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Total 522 results found since Jan 2013.

Overcoming terminal cancer: a tale of love and resilience
An excerpt from Mirrors and Windows: Reflections on the Journey in Serious Illness Practice. I’m sitting next to Tony in the surgical intensive care unit doing my best to make out what he’s writing. He’s intubated and I’ve just asked him, “what’s the hardest part of all this?” He writes out, “I just don’t understand Read more… Overcoming terminal cancer: a tale of love and resilience originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - August 17, 2023 Category: General Medicine Authors: Tags: Conditions Palliative Care Source Type: blogs

Unlocking the secrets of cancer conferences: an end-of-life counselor ’ s journey among pharmaceutical giants
“One should . . . be able to see things as hopeless and yet be determined to make them otherwise.” – F. Scott Fitzgerald I’m in a massive ballroom with numerous tables and promotional placards lining the walls and center. In attendance are every pharmaceutical manufacturer and their sales reps. All the biggies are here; Read more… Unlocking the secrets of cancer conferences: an end-of-life counselor’s journey among pharmaceutical giants originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - May 27, 2023 Category: General Medicine Authors: Tags: Conditions Palliative Care Primary Care Source Type: blogs

The heartbreaking story of Jimmy Carter: a call for Medicare reform in end-of-life care
The purpose of the serious illness conversation is to offer patients a clear choice between treating and not treating an incurable disease like liver cancer. The goal is to give the person permission to alleviate pain and suffering. The individual might decide to be treated as a patient or honored as a person if given Read more… The heartbreaking story of Jimmy Carter: a call for Medicare reform in end-of-life care originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - April 4, 2023 Category: General Medicine Authors: Tags: Conditions Palliative Care Source Type: blogs

Maribel Health Raises $25M Series A to Create the Future of Advanced Care at Home
Maribel designs, builds, and operates turnkey advanced home and community care models for health systems facing staffing and capacity constraints Maribel Health, a turnkey partner for health systems looking to design, build, and operate a full continuum of advanced home and community services, announced today the completion of a $25 million Series A funding round led by General Catalyst. Maribel combines deep operating expertise with novel technology to help its partners design, build, and operate advanced clinical care capabilities in the home and community, including hospital-at-home, to sustainably expand total syste...
Source: EMR and HIPAA - March 24, 2023 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT Adam Groff MD BAYADA Home Health Care CareScience Commure Geisinger General Catalyst GoHealth Urgent Care and Better Life Partners Health IT Funding Health IT Fundings Health IT Investment Hemant Tan Source Type: blogs

Learn to earn end-of-life respect
Pele, the famous Brazilian soccer star, reportedly stopped medical treatment for colon cancer. Media outlets stated he was receiving various iterations of comfort, hospice, and palliative care which were perceived as criminal and disrespectful. His daughter denied these allegations on Instagram. How often are those with serious illnesses treated like criminals for wrongdoing? When medical Read more… Learn to earn end-of-life respect originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - January 6, 2023 Category: General Medicine Authors: Tags: Physician Oncology/Hematology Palliative Care Source Type: blogs

Undisclosed Conflicts of Interest by Physicians Creating the CDC Opioid Prescribing Guidelines: An Epilogue
by Chad D. Kollas, MD, Beverly Schechtman and Carrie JudySeveral important developments have occurred since the publication of our article, “Undisclosed Conflicts of Interest by Physicians Creating the CDC Opioid Prescribing Guidelines: Bad Faith or Incompetence? ” in Pallimed on September 12, 2022 (1). Most notably, this includes the publication of the 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain (2), which updated the guidance previously provided by the 2016 CDC Guideline for Prescribing Opioids for Chronic Pain (3). In this epilogue, we will describe those important developments and examine ...
Source: Pallimed: A Hospice and Palliative Medicine Blog - November 29, 2022 Category: Palliative Care Tags: CDC judy kollas opioids schechtman Source Type: blogs

Overcoming Denial to Seek Potential Dementia Diagnosis
An article in the UK Telegraph reported on a survey showing that two-thirds of people over the age of 50 are more afraid of developing dementia than of getting cancer. Other surveys show similar percentages.  One reason for this intense fear of Alzheimer's is obvious. While many types of cancer can be cured, most types of dementia cannot. However, another reason is that the idea of being betrayed by our brains to the point that we are essentially lost in the disease is abhorrent to most of us. This fear, unfortunately, tends to make many people less than willing to see a physician for dementia testing even whe...
Source: Minding Our Elders - November 21, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Balloon aortic valvuloplasty – Cardiology Basics
Balloon aortic valvuloplasty – Cardiology Basics Balloon aortic valvuloplasty is enlargement of a narrowed aortic valve using balloon catheters. It is also known as balloon aortic valvotomy. Balloon aortic valvuloplasty has significant risks and lesser benefits compared other procedures for symptomatic severe aortic stenosis like surgical valve replacement and transcatheter aortic valve implantation or TAVI. Hence it is often considered as a bridge treatment or palliative treatment. Three important scenarios in which balloon aortic valvuloplasty or BAV is considered are: Bridge to decision, bridge to planned treatmen...
Source: Cardiophile MD - October 22, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Weekly Overseas Health IT Links –24th September, 2022.
This article makes the case and explains what will be required to make it happen.We hear a lot about “digital health” these days. As data about our health piles up — thanks to sources like electronic health records, personal fitness apps and gadgets, and home genome test kits — weshould understand a lot more than we used to about what ’s wrong with our health and what to do about it. But having a lot of data is not enough. We have to be aware of what we have, understand what it means, and act on that understanding. While the challenges are in some ways more acute in the United States because of its fragmented sys...
Source: Australian Health Information Technology - September 24, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Undisclosed Conflicts of Interest by Physicians Creating the CDC Opioid Prescribing Guidelines: Bad Faith or Incompetence?
We described above how changes in opioid policy aimed at reducing Washington State’s Medicaid and Workers Compensation costs contributed to an increase in methadone deaths between 2003 and late 2014 (23-25). Focusing on similar cost reductions, the Centers for Medicar e and Medicaid Services (CMS) proposed rules for 2019 including several directives intended to reduce " Opioid Overutilization, ” including adoption of the “90 morphine milligram equivalent (MME) threshold cited by the 2016 CDC Opioid Guideline (147, 148). Simply put, reduced prescribing reduces costs for prescribed medications.Chou received research fu...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 12, 2022 Category: Palliative Care Tags: health policy judy kollas opioids research schechtman Source Type: blogs

Confused About Palliative Care Vs. Hospice Care? You Aren ’t Alone
Dear Carol: My mom has advanced lung disease as well as late-stage Alzheimer’s. We know that there are no cures for either of her current conditions, but the doctors don’t seem to have any useful answers for me when I ask about how I can make her life better at this stage. She has an inhaler for her lungs, but they don’t seem willing to prescribe medications or advice other than keep her comfortable. Well, how do I go about that? Should she be on hospice? I’ve heard of something called palliative care, but I don’t understand it and no doctor has mentioned it. Can you help me? – CV Dear CV: I’m so...
Source: Minding Our Elders - August 27, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Weekly Overseas Health IT Links – 23rd July2022.
In this study, researchers sought to determine whether differences in occult hypoxemia treatment existed between people of different races.Occult hypoxemia was defined as arterial blood oxygen saturation of less than 88 percent despite a pulse oximetry reading of 92 percent or more.-----https://healthitsecurity.com/news/security-awareness-and-training-crucial-to-preventing-healthcare-phishing-attacksSecurity Awareness and Training Crucial to Preventing Healthcare Phishing AttacksSecurity awareness and training greatly decreased the likelihood of an employee falling for a healthcare phishing attack, KnowBe4 researchers foun...
Source: Australian Health Information Technology - July 23, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Patients need palliative care to manage the pain of sickle cell disease PODCAST
“Sickle cell disease (SCD) affects about 100,000 Americans as an inherited genetic disorder with intermittent exacerbations requiring hospitalization. SCD is also a painful and complicated disease with no single physician specialist that can provide pain relief. While SCD pain is similar in severity to cancer pain, patients struggle to find adequate pain relief because theyRead more …Patients need palliative care to manage the pain of sickle cell disease [PODCAST] originally appeared inKevinMD.com.
Source: Kevin, M.D. - Medical Weblog - March 25, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Oncology/Hematology Source Type: blogs

Opioid Equianalgesic Tables are Broken
by Drew Rosielle (@drosielle)I am proposing we do away with equianalgesic table (EAT) as a tool to inform clinical decisions about opioid rotations/conversions. Fundamentally, EATs create too many problems, and there are simpler and safer ways to teach clinicians how to convert between different opioids.Part 1: New Data Can ' t Fix the EATA couple HPM fellows every year ask me which table do I prefer to use —the old EAT or the new one? By the old one, they refer to the table most of us used or were at least deeply familiar with for the last 10-20 years. By the new one, they mean the one created by Dr. Mary Lynn McPherson...
Source: Pallimed: A Hospice and Palliative Medicine Blog - March 21, 2022 Category: Palliative Care Tags: opioid pain rosielle Source Type: blogs

Patients need palliative care to manage the pain of sickle cell disease
Sickle cell disease (SCD) affects about 100,000 Americans as an inherited genetic disorder with intermittent exacerbations requiring hospitalization. SCD is also a painful and complicated disease with no single physician specialist that can provide pain relief. While SCD pain is similar in severity to cancer pain, patients struggle to find adequate pain relief because theyRead more …Patients need palliative care to manage the pain of sickle cell disease originally appeared inKevinMD.com.
Source: Kevin, M.D. - Medical Weblog - February 4, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/ramandeep-kaur" rel="tag" > Ramandeep Kaur, MD < /a > < /span > Tags: Conditions Oncology/Hematology Source Type: blogs