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Why It Is Important To Understand Multimodal Large Language Models In Healthcare  
The future of medicine is undoubtedly inextricably linked to the development of artificial intelligence (AI). Although this revolution has been brewing for years, the past few months marked a major change, as algorithms finally moved out of the specialized labs and into our daily lives.  The public debut of Large Language Models (LLMs), like ChatGPT which became the fastest-growing consumer application of all time, has been a roaring success. LLMs are machine learning models trained on a vast amount of text data which enables them to understand and generate human-like text based on the patterns and structures they̵...
Source: The Medical Futurist - September 5, 2023 Category: Information Technology Authors: Andrea Koncz Tags: TMF Artificial Intelligence in Medicine large language models multimodal AI multimodal large language models multimodal LLM Source Type: blogs

Outpatient Vascular Care: Good, bad or ugly?
BY ANISH KOKA Filling in the holes of recent stories in the New York Times, and Propublica on the outpatient care of patients with peripheral arterial disease Most have gotten used to egregiously bad coverage of current events that fills the pages of today’s New York Times, but even by their now very low standards a recent telling of a story about peripheral artery disease was very bad. The scintillating allegation by Katie Thomas, Jessica Silver-Greenberg and Robert Gebeloff is that “medical device makers are bankrolling doctors to perform artery clearing procedures that can lead to amputations...
Source: The Health Care Blog - July 24, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Medical Practice Anish Koka Medical Devices Outpatient vascular care Source Type: blogs

Fight Aging! Newsletter, July 17th 2023
In conclusion, the longevity-associated genotype of FLT1 may confer increased lifespan by protecting against mortality risk posed by hypertension. We suggest that FLT1 expression in individuals with longevity genotype boosts vascular endothelial resilience mechanisms to counteract hypertension-related stress in vital organs and tissues. Resistance Exercise Slows the Onset of Pathology in a Mouse Model of Alzheimer's Disease https://www.fightaging.org/archives/2023/07/resistance-exercise-slows-the-onset-of-pathology-in-a-mouse-model-of-alzheimers-disease/ With the caveat that mouse models of Alzheimer's...
Source: Fight Aging! - July 16, 2023 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

A man with chest pain off and on for two days, and " No STEMI " at triage.
 Written by Kaley El-Arab MD, edits by Pendell Meyers and Stephen SmithA 61-year-old male with hypertension and hyperlipidemia presented to the emergency department for chest tightness radiating to the back of his neck that has been intermittent for the past day or two. Here is his triage ECG which was obtained at 20:34 during active pain.What do you think?This ECG was read as “No STEMI” with no prior available for comparison. It is true this ECG does not meet STEMI criteria (there is 1.0 mm STE in III, and possibly 0.5 mm in aVF), but there is clear evidence of OMI findings on this ECG. Leads II, III, and aVF hav...
Source: Dr. Smith's ECG Blog - June 19, 2023 Category: Cardiology Authors: Pendell Source Type: blogs

Can You Practice Tai Chi With Hypertension?
Conclusions To sum up, there’s compelling evidence and substantial anecdotal support suggesting that Tai Chi can be a beneficial and safe practice for people with hypertension. However, always remember to consult with your healthcare provider before starting any new exercise regimen. Tai Chi embodies a perfect blend of gentle physical movement, mental focus, and calming breathwork. While it may not replace traditional hypertension treatments, it can certainly be a serene, therapeutic addition to an overall health strategy. Read also: Impact of Increased Exercise (Or No Exercise) On Blood Pressure ...
Source: The EMT Spot - June 13, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: Blood Pressure Source Type: blogs

Can You Run In Marathons With Hypertension?
Marathons and hypertension: Understand the risks, learn how to stay safe while running, and explore alternative activities to keep your heart healthy and thriving. Quick Summary Marathons pose risks for individuals with hypertension: The intense physical exertion can lead to sudden increases in blood pressure, dehydration, irregular heart rhythms, and strain on the kidneys, potentially causing serious complications like heart attacks or strokes. Safety measures for hypertensive individuals: If participating in a marathon, monitor blood pressure regularly, follow a supervised training regimen, stay hydrated, w...
Source: The EMT Spot - June 10, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: Blood Pressure Source Type: blogs

When ” Cath lab viability ” competes with myocardial viablity … Just carry on !
Pure science Whenever possible ,before doing a coronary revascularisation procedure , check twice the segments you try to perfuse is really short of blood supply and truly needs the procedure. Don’t ever waste your resources and try to blood-feed the dead myocardium. It’ can never be awakened ! Pragmatic science I was conversing with my colleague recently , who has grown into  suave , Interventional cardiologist with a huge academic & societal repute .He owns a personal cathlab and planning to get one more. I learnt a non-academic reality lesson from him . When planning myocardial revasascularisation, ...
Source: Dr.S.Venkatesan MD - June 8, 2023 Category: Cardiology Authors: dr s venkatesan Tags: bio ethics cardiology wisdom cardiology-ethics Cardiology-Statistics cath lab tips and tricks Medical education Medical ethics medical quotes medical satistics Two line sermons in cardiology wisdom in cardiology cath lab viablity vs Source Type: blogs

Wearable Ultrasound for Deep Tissue Monitoring
Researchers at the University of California San Diego have created a wearable ultrasound system that can monitor deep tissues, as far as 16.5 cm (6.5 inches) below the surface of the body. Moreover, the team employed a machine learning algorithm to r...
Source: Medgadget - June 6, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Cardiology Radiology UCSD ucsdnews 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

Bridging the Gap: La Conexi ón ’ s Impact in the Philippines
Conclusion La Conexión’s journey to Catanduanes, Philippines, was a life-changing experience for our team of volunteers. But beyond that, we believe our commitment to bridging the gap in healthcare access and empowering local providers will be life-changing for the people of Catanduanes. The post Bridging the Gap: La Conexión’s Impact in the Philippines appeared first on DrGreene.com.
Source: Conversations with Dr Greene - May 24, 2023 Category: Child Development Authors: Alan Greene MD Tags: Dr. Greene's Blog La Conexión Philippines remote care Telehealth Source Type: blogs

How RPM Can Reduce AI ’s Bias Problem & Improve Health Equity
The following is a guest article by Arnaud Rosier, PhD, Founder and CEO at Implicity Artificial intelligence (AI) is one of the most promising breakthrough technologies of the modern healthcare era, yet it also has the potential to be one of the most dangerous. AI algorithms that are trained on limited or poorly representative data sets can exhibit signs of bias in their results, skewing decision-making and possibly leading to ethnic, gender, and social discrimination and other unintentional consequences for the patients they serve. Unfortunately, research shows that bias is already creeping into the nascent field of AI an...
Source: EMR and HIPAA - May 19, 2023 Category: Information Technology Authors: Guest Author Tags: AI/Machine Learning Analytics/Big Data Clinical Health IT Company Healthcare IT Telemedicine and Remote Monitoring Academic Medical Center Ai Algorithm AI bias AMC Arnaud Rosier PhD Artificial Intelligence Dr. Arnaud Rosier HCP 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

50 year old with acute chest pain, with ‘normal’ ECG and falling troponin
Written by Jesse McLaren, with comments from SmithA 50-year old patient on the medical wards developed acute chest pain, with an ECG labeled (see computer interpretation at the top) and confirmed as normal. What do you think? There ’s normal sinus rhythm, normal conduction, normal axis, normal R wave progression, and normal voltages. Lead aVL jumps out as abnormal because there is a discordant T wave inversion and mild ST depression. This is reciprocal to inferior mild ST elevation and hyperacute T waves (wide based, bulky, and symmetric, and in III taller than the QRS complex), and adjacent to ST depression in...
Source: Dr. Smith's ECG Blog - April 21, 2023 Category: Cardiology Authors: Jesse McLaren Source Type: blogs

Compare these two ECGs. Do either, neither, or both show anything important?
One case sent by Dr. Sean Rees MD, written by Pendell Meyers, other case by Sam Ghali and Steve SmithTake a look at these two ECGs below from two patients in the ED, first without any clinical context. Full case details and outcomes are below.Case 1:Case 2: Case 1:What do you think?This was sent to Dr. Smith by SamGhali (@EM_RESUS) with zero other info.  Smith ' s response was: " OMI Mimic. "Later, this info was supplied by Sam:This ECG was recorded in a 23-year-old African American man with a history of psychiatric illness, acute alcohol/drug intoxication, brought in by police officers status post being ...
Source: Dr. Smith's ECG Blog - April 17, 2023 Category: Cardiology Authors: Pendell 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