A 20-something woman with cardiac arrest.
The patient is a 20 something female. She is healthy with no known cardiac disease. She was admitted to the neurology department due to headache and vomiting. She was found to have a viral CNS infection. A few days into her hospital stay she developedchest discomfort and the following ECG was recorded. What do you think? Why such large T-waves? Are these hyperacute T-waves? Are these ECG changes related to the CNS infection perhaps? What disease processes would you put on your list of differential diagnoses?When I saw the ECG of this patient I saw that there was definitely something " off " . I didn ' t get...
Source: Dr. Smith's ECG Blog - October 18, 2023 Category: Cardiology Authors: Magnus Nossen Source Type: blogs
Shear-Thinning Biomaterial for Embolic Applications: Interview with Upma Sharma, President and CEO of Arsenal Medical
Arsenal Medical, a medtech company based in Massachusetts, has developed Neocast, an embolic biomaterial designed for catheter-mediated embolization procedures. Conventional materials for embolization can have several limitations, including a lack of radiopacity, catheter clogging, catheter entrapment at the delivery site, solvent-mediated pain at the delivery site, and they can even cause sparking of electrocautery tools.
Neocast is solvent-free, avoiding delivery site pain, and functions with a unique shear-thinning action that allows deep vessel penetration. The material flows with the blood to embolize distal vessel...
Source: Medgadget - October 17, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Cardiac Surgery Cardiology Exclusive Materials Neurosurgery Radiology Vascular Surgery ArsenalMedical embolization Source Type: blogs
Why health care professionals must back full care continuum for autism and intellectual disabilities
The Americans with Disabilities Act (ADA) requires that health care entities provide full and equal access for people with disabilities. Physicians must diagnose and treat such individuals, even though they receive little or no training in medical school. It’s tricky when the patient cannot convey where it hurts or describe their pain and may refuse
Read more…
Why health care professionals must back full care continuum for autism and intellectual disabilities originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 17, 2023 Category: General Medicine Authors: Irene Tanzman Tags: Conditions Neurology Source Type: blogs
Midi Health Raises $25M in Series A Funding Led by GV (Google Ventures) to Expand Access to Expert and Affordable Midlife Care for Women
The Leading Virtual Clinic Delivering Insurance-Covered, Expert Care for Women Perimenopause and Menopause, Midi Health Plans Major Expansion of National Footprint
Midi Health, the emerging digital leader in women’s midlife healthcare, today announced the close of a $25M Series A funding round led by GV (Google Ventures). Investors Frederique Dame and Cathy Friedman from GV are joined by current investors Felicis, Semper Virens, Icon, 25M, and Operator Collective, bringing the company’s total funding raised to date to $40M.
In the year since the company officially launched to consumers, Midi Health has...
Source: EMR and HIPAA - October 16, 2023 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT 25M Cathy Friedman Felicis Frederique Dame Google Ventures GV Health IT Funding Health IT Fundings Health IT Investment ICON Joanna Strober Midi Health Operator Collective Semper Virens Source Type: blogs
All by myself … don ’ t wanna be
Throughout my career, I’ve been interested in how and why people see clinicians about their pain. I’m intrigued by the journey before, during and afterwards.
I’m interested in the social factors influencing choices in healthcare. If I’ve been gardening over the weekend and I wake up Monday with a sore back it’s easy to see a physio here in NZ. That visit is likely paid for by our accident compensation system (24/7 no-fault scheme paid for by taxes and levies). And the jolly joy germ in me thinks “Well at least that means people don’t have to see a doctor first” – but...
Source: HealthSkills Weblog - October 15, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Back pain Chronic pain Coping strategies Interdisciplinary teams Low back pain Occupational therapy Physiotherapy Psychology Research Science in practice Health pain management Therapeutic approaches Source Type: blogs
Bloody Religion
Go to follow-up
“With or without religion, you would have good people doing good things and evil people doing evil things. But for good people to do evil things, that takes religion.”Steven Weinberg
In 2003, I started a web page that documented the horrors of the Iraq war. The title of the page was corrie.html, because one of the first entries was about Rachel Corrie. This was it.
On Sunday, 16th March 2003, a 23-year-old American peace activist, Rachel Corrie, was crushed to death by a bulldozer as she tried to prevent the Israeli army destroying homes in the Gaza Strip.
You can read here some of th...
Source: DC's goodscience - October 15, 2023 Category: Science Authors: David Colquhoun Tags: Palestine war Gaza Israel Source Type: blogs
This ECG was handed over at triage. See how the Queen of Hearts AI does with these explainability images.
Submitted by anonymous, written by Pendell MeyersI was at triage when this ECG was presented to me.What do you think?Here ' s what the Queen of Hearts thinks:Note that the Queen has " HIGH " confidence that this is OMI. As noticed by the AI,if the patient presented with chest pain, then even this subtle ECG is diagnostic of OMI. Specifically, this ECG is diagnostic of acuteLAD OMI, with hyperacute T waves likely in V3 and V4, very small but abnormal STE in V2-V4 (because of its there is a lot of STErelative to the very small QRS), and there is also some terminal T wave inversion in V4 which may suggest some elem...
Source: Dr. Smith's ECG Blog - October 15, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
This ECG was texted to me after the fact with no information. What do you think?
This ECG was texted to me with no other information, with this quote: " You will see this in the Queen of Hearts. " I assumed it was in real time.The Queen said " Not OMI with low confidence "What do you think?The conventional algorithm said: SINUS RHYTHMABNORMAL QRS-T ANGLE [QRS-T AXIS DIFFERENCE> 60]ABNORMAL ECG This was my response: " I am not certain that I agree with the queen on this one. Be careful with it. Notice that the Queen has low confidence. "Why am I worried? The T-waves are quite tall. Although most hyperacute T-waves are bulky, wide, fat and symmetric in propo...
Source: Dr. Smith's ECG Blog - October 13, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
Prior Authorization Takes a Leap Forward in CMS Regulation
The Centers for Medicare & Medicaid Services (CMS) have taken a bold step by mandating a standard for prior authorization. I talked to Nikki Henck, Senior Director of Utilization Management at Sagility, about the implementation and potential impact of this proposed requirement, which, if finalized, will be enacted in January 2026.
The Dilemma of Prior Authorization
Prior authorization, also known as a pre-approval, strikes fear into both patients and providers. In a 2022 American Medical Association physician survey, 88% of providers said that the burden of doing prior authorization was high or extremely high. Anothe...
Source: EMR and HIPAA - October 12, 2023 Category: Information Technology Authors: Andy Oram Tags: Administration Health IT Company Healthcare IT Interoperability Regulations AMA CMS Electronic Prior Authorization FHIR Nikki Henck Prior Authorizations Sagility Source Type: blogs
poem
New TheologyIn the new theology faith is simply an acceptance of the world as it is. Nothing more than that. No complex creeds to wrestle with. No painful initiation rites. God doesn ’t play a role in our system. And truth is something only rarely stumbled upon. So one must nevertheless exercise discernment and prudence at all times. Take the emotion out of it, wring it out, hang it out to dry in the warm summer wind, then put it crinkled and damp back in. Many people hear abo ut our teachings and say it trivializes faith, as if it were easy. The sky is blue. That boy is my son. But they’re wrong. The ancient rel...
Source: Buckeye Surgeon - October 3, 2023 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
Shhhhh! The secret we don ’ t talk about …
For all my writing about ACT, there are some things that ACT doesn’t directly deal with: what do people use to help them do what matters in their life? OK we do discuss actions, values, perspective-taking, mindfulness, willingness and defusion, but we don’t talk about the specifics of what people living with pain might do to live well. The skills or ways of going about daily life, using things that help people with pain do things. *Scroll to the bottom to see my totally unscientific survey for people with pain*
So for a few weeks I’m exploring self-management: this is one of those poorly-defined terms ...
Source: HealthSkills Weblog - October 1, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Back pain Chronic pain Clinical reasoning Coping Skills Coping strategies Low back pain Occupational therapy Research Science in practice biopsychosocial Health pain management self-management Therapeutic approaches Source Type: blogs
Expert human ECG interpretation and/or the Queen of Hearts could have saved this patient's anterior wall
This is a re-post of an excellent case from 2021. See it again now, along with our new Queen of Hearts functionality. We ' ve come a long way in 2 years! And the pace only quickens.A man in his mid 60s with history of CAD and stents experienced sudden onset epigastric abdominal pain radiating up into his chest at home, waking him from sleep. He called EMS who brought him to the ED. He had active chest pain at the time of triage at 0137 at night, with this triage ECG:What do you think?I sent this ECG, without any text at all, to Dr. Smith, and he replied: " LAD OMI with low certainty. V3 is the one that is convincing. "&nbs...
Source: Dr. Smith's ECG Blog - October 1, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
A man in his 40s with acute chest pain. What do you think?
Sent by anonymous, written by Pendell Meyers, reviewed by Smith and GrauerA man in his 40s presented to the ED with HTN, DM, and smoking history for evaluation of acute chest pain. He was eating lunch when he had sudden onset chest pressure, 9/10, radiating to his back, with sweating and numbness in both hands.Triage ECG:What do you think?It ' s a very " fun " ECG, with initial ectopic atrial tachycardia (negative P waves in inferior leads conducting 1:1 with the QRSs), followed by spontaneous resolution to sinus rhythm. In the available view of the sinus rhythm, we see normal variant STE which probably meets STEMI criteri...
Source: Dr. Smith's ECG Blog - September 29, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
Debating the role of psychiatric assessments in medical decisions
I recently had an incident involving a long-time patient. This particular encounter proved to be challenging. The patient had chronic pain for years and had already exhausted all conventional treatment options. Ironically, he was otherwise healthy and fit. His recalcitrant condition made him a prime candidate to be treated with a spinal sord stimulator (SCS).
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Debating the role of psychiatric assessments in medical decisions originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - September 26, 2023 Category: General Medicine Authors: Christian Youssef & Fight Aging! Newsletter, September 25th 2023
In conclusion, this individual patient data meta-analysis of longitudinal cohort studies found that antihypertensive use was associated with decreased dementia risk compared with individuals with untreated hypertension through all ages in late life. Individuals with treated hypertension had no increased risk of dementia compared with healthy controls.
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Results from Human Clinical Trials Do Not Support Metformin as a Longevity Drug
https://www.fightaging.org/archives/2023/09/results-from-human-clinical-trials-do-not-support-metformin-as-a-longevity-drug/
The SENS Research Fou...
Source: Fight Aging! - September 24, 2023 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
