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Bonus Features – June 25, 2023 – 77% of healthcare workers think burnout will cause a healthcare crisis, 62% of patients want digital communication to match the in-person experience, and more
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job. Surveys More than 75% of healthcare leaders and workers have experienced burnout in the last year, according to a Holon Solutions survey. A similar percentage believe addressing burnout should be a top priority for their organiz...
Source: EMR and HIPAA - June 25, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Health IT Company Healthcare IT 4medica Alpha Nodus Andrew Slutsky Atropos Health AvaSure AVIA Marketplace Banyan Medical Systems Carol Boston-Fleischhauer CentralReach CliniComp Datavant Dexcom DrFirst Eldermark Engage Tec Source Type: blogs

ChatGPT Misses the Mark in Healthcare – What It Needs to Succeed
The following is a guest article by Michael Blum, MD, Cardiologist, Co-founder and CEO at BeeKeeperAI and Former Chief Medical Information Officer at UCSF Medical Center The advent of OpenAI’s ChatGPT3 (GPT3) Artificial Intelligence (AI)-powered chatbot sparked an unprecedented societal appreciation for the power of AI. While AI has been broadly deployed across industries for a decade, it remained mostly hidden from the typical user. The release of GPT3 in late 2022 changed all of that.  Suddenly, a user with minimal computer literacy and no programming or data science training whatsoever could ask an AI-based applicati...
Source: EMR and HIPAA - May 31, 2023 Category: Information Technology Authors: Guest Author Tags: AI/Machine Learning Analytics/Big Data C-Suite Leadership Clinical Health IT Company Healthcare IT Hospital - Health System Security and Privacy AI Hallucination BeeKeeperAI Chatbots ChatGPT ChatGPT4 Cyber Risks Generative AI Source Type: blogs

Reflections on 500 patients, unique cases, and making a difference in health care
As I reflect on my first year of residency, it’s hard to believe that I’ve cared for nearly 500 patients spanning across multiple departments; floor medicine, ICU, ER, neurology, cardiology, and surgery. I’ve had the opportunity to perform one central line placement, three intubations, ran a code blue, and performed CPR in both the ICU Read more… Reflections on 500 patients, unique cases, and making a difference in health care originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - May 23, 2023 Category: General Medicine Authors: Tags: Physician Hospital-Based Medicine Primary Care Source Type: blogs

45 yo with jaw pain radiating to left shoulder for 6 hours
This case was provided by Steven Souchtchenko, a recent graduate of our Hennepin Healthcare EM/IM residency (i.e., a former trainee of mine).CaseA 45 yo man with no previous cardiac history presented to an ED not associated with a cath lab.  He complained of jaw pain radiating to left shoulder for 6 hours.  He stated he had had a brief similar episode the evening prior.Here is his ED ECG.What do you think?When this was shown to me I immediately said " Proximal LAD OMI " .  Then I ran it through theQueen of Hearts AI app and she said " OMI with high confidence " .I showed it to Pendell, who said: " Clear...
Source: Dr. Smith's ECG Blog - May 18, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

Watch what happens when you teach others how to find OMI
 Submitted by Dr. Caio Aguiar from Brazil, written by Pendell MeyersIt is immensely rewarding to receive these emails, like I received from Dr. Aguiar last week:" Last year I had a couple of lessons with you while on my internship.I finished my residency of Emergency Medicine and I ’m working at a great Emergency Department here in Brazil.Since then, I started looking for OMI EKG findings and not just STEMI.So, I ' m a follower of your blog, and I think I have a interesting case that I attended yesterday. "Case" Male, 43yo, come to ED with Epigastric Pain started 3 hours ago. Risk Factors: High Cholesterol. Vitals S...
Source: Dr. Smith's ECG Blog - March 21, 2023 Category: Cardiology Authors: Pendell Source Type: blogs

The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
October 27, 2022 Edition-----In the UK we have a political farce running with only a day or so to run when you read this, with a new PM (Rishi Sunak) in place..In the US the mid-term elections are coming in a week or so, thus some concern as to where the US is going!In China Xi has his third 5 year term so we all wonder how that will turn out!In OZ we have has a Budget with floods, inflation, data leaks, the threat of recession, Medicare concerns and other issues just rolling on! At least the Budget does not seem to have broken anything!Overall an ‘omnishambles’ as they say!-----Major Issues.-----https://www.afr.com/wo...
Source: Australian Health Information Technology - October 27, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

A Middle Aged Male diagnosed with Gastroesophageal Reflux
This middle aged male with h/o GERD but also h/o stents presented to the ED with chest pain.  He had been at a clinic that day where he had complained of worsening GERD.  An EKG was recorded and interpreted as normal by the computer, the clinician, and by the overreading cardiologist.He had an ECG recorded in triage (I am not certain whether the patient had active pain at this time; I believe he didnot):What do you think?Here is the patient ' s ECG from several hours ago (which was essentially the same):This shows minimal inferior ST Elevation that is howeverall but diagnostic of inferior ischemia. There is the o...
Source: Dr. Smith's ECG Blog - July 16, 2022 Category: Cardiology Authors: Steve Smith Source Type: blogs

I learned the most about medicine from my dad ’s death
I had just finished a grueling orthopedic residency. Yet once again, I was on the run and bearing bad news. I was sprinting from a well-known Mumbai hospital to a nearby hotel room. But this time, the bad news wasn’t for the family of one of my patients. It was for my mother. As IRead more …I learned the most about medicine from my dad’s death originally appeared inKevinMD.com.
Source: Kevin, M.D. - Medical Weblog - July 20, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/gleeson-rebello" rel="tag" > Dr. Gleeson Rebello < /a > < /span > Tags: Physician Cardiology Source Type: blogs

Let ' s Use Aslanger ' s simplified formula on this case (simplified Smith LAD occlusion/early repol formula)
Discussion:An interpretation of " normal " could, of course, deceive many providers.AnalysisThis could be normal variant ST Elevation in V2 and V3.  There is 1.5 mm STE in at the J-point in lead V2 (relative to QRS onset, otherwise known as PQ junction).  There is 1.0 mm in V3.So this is a normal amount of STE in V2 and V3, defined by Universal Definition of MI as up to 2.0 mm in men over age 40.  So there is definitely no STEMI, and the STE is normal.  So the computer is correct in calling it normal.But after reading this blog, you all know that most OMI do NOT meet STEMI criteria.  Some pati...
Source: Dr. Smith's ECG Blog - May 4, 2021 Category: Cardiology Authors: Steve Smith Source Type: blogs

Unconventional residency interview tips
I ’ve done a lot of interviews on my road to becoming a cardiology fellow. Here are a few topics that people don’t talk about enough. Speed dating I think of interviews like speed dating. Everyone puts on their “first date.” Everyone behaves their best; therefore, you can’t trust everything people say. Your job is to […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - October 15, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/vybhav-jetty" rel="tag" > Vybhav Jetty, MD < /a > < /span > Tags: Physician Medical school Residency Source Type: blogs

Interventionalist at the Receiving Hospital: " No STEMI, no cath. I do not accept the transfer. "
Are Some Cardiologists Really Limited by Strict Adherence to STEMI millimeter criteria? Yes. We don ' t know how many though.I was texted these ECGs by a recent residency graduate after they had all been recorded, along with the following clinical information:A 50-something with no cardiac history, but with h/o Diabetes, was doing physical work when he collapsed. He was found in ventricular fibrillation and defibrillated, then brought to a local ED which does not have a cath lab.Here is the initial ED ECG:This is pretty obviously and inferior posterior OMI, right?There is slight inferior ST Elevation, with reciprocal ST de...
Source: Dr. Smith's ECG Blog - September 20, 2020 Category: Cardiology Authors: Steve Smith Source Type: blogs

Doctors Urge Caution in Interpretation of Research in Times of COVID-19
September 9, 2020 To:       American College of Cardiology American College of Chest Physicians American College of Physicians American College of Radiology American Heart Association American Society of Echocardiography American Thoracic Society European Association of Cardiovascular Imaging European Society of Cardiology European Society of Radiology Heart Rhythm Society Infectious Disease Society of America North American Society of Cardiovascular Imaging Radiologic Society of North America Society of Cardiovascular Magnetic Resonance Soci...
Source: The Health Care Blog - September 17, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Medical Practice Patients Physicians myocarditis Saurabh Jha Source Type: blogs

Acute Chest pain in a 50-something, and a " Normal " ECG
Chris Mondie of the Newark Beth Israel Emergency Medicine Residency sent this caseA 50-something man presented with acute chest pain.Here is his ECG:As you can see, the computer called it completely normalWhat do you think?The computer did not even mention the ST elevation.  It could at least say: " ST Elevation, consistent with normal variant, " or " consistent with ischemia or normal variant, " or " consistent with early repolarization. "  But it simply says " normal. " An interpretation of " normal " could, of course, deceive many providers.AnalysisThis could be normal variant ST Elevation ...
Source: Dr. Smith's ECG Blog - August 16, 2019 Category: Cardiology Authors: Steve Smith Source Type: blogs

The ECG was correct. The angiogram was not.
In this study, approximately 10% of Transient STEMI had no culprit found:Early or late intervention in patients with transient ST ‐segment elevation acute coronary syndrome: Subgroup analysis of the ELISA‐3 trialOne must use all available data, including the ECG, to determine what happened.Final Diagnosis?If the troponin remained under the 99% reference, then it would be unstable angina.  If it rose above that level before falling, it would be acute myocardial injury due to ischemia, which is, by definition, acute MI.  If that is a result of plaque rupture, then it is a type I MI.  The clinical presentat...
Source: Dr. Smith's ECG Blog - August 12, 2019 Category: Cardiology Authors: Steve Smith Source Type: blogs

How does acute left main occlusion present on the ECG?
Post by Smith and MeyersSam Ghali (https://twitter.com/EM_RESUS) just asked me (Smith):" Steve, do left main coronary artery *occlusions* (actual ones with transmural ischemia) have ST Depression or ST Elevation in aVR? "Smith and Meyers answer:First, LM occlusion is uncommon in the ED because most of these die before they can get a 12-lead recorded.But if they do present:The very common presentation of diffuse STD with reciprocal STE in aVR is NOT left main occlusion, though it might be due to subtotal LM ACS, but is much more often due to non-ACS conditions, especially demand ischemia.  In these ...
Source: Dr. Smith's ECG Blog - August 8, 2019 Category: Cardiology Authors: Steve Smith Source Type: blogs