Return to McAllen: A Father-Son Interview
By IAN ROBERTSON KIBBE You are going to hear a little more about McAllen, TX on THCB Shortly. And before we dive into what’s happened there lately, I thought those of you who weren’t here back in the day might want to read an article on THCB from July 2009. Where then THCB editor Ian Kibbe interviewed his dad David Kibbe about what he was doing as a primary care doc in McAllen–Matthew Holt By now, Dr. Atul Gawande’s article on McAllen’s high cost of health care has been widely read.  The article spawned a number of responses and catalyzed a national discussion on cost controls and t...
Source: The Health Care Blog - January 27, 2023 Category: Consumer Health News Authors: matthew holt Tags: Uncategorized David Kibbe Ian Robertson Kibbe McAllen Physicians TX Source Type: blogs

Ultrasound is Ultra-Cool
This study is also a major step forward for the exciting possibility of combining focused ultrasound with targeted delivery of medications or antibodies that normally have limited capability to cross the blood brain barrier from the blood to the brain.”  Similarly, researchers at Yonsei University College of Medicine (South Korea) found that focused ultrasound improved the delivery of Alzheimer’s drugs by over eight times.  “While there is no complete cure for dementia, we hope that open BBB [blood brain barrier] surgery using FUS surgery can help give hope to dementia patients,” the lead researcher said. ...
Source: The Health Care Blog - January 25, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Tech 3D printing ChatGPT DSP Kim Bellard Ultrasound Source Type: blogs

84 Selfish Parents Quotes to Help You Not Feel Alone and Live a Healthier Life
Selfishness. Sometimes it can be freeing as we cast off the burden of always people pleasing and being helpful and as we shift our internal balance to also focus on what want and need to be happier and healthier. But most often selfishness hurts. We can hurt others in our lives when we lean into it. Or other people in our lives like friends, co-workers or family can hurt us with how they think and act. In today’s post I’d like to share 84 powerful selfish parents quotes. To help you see that you're not alone. But also to help you find a healthier and happier path forward starting today and for the rest of your life. A...
Source: Practical Happiness and Awesomeness Advice That Works | The Positivity Blog - January 25, 2023 Category: Consumer Health News Authors: Henrik Edberg Tags: Inspirational Quotes Personal Development Source Type: blogs

Chest pain, and Cardiology didn't take the hint from the ICD
Submitted and written by Megan Lieb, DO with edits by Bracey, Smith, Meyers, and GrauerA 50-ish year old man with ICD presented to the emergency department with substernal chest pain for 3 hours prior to arrival. The screening physician ordered an EKG and noted his ashen appearance and moderate distress. Triage EKG:What do you think?Triage physician interpretation: -sinus bradycardia-lateral ST depressionsWhile there are lateral ST depressions (V5, V6) the deepest ST depressions are in V4. Additionally, lead V3 has ST depressions, which are always abnormal (recall that lead V3 will haveST elevation under nor...
Source: Dr. Smith's ECG Blog - January 23, 2023 Category: Cardiology Authors: Bracey Source Type: blogs

Fight Aging! Newsletter, January 23rd 2023
This study explored the association between tap drinking water and longevity in Cilento, Italy, to understand whether trace elements in local drinking water may have an influence on old, nonagenarian, and centenarian people and promote their health and longevity. Data on population and water sources were collected through the National Demographic Statistics, the Cilento Municipal Archives, and the Cilento Integrated Water Service. Ordinary least squares (OLS) regression and a geographically weight regression (GWR) model were used to study the spatial relationship between the explanatory and outcome variables of long...
Source: Fight Aging! - January 22, 2023 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Costco Wholesale: What Is Its Pharmacy Strategy? It's Complicated.
Conclusion: Costco Pharmacy Manages Hybrid Cash/Insurance Payments for Rx Drugs Better Than Most Other Big Pharmacy Chains. Still, Costco Won ' tALWAYS Be the Low-Price Leader Because of How the U.S. Prescription Drug Market Functions.Costco Pharmacy ' s cash prices for many prescriptions may be low enough for people to simply bypass their insurance and pay out-of-pocket, which Costco welcomes, similar to how Mark Cuban Cost Plus Drug Co. or a number of other rapidly-growing, cash-only pharmacies which are popping up nationwide operate because their cash prices may be potentially even cheaper than by using insurance. Howev...
Source: Scott's Web Log - January 21, 2023 Category: Endocrinology Tags: 2023 Big pharma bypass insurance cash pharmacy cash-only pharmacy Costco Costco Wholesale Corp. PBM ' Source Type: blogs

Weekly Roundup – January 21, 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. A Look at the 21st Century Cures Act With Micky Tripathi. Who better to talk to the Healthcare IT Today community about interoperability than the National Coordinator himself? John Lynn talked to Micky about how the 21st Century Cures Act making an impact for good on patients and clinicians, among other topics. Read more… The Role of Innovation and...
Source: EMR and HIPAA - January 21, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT Healthcare IT Today Weekly Roundup Source Type: blogs

Balance Boards to Stay Active in the Offfice: Interview with Joel Heath, CEO of FluidStance  
Fun and durable, the FluidStance balance board deck can be found at many offices these days as working professionals with desk jobs look for ways to stay active and healthy. Long hours slumped over at a desk means that your muscles remain inactive for long periods of time – a running hypothesis is that long periods of inactivity lead to issues with glucose regulation, as muscles cease their regular glucose uptake and the body adapts to a sedentary lifestyle.  FluidStance’s balance board, Level, provides an engaging alternative to this by forcing your body to engage different muscles to balance. Yet, it’s not ...
Source: Medgadget - January 20, 2023 Category: Medical Devices Authors: Alice Ferng Tags: Exclusive balanceboard FluidStance Source Type: blogs

Drug Diversion – Can AI Monitoring Solve This Growing Issue?
The following is a guest article by Claire Reilly, Director of Clinical Operations at Imprivata and former Emergency Room Charge Nurse. Although often overshadowed by major news and events, drug diversion – the rerouting of medications intended for patients by healthcare staff and is actually theft – has been a persistent problem in all healthcare settings. Pharmacies, doctors’ offices, hospitals, and care homes are all places drug diversion can occur if prescribing is not carefully monitored and managed.    In recent years, multiple factors have combined to create a perfect storm for drug diversion. Healthcar...
Source: EMR and HIPAA - January 19, 2023 Category: Information Technology Authors: Guest Author Tags: AI/Machine Learning Analytics/Big Data Clinical Healthcare IT Regulations Adderall Alcohol Abuse Artificial Intelligence Big Data Technologies Claire Reilly COVID-19 Drug Abuse Drug Diversion Drug Overdoses EHR Electronic Hea Source Type: blogs

Farewell, Landleigh Nelson. I (and others) in the Diabetes Community Will Miss You.
Over the weekend, I learned that Landileigh Lee (James) Nelson died on Tuesday, January 10, 2023. As many of her friends knew, in recent years, Landileigh (or as those closest to her called her " Landi " ) had been dealing with a number of health issues. She faced seemingly one health issue after another, including dialysis which began at one point. And yet she handled it all incredibly gracefully and with her typical sense of humor, which was one reason I was proud to call Landileigh my friend.In 2017, Landi posted that she had gotten a new haircut on Facebook. I thought it was a nice photo of her, and this is how I wish ...
Source: Scott's Web Log - January 18, 2023 Category: Endocrinology Tags: 2023 Landi Landileigh Nelson Obituary passage tribute Source Type: blogs

Farewell, Landleigh Nelson. I (and others in the Diabetes Community) Will Miss You.
Over the weekend, I learned that Landileigh Lee (nee James) Nelson died on Tuesday, January 10, 2023. As many of her friends knew, in recent years, Landileigh (or as those closest to her called her " Landi " ) had been dealing with a number of health issues. She faced seemingly one health issue after another, including dialysis which began at one point. And yet she handled it all incredibly gracefully and with her typical sense of humor, which was one reason I was proud to call Landileigh my friend.In 2017, Landi posted that she had gotten a new haircut on Facebook. I thought it was a nice photo of her, and this is how I w...
Source: Scott's Web Log - January 18, 2023 Category: Endocrinology Tags: 2023 Landi Landileigh Nelson Obituary passage tribute Source Type: blogs

80 Toxic Family Quotes to Help You Move on Towards a Happier Life
Throughout life we sometimes encounter people who are very negative. Who try to drag us down or all too often criticize our goals and dreams. It could be at work, in school or as we take up a new hobby or sport. But sometimes it can be in your family. Closer to you. Harder to spend less time with or avoid than, for example, someone at work. So in today’s post I’d like to share 80 of the the most powerful toxic family quotes. To help you to recognize toxic family members or someone in your immediate surroundings, help you break out of the influence that person has had over you and to start living a freer, happier and he...
Source: Practical Happiness and Awesomeness Advice That Works | The Positivity Blog - January 17, 2023 Category: Consumer Health News Authors: Henrik Edberg Tags: Inspirational Quotes Personal Development Source Type: blogs

What ’ s the relationship between pain intensity and functional limitations?
This question comes up from time to time as some commentators strive to “find the cause and fix the problem at all cost.” The argument is that if pain was gone, the person would simply return to their old life just as they were. And for what it’s worth, there’s certainly a relationship between pain intensity and disability, and pain intensity and distress – but it’s not simple. One of the earliest papers I read when I was beginning my pain management career is one by Waddell, Main, Morris, Di Paola & Gray (1984). Gordon Waddell was an orthopaedic surgeon with an interest ...
Source: HealthSkills Weblog - January 15, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Pain Research Science in practice biopsychosocial Clinical reasoning pain management Source Type: blogs

Broken keys and ticking clocks
You may have noticed, I’ve been experimenting with ChatGPT a little this month. If you carefully craft a prompt it can give you some quite remarkable responses, I got it to write a new article based on my writing style, for instance. I also had it mess around with some of my lyrics. To be honest, I wouldn’t use anything that it’s come up with without massively editing, but it does trigger new thoughts and ideas when it bounces back a response. I thought it might be worth trying it for inspiration for the chord progression to help me develop the melody to go with those new lyrics. I’d originally had ...
Source: David Bradley Sciencebase - Songs, Snaps, Science - January 14, 2023 Category: Science Authors: David Bradley Tags: Artificial Intelligence Music Source Type: blogs

How were we duped and what can we do about the opioid overdose crisis?
Who among us as physicians and prescribers, not to mention the millions of families who have been affected and suffered deep personal loss due to the current crisis and record overdose deaths, regardless of whether the opioid was legally written or illicit. Let’s take a step back in time and review. As physicians, how have Read more… How were we duped and what can we do about the opioid overdose crisis? originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 13, 2023 Category: General Medicine Authors: Tags: Meds Pain Management Source Type: blogs