The Technological Future Of Surgery
“Any sufficiently advanced technology is indistinguishable from magic.” This quote by Arthur C. Clarke pretty much sums up the future of surgery. It offers fantastic cooperation between humans and technology, which could elevate the level of precision and efficiency of surgeries so high we have never seen before. A.I., surgical robots, 3D printing and new imaging methods are already used on a wide scale of procedures. But there’s much more to the future of surgery than that.  Today only 3% of surgical procedures are performed by robots, although 15% of all operations used robotic support or assistance in the ...
Source: The Medical Futurist - May 20, 2021 Category: Information Technology Authors: berci.mesko Tags: Artificial Intelligence in Medicine Augmented Reality Future of Medicine Future of Pharma Healthcare Design Medical Education Robotics Virtual Reality 3d printing AI diagnostics Surgery technology gc4 surgical robot Source Type: blogs

Ebstein ’ s anomaly and pregnancy
Ebstein’s anomaly and pregnancy Ebstein’s anomaly of tricuspid valve was first described by Wilhelm Ebstein in 1866 [1]. It is characterized by distal displacement of the septal and posterior leaflets of tricuspid valve. Anterior leaflet is elongated and sail like. A portion of the right ventricle is ‘atrialized’ due to the distal displacement of the tricuspid valve. Right atrium is often grossly dilated. Right to left shunting occurs across a patent foramen ovale producing cyanosis of variable extent. Ebstein’s anomaly is one of the cyanotic congenital heart diseases in which survival to adul...
Source: Cardiophile MD - May 14, 2021 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Cardiology Source Type: blogs

Soft Sensors for Wireless Monitoring During Labor
Researchers at Northwestern University have developed a series of soft sensors that can provide wireless monitoring of pregnant mothers during labor. The sensors are a replacement for the wires and belts typically used for monitoring during labor, and can send data directly to a clinician’s smartphone, opening the possibility of remote monitoring in rural or low-resource settings, or even for home births during the current pandemic. At present, clinicians monitor pregnant women during labor using a series of cumbersome belts and wires. These measurements include vital signs and data on the frequency of contractions, a...
Source: Medgadget - May 12, 2021 Category: Medical Devices Authors: Conn Hastings Tags: Cardiology Ob/Gyn Source Type: blogs

Let's Talk About Hospitals And Rural Healthcare (Particularly Mother-Baby Care): My Letter To The NC Government Commission/NC State Treasurer In Support Of Randolph County's Application For A Loan To Save Randolph Health
Author ' s Note:  The lawyers have a saying, " Res Ipsa Loquitur " " .  Translated from Latin, it means, " The thing speaks for itself " .  This is the text of the letter I sent to theNC Local Government Commission (embellished with a few links and additional comments in red) . . .in support of the state of North Carolina granting a loan to Randolph County (via the NC Rural Healthcare Stabilization Act) . . . for purposes of assisting in the " rescue " of Asheboro ' s Randolph Health - in a bankruptcy Court-approved buy-out of Randolph ' s assets by American Healthcare Systems, LLC.On May 4th, afte...
Source: Dr.J's HouseCalls - May 7, 2021 Category: American Health Tags: Asheboro Atrium Health Bankruptcy Cone Health Duke Lifepoint LGC Medical Whistle-blower Mother-Baby Care NC Rural Heatlh NCDHHS Non-profit Randolph Health UNC Health Wake Forest Baptist Source Type: blogs

Healthcare AI, Limiting Biases, and Gold Standard Data Sets: Exclusive with Vatsal Ghiya, CEO of Shaip
Shaip is an online platform that focuses on healthcare AI data solutions and offers licensed healthcare data designed to help construct AI models. It provides text-based patient medical records and claims data, audio such as physician recordings or patient/doctor conversations, and images and video in the form of X-rays, CT scans, and MRI results. Like most algorithms, healthcare AI requires diverse data to train machine learning algorithms to identify clinical anomalies, diseases, or cancers more accurately. Vatsal Ghiya, co-founder and CEO of Shaip, is an expert in improving healthcare AI by using diverse...
Source: Medgadget - May 4, 2021 Category: Medical Devices Authors: Alice Ferng Tags: Exclusive Informatics Source Type: blogs

Black peer support: A role in mental health recovery
It’s been a troubling year for millions of Americans, marked by public reckonings over inequities in justice, health care, and most certainly mental health care. None of these inequities are new. Estimates suggest that only 22% of Black Americans — fewer than one in four — who need mental health care actually receive treatment. In addition to financial and insurance barriers to mental health treatment, a long history of discrimination in medicine makes it difficult for some people of color to form trusting relationships with medical providers. And that’s one reason why peer support has been gaining traction to help...
Source: Harvard Health Blog - April 8, 2021 Category: Consumer Health News Authors: Valeria Chambers, EdM, CAS, CPS Tags: Anxiety and Depression Health Health care disparities Mental Health Relationships Source Type: blogs

Wednesday Bible Study: Ouch!
I think I speak for nearly all members of my sex in saying that Joshua 5 is my least favorite chapter of the Bible. Why the baby boys were not circumcised while the people were wandering in the wilderness is not explained, but it is what it is. 5 Now when all the Amorite kings west of the Jordan and all the Canaanite kings along the coast heard how theLord had dried up the Jordan before the Israelites until they[a] had crossed over, their hearts melted in fear and they no longer had the courage to face the Israelites.2 At that time theLord said to Joshua, “Make flint knives and circumcise the Israelites ag...
Source: Stayin' Alive - March 31, 2021 Category: American Health Source Type: blogs

In times like these
“Pandemic babies.” If you’re a mom that’s given birth any time within the last year, you may either use this term for your little one freely or shudder viscerally at the expression. The postpartum stage is challenging enough on a great day…when you have all the support your heart desires from the people and providers you need it from the most. COVID 19, on the other hand, has turned our world upside down, hitting new parents with difficulties they never saw coming. Moms and dads literally have had no choice but to fend for themselves as they try to force something (going it alone) that literally flies in the ...
Source: Cord Blood News - March 31, 2021 Category: Perinatology & Neonatology Authors: Jennifer Dembo Tags: babies Mothers parents newmoms pandemichealth weseeyou Source Type: blogs

A man in his 40s with a highly specific ECG
In conclusion, the presence of negative T waves in both leads III and V1 allows PE to be differentiated simply but accurately from ACS in patients with negative T waves in the precordial leads. "Witting et al. looked at consecutive patients with PE, ACS, or neither. They found that only 11% of PE had 1 mm T-wave inversions in both lead III and lead V1, vs. 4.6% of controls.  This does not contradict the conclusions of Kosuge et al. that when T-wave inversions in the right precordial leads and in lead III are indeed present, then PE may indeed by more common.  In m...
Source: Dr. Smith's ECG Blog - March 30, 2021 Category: Cardiology Authors: Pendell Source Type: blogs

Thank You
I ' d like to thank the folks who have contacted me to offer feedback on my letters to Senator Burr and NCDHHS Secretary, Mandy Cohen . . . and support for my situation.  One complement went right to my heart and I want to share it here. " You know there ' s so much out there on social media - you cannot always tell what is true and what isn ' t. This is the first time that I ' ve read something online that I actually have first-hand knowledge of . . . because I was there and I stood beside you . . . and this is so REAL and so true . . . and you just NAILED all of it. " As trillions of taxpayer dollars fly o...
Source: Dr.J's HouseCalls - March 28, 2021 Category: American Health Source Type: blogs

As One Licensed NC Physician To Another Unlicensed One (Dr. Mary Johnson to Dr. Mandy Cohen/NC DHHS Secretary): PROTECT MEDICAL WHISTLEBLOWERS NOW!
Related to mylast post - which went up (after much soul-searching and trepidation) on 2/28/20201 one of the biggest complaints (coming largely from folks reading on mobile phones) was that the post was " so long " .  They wanted something more " concise " . The post relates my own horrific pandemic experience with Central Carolina Hospital/ApolloMD and Duke Lifepoint in Sanford, North Carolina.  It ' s my third dance as a medical whistle-blower in 23 years.  And much like the first two cases (Asheboro in 1998, and ETSU/Ballad Health in 2017), it ' s really NOT " soundbite " material (it would ...
Source: Dr.J's HouseCalls - March 4, 2021 Category: American Health Tags: ApolloMD Central Carolina Hospital CMS Dr. Seuss Duke Lifepoint HIPAA Mandy Cohen Medicaid Medical Whistleblower NCDHHS Pandemic Pediatric Hospitalist Source Type: blogs

A North Carolina Pediatric Hospitalist Tells Her Pandemic Story to Senator Richard Burr: Thirteen Months (And Counting) In Medical Whistle-blower Hell - Courtesy Of Private Equity/For-Profit Healthcare And Cruelly-Indifferent/Morally-Bankrupt State & Federal Oversight
Author ' s Note:  I cannot " sound-bite " the last year - and perhaps it ' s time to write the book. Scroll about half-way down to read the letter to Senator Burr.  The bottom line is that for thethird time in 23 years, as a Pediatrician staffing a community hospital, I was fired " with-out cause " immediately after intervening in a neonatal ( " bad baby " ) case, rescuing the situation/ " saving " the baby, and reporting it INTERNALLY to Peer Review.  NO discussion.  NO recourse.  NO review.  A total cover-up.  And EVERY SINGLE TIME I ' ve asked the state/Federal government to enfor...
Source: Dr.J's HouseCalls - February 28, 2021 Category: American Health Tags: ACA Apollo Global Management ApolloMD Ballad Heath Central Carolina Hospital CMS Duke Lifepoint ETSU Medicaid Medical Whistleblower NCDHHS Pandemic Quality Assruance Randolph Health Richard Burr Trump Source Type: blogs

Does your health monitor have device bias?
In recent years, there’s been a veritable explosion in the number and type of health monitoring devices available in smartphones and fitness apps. Your smartphone is likely tracking the number of steps you take, how far and fast you walk, and how many flights of stairs you climb each day. Some phones log sleep, heart rate, how much energy you’re burning, and even “gait health” (how often are both feet on the ground? how even are your steps?). And, of course, nonphone wearables and fitness gadgets are available, such as devices to measure your heart rhythm, blood pressure, or oxygen levels. The accuracy of these dev...
Source: Harvard Health Blog - February 19, 2021 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Children's Health Health care disparities Health trends Healthy Aging Heart Health Source Type: blogs

Remember Who You Are
I recently spoke to an association of childbirth professionals about perinatal sex (that which occurs during pregnancy and the postpartum stage). Needless to say we had a blast, and enjoyed a really rich post-presentation discussion.  Here’s a takeaway that seemed to resonate with several attendees:  having sex allows you to remember who you are. And that’s because most women are swept up into an unfamiliar dance with their respective identities when they decide to grow their families. Sex is an integral part of our very existence. And whether we experience a biological pregnancy, or choose to adopt or employ surroga...
Source: Cord Blood News - January 19, 2021 Category: Perinatology & Neonatology Authors: Jennifer Dembo Tags: Cord Blood pregnancy sex and pregnancy sex life motherhood Source Type: blogs

Streaming, Baby Yoda, and Healthcare
By KIM BELLARD I’ve never seen The Mandalorian.  I don’t have Disney+.  But I know who Baby Yoda is, and I’m pretty sure Disney is counting on that.  Hollywood, in case you haven’t been paying attention, is going through some radical changes.  There may be some lessons for healthcare in them.  2020 has been the year of streaming.  Moviegoing isn’t entirely dead in the pandemic, but it may be on life support, with major chains like Regal and AMC barely staying out of bankruptcy.  “Yes, there is pent-up demand to see movies in a theater,” Hollywood insider Peter Cher...
Source: The Health Care Blog - December 17, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Health Tech Source Type: blogs