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Interview with Harshal Shah, Head of Oncology Drug Delivery at Cambridge Consultants
Thanks to the ongoing advancements in standards of care and gradual improvements in more targeted therapeutics, some argue that cancer is slowly turning into a chronic disease, and with it bringing about a host of new challenges for oncology care. Th...
Source: Medgadget - May 22, 2017 Category: Medical Devices Authors: Mohammad Saleh Tags: Exclusive Oncology Source Type: blogs

The Humanity In End-Of-Life Care
Health care is personal, especially when it comes to caring for someone as they approach death. However, half of Americans feel they have too little control over end-of-life medical decisions. As the industry moves toward a more holistic approach to care delivery, health care organizations are beginning to rethink how they treat patients and starting to embed end-of-life care plans into the overall approach earlier on, sometimes before people even become ill. In a recent report on end-of-life care by the Aspen Health Strategy Group, several principles are discussed that take a broader view around caring for seriously ill p...
Source: Health Affairs Blog - May 19, 2017 Category: Health Management Authors: Susan DeVore Tags: Costs and Spending End of Life & Serious Illness Long-term Services and Supports Payment Policy Quality advance care planning Palliative Care Source Type: blogs

The Differences Between Palliative Care and Hospice Can be Confusing
Many people have heard of hospice care but they mistakenly think that it’s just a way to help cancer patients be more comfortable at the end of their lives. Fewer people have heard of palliative care, and they may have no idea what it is. The truth is that hospice and palliative care are related but used for different reasons at different times, and everyone should be well-versed in what they offer. Here, we’ll clarify some points of confusion. View full slideshow on HealthCentral about the differences between palliative care and hospice: Support a caregiver or jump start discussion in support groups with real stories&...
Source: Minding Our Elders - May 19, 2017 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

A Day at The Future of Artificial Intelligence and Machine Learning in Healthcare Conference
At the end of April leaders and innovators from the fields of artificial intelligence and healthcare gathered in Old Street—London’s digital tech hub, affectionately known as “silicon roundabout.” The event was hosted by Innovatemedte...
Source: Medgadget - May 10, 2017 Category: Medical Devices Authors: Tom Peach Tags: Exclusive Source Type: blogs

Health Reform Must End the Harms of Prior Authorizations
By CRAIG BLINDERMAN, MD As the White House continues to push for a revised Republican proposal to replace the Affordable Care Act (ACA), one thing is for certain, many of the sickest Americans will continue to suffer as they are denied medications and other treatments under current health insurance strategies to save costs. Both the ACA, and the recently proposed MacArthur Amendment, do not address a well-established practice of health insurers’ use of restrictive prior authorization requirements to deny or delay coverage of medications and treatments to seriously ill patients. In my own practice caring for cancer patien...
Source: The Health Care Blog - May 3, 2017 Category: Consumer Health News Authors: John Irvine Tags: Repeal Replace Uncategorized ACA Cancer Insurers MacArthur Amendment Prior Authorization Source Type: blogs

Managing The Beginning Of The End: Advanced Disease Management And Concurrent Care Under Current Financing
Editor’s Note: This is the second Health Affairs Blog post from the author on End of Life & Serious Illness. His first post “Why Now? Concerns About End-Of-Life Health Care Policy” was published on December 19, 2016. The Medicare hospice benefit was passed in 1982 as part of the Tax Equity and Fiscal Responsibility Act, the same bill that instituted diagnosis-related groups (DRGs) for hospital reimbursement. Since it was passed with a sunset provision, there was only modest growth in the number of beneficiaries until the hospice benefit was made permanent in 1986. Other changes included in the bill h...
Source: Health Affairs Blog - April 28, 2017 Category: Health Management Authors: Vincent Mor Tags: Costs and Spending End of Life & Serious Illness Long-term Services and Supports Medicare Organization and Delivery Quality advanced disease management End-of-Life Care Hospice care Palliative Care Source Type: blogs

Executioner/Doctor
There was a very badop-ed published in the NY TimesSaturday by the writer/cardiologist, Dr. Sandeep Jauhar. It's called "Why It's OK for Doctors to Participate in Executions" and that pretty much tells you all you need know. If you were to read something online entitled "Why It's OK for Rapists to Babysit Your Child" you would feel the same filthy layer of scum descend upon your skin as I felt when I read Dr Jauhar's inexplicable ode to Doctors of Death.The piece comes on the heels of a recent decision by the good ol' state of Arkansas to execute 8 men on death row over the next 11 days--- not because their ...
Source: Buckeye Surgeon - April 23, 2017 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs

" Surprise Question " Performs Poorly to Predict Death
New research in the CMAJ shows that the commonly used "surprise question" does not work well. The surprise question is intended to be a simple and feasible screening test to identify patients with hospice and palliative care needs.  It involves a clinician reflecting on the question, “Would I be surprised if this patient died in the next 12 months?” But the surprise question performs poorly to modestly when used to predict death at 6 to 18  months, with even poorer performance among patients with non-cancer illness. The authors conclude that the surprise question should not be used as a stand-alone prognostic tool.
Source: blog.bioethics.net - April 22, 2017 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

How to Select the Best Hospice Care Provider
The website of the National Hospice and Palliative Care Organization defines hospice care as follows:“Considered to be the model for quality, compassionate care for people facing a life-limiting illness or injury,hospice care involves a team-oriented approach to expert medical care, pain management, and emotional and spiritual support expressly tailored to the patient's needs and wishes.Support is provided to the patient's loved ones as well.At the center of hospice and palliative care is the belief that each of us has the right to die pain-free and with dignity, and that our families will receive the necessary support t...
Source: Alzheimer's Reading Room, The - April 19, 2017 Category: Neurology Authors: rtdemarco at gmail.com Tags: alzheimer's awareness alzheimer's care Alzheimer's Dementia help with dementia care hospice Hospice Care memory care memory care facility nursing home searches related to alzheimer's Source Type: blogs

Fight Aging! Newsletter, April 17th 2017
This study assessed the prevalence of grey hair in patients with coronary artery disease and whether it was an independent risk marker of disease. This was a prospective, observational study which included 545 adult men who underwent multi-slice computed tomography (CT) coronary angiography for suspected coronary artery disease. Patients were divided into subgroups according to the presence or absence of coronary artery disease, and the amount of grey/white hair. The amount of grey hair was graded using the hair whitening score: 1 = pure black hair, 2 = black more than white, 3 = black equals white, 4 = white more t...
Source: Fight Aging! - April 16, 2017 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Thanks for listening
When we walked into the room, you could sense the anger and frustration on the patient’s face, as well as two other relatives in the room.  We knew that the patient had had lung cancer for several months and had failed radiation and chemotherapy.  He had labored breathing and looked miserable. I went to his bed and asked if I could sit down on his bed.  I took his wrist and began checking his pulse.  Then I asked him to tell his story. The 50-something patient had many pack years of cigarettes.  He understood his diagnosis and wanted to pursue further treatment options.  His breathing had worsened, partly due t...
Source: DB's Medical Rants - April 16, 2017 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs

A Certain Irrationality Still Pervades Much of the Aging Research Community
Imagine for a moment that the inhabitants of a town beside a river are hampered by their inability to get across the river. They have been talking about getting across the river for so long, and without any meaningful progress towards that goal, that it has become a polarized topic by now. Most people won't mention crossing the river these days because it has become the subject of tall tales and ridicule. The town is growing, however, and now it has a concrete works and enough revenue to order all the rest of the materials needed for a bridge. Accordingly, a bridge faction arises, but is almost immediately set upon by anot...
Source: Fight Aging! - April 11, 2017 Category: Research Authors: Reason Tags: Activism, Advocacy and Education Source Type: blogs

Cancer Patients May Not Get The Rehab They Need: A Missed Opportunity To Consider
This blog post first appeared at: Curious Dr. George  Rehabilitation medicine is one of the best-kept secrets in healthcare. Although the specialty is as old as America’s Civil War, few people are familiar with its history and purpose. Born out of compassion for wounded soldiers in desperate need of societal re-entry and meaningful employment, “physical reconstruction” programs were developed to provide everything from adaptive equipment to family training, labor alternatives and psychological support for veterans. Physical medicine and rehabilitation (PM&R) then expanded to meet the needs of those injured in Wo...
Source: Better Health - April 5, 2017 Category: American Health Authors: Dr. Val Jones Tags: Health Tips Opinion Cancer Rehab Oncology Physiatry PM&R Rehabilitating From Cancer Rehabilitation Medicine Source Type: blogs