Breaking Up is Good to Do
By KIM BELLARD
Last week General Electric announced it was breaking itself up. GE is an American icon, part of America’s industrial landscape for the last 129 years, but the 21st century has not been kind to it. The breakup didn’t come as a complete surprise. Then later in the week Johnson and Johnson, another longtime American icon, also announced it would split itself up, and I thought, well, that’s interesting. When on the same day Toshiba said it was splitting itself up, I thought, hmm, I may have to write about this.
Healthcare is still in the consolidation phase, but there may be some lessons here for it....
Source: The Health Care Blog - November 16, 2021 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Finance The Business of Health Care Aetna conglomerates CVS-Aetna General Electric Johnson & Johnson Kim Bellard Optum Source Type: blogs
A 19 year old with panic attacks. On the previous ECG, the diagnosis was missed, as it frequently is!
This young woman presented with recurrent anxiety attacks with chest pain and dyspnea. She was otherwise healthy except for history of cholecystitis and cholecystectomy one year prior.I saw her in triage and ordered an EKG:What do you think? How did I interpret this?There is a short PR interval. The eye is taken immediately to the ST depression and T-wave inversion in multiple leads. But as I pointed out in this recent post (I thought the ECG diagnosis was obvious. But many missed it. So I ' m showing it.) when there are ST-T abnormalities, one must look at the entire PQRST and look for reasons...
Source: Dr. Smith's ECG Blog - November 12, 2021 Category: Cardiology Authors: Steve Smith Source Type: blogs
Levita Robotic Platform: Interview with Alberto Rodriguez-Navarro, CEO of Levita Magnetics
Levita Magnetics, a California-based company that specializes in laparoscopic systems, has recently announced that its Levita Robotic Platform, a surgical robot that is still in development, has been used to perform surgery on a patient for the first time in a hospital in Chile. The robot uses similar magnetic technology as in the company’s handheld Levita Magnetic Surgical System.
The technology developed by Levita involves using magnets that are applied externally to control and manipulate devices, such as graspers, that are inserted into the body during laparoscopic surgery. The technique has the advantage of not n...
Source: Medgadget - August 3, 2021 Category: Medical Devices Authors: Conn Hastings Tags: Exclusive Ob/Gyn Surgery Thoracic Surgery Urology Vascular Surgery Source Type: blogs
A Laparoscopy Assistance Platform to Optimize Minimally Invasive Surgery: Interview with Anne Osdoit, CEO of MastOR
Minimally invasive surgery has played a huge role in improving patient outcomes, and reducing morbidity and recovery times compared with traditional surgical techniques. However, it can be a little tricky for surgeons to operate through tiny incisions and use complicated equipment, meaning that there is often a significant learning curve and training period involved.
Robotics is well suited to aiding surgeons in minimally invasive surgery and surgical robots have made an impact on the field. However, they come with a variety of limitations including their expense, size, and need for additional training, specific consuma...
Source: Medgadget - July 30, 2020 Category: Medical Devices Authors: Conn Hastings Tags: Exclusive GI Ob/Gyn Orthopedic Surgery Thoracic Surgery Urology Vascular Surgery Source Type: blogs
TransEnterix Receives FDA Clearance for Intelligent Surgical Unit
TransEnterix announced that it received FDA 510(k) clearance for its Intelligent Surgical Unit (ISU), a system that enables machine vision capabilities on the company’s Senhance Surgical System.
According to the company, the ISU allows surgeons to better control the laparoscopic camera by responding to commands and recognizing certain objects and locations in the surgical field. It is also compatible with planned scene cognition and surgical image analytics features.
The ISU is used with the Senhance Surgical System, which is currently indicated for use in laparoscopic gynecological surgery, colorectal surgery, ch...
Source: Medgadget - March 18, 2020 Category: Medical Devices Authors: Cici Zhou Tags: Ob/Gyn Surgery Urology Source Type: blogs
What you need to know about the DANGERS of weight loss and gallstones
The evidence is clear: The WAY you lose weight can determine whether or not you develop gallstones. Surprisingly, cutting calories and/or fat, as advised by many doctors, dietitians, and commercial weight loss programs, leaves you at high-risk for develop gallstones and gallbladder surgery.
The remedies to this dangerous situation are simple.
If you followed a low-fat and/or low-calorie diet, please take this brief survey from the Wheat Belly Blog.
The post What you need to know about the DANGERS of weight loss and gallstones appeared first on Dr. William Davis. (Source: Wheat Belly Blog)
Source: Wheat Belly Blog - September 20, 2019 Category: Cardiology Authors: Dr. Davis Tags: Open bile calories cholecystectomy gallstones low-fat Weight Loss wheat belly Source Type: blogs
A Survey: Diet and Gallstones
The evidence is clear: Reduce calories and/or reduce dietary fat to lose weight and you are at high-risk for developing gallstones, even within a few weeks of starting such a diet. Serial gallbladder ultrasound studies have repeatedly demonstrated this phenomenon. Among the studies documenting this effect:
The greater the reduction in calories, the greater the likelihood of gallstones and need for cholecystectomy
It doesn’t take much in the way of fat intake to avoid gallstone formation during weight loss
Summary of the studies documenting that higher fat intake prevents gallstones during weight loss
This ha...
Source: Wheat Belly Blog - September 18, 2019 Category: Cardiology Authors: Dr. Davis Tags: Open gallstones low calorie low-fat undoctored Weight Loss wheat belly Source Type: blogs
Levita Magnetic Surgical System Cleared by FDA for Prostatectomies
Minimally invasive surgical procedures are potentially safer, easier on patients during recovery, and can even reduce the cost burden on hospitals, when compared with conventional open surgeries. There are still serious risks that are involved, in large part arising from the laparoscopy sites that need to be punched in the abdomen through which instruments are delivered and used. The fewer such incisions, the fewer possible complications. Levita Magnetics, a San Mateo, California firm, has been working to widen the scope of its Magnetic Surgical System so as to reduce the number of access ports used during minimally invasi...
Source: Medgadget - May 1, 2019 Category: Medical Devices Authors: Editors Tags: Surgery Urology Source Type: blogs
Magnetically Operated Surgical Tool Cleared for Weight Loss Operations
Levita Magnetics, a Silicon Valley firm, won FDA clearance to introduce its Levita Magnetic Surgical System for use in bariatric procedures. Previously, the magnetically controlled surgical device has only had clearance in the U.S. for performing cholecystectomies (gallbladder removal).
The system consists of a small metallic clasping tool that is placed within the treatment area via a laparoscopy port, which was already created for another instrument used during the procedure. It is delivered using a traditional shaft and made to grasp onto soft tissue. Once positioned, the shaft is removed and from there the device can b...
Source: Medgadget - October 22, 2018 Category: Medical Devices Authors: Editors Tags: Ob/Gyn Surgery Urology Source Type: blogs
“ I don ’ t have a gallbladder – can I still follow the Wheat Belly high-fat lifestyle? ”
This question comes up with some regularity, so I thought I’d finally post a response here on the Wheat Belly Blog. It doesn’t help that general surgeons who perform cholecystectomies are among the most desperately ignorant on diet and health and commonly tell their patients that, after removing the gallbladder, they must adhere to a low-fat diet—yes, the diet that pushes you closer to type 2 diabetes, contributes to high triglyceride levels and fatty liver, heart disease, dementia and other health problems.
So can you include plenty of fats and oils in your diet after you’ve lost your gallbladder? ...
Source: Wheat Belly Blog - September 10, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates bowel flora dysbiosis grain-free prebiotic probiotic sibo small intestinal Source Type: blogs
TransEnterix Senhance Surgical Robotic System Cleared for Hernia Repair and Gallbladder Removal
TransEnterix, the first real competitor to have emerged to Intuitive Surgical in the assisted surgical robotics field, just won FDA clearance for new indications for its Senhance System. Specifically, laparoscopic inguinal hernia repair and laparoscopic cholecystectomy (gallbladder removal) procedures can now be performed with the Senhance.
The Senhance is already cleared for colorectal and gynecologic procedures, but considering the frequency of inguinal hernia repairs and laparoscopic cholecystectomies, the new clearance effectively doubles the number of cases that the system can be used on.
“We have utilized Senhanc...
Source: Medgadget - May 29, 2018 Category: Medical Devices Authors: Editors Tags: Surgery Source Type: blogs
Some very old-school medical methods
CPR was first endorsed by the American Heart Association in 1963. When I took a Red Cross Life Saving Course in 1965, we learned about the “chest pressure arm lift” form of resuscitation which worked about as well as burning incense. I began working as an orderly in a community hospital in 1967. You probably remember that I was famous as the guy who first popularized wearing gloves when inserting a Foley catheter. My predecessor just used one crusty catheter, possibly since the Crimean War, which he carried in his back pocket. I burst onto the hospital scene at a time when the call “cardiac arrest” was met with...
Source: Kevin, M.D. - Medical Weblog - April 18, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/scott-younkin" rel="tag" > Scott Younkin, MD < /a > Tags: Physician Hospital-Based Medicine Source Type: blogs
MKSAP: 41-year-old woman with burning epigastric and chest pain
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 41-year-old woman is evaluated in follow-up after presenting to the emergency department 1 week ago for burning epigastric and chest pain. In the emergency department, a complete blood count and liver chemistry studies were normal, but a radiograph of the chest and upper abdomen demonstrated calcified gallstones. The pain resolved with administration of a liquid antacid, and omeprazole was started. The pain had been present intermittently for approximately 6 months prior to the emergency department visit. It o...
Source: Kevin, M.D. - Medical Weblog - April 7, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Gastroenterology Source Type: blogs
Funtabulously Frivolous Friday Five 232
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 232.
Readers can subscribe to FFFF RSS or subscribe to the FFFF weekly EMAIL
Question 1:
This week’s tropical case was on cholera. John Snow, the godfather of epidemiological medicine, showed that the pump on Broad Street in London was responsible for an outbr...
Source: Life in the Fast Lane - March 29, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five Bellevue Stratford Hotel black fever Broad Street cholera Dum-Dum fever Dumdum Henry Whitehead john snow Joseph McDade Kala-azar Killer fever Legionnaries disease Leishmania donovani leishmania infantum Source Type: blogs
Pre-op cardiac risk assessment : No worries . . . Dr.Hippocrates is on call !
Pre-op cardiac evaluation prior to non cardiac surgery is an important area for cardiology consultation . Unlike other clinical consults this one primarily involves in the delicate and tricky job of predicting future events !
Peri-operative cardiac evaluation is done for what ?
1.To evaluate and assess established CAD or other heart disease and get a proper pre-operative work up , drug adjustment and risk reduction for a possible peri-operative event.
2.To screen for any significant CAD or other heart diseases which is hiding and asymptomatic.
3.To treat those conditions that are detected prior to surgery .(O...
Source: Dr.S.Venkatesan MD - December 12, 2017 Category: Cardiology Authors: dr s venkatesan Tags: perioperative risk assessment: Non cardiac surgery Preoperative evaluation acc aha guidelines peri operative pre operative risk fitness cardiac fitness prior to surgery peri operative cardiac risk assesment preop cardiac evaluation Source Type: blogs
