“ How is it being back? ” Truthfully, it ’ s much harder than before.
I am an anesthesiologist, a physician with a specialization in anesthesia. I chose this profession, with its difficulties and its rewards. I knew there would be sacrifices and I have gladly made them. I didn’t expect this, yet here I am, doing what has to be done, if for no other reason than it is
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“How is it being back?” Truthfully, it’s much harder than before. originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - September 11, 2022 Category: General Medicine Authors: Davida Grossman, MD Tags: Physician Anesthesiology Source Type: blogs
Near-Infrared Spectroscopy (NIRS) Tissue Oximetry
Discussion. Cureus. 2021 Mar 14;13(3):e13875. doi: 10.7759/cureus.13875. PMID: 33868839; PMCID: PMC8043135.
Tanidir IC, Ozturk E, Ozyilmaz I, Saygi M, Kiplapinar N, Haydin S, Guzeltas A, Odemis E. Near infrared spectroscopy monitoring in the pediatric cardiac catheterization laboratory. Artif Organs. 2014 Oct;38(10):838-44. doi: 10.1111/aor.12256. Epub 2014 Jan 10. PMID: 24404951.
Zaleski KL, Staffa SJ, Kussman BD. A Survey of the Congenital Cardiac Anesthesia Society on the Use and Clinical Application of Near- Infrared Tissue Oximetry in Pediatric Cardiac Surgery. J Cardiothorac Vasc Anesth. 2022 Sep;36(9):3617-3625. doi...
Source: Cardiophile MD - September 9, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Precautions for cardiac catheterization in a cyanotic child
Pediatric diagnostic cardiac catheterizations have come down with the availability of better imaging modalities which can give most of the details needed for management non-invasively. Still cardiac catheterization may still be needed in selected cases, leave alone the catheterization prior to pediatric cardiac interventions. Cyanotic child presents more challenges during cardiac catheterization, mostly due to the presence of hypoxia and polycythemia.
Hospitalization on the previous day will be desirable along with 3-4 hour fasting prior to procedure. As there is a chance for hemoconcentration during fasting, adequate hyd...
Source: Cardiophile MD - September 9, 2022 Category: Cardiology Authors: Johnson Francis Tags: Angiography and Interventions Source Type: blogs
Hopeful Parents Really Need To Know The potential Risks They Run With Off The Shelf Technology!
This appeared last week:Fetal heart monitors implicated in stillbirths, neonatal deathByKate AubussonAugust 29, 2022 — 5.00amThe medical watchdog is investigating the dangers of at-home fetal heart monitors following three stillbirths and one neonatal death linked to the devices.The Therapeutic Goods Administration (TGA) will consider banning handheld fetal dopplers for personal use after theywere linked to multiple cases of pregnant women being “falsely reassured” that their unborn baby had a healthy heartbeat, leading to delays in seeking medical attention.Health authorities reported three stillbirths and one early...
Source: Australian Health Information Technology - September 8, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Healthcare ’s Sustainability Problem And The Solutions Tech Can Provide
The following is a guest article by Melissa Powell, COO at Genesis HealthCare.
Healthcare’s future is smart and sustainable, led by tech-driven solutions and human ingenuity. One great success story of sustainable healthcare that combines those forces begins with a nurse who sews.
Tami Ochs, an RN at New Jersey’s Overlook Medical Center, helped the facility repurpose 15,000 pounds of surgical blue wrap that was being discarded annually. She began sewing shopping bags from the non-biodegradable material used to cover sterile equipment, a project that blossomed into a goal to replace 100,000 plastic bags patients use eve...
Source: EMR and HIPAA - September 7, 2022 Category: Information Technology Authors: Guest Author Tags: AI/Machine Learning C-Suite Leadership Healthcare IT Hospital - Health System AMA Boston Medical Center Circular Healthcare Cisco Genesis Healthcare Healthcare Facilities Healthcare Without Harm Melissa Powell Overlook Medical Cent Source Type: blogs
Why I did not want to become a leader, and why accidentally becoming one was the best thing that happened to me
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. There are some moments in life that, when you look back years later, you see a pivot. The fork in the road you didn’t recognize at the time, that looking back, changed the trajectory of your life. One of those moments in my life happened
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Why I did not want to become a leader, and why accidentally becoming one was the best thing that happened to me originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 26, 2022 Category: General Medicine Authors: Asha Padmanabhan, MD Tags: Physician Anesthesiology Source Type: blogs
The Nurse as Tireless Patient Advocate
As highly respected healthcare professionals who often go above and beyond the call of duty, nurses are natural patient advocates. The nursing process may begin with assessment, but where the rubber hits the road is when nurses go to bat for their patients to make sure they receive the best possible care when they need it most. &...
Source: Digital Doorway - August 22, 2022 Category: Nursing Source Type: blogs
Weekly Australian Health IT Links – 22 August, 2022.
Here are a few I have come across the last week or so. Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.General Comment-----This week we seem to have more in the way of State-Based initiatives as well as the usual rubbish info sessions from the ADHA.Also the usual from of NBN news and news of #myHR Rule 42 – which I had never heard of!-----https://www.australianageingagenda.com.au/contributors/opinion/critical-staff-shortages-affect-more-than-frontli...
Source: Australian Health Information Technology - August 22, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Ways to stop good clinicians leaving pain management (ii)
Last week I started a series of posts on how we can stop good clinicians leaving pain management. I began with funding because, at least in New Zealand, lack of funding is a significant part of the problem of staff retention.
Now I want to look at how we prepare clinicians to work in pain management.
One of the major barriers in New Zealand is the dominance of musculoskeletal rehabilitation in physiotherapy clinics around the country. How could direct access to musculoskeletal rehabilitation be a bad thing, you ask? Well, it’s mainly because pain management is not musculoskeletal rehabilitation – and yet...
Source: HealthSkills Weblog - August 7, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Clinical reasoning Interdisciplinary teams Occupational therapy Pain conditions Physiotherapy Professional topics Psychology Science in practice Health healthcare pain management Source Type: blogs
A man in his 40s with multitrauma from motor vehicle collision
DiscussionThis is a case where clinical context is of vital importance, because the EKG manifestations of cardiac contusion are fairly unpredictable. Intramyocardial hemorrhage, edema, and necrosis of myocardial muscle cells are characteristics of cardiac contusion. All of these cause troponin elevation, making troponin a very specific marker for cardiac injury. It is suggested that a troponin that is within normal reference range at about 4-6 hours from the inciting event suggests strongly the absence of cardiac injury in blunt chest trauma (Sybrandy).The EKG is not generally sensitive for cardiac contusion. The right ven...
Source: Dr. Smith's ECG Blog - August 6, 2022 Category: Cardiology Authors: Pendell Source Type: blogs
Ways to stop good clinicians leaving pain management (i)
After the heartbreaking post last week that seemed to resonate with so many around the world, I thought I’d look at what we can do to stop good clinicians leaving pain management.
While our jurisdictions have differences in pay rates, reimbursement approaches and treatment codes, at the heart of good healthcare is good people who want to help. So why, when healthcare is populated with caring clinicians, do we strike bullying, lack of support for one another, non-existent teamwork, and poor career pathways? What is going on?
I’ll tackle these in bite-sized chunks, starting with the funders. And of course, ...
Source: HealthSkills Weblog - July 31, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Interdisciplinary teams Professional topics Science in practice Clinical reasoning Health healthcare Therapeutic approaches Source Type: blogs
Anesthesia and Surgeons, Unread Emails, and Living the Moment – Fun Friday
Happy Friday! We hope you have had a great week and are excited to head into the weekend. It’s time again for another edition of Fun Friday where we find some humor in life, business, and the world of healthcare and IT. We have a quite eclectic mix today that I think you’ll enjoy.
First up is Dr. Glaucomflecken’s look at anesthesia and surgeons. It’s two parts, so check out both. The power dynamics in healthcare are amazing.
part 2 pic.twitter.com/8m5q0QsiBI
— traumadramamd (@TraumaDramaMD) July 23, 2022
This next one wasn’t maybe supposed to be funny, but I found it hilarious. That said, ...
Source: EMR and HIPAA - July 29, 2022 Category: Information Technology Authors: John Lynn Tags: Healthcare IT @DGlaucomflecken Dr. Glaucomflecken Emma Stevens Fun Friday Health IT Humor Healthcare Humor Source Type: blogs
I Might Be Running A Risk By Commenting On This!
This appeared last week:AHPRA ' s made a serious mistake in trying to silence Dr David BergerDr Andrew MillerDr Miller is an anaesthetist in Perth and president of AMA WA.15th July 2022Dr David Berger has been told to pull his head in by the Medical Board of Australia who wants him to undergo a re-education course " in relation to behaving professionally and courteously to colleagues and other practitioners " .His offence, according to the board, was his passionate Tweets, sometimes containing the odd expletive, critiquing public health measures, dopey commentators and the politics of the pandemic.This was the end result o...
Source: Australian Health Information Technology - July 28, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
At the Core, Tuskegee Has Never Been Resolved
BY MIKE MAGEE
July 25, 1972 was fifty years ago this week and it is a day that all AP Science journalists know by heart. As Monday’s AP banner headline read: “On July 25, 1972, Jean Heller, a reporter on The Associated Press investigative team, then called the Special Assignment Team, broke news that rocked the nation. Based on documents leaked by Peter Buxtun, a whistleblower at the U.S. Public Health Service, the then 29-year-old journalist and the only woman on the team, reported that the federal government let hundreds of Black men in rural Alabama go untreated for syphilis for 40 years in order to study th...
Source: The Health Care Blog - July 27, 2022 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Policy Bill Clinton Elisabeth Holmes Mike Magee Theranos Tuskegee Source Type: blogs
Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety, Social Media And Security Matters. Lots Of Interesting Perspectives - July 26, 2022.
-----This weekly blog is to explore the news around the larger issues around Digital Health, data security, data privacy, AI / ML. technology, social media and related matters.I will also try to highlightADHA Propagandawhen I come upon it.Just so we keep count, the latest Notes from the ADHA Board were dated 6 December, 2018 and we have seen none since! It ’s pretty sad!Note: Appearance here is not to suggest I see any credibility or value in what follows. I will leave it to the reader to decide what is worthwhile and what is not! The point is to let people know what is being said / published that I have come upon.-----h...
Source: Australian Health Information Technology - July 26, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
