Are AI Clinical Protocols A Dobb-ist Trojan Horse?
By MIKE MAGEE For most loyalist Americans at the turn of the 19th century, Justice John Marshall Harlan’s decision in Jacobson v. Massachusetts (1905). was a “slam dunk.” In it, he elected to force a reluctant Methodist minister in Massachusetts to undergo Smallpox vaccination during a regional epidemic or pay a fine. Justice Harlan wrote at the time: “Real liberty for all could not exist under the operation of a principle which recognizes the right of each individual person to use his own, whether in respect of his person or his property, regardless of the injury that may be done to others.” What could ...
Source: The Health Care Blog - March 1, 2024 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Abortion AI Dobbs Forced Sterilization Mike Magee racial bias SCOTUS Vaccination Source Type: blogs

Generative AI in Your Desk Drawer: A Wealth of Uses
Previous articles in this series introduced the role of generative AI in the healthcare back office and examined its use in billing and revenue management. We’ll cover a lot of other uses in this article. Patient Contact and Care Management CEO Rahul Sharma of HSBlox says that the next version of its CureAlign platform will use generative AI to help improve the care management processes in its CareTracker module. Many patients need reminders, if not actually coaxing, to come in for appointments. The CureAlign platform personalizes outgoing communication based on past interactions with the patient. Sharma says that ...
Source: EMR and HIPAA - February 28, 2024 Category: Information Technology Authors: Andy Oram Tags: Administration AI/Machine Learning Ambulatory C-Suite Leadership Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System LTPAC Abhishek Sharma Accenture Administrative Burden AdvancedMD Amazo Source Type: blogs

What Health IT Trend Has You Most Excited?
Burnout is something that can slowly creep up on you but take a long time to crawl out of. This serious problem is something that happens with you are overworked and overstressed from the problems you are tasked with at work. In the world of healthcare, where we are constantly looking for ways to make things better, it is no surprise that we are facing a high burnout rate. While burnout is hard to recover from, it is possible. Taking time off and finding things that you enjoy and are excited about are key to letting your brain reset and being ready to get back to work. While there are countless problems and struggles in he...
Source: EMR and HIPAA - February 28, 2024 Category: Information Technology Authors: Grayson Miller Tags: AI/Machine Learning Ambulatory C-Suite Leadership Health IT Company Healthcare IT Hospital - Health System 86Borders Arcadia Authenticx AVIA Health Blake Richards Dan McDonald Elucid Eric Prugh Health IT Trends Healthcare AI Source Type: blogs

Why Flight Emergency Medical Kits Need A Digital Health Upgrade
A few weeks ago a doctor used an Apple Watch to aid an elderly woman who suffered a medical emergency on a flight. NHS doctor Rashid Riaz, from Hereford, borrowed the device from a flight attendant to check the patient’s oxygen levels. “The Apple Watch helped me find out the patient had low oxygen saturation,” the medic explained. Later, he also called on all airlines to consider having emergency physician kits as standard, which would ideally include tools to take basic measurements, diabetic and blood pressure meters, and an oxygen saturation monitor. We all know that aircraft have some medical su...
Source: The Medical Futurist - February 27, 2024 Category: Information Technology Authors: berci.mesko Tags: Future of Medicine Health Sensors & Trackers portable diagnostics emergency medicine Healthcare technology flight medicine wearables Source Type: blogs

Beyond opioids: a new hope for chronic pain relief
Opioids work through the mu opiate receptors throughout the body and brain, dampening pain signals being sent through the peripheral nervous system and spinal cord. It also acts on the ventral tegmental area, causing the release of dopamine in the nucleus accumbens, creating a sensation of euphoria. It is this euphoric effect that seems to Read more… Beyond opioids: a new hope for chronic pain relief originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 21, 2024 Category: General Medicine Authors: Tags: Meds Pain Management Source Type: blogs

Test results!
Hi everyone! Oh dear, I’ve been gone for quite some time, haven’t I? Life really does get in the way of plans sometimes. In this period, in addition to being super busy with a million other things, I’ve been focusing on getting my arthritic knee in shape. There’s no going back to the knee I had in my 20s, of course, but I can try at least to stop it from getting worse, mainly with physiotherapy. Okay, but enough about my knee….that’s not the reason I’ve written this post… Today I have some good news that I’d like to share with you…   Here’s the news: I just...
Source: Margaret's Corner - February 21, 2024 Category: Cancer & Oncology Authors: Margaret Tags: Blogroll boswellia curcumin osteoarthritis Source Type: blogs

The difficult balance between evidence-based healthcare … and person-centred self-management
For decades I’ve been an advocate for evidence-based healthcare because the alternative is ’eminence-based healthcare’ (for healthcare, read ‘medicine’ in the original!). Eminence-based healthcare is based on opinion and leverages power based on a hierarchy from within biomedicine (read this for more!). EBHC appealed because in clinical practice I heard the stories of people living with chronic pain who had experienced treatment after treatment of often invasive and typically unhelpful therapies, and EBHC offered a sifting mechanism to filter out the useless from the useful. Where has EBHC...
Source: HealthSkills Weblog - February 18, 2024 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Clinical reasoning Coping strategies Pain conditions Professional topics Research Science in practice pain management Therapeutic approaches Source Type: blogs

Fight Aging! Newsletter, February 19th 2024
This study aimed to explore the metabolic mechanisms and potential biomarkers associated with declining HGS among older adults. We recruited 15 age- and environment-matched inpatients (age, 77-90 years) with low or normal HGS. Liquid chromatography-mass spectrometry (LC-MS) and 16S ribosomal DNA (rDNA) gene sequencing were performed to analyze the metabolome of serum and stool samples and the gut microbiome composition of stool samples. Spearman's correlation analysis was used to identify the potential serum and fecal metabolites associated with HGS. We assessed the levels of serum and fecal metabolites belonging to...
Source: Fight Aging! - February 18, 2024 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Monocyte Population Differences with Age Following Bone Fracture
The innate immune system is involved in tissue maintenance and regeneration. That includes populations of monocytes, circulating innate immune cells in the bloodstream that enter damaged tissue to become macrophages. Monocytes are somewhat easier to catalog and study than is the case for macrophages. The former can be found in a blood sample, while the latter require a tissue sample. Researchers tend to follow the incentives attending the cost and availability of data, and thus we have examples like today's open access paper, in which the authors focus on circulating monocytes in the context of bone fracture. You mi...
Source: Fight Aging! - February 14, 2024 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs

A Few #HealthPolicyValentines
Happy Valentine’s Day to all of you!  May your lives be filled with love this day.  In the world of health IT and healthcare policy, this is the day we love to share our love (and some disdain) for healthcare in what we call #HealthPolicyValentines.  Be sure to check out our coverage of previous #HealthPolicyValentines as well as some that we found interesting this year below.  We hope you’ll enjoy a nice break this Valentine’s day. Roses are red, violets are blue CMS’s plan to abruptly migrate Medicare/Medicaid research to the expensive VRDC Will be bad for researchers and bad for health polic...
Source: EMR and HIPAA - February 14, 2024 Category: Information Technology Authors: John Lynn Tags: Healthcare IT #healthpolicyvalentines Fun Friday Health Policy Personal Musings Valentine's Day Source Type: blogs

A 40-something with 2 hours of new active chest pain and new T-wave inversion
A 41-year-old male who presents to the emergency department with chest pain. Patient reports approximately 2 hours prior to arrival he developed a sharp chest pain that radiates into his left arm and left lower leg. Describes the radiating pain as numbness/tingling.  No shortness of breath. No recent travel. No cough. No cardiac history. Here is his ECG:He had a previous ECG on file, from many years prior:What do you think?There is new T-wave inversion in inferior leads and V3-V6.  This is recorded during pain.  The faculty physician thought this is highlylikely to be ACS.  ...
Source: Dr. Smith's ECG Blog - February 14, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs

Let ’ s Think of Patient-Centered Care, Not Value-Based Care
This article explores some fundamental changes that could accompany this shift in terminology, revolutionizing how we handle data and patient interventions. Engagement For Life We know that maintaining health is an endeavor that takes years, even decades. A successful endeavor must survive the departure of clinicians who have built relationships with the patient, as well as the patient’s own geographic moves, changes of provider, and changes of insurance. Treatment recommendations should also be tailored to the psychology of each patient. Is there a message in this exhortation for people working with data and healt...
Source: EMR and HIPAA - February 13, 2024 Category: Information Technology Authors: Andy Oram Tags: Analytics/Big Data C-Suite Leadership Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System Interoperability Chronic Care Management Patient Centered Care Patients Society for Participatory Medic Source Type: blogs

Career Guide In Digital Health And Healthcare AI
It seems like every other day, someone reaches out to us – aiming their questions at Dr. Meskó, our lead researcher – seeking career advice. Now, let’s set the record straight: doling out career guidance isn’t exactly what we do. Yet, here we are, writing this article. Why? Even though we’re not career advisors, we’re right in the thick of the digital health and healthcare AI world. From this spot, we have a good overview of what you need to get into these booming fields.  So, while we might not be career counselors, here are our two cents on which direction to take  –...
Source: The Medical Futurist - February 13, 2024 Category: Information Technology Authors: Andrea Koncz Tags: TMF Source Type: blogs

poem
 ConsultationThe patient came to see me for a consultation. He said his doctor had referred him. But he didn ’t know why. Just that it was critical that he see me as soon as possible. He wasn’t experiencing any pain. His weight had been steady. He denied fevers, sweats, rashes or catarrh. He hadn’t noticed any bulges, lesions, lumps or viscous secretions. He ate well and trimmed his nails. Drank only occasionally. Most mornings he woke at dawn and worked out. He seemed a paragon of robust middle age health. I had a busy day, many more patients to see and then a couple add-on cases after clinic, but I didn’t wa...
Source: Buckeye Surgeon - February 13, 2024 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs

Circling back to supported self-management
I’ve been writing a bit about supported self-management over the last few months. Partly because it’s topical given that medications and exercise offer very small reductions in pain and disability, and people do have lives outside of swallowing a pill and doing 3×10 reps! And partly because it is what we end up doing. It is the bulk of what people living with pain use to have lives. Self-management refers to a broad range of strategies people with pain use in their daily lives to help them live well. I’m aware of the multiple definitions that exist for self-management, and that the level of agreem...
Source: HealthSkills Weblog - February 11, 2024 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Coping strategies Pain conditions Professional topics Research Science in practice biopsychosocial Health self-management Source Type: blogs