Source: The Health Care Blog - March 9, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Economics The Business of Health Care balance bills Bob Hertz health economics medical debt surprise billing Source Type: blogs
Fight Aging! Newsletter, February 17th 2020
Discussion of the Evolutionary Genetics of Aging
Thymic Involution Contributes to Immunosenescence and Inflammaging
The Potential for Exosome Therapies to Treat Sarcopenia
Correlations of Mitochondrial DNA Copy Number and Epigenetic Age Measures
Evidence for PASK Deficiency to Reduce the Impact of Aging in Mice
The Aging Retina, a Mirror of the Aging Brain
Evidence for Loss of Capillary Density to be Important in Heart Disease
Aspects of Immune System Aging Proceed More Rapidly in Men
Deacetylation of the NLRP3 Inflammasome as a Way to Control Chronic Inflammation
Transplantation of Senescent Cells is an ...
Source: Fight Aging! - February 16, 2020 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
Notes on the 2020 Longevity Therapeutics Conference in San Francisco
I recently attended the 2020 Longevity Therapeutics conference in San Francisco. I presented on the work ongoing at Repair Biotechnologies, but as is usually the case the more important parts of the visit took place outside the bounds of the conference proper. Longevity Therapeutics is one of the four or five core conferences for the longevity industry, at which you'll meet many of the early participants - a mix of scientists, entrepreneurs, and investors, and patient advocates. As such, most of the conference goers have already seen my updates, or are otherwise aware of the Repair Biotechnologies programs aimed at thymic ...
Source: Fight Aging! - February 10, 2020 Category: Research Authors: Reason Tags: Healthy Life Extension Community Source Type: blogs
Patient Worries as a Central Feature of their Health Care Experiences
By JOHN JAMES, ROBERT R. SCULLY, CASEY QUINLAN, BILL ADAMS, HELEN HASKELL, and POPPY ARFORD
Political forces trying to shape and reshape American healthcare without hearing the voice of patients provided the rationale for this work. Our experiences as patients, caregivers, and users of media sources cause us to worry. The Patient Council of the Right Care Alliance developed 6 questions to form a national survey of Americans to guide policy makers. The questions and our rationale were as follows:
1) Finding a doctor I can trust. Trust in our doctors is not as high as it once was. There are stories of serious patient a...
Source: The Health Care Blog - February 6, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Patients Research Patient Council of the Right Care Alliance Patient Experience Source Type: blogs
Genomic Profiling for Precision Medicine: Interview with David Spetzler, Caris Life Sciences
Caris Life Sciences, a Dallas-based innovator in molecular science focused on fulfilling the promise of precision medicine, has developed the MI Genomic Profiling Similarity (GPS) score to compare the molecular characteristics of specific tumors agai...
Source: Medgadget - January 28, 2020 Category: Medical Devices Authors: Conn Hastings Tags: Exclusive Genetics Informatics Oncology Pathology Source Type: blogs
