Paving the Digital Roadmap for the Patient Journey
The following is a guest article by Patrick Reetz, Chief Product Officer at LinkLive The pandemic was the catalyst for digital healthcare and transforming modern patient care. But it happened abruptly, leaving many challenges in its wake. Dragged into this rapid shift, healthcare organizations adopted a plethora of communication endpoints without assessing their core attributes: adaptability, functionality, interoperability, effectiveness, and reliability. Providers continuously pushed themselves to invest in new tools and solutions — with one overarching aim — to enhance the patient experience. But a digital tool does...
Source: EMR and HIPAA - June 9, 2023 Category: Information Technology Authors: Guest Author Tags: Clinical Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System Telemedicine and Remote Monitoring Care Coordination Care Management customer experience Data Silos Data-Collection Tools Digital Source Type: blogs

75 year old with 24 hours of chest pain, STEMI negative
Written by Jesse McLaren A 75 year old with a history of CABG called EMS after 24 hours of chest pain. HR 40, BP 135/70, RR16, O2 100%. Here ’s the paramedic ECG (digitized by PMcardio). What do you think? There ’s sinus bradycardia, normal conduction, normal axis, delayed R wave progression, and normal voltages. There are inferior Q waves and lead III has mild concave ST elevation, with subtle reciprocal ST depression in I/aVL. This is diagnostic of inferior OMI, likely from the RCA. The patient has a hi story of CABG so some of these changes could be old, but with ongoing chest pain and bradycardia in a hig...
Source: Dr. Smith's ECG Blog - June 8, 2023 Category: Cardiology Authors: Jesse McLaren Source Type: blogs

A 50-something with acute chest pain
A 50-something presented with acute chest pain.Here is her ED ECG.  It was texted to me while I was out and about.  He wrote:" Steve, what do you think about hyperacute T waves in this? 54-year-old female with CP. I initially interpreted as normal, but I am second-guessing myself, since she is hanging out in triage with me. "What do you think, Dear Reader?Analysis: There is ST elevation in multiple leads.  There are tall T-waves in multiple leads.  So one might think this is an acute OMI with STE and hyperacute T-waves.  I immediately responded: Good question, but I think they are normal....
Source: Dr. Smith's ECG Blog - June 6, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

Fight Aging! Newsletter, June 5th 2023
In conclusion, higher BMR might reduce lifespan. The underlying pathways linking to major causes of death and relevant interventions warrant further investigation. Betting Against Progress Turns Out Poorly, But Can Work in the Short Term in a Slow Field https://www.fightaging.org/archives/2023/06/betting-against-progress-turns-out-poorly-but-can-work-in-the-short-term-in-a-slow-field/ Setting oneself up as a spokesperson for "we will not achieve this goal", as the fellow noted here is choosing to do, is a bet against technological progress. A glance at any few decade period in the past two hundred yea...
Source: Fight Aging! - June 4, 2023 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Dangers And Risks Of High Blood Pressure
Conclusion Despite its silent nature, high blood pressure gradually damages organs over time. The interconnectedness of the circulatory system means that all organs reachable by blood are at risk. Hypertension can lead to critical complications such as heart enlargement, coronary artery disease, stroke, cognitive decline, erectile dysfunction, kidney disease, proteinuria, vision problems, and vascular damage. The importance of proactive measures to manage and prevent these adverse effects is emphasized. Regular blood pressure monitoring, adopting a healthy lifestyle, and working with healthcare professionals ar...
Source: The EMT Spot - June 1, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: Blood Pressure Source Type: blogs

27 Dangers And Risks Of High Blood Pressure
Conclusion Despite its silent nature, high blood pressure gradually damages organs over time. The interconnectedness of the circulatory system means that all organs reachable by blood are at risk. Hypertension can lead to critical complications such as heart enlargement, coronary artery disease, stroke, cognitive decline, erectile dysfunction, kidney disease, proteinuria, vision problems, and vascular damage. The importance of proactive measures to manage and prevent these adverse effects is emphasized. Regular blood pressure monitoring, adopting a healthy lifestyle, and working with healthcare professionals ar...
Source: The EMT Spot - June 1, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: Blood Pressure Source Type: blogs

Cellular Senescence in Disc Degeneration
The better understanding developed in recent years of the harmful effects of lingering senescent cells in the tissues of older individuals has led to a burst of research into cellular senescence in many areas of medicine. One of the more active parts of the field of late, judging by number of publications, is degenerative disc disease. Therapies that can efficiently remove senescent cells may well turn out to greatly slow the widespread age-related dysfunction observed in intevertebral disc tissue. Closely associated with aging and age-related disorders, cellular senescence is the inability of cells to proliferate...
Source: Fight Aging! - June 1, 2023 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

The power of being present
I’ve been listening to Prof Kevin Vowles recently, as he presents his approach to pain using ACT. He made an important point about mindfulness that resonated with me: it’s that when learning to be fully present, it’s not how long we stray from our point of focus, nor even how many times we come back, the learning is that we can come back. Again and again and again. There are arguments about what mindfulness is, and I’m certain these will continue, but for the purposes of this post and for people just learning mindfulness, I’m defining it as the deliberate practice of attending to a focus (t...
Source: HealthSkills Weblog - May 28, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Chronic pain Coping strategies Professional topics Research hypnosis mindfulness Therapeutic approaches Source Type: blogs

Leading Change When “ Change ” Isn ’ t the Norm
“If there is one thing that will definitely change about our complex healthcare system, practices and behaviors aren’t one of these” One comment I get whenever I talk about “learning organization” as a way for healthcare institutions to adapt to the new normal is this- “I really like the change concepts your saying, but what else can I do if many in my organization doesn’t embrace that change philosophy?” Rina is a new resident physician assisting more senior residents attending and treating fractures at one healthcare institution. Yet to learn the finer details of cas...
Source: The Orthopedic Logbook - May 27, 2023 Category: Orthopaedics Authors: Remo Aguilar Tags: Healthcare Policy Leadership & Management Learning & Development Medicine change change leadership healthcare leadership leading change tranformational leadership Source Type: blogs

Leading Change When “ Change ” Isn ’ t the Norm
“If there is one thing that will definitely change about our complex healthcare system, practices and behaviors aren’t one of these” One comment I get whenever I talk about “learning organization” as a way for healthcare institutions to adapt to the new normal is this- “I really like the change concepts your saying, but what else can I do if many in my organization doesn’t embrace that change philosophy?” Rina is a new resident physician assisting more senior residents attending and treating fractures at one healthcare institution. Yet to learn the finer details of cas...
Source: The Orthopedic Logbook - May 27, 2023 Category: Orthopaedics Authors: Remo Aguilar Tags: change change leadership healthcare leadership Leadership & Management leading change Learning & Development Medicine tranformational leadership Source Type: blogs

20-something with huge verapamil overdose and cardiogenic shock
A 20-something presented after a huge verapamil overdose in cardiogenic shock.  He had been seen at an outside institution and been given 6 g calcium gluconate, KCl, and a norepinephrine drip.The initial K was 3.0 mEq/L and ionized calcium was 5.5 mg/dL (sorry, Europeans, for the weird units)Here was the initial ED ECG:There is a junctional rhythm with retrograde P-waves (see the dip in the T-wave in lead II across the bottom; you can follow that up to all the other leads and see the retrograde P wave).  There is also Left Bundle Branch Block (LBBB). There is huge proportionally excessively discord...
Source: Dr. Smith's ECG Blog - May 26, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

ChatGPT In Healthcare: What Science Says
This study demonstrates that ChatGPT, a large language model, can assist in radiologic decision-making at the point of care, achieving moderate to high accuracy in determining appropriate imaging steps for breast cancer screening and breast pain evaluation, although limitations of the model, such as misalignment and “hallucinations”, must be considered when designing clinically-oriented prompts for use with large language models.Analysis of large-language model versus human performance for genetics questionsMedrxivThe use of language models like ChatGPT in clinical genetics has the potential to provide rapid an...
Source: The Medical Futurist - May 25, 2023 Category: Information Technology Authors: Pranavsingh Dhunnoo Tags: TMF Artificial Intelligence in Medicine ChatGPT digital health large language models ChatGPT in healthcare AI in healthcare AI in medicine Source Type: blogs

New! Awesome! Better! (Learning a new approach)
With all the attention being given to cognitive functional therapy (and deservedly so, IMHO) it’s tempting to leap aboard the modality train and go take a course, isn’t it? Although I’ve picked on CFT today, it could just as easily have been any of the New! Awesome! Better! therapies that hit the clinical headlines on a frequent basis. The temptation to go “Look! Shiny!” and learn about the latest thing isn’t confined to teenagers following some social media trend. Yup, even sober-sides nearly 60-year-olds like me still want to go on learning, getting better at what I do, keeping up w...
Source: HealthSkills Weblog - May 21, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Clinical reasoning Education/CME Occupational therapy Physiotherapy Professional topics Psychology Research Science in practice biopsychosocial healthcare Therapeutic approaches Source Type: blogs

Weekly Roundup – May 20, 2023
Welcome to our Healthcare IT Today Weekly Roundup. Each week, we’ll be providing a look back at the articles we posted and why they’re important to the healthcare IT community. We hope this gives you a chance to catch up on anything you may have missed during the week. Addressing Current Pain Points and Building Capacity for Future Needs. Colin Hung spoke to Marcus Perez at Altera Digital Health about helping providers solve cash flow and throughput challenges today while planning for care-at-home and other initiatives to support future business growth. Read more… Working Together for Stronger Healthcare Cybersec...
Source: EMR and HIPAA - May 20, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT Healthcare IT Today Weekly Roundup Source Type: blogs

Finding hope and relief: a physical therapist ’ s journey with chronic pain and Ehlers-Danlos Syndrome (EDS)
The day Ann entered my clinic, I had already been practicing pain management for over ten years. A 40-something physical therapist, she had a warm smile, a positive attitude—and chronic pain in every part of her back. Twenty-five years earlier, Ann had been inspired to go into physical therapy to help her family members who Read more… Finding hope and relief: a physical therapist’s journey with chronic pain and Ehlers-Danlos Syndrome (EDS) originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - May 19, 2023 Category: General Medicine Authors:

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