A Look Back in Time: Free Internet Access in Hospitals
This note marks the beginning of a new continuing series in which I will look back in time and quote an earlier blog note. I will then comment about how the key ideas covered earlier have changed in the ensuing years.In January, 2006, I posted a note about the innovative idea at that time of providing free Wi-FI to patients and visitors in a hospital (see:Free Wi-Fi for Patients in Hospitals). Here is a quote from the article:TheRichardson Regional Medical Center now provides free Wi-Fi Internet access to patients and visitors throughout the hospital.What started as a WLAN to support paperless charting became a broader dep...
Source: Lab Soft News - August 3, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Healthcare Business Healthcare Delivery Healthcare Information Technology Healthcare Innovations Quality of Care Source Type: blogs
BioethicsTV (May 30, 2018): #CodeBlack Patient racism and DNRs
by Craig Klugman, Ph.D.
Code Black (Season 3; Episode 5): Patient Racism
A middle-aged-white patient needs an appendectomy. As he is being wheeled to surgery, he is beside the chief of surgery and a new trauma surgery resident. The patient is jovial and says he feels a connection with the resident. The patient states that he wants the resident to do his surgery. The resident responds that he is still learning and they are lucky to have the best surgeon in the hospital.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 4, 2018 Category: Medical Ethics Authors: Craig Klugman Tags: BioethicsTV End of Life Care Featured Posts professional ethics racism structural racism Source Type: blogs
In defense of FOX ’s The Resident
The public’s apparently insatiable appetite for medical drama continues unabated as yet another prime-time TV show set in a hospital has hit our screens. FOX’s The Resident has generated discussion like no other. This may simply be due to the fact it’s the first major launch in the era of widespread social media, but it seems to have enraged a vast swathe of our ranks. Has The Resident crossed a line or have we become a medical “generation snowflake”?
Health care professionals don’t tend to admit that they watch medical shows. “Oh it’s too much like work!” is a common refrain, but magically most o...
Source: Kevin, M.D. - Medical Weblog - February 13, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/rohin-francis" rel="tag" > Rohin Francis, MD < /a > Tags: Physician Hospital-Based Medicine Mainstream media Source Type: blogs
BioethicsTV (January 21-22, 2018): The Resident-Our Most Unethical Hospital System
The Resident (Season 1; Episode 1): The Most Unethical Hospital Ever
This new Fox show begins with newly minted MD Devon Pravesh’s first day at a fictional Atlanta hospital. In the first 3 minutes, a surgical team takes photos over a patient’s body during an appendectomy (and break the sterile field). The patient wakes up during the surgery and the surgeon has tremors leading him to cut an artery and the patient bleeds to death. The surgeon, Dr. Bell, then tells the team that the death that the patient was the patient’s fault because he was a poor risk.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - January 24, 2018 Category: Medical Ethics Authors: Craig Klugman Tags: BioethicsTV Clinical Ethics End of Life Care Featured Posts Health Care Health Disparities Media Organ Transplant & Donation Social Justice Source Type: blogs
Medically Home Wants to Shift Advanced Medical Care from Hospital to Home (CES 2018)
Healthcare is evolving and even where clinical care is delivered is changing. Fifty years ago, patients stayed in the hospital for weeks after an appendectomy. Today they go home the same or the next day. Some patients nowadays stay due to common problems: for DVT prophylaxis after surgery, for physical therapy, for antibiotics and serial CBCs to monitor the progress of infection, and so on. But as technology evolves, some of these clinical tasks could be done at home.
Consider that we now have wearables that can monitor basic vital signs better than CNAs (nursing assistants) on the hospital floor. We also have a growing l...
Source: Medgadget - January 22, 2018 Category: Medical Devices Authors: Editors Tags: Informatics Medicine Surgery Source Type: blogs
It ’s important to give patients an idea of what to expect
The familiarity that health care professionals develop with complex medical procedures and topics is the result of years upon years of hard work, and over time we become accustomed to the jargon. We use phrases like “lap chole” and “appy” without much thought when talking to each other and (if we have a momentary lapse) with patients. We take the fantastic array of medical specialties, procedures, and knowledge in our world for granted. The extraordinary becomes mundane.
For patients, medicine is very different. The situations they encounter are, for the most part, totally novel. They don’t go...
Source: Kevin, M.D. - Medical Weblog - December 11, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/kristin-puhl" rel="tag" > Kristin Puhl < /a > Tags: Education Hospital-Based Medicine Surgery Source Type: blogs
Outrageous Hospital Expenses
Getting relatively simple procedures is much more expensive in the US than elsewhere. Take the cost of an appendectomy: Or having a baby: Or having a baby by C-section, a more invasive procedure that is not only more expensive in … Continue reading →
The post Outrageous Hospital Expenses appeared first on PeterUbel.com. (Source: blog.bioethics.net)
Source: blog.bioethics.net - October 12, 2017 Category: Medical Ethics Authors: Peter Ubel Tags: Health Care healthcare costs Peter Ubel syndicated Uncategorized Source Type: blogs
An August Appendectomy
In August, (one month ago today)I had an appendectomy. There was very little drama involved, the doctors office visit led straight to a same day CT scan and an emergency review with the radiologist who informed me the appendix couldn ' t be seen but the colon was most definitely inflamed and I should go to the ER if it got worse. To the ER I went that night, to a hospital where the D Care is very good (had that going for it). They admitted me under observation, coursing enough pain medications through me to make me sick for the next 14 hours. The plan was to do another CT the next day. In observation, as I was trying not t...
Source: The D-Log Cabin - September 20, 2017 Category: Endocrinology Authors: HVS Source Type: blogs
Is the Direct Primary Care Model Dead?
By NIRAN AL-AGBA, MD
A recent Medical Economics article asked “Is the DPC model at risk of failing?”
The piece focuses on two large DPC-like organizations, Qliance Medical Management of Seattle, Washington and Turntable Health of Las Vegas, NV, working in partnership with Iora Health, which recently closed their doors. Qliance and Turntable were not actually DPC practices by strict definition; they were innovative large business operations providing healthcare services to patients and excluding third party payers. Their idea was commendable, but their closure indicates little cause for concern in regard to the growing ...
Source: The Health Care Blog - June 6, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Qliance Turntable Health Source Type: blogs
Residents performing surgery: Why can ’t we reach a middle ground?
A comparison of appendectomy outcomes for senior general surgeons and general surgery residents revealed no significant differences in early and late complication rates, use of diagnostic imaging, time from emergency department to operating room, incidence of complicated appendicitis, postop length of stay, and duration of post-op antibiotic treatment.
The only parameter in which a significant difference was seen was that attending surgeons completed the procedure significantly faster by 9 minutes — 39.9 vs. 48.6 minutes, but this may have been influenced by the fact that attending surgeons used laparoscopic staplers...
Source: Kevin, M.D. - Medical Weblog - May 25, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/skeptical-scalpel" rel="tag" > Skeptical Scalpel, MD < /a > Tags: Physician Surgery Source Type: blogs
Is nonoperative treatment of appendicitis in children safe?
After writing my 21st post about appendicitis back in November, I swore I would not write about it again for the foreseeable future.
Well, the future is now because investigators from the United Kingdom and Canada just published a meta-analysis including ten papers and 413 children about the efficacy and safety of nonoperative treatment for appendicitis in children.
They concluded that nonoperative management is effective in 96 percent of children with acute uncomplicated appendicitis during their initial hospitalizations with just 17 (4 percent) children requiring appendectomy before discharge. An additional 68 (16.4 perc...
Source: Kevin, M.D. - Medical Weblog - March 25, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/skeptical-scalpel" rel="tag" > Skeptical Scalpel, MD < /a > Tags: Conditions Surgery Source Type: blogs
Ten Years In
My first day as an attending general surgeon in Cleveland, Ohio was August 7th, 2006. I saw one patient with a hernia in the office that day and then, around 430 pm, the call came in from the pediatric ER about a kid with abdominal pain. Some healthy 17 year old boy with obvious early appendicitis. I booked the case, tip-toed my way through the laparoscopic appendectomy uneventfully and went home feeling awful proud of myself. It was exactly how I envisioned a life as a general surgeon. I had been a confident 5th year resident. I hadn't done a fellowship. I had felt ready. I was read...
Source: Buckeye Surgeon - March 3, 2017 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
Robots Made of Hydrogels May Help Surgeons Operate on Fragile Tissues
The future of surgery may involve robotic devices that are soft and gentle to prevent unwanted damage, yet strong enough to be able to manipulate tissues. At MIT engineers are leading the way toward that future having developed robots made out of hydrogel and powered by water, that can, among other things, grab and release a live goldfish inside an aquarium. The device isn’t performing appendectomies quite yet, but it’s certainly illuminating what may be possible.
The components of the robot are hollow and are linked to external pumps via flexible tubes. Their shape is designed so that when water is moved in an...
Source: Medgadget - February 17, 2017 Category: Medical Equipment Authors: Editors Tags: News Source Type: blogs
Weaving Whole-Person Health Throughout An Accountable Care Framework: The Social ACO
Editor’s note: This is part of a periodic series of Health Affairs Blog posts discussing the Culture of Health, the topic of a November Health Affairs theme issue. In 2014 the Robert Wood Johnson Foundation announced its Culture of Health initiative, which promotes health, well-being, and equity. The initiative identifies roles for individuals, communities, commercial entities, health care entities, and public policy that extend beyond the reach of medical care into sectors not traditionally associated with health.
Policymakers, health plans, and provider organizations are aggressively pursuing care delivery and...
Source: Health Affairs Blog - January 25, 2017 Category: Health Management Authors: Iyah Romm and Toyin Ajayi Tags: Costs and Spending Featured Hospitals Long-term Services and Supports Organization and Delivery Population Health Quality ACOs culture of health DSRIP Massachusetts Social Determinants of Health Source Type: blogs
An oncologist comments on appendicitis. A surgeon sets him straight.
It was an interesting fortnight for the debate about the treatment of appendicitis.
On November 1, David Agus, a medical oncologist, and director of the University Of Southern California’s Center for Applied Molecular Medicine, had some thoughts about how appendicitis should be treated. He cited the Finnish randomized trial of antibiotics vs. surgery and said a 70 percent cure rate was good enough.
In a brief article on the Fortune magazine website, Agus wondered why appendectomy “continues to reign supreme.” He said it was “because 24/7 we’re taught you have to take it out if there’s appendicit...
Source: Kevin, M.D. - Medical Weblog - November 13, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/skeptical-scalpel" rel="tag" > Skeptical Scalpel, MD < /a > Tags: Conditions Surgery Source Type: blogs
