Dr Margaret Vaux Has Exposed A Problem With Health Department / Medicare Technology!
Last Monday the ABC and The Nine News Outlets made a big splash with the following headlines:‘Medicare is haemorrhaging’: The rorts and waste costing taxpayers billions of dollars a yearByAdele Ferguson and Chris GillettOctober 17, 2022 — 5.00amBillions of dollars are being rorted from Medicare each year by medical practitioners making mistakes or charging for services that aren ’t necessary or didn’t even happen – including billing dead people and falsifying patient records to boost profits.The revelations come as GPs lobby the federal Labor government to boost Medicare funding and increase rebates, claiming t...
Source: Australian Health Information Technology - October 23, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

How prototyping your life can save medicine
There is something to the movie The Secret Life of Walter Mitty that I just love. Every time I hear the music, I feel the sky of possibility opening as a melancholy feeling simultaneously hits. And today, while finishing my ACLS recertification, I realized another reason why: Walter Mitty finally starts designing his way forward. Read more… How prototyping your life can save medicine originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 20, 2022 Category: General Medicine Authors: Tags: Physician Anesthesiology Source Type: blogs

Pulmonary stenosis – Cardiology Basics
Pulmonary stenosis – Cardiology Basics Pulmonary stenosis is most often congenital, though occasionally it can occur in carcinoid syndrome and related disorders. Dysplastic pulmonary valve occurs in Noonan’s syndrome. Pulmonary stenosis increases the workload of the right ventricle, which gets hypertrophied in an attempt to overcome the obstruction. Hypertrophied right ventricle becomes less compliant, increasing its filling pressure. Decrease in right ventricular compliance increases right atrial pressure. This will be more when the right ventricle fails ultimately. Forceful right atrial contraction produces a...
Source: Cardiophile MD - October 18, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

The perioperative surgical home: a model to tackle today ’s pressing health care issues
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. The health care landscape has never been more complex. A deadly and enduring pandemic; health care delivery challenges that leave some communities at higher risk for adverse outcomes; an opioid crisis that takes nearly 200 American lives per day; and an ever-evolving regulatory climate. In Read more… The perioperative surgical home: a model to tackle today’s pressing health care issues originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 18, 2022 Category: General Medicine Authors: Tags: Physician Anesthesiology Surgery Source Type: blogs

What is Transesophageal echocardiogram (TEE)? Cardiology Basics
Echocardiogram is an image of the heart using ultrasound. An ultrasound beam is transmitted into the body using a device known as transducer. The echo received from the body is processed by the computer in the machine to give a moving image of the heart. Transesophageal echocardiogram or TEE, is obtained by introducing a special type of transducer, also called a TEE probe, into the esophagus and stomach. Usual echocardiogram is obtained by placing the transducer or probe on the chest. Lungs may overlap the heart intermittently while imaging the heart from the chest wall. This is because the lungs cover part of the heart d...
Source: Cardiophile MD - October 11, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

What is a silent myocardial infarction? Cardiology Basics
Silent myocardial infarction is one in which the person does not know that myocardial infarction has occurred. This can be because chest pain was not felt or was only mild. It can also be missed if the person was under sedation or under general anaesthesia when it occurred. In earlier community studies like the Framingham Heart Study, in which ECG was recorded every two years, it was shown that up to one fourth of the previous myocardial infarctions detected on ECG were silent. Silent myocardial infarctions are more likely in those with diabetes mellitus. Long standing diabetes affects the nerves of the heart so that...
Source: Cardiophile MD - October 6, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

What is the difference between invasive and non invasive ventilation? Cardiology Basics
Ventilator is a device used to support breathing. It is used when there is difficulty in breathing or when spontaneous breathing has stopped. Ventilator is an important life supporting device useful in many life threatening conditions. Invasive ventilator is usually used in the intensive care setting or the operating room. An endotracheal tube is introduced under topical anaesthesia with sedation or general anaesthesia. The endotracheal tube is connected to a mechanical ventilator using appropriate connection tubing. In those who do not tolerate the presence of an endotracheal tube deep sedation and neuromuscular blockade...
Source: Cardiophile MD - October 5, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Your anesthesiologist cares for you [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! “It’s one of the hard things about anesthesiology. A window opens, you work like all get out, doing all sorts of things while the breeze blows in, then it’s shut again. Sometimes, you see your patient once more; sometimes, if things go awry, you Read more… Your anesthesiologist cares for you [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 2, 2022 Category: General Medicine Authors: Tags: Podcast Anesthesiology Hospital-Based Medicine Surgery 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

The heartbreak and joy of missions-based pain medicine: a pain physician ’s perspective
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Approximately 30 percent of the world’s population reports living with some form of pain, ranging from headaches to joint pain to cancer-related pain. Unfortunately, pain medicine expertise and the medications and non-drug therapies available to relieve pain are not as widely distributed as the populations Read more… The heartbreak and joy of missions-based pain medicine: a pain physician’s perspective originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - September 27, 2022 Category: General Medicine Authors: Tags: Physician Anesthesiology Surgery Source Type: blogs

Weekly Overseas Health IT Links –24th September, 2022.
This article makes the case and explains what will be required to make it happen.We hear a lot about “digital health” these days. As data about our health piles up — thanks to sources like electronic health records, personal fitness apps and gadgets, and home genome test kits — weshould understand a lot more than we used to about what ’s wrong with our health and what to do about it. But having a lot of data is not enough. We have to be aware of what we have, understand what it means, and act on that understanding. While the challenges are in some ways more acute in the United States because of its fragmented sys...
Source: Australian Health Information Technology - September 24, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

I ’ m a doctor who just had his first colonoscopy in my 60s — without anesthesia
Well, I am that family physician and geriatrician who is now almost 70 years old. And I cannot believe it because, in some ways, I am still like 27 years old! First of all, I’m very healthy, and I’m lucky that nobody in my family had colon cancer or any cancer. Most of my relatives Read more… I’m a doctor who just had his first colonoscopy in my 60s — without anesthesia originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - September 23, 2022 Category: General Medicine Authors: Tags: Conditions Gastroenterology Source Type: blogs

Smartphone Camera Measures Blood Oxygen
At the University of Washington a research team has developed a smartphone system that can measure blood oxygen levels. The technology uses the camera and flash of the phone to take the measurement, and the system is so easy to use that it may be well suited for at-home use. A person presses their finger over the camera, which gets illuminated by the flash, and the camera measures how much light from the flash the finger absorbs, which a deep-learning algorithm can then correlate with blood oxygen levels. The system could be useful for COVID-19 patients who wish to monitor their progress at home and receive early warning o...
Source: Medgadget - September 21, 2022 Category: Medical Devices Authors: Conn Hastings Tags: Anesthesiology Cardiology Diagnostics Emergency Medicine Telemedicine UW Source Type: blogs

Celebrating Peer Review Week at BMC: How Peer Review can help uphold research integrity
Maintaining research integrity requires a whole community: from the beginning of the scientific process to the publication of the results, multiple actors – funders, researchers, institutions, publishers – are involved. In reality, no single group is solely responsible for upholding research to high standards and a variety of stakeholders need to remain vigilant. However, it is the last stage of the scientific process, the communication of scientific research, where robust peer review acts as one of the last gatekeepers for research integrity. Here we discuss how as open access BMC journals (part of Springer Na...
Source: BioMed Central Blog - September 20, 2022 Category: General Medicine Authors: Nicola Stead Tags: Biology Health Medical Evidence Medicine Open Access Publishing innovation open peer review peer review week publication misconduct Registered Reports results-free peer review Transparent peer review Source Type: blogs

Implantable cardioverter defibrillator (ICD)
Implantable cardioverter defibrillator, known in short as ICD, is a device which monitors the heart rhythm continuously and treats it electrically when needed. As it functions automatically without the need for a bystander intervention as in automated external defibrillator or AED, it is also known as automatic implantable cardioverter defibrillator or AICD. When Michel Mirowski reported on a standby automatic defibrillator in 1970, it was met with a lot of skepticism [1]. But now ICD is a time tested life-saving equipment. The most commonly implanted ICD is also called transvenous ICD because the leads are introduced thr...
Source: Cardiophile MD - September 19, 2022 Category: Cardiology Authors: Johnson Francis Tags: ECG / Electrophysiology Source Type: blogs