Legislating Privilege
Marc Spindelman (Ohio State University), Legislating Privilege, 30 J. Law, Med.& Ethics (2002): Serious concerns about pervasive, persistent, and unjustified social inequalities have prompted a small —but growing—number of academic commentators to raise some hard and troubling questions for those... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - September 28, 2023 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs

Very fast regular tachycardia: 2 ECGs from the same patient. What is going on?
This was written by Magnus Nossen, from Norway, with comments and additions by SmithA 50 something smoker with no previous medical hx contacted EMS due to acute onset chest pain. Upon EMS arrival the patient appeared acutely ill and complained of chest pain. An ECG was recorded immediately and is shown below. How do you interpret the ECG?ECG#1There is a regular tachycardia with a ventricular rate of about 180 bpm. Smith comment: When there is a regular wide complex tachycardia, first assess whether it is sinus or not.  At a rate of 180, this is unlikely.  The patient is unstable.  Therefore, the first s...
Source: Dr. Smith's ECG Blog - September 27, 2023 Category: Cardiology Authors: Magnus Nossen Source Type: blogs

A Certain Type of Media Outlet that Chooses to Generate Confusion About Longevity Science
There is a certain type of media entity and journalist that really only cares about name dropping the wealthy and the famous, and has absolutely no interest in accuracy, education, understanding, factual conveyance of information, all of those pleasant things that make the world turn. Thus there will continue to be articles about ongoing intitiatives relating to aging, such as the one I'll reluctantly point out today, that are abysmal. This sort of article is abysmal because it actively, willfully conflates a whole set of very different activities with very different merits under one heading, while appealing to lowest comm...
Source: Fight Aging! - September 25, 2023 Category: Research Authors: Reason Tags: Healthy Life Extension Community Source Type: blogs

Announcements, Insights, and Perspectives from the Oracle Health Conference
One of the nice things about living in Las Vegas is that almost all the health IT conferences come to Las Vegas.  Sadly, that wasn’t actually true for the Cerner user conference which was held in Kansas City.  However, now that Oracle bought Cerner, the Oracle Health conference is now co-located with Oracle World and is being held in Las Vegas. Of course, there are also downsides to conferences being in Las Vegas where family considerations pull me away from the event.  For example, I missed Larry Ellison’s keynote, but Kristian Feterik did a nice job capturing at least part of Ellison’s vision for Ora...
Source: EMR and HIPAA - September 20, 2023 Category: Information Technology Authors: John Lynn Tags: AI/Machine Learning C-Suite Leadership EMR-EHR Health IT Company Healthcare IT Hospital - Health System Ambient Clinical Voice Cerner David Feinberg EHR AI Healthcare AI Healthcare ERP International EHR Oracle Oracle Cloud Or Source Type: blogs

A 50-something with Regular Wide Complex Tachycardiaa: What to do if electrical cardioversion does not work?
Case submitted by anonymous. Written by Smith.  Ken ' s piece at the bottom is excellent.A 50-something presented with sudden onset palpitations 8 hrs prior while sitting at desk at work. He had concurrent sharp substernal chest pain that resolved, but palpitations continued.Over past 3 months, he has had similar intermittent episodes of sharp chest pain while running, but none at rest. Past medical history includes coronary stenting 17 years prior. A brief chart review revealed his most recent echo in 2018, with LV EF 67%, “very small” inferior wall motion abnormality.Initial ED ECG:What do you think?This wa...
Source: Dr. Smith's ECG Blog - September 20, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?
Case submitted by anonymous. Written by Smith.  Ken ' s piece at the bottom is excellent.A 50-something presented with sudden onset palpitations 8 hrs prior while sitting at desk at work. He had concurrent sharp substernal chest pain that resolved, but palpitations continued.Over past 3 months, he has had similar intermittent episodes of sharp chest pain while running, but none at rest. Past medical history includes coronary stenting 17 years prior. A brief chart review revealed his most recent echo in 2018, with LV EF 67%, “very small” inferior wall motion abnormality.Initial ED ECG:What do you think?This wa...
Source: Dr. Smith's ECG Blog - September 20, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

Non-invasive Transcranial Electrical Stimulation (TES) shows early promise to treat ADHD symptoms in children
While tDCS uses constant current intensity, tRNS and tACS use oscillating current. The vertical axis represents the current intensity in milliamp (mA), while the horizontal axis illustrates the time-course. Source: Wikipedia. Many children with ADHD benefit from medication treatment, behavioral treatment, or their combination, but others do not. In addition, parents are often reluctant to start their child on medication and high quality behavioral treatments are not readily accessible in many areas. The long-term efficacy of these treatments is also less than desirable. Thus, despite these evidence-based ADHD treatments, t...
Source: SharpBrains - September 19, 2023 Category: Neuroscience Authors: Dr. David Rabiner Tags: Attention & ADD/ADHD Technology & Innovation ADHD behavioral treatment ADHD medication treatment ADHD rating scale Cognitive-Training Cognitive-Training-Program Computerized-cognitive-training transcranial electrical stimulation Source Type: blogs

Ensuring Fairness in Medical Education Assessment
This study takes a first step in centering the margins as we as medical educators grow our understanding of the dynamics of promoting fairness in assessment. Future studies should explore feedback with intentional inclusion and involvement of diverse students, teachers, and researchers at every stage of the research process from conceptualization through dissemination and application of the new learning. We thank our participants for their time and candor discussing this sensitive topic and the Group on Educational Affairs for funding our work. Thank you for your time and attention and the focus that you’ll put on th...
Source: Academic Medicine Blog - September 18, 2023 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast AM Podcast Transcript Academic Medicine podcast assessment equity Macy Foundation medical education Source Type: blogs

Fight Aging! Newsletter, September 18th 2023
Fight Aging! publishes news and commentary relevant to the goal of ending all age-related disease, to be achieved by bringing the mechanisms of aging under the control of modern medicine. This weekly newsletter is sent to thousands of interested subscribers. To subscribe or unsubscribe from the newsletter, please visit: https://www.fightaging.org/newsletter/ Longevity Industry Consulting Services Reason, the founder of Fight Aging! and Repair Biotechnologies, offers strategic consulting services to investors, entrepreneurs, and others interested in the longevity industry and its complexities. To find out m...
Source: Fight Aging! - September 17, 2023 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Enhancing Healthcare Through Industry-Specific Large Language Models
The following is a guest article by Tisson Mathew, Founder and CEO at SkyPoint AI Why Large Language Models Trained on Industry Context are Essential for Effective Generative AI in the Healthcare Space Ask ChatGPT an important but complicated healthcare-related question, and you might very well get a wrong—and potentially dangerous—answer. Navigating the complexities of medical data, regulations, and patient care can place demands on generative AI technologies that can’t be fulfilled. But there is a way to take full advantage of the power of GenAI — with industry-specific LLMs that are securely supplied wit...
Source: EMR and HIPAA - September 13, 2023 Category: Information Technology Authors: Guest Author Tags: AI/Machine Learning C-Suite Leadership Health IT Company Healthcare IT Hospital - Health System AI Companion DataStax EMR Generative AI Healthcare AI Healthcare AI Ethics Healthcare ChatGPT Healthcare LLMs Large Language Models Source Type: blogs

From academic medicine to private practice [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join Carmen Fong, a colorectal surgeon, as she shares her journey through the world of medicine. Carmen’s experiences highlight the challenges women face in academic medicine, from gender disparities to work-life balance. We delve into her decision to transition to private practice, explore the Read more… From academic medicine to private practice [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - September 12, 2023 Category: General Medicine Authors: Tags: Podcast Surgery Source Type: blogs

All Too Short Comments on the 10th Aging Research and Drug Discovery (ARDD) Meeting
I attended the 10th Aging Research and Drug Discovery (ARDD) conference in Copenhagen recently, alongside my Chief Scientific Officer at Repair Biotechnologies, Mourad Topors. If one wanted to take in all of the presentations and take notes, as I've done in the past, ARDD would be much more of a test of endurance than other longevity industry conferences. It is five 12 hour days, starting with networking at 8am, the last presentations going on past 8pm, and then socializing at nearby bars afterwards for the truly dedicated. This on top of jet lag for those coming in from the US in direction and Asia in the other. The inten...
Source: Fight Aging! - September 11, 2023 Category: Research Authors: Reason Tags: Healthy Life Extension Community Source Type: blogs

Judge for yourself the management of this patient with " NSTEMI, multivessel disease "
DISCUSSION:The administration of opioid analgesia prior to cath in patients with concern for ACS is associated with longer door-to-balloon times, and greater peak troponin levels. The rate of Occlusion MI in those who received pre-cath opioids was double the rate of those without pre-cath opioids, and STEMI(-) OMI patients who received pre-cath opioids waited 10 hours on average longer to get cath than those who did not received opioids. These results add support to our hypothesis that a major mechanism of harm caused by opioid medications in ACS patients involves delays to the cath lab for patients with STEMI(-) OMI.=====...
Source: Dr. Smith's ECG Blog - September 10, 2023 Category: Cardiology Authors: Pendell Source Type: blogs

New Collection of Articles on Language Equity in Medical Education
To recognize and demonstrate that all persons are valued and respected, academic medicine ideally will reflect the communication needs and language preferences of the population. We have curated a collection of articles with the intent of helping readers understand historical perspectives on the need to address language-related health disparities and informing strategies to enhance language-appropriate health care training and assessment at their institutions. Each of us, Dr. Pilar Ortega and Dr. Débora Silva, brings a different perspective on language equity informed by our personal and professional experiences. I (P....
Source: Academic Medicine Blog - September 8, 2023 Category: Universities & Medical Training Authors: amrounds Tags: Guest Perspective Journal Announcement Academic Medicine collection language equity medical education Source Type: blogs

How Cold Weather Affects Blood Pressure? New Study Reveals Surprising Facts
Conclusion In the vast tapestry of medical research, the recent study on seasonal trends in high blood pressure is a particularly illuminating thread. It’s shown us that something as seemingly benign as the changing of the seasons can impact a major health metric – our blood pressure. This isn’t just about statistics and numbers. It’s about lives. Recognizing and anticipating these patterns means healthcare providers can be better equipped to offer timely, effective care. And for those living with high blood pressure? It offers a roadmap. A guide to navigate the challenges of each season, with...
Source: The EMT Spot - September 8, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: News Source Type: blogs