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Meet the doctor who had a colonoscopy without anesthesia [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! “If you did not have a colonoscopy, I would still recommend that you do it in a conventional way and get that IV sedation. But if you are an adventurer as I am, I would highly recommend that you do a colonoscopy the same Read more… Meet the doctor who had a colonoscopy without anesthesia [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 19, 2022 Category: General Medicine Authors: Tags: Podcast Gastroenterology Source Type: blogs

What is the most common cause of acquired heart disease in children in developed countries?
Kawasaki disease is the most common cause of acquired heart disease in children in developed countries. In developing countries it will be rheumatic heart disease. Timely treatment of Kawasaki disease with intravenous immunoglobulin can reduce the incidence of coronary aneurysms from 25% to around 4%. Children with coronary aneurysms due to Kawasaki disease needs lifelong cardiology follow up. The prognosis depends on the initial and current level of coronary involvement. Some children may develop coronary obstruction and thrombosis leading to myocardial infarction. Revascularization procedures may be needed in some of th...
Source: Cardiophile MD - November 17, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Investing today in early-career physicians ’ unique needs fuels tomorrow ’s health care leaders
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. My physician grandfather believed medicine was the noblest profession, a career that combined making an honest living with a meaningful difference. Inspired by his passion, I followed in his footsteps, believing I was on the path to a lucrative life of helping people in need. Read more… Investing today in early-career physicians’ unique needs fuels tomorrow’s health care leaders originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 13, 2022 Category: General Medicine Authors: Tags: Physician Anesthesiology Source Type: blogs

Device Measures Hemoglobin More Accurately in Dark Skin
Researchers at the University of Texas at Arlington, in collaboration with Shani Biotechnologies, a local firm, have created a point-of-care device that can accurately measure hemoglobin levels and perform pulse oximetry in individuals with dark skin. At present, methods to determine hemoglobin levels at the point of care, such as pulse oximetry, are inaccurate in individuals with higher levels of melanin in their skin, and there is a clear need to develop alternatives that work for everyone. Instead of the red-infrared light used by common pulse oximeters, this new device relies on a blue-green light in addition to assess...
Source: Medgadget - November 11, 2022 Category: Medical Devices Authors: Conn Hastings Tags: Anesthesiology Cardiology Critical Care Emergency Medicine Military Medicine Pediatrics Surgery utarlington Source Type: blogs

What Is GHB Anyway?
Let’s face it, there are a whole bunch of street drugs out there that we as EMS caregivers should understand. While we can’t always be expected to identify the exact drug a patient has ingested. We do need to be able to predict a given drugs effect on the body. We should also be able to take a fair guess at the identity of an ingested drug based on our evaluation of the patient’s physical presentation. GHB is one of those drugs that can be hard to nail down based on the physical signs. But it does leave some clues – if you know what your look for. What Is It? : A Multi-Receptor Stimulant GHB is short for ...
Source: The EMT Spot - November 10, 2022 Category: Emergency Medicine Authors: Steve Whitehead Tags: EMT Source Type: blogs

Should You Go To Jail For Medical Errors?
I’m not looking to give a lecture or deliver a lot of input on this one. I’m really uncertain how I feel about this and I’d like To hear what you all think. What do you all think about medical caregivers receiving jail time for medical errors that contribute to bad patient outcomes? It’s not just conjecture. We have two recent cases on the books now of medical practitioners facing jail time for mistakes they made on the job. First there was Julie Thao, the nurse who faced felony manslaughter charges for administering a high dose anesthesia to a pregnant 16 year old female (she thought it was a prescribed anti...
Source: The EMT Spot - November 9, 2022 Category: Emergency Medicine Authors: Steve Whitehead Tags: EMT Source Type: blogs

In-Office Pediatric Ear Tube Procedures: Interview with Preceptis Medical ’s Greg Mielke
Preceptis Medical, a medtech company based in Minnesota, created the Hummingbird Tympanostomy Tube System. The device allows ear, nose, and throat (ENT) surgeons to insert ear tubes in the comfort of their office. The procedure requires only local anesthetic and is intended to be less distressing for pediatric patients than the conventional approach, which requires general anesthesia. The Hummingbird device provides a “one-pass” approach to ear tube placement, with an ear drum incision and tube placement occurring with a few simple manipulations of the device. Medgadget spoke with Steve Anderson, CEO of Preceptis Me...
Source: Medgadget - November 8, 2022 Category: Medical Devices Authors: Conn Hastings Tags: ENT Exclusive Pediatrics hummingbirdears Source Type: blogs

Stop going through the motions and actually have the life you dreamed of [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! “Try incorporating the three small practices of your choice into your day-to-day for two weeks and watch your experience of your life transform. You have worked far too hard to just go through the motions forever. Starting today, you can begin to enjoy all Read more… Stop going through the motions and actually have the life you dreamed of [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 4, 2022 Category: General Medicine Authors: Tags: Podcast Anesthesiology Source Type: blogs

AI-Enhanced Prostate Cancer Treatment: Interview with Brittany Berry-Pusey, Co-Founder and COO at Avenda Health
Avenda Health, a medtech company based in Santa Monica, California has developed the FocalPoint ablation system, an AI-powered prostate cancer therapy. The system is designed to provide localized prostate cancer treatment and its AI system equips clinicians with a map of a patient’s cancer, along with treatment simulations to help them chose the best course of action.    The goal behind the system is to effectively treat the tumor, but preserve as much of the healthy tissue as possible, thereby maximizing patient chances at retaining full urinary and sexual function. The ablation technology itself is laser-b...
Source: Medgadget - November 1, 2022 Category: Medical Devices Authors: Conn Hastings Tags: Exclusive Oncology Urology AvendaHealth Source Type: blogs

Speak up for safety in health care
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. A nurse is assisting the attending physician in placing a central line in the intensive care unit. It’s 3 a.m., and the attending is clearly tired, having admitted eight patients so far on her shift. The nurse notices the physician pushing her eyeglasses up her Read more… Speak up for safety in health care originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 1, 2022 Category: General Medicine Authors:

What are ventricular ectopic beats (VPC)? Cardiology Basics
Ventricular ectopic beats are premature heart beats originating from the ventricles. Normal heart beats originate from the sinus node, situated in the upper part of right atrium. Sinus node is the natural pacemaker of the heart which gives out regular impulses to induce sequential contractions of atria and ventricles. Ventricular ectopic beats (VEB) are also known by other names like ventricular premature beat (VPB), ventricular premature complex (VPC) and premature ventricular complex (PVC). Ventricular ectopic is the commonest form of cardiac arrhythmia. In a ventricular ectopic beat, the sequence of activation is diffe...
Source: Cardiophile MD - October 25, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

What is an implantable cardioverter defibrillator (ICD)? Cardiology Basics
Implantable cardioverter defibrillator or ICD is a cardiac implantable electronic device or CIED. The device is implanted subcutaneously under local anaesthesia, usually below the left clavicle. The electrodes from the device are introduced into the right sided cardiac chambers through a subclavian vein puncture. The ICD senses and analyzes heart rhythm continuously. It can detect life threatening ventricular arrhythmias and treat them electrically. If a ventricular tachycardia is detected, the ICD tries to overdrive it by fast pacing. If it does not suppress the ventricular tachycardia, the ICD delivers a shock through i...
Source: Cardiophile MD - October 23, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

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