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Total 77 results found since Jan 2013.

Burnout and compassion fatigue: chronic workplace stress and emotional withdrawal
Over the past five years, the term “burnout” has become closely associated with the health care field. It has reached the point where more than 60 percent of surveyed physicians reported experiencing burnout in 2021, indicating that it has become an epidemic within our profession. It’s important to understand that burnout is not a personal Read more… Burnout and compassion fatigue: chronic workplace stress and emotional withdrawal originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - June 29, 2023 Category: General Medicine Authors: Tags: Physician Cardiology Psychiatry Source Type: blogs

COVID-19 myocarditis illusions: A new cardiac MRI study raises questions about the diagnosis
BY ANISH KOKA One of the hallmarks of the last two years has been the distance that frequently exists between published research and reality. I’m a cardiologist, and the first disconnect that became glaringly obvious very quickly was the impact COVID was having on the heart. As I walked through COVID rooms in the Spring of 2020 trying to hold my breath, I waited for a COVID cardiac tsunami. After all social media had been full of videos from Wuhan and Iran of people suddenly dropping in the streets. My hyperventilating colleagues made me hyperventilate. Could it be that Sars-COV2 had some predilection for heart...
Source: The Health Care Blog - February 7, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Medical Practice Anish Koka COVID-19 Misinformation myocarditis Vaccine Source Type: blogs

Department of artifact : Normal “ wall motion defect ” in echocardiography
(This post is about some basics in echocardiography meant for fellows, and echocardiographers. Others can skip please )  This is a 27-year-old woman who was referred for routine* cardiac evaluation. What do you see? What is the diagnosis? This echo clip is from a woman who is 8 months pregnant. What you are seeing is perfectly physiologically and normal. On lying down there is a mechanical push of the diaphragm altering the LV shape and contraction. In the short axis, the left ventricle is contracting well, but the shape is not spherical in systole implying some desynchrony. Further, the  IVS arena is contract...
Source: Dr.S.Venkatesan MD - December 14, 2022 Category: Cardiology Authors: dr s venkatesan Tags: Cardiology -Hemodynamics Echocardiography -Normal measurement Echocardiography-hemodynamics Teaching points cardiology research topic non ischemic wall motion defect in echocardiography wall motion defect in ers wall motion defect in lbbb Source Type: blogs

Important blood tests in relation to the heart – Cardiology Basics
Important blood tests in relation to the heart – Cardiology Basics Here are some important blood tests in relation to the heart. Normal ranges of some of these tests may vary between labs. Cholesterol is a type of fat found in the blood and has a role in the development of atherosclerosis in the coronary arteries as well as other arteries. Desirable value of total cholesterol in blood is less than 200 milligrams per decilitre. Triglycerides is another type of fat found in the blood. Desirable value is less than 150 milligrams per decilitre. Very high levels of triglycerides carry a risk of pancreatitis. Calorie restr...
Source: Cardiophile MD - October 11, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Weekly Overseas Health IT Links –1st October, 2022.
This article details information required for integration into EHRs to build personalized treatment plans and develop successful SDOH programs that provide resources and support for patients in need. In addition, successful SDOH programs implemented by Kaiser Permanente and Boston Medical Center showcase how supporting clinicians with real-time SDOH data can lead to patient-centric care. Create a 360-Degree Patient View Through TechnologyThe Office of the National Coordinator for Health Information Technology (ONC)indicatesthat the “collection, documentation, reporting, access, and use of SDOH data … can be used t...
Source: Australian Health Information Technology - October 1, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links –27th August 2022.
In this study, researchers gathered a diverse group of participants; 43 percent were Black, and 68 percent were women. They also considered factors such as age and insurance status when drawing conclusions.The study occurred through a clinical trial, where all participants were randomly assigned to have their next visit occur through either phone or video-based platforms. The central unit of measurement was visit satisfaction rate, reported on a ten-point scale. Researchers noted noninferiority data based on whether patient satisfaction between the telehealth methods exceeded a -15 percent margin.-----https://www.theverge....
Source: Australian Health Information Technology - August 27, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

D-Cube syndrome : DES-Dengue-DAPT
Background A 52-year-old diabetic woman who had undergone recent PCI with a DES developed a febrile illness which was diagnosed as Dengue fever. She has been taking DAPT (Dual antiplatelet) meticulously to maintain her stent. Now, her platelet count has dropped from 1.5 and subsequently to 1 lakh. She is asking now, whether to stop DAPT or not? What is the risk of stent occlusion if she stops?  The D³ cube syndrome  Infectious diseases rarely bother a cardiologist (maybe a few IE,  myocarditis, etc). Now, a unique situation is emerging. *Dengue affects 50-100 million people worldwide every year and one billion are ...
Source: Dr.S.Venkatesan MD - September 9, 2021 Category: Cardiology Authors: dr s venkatesan Tags: anti platelet drug antiplatelet drugs in dengue clopidogrel prasugrel ticagrelol in dengue fever dapt in dengue fever therapeutic issues in dengue and cad warfarin heparin in dengue Source Type: blogs

How did all those calcium entered my father ’ s coronary artery doctor ?
“It was severe double vessel disease &  turned out to be a complex angioplasty in LAD ”  Why doctor? what happened? It was a hard lesion, there was plenty of calcium deposits. It was not clearly visible in the angiogram. I had to do IVUS. Curiously, the calcium was clustered in all the three planes of the vessel ( intima the media and adventitia) and they projected into the lumen blocking the path. Image collage representation purpose Thank you, doctor,  how did you manage to remove it,? It was a real struggle. I had to break the calcium shell before deploying the stent. (What we refer to as...
Source: Dr.S.Venkatesan MD - September 3, 2021 Category: Cardiology Authors: dr s venkatesan Tags: Cardiology -unresolved questions calcium supplementation coronary calcification intimal medial adventitial calcium ivl wolverine angiosculpt opn balloon orbitel atherectomy osteoporosis plaque calcium rotoablator serum calcium vs coron Source Type: blogs

Viruses on Motorcycles
By ANISH KOKA The most recent fiction dressed up as science about COVID comes to us courtesy of a viral Washington Post article.  “How the Sturgis Motorcycle Rally may have spread coronavirus across the Upper Midwest” screams the headline.   The charge made is that “within weeks” of the gathering that drew nearly half a million visitors the Dakota’s and adjacent states are experiencing a surge of COVID cases.   The Sturgis Rally happens to be a popular motorcycle rally held in Sturgis, South Dakota every August that created much consternation this year because it wasn’t cancel...
Source: The Health Care Blog - October 26, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Health Policy Anish Koka Pandemic sturgis motorcycle rally Source Type: blogs

COVID herd immunity: At hand or forever elusive?
By MICHEL ACCAD, MD With cases of COVID-19 either disappeared or rapidly diminishing from places like Wuhan, Italy, New York, and Sweden, many voices are speculating that herd immunity may have been reached in those areas and that it may be at hand in the remaining parts of the world that are still struggling with the pandemic.  Lockdowns should end—or may not have been needed to begin with, they conclude. Adding plausibility to their speculation is the discovery of biological evidence suggesting that prior exposure to other coronaviruses may confer some degree of immunity against SARS-CoV2, a...
Source: The Health Care Blog - July 30, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Health Policy immunity MICHEL ACCAD Pandemic Source Type: blogs

What ’s a diagnosis about? COVID-19 and beyond
By MICHEL ACCAD Last month marked the 400th anniversary of the birth of John Graunt, commonly regarded as the father of epidemiology.  His major published work, Natural and Political Observations Made upon the Bills of Mortality, called attention to the death statistics published weekly in London beginning in the late 16th century.  Graunt was skeptical of how causes of death were ascribed, especially in times of plagues.  Evidently, 400 years of scientific advances have done little to lessen his doubts!  A few days ago, Fox News reported that Colorado governor Jared Polis had “pushed back against recen...
Source: The Health Care Blog - May 28, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Medical Practice Physicians Diagnosis MICHEL ACCAD Source Type: blogs

Testing Won ’ t Get Us Where We Need to Go
Conclusions Testing is important to track the trajectory of an epidemic in a community to guide local or national efforts at mitigationThe tests we currently have for COVID have limited accuracy for the individual patientAntibody testing suggests that the fatality rate for COVID may be low in certain communities, but data from New York suggests there is the potential for significant death and morbidity in any major metropolitan areaContact tracing enabled by smart phone technology is likely unable to be effective because they do not overcome the inherent limitations of COVID testing, require widespread adoption, and may...
Source: The Health Care Blog - May 19, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Health Policy Anish Koka COVID-19 testing Source Type: blogs

Butterfly TeleGuidance for Remote Ultrasound Exams During COVID Pandemic
Telemedicine has been around for over a decade in various forms, but the COVID-19 epidemic has turned a convenience into a necessity. Clinical practices that never seriously considered using telemedicine are now performing virtual house calls with th...
Source: Medgadget - May 18, 2020 Category: Medical Devices Authors: Medgadget Editors Tags: Cardiology Diagnostics Emergency Medicine Military Medicine Radiology Telemedicine Source Type: blogs

It ’s Not About Tradeoffs
By MICHEL ACCAD It is tempting to oppose the harmful effects of COVID-related lockdown orders with arguments couched in terms of trade-offs.  We may contend that when public authorities promote the benefits of “flattening the curve,” they fail to properly take into account the actual costs of imposing business closures and of forced social distancing: The coming economic depression will lead to mass unemployment, rising poverty, suicides, domestic abuse, alcoholism, and myriad other potential causes of death and suffering which could be considerably worse than the harms of the pandemic itself, especially...
Source: The Health Care Blog - May 14, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Health Policy Economics MICHEL ACCAD Source Type: blogs

Go to the hospital if you need emergency care, even in the era of COVID-19
In the era of COVID-19, the hospital must be a place of mystery to those on the outside. I imagine some think it’s bustling with activity, with caregivers scurrying around at a frenetic pace. Of course, we’ve seen video on the news from hard-hit New York City or Lombardy, Italy, when they were at their initial peak of the COVID-19 epidemic. But the reality is that, in most hospitals around the country, it is actually somewhat calmer than usual. This calm makes sense given the mandate for social distancing, working from home, and canceling nonessential activities. What doesn’t make sense is this: in the emergency depa...
Source: Harvard Health Blog - May 5, 2020 Category: Consumer Health News Authors: Scott Weiner, MD Tags: Emergency Planning Heart Health Hypertension and Stroke Source Type: blogs