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Unpalatable truths about pain
Recently I read a blog post about the way “Explain pain” had landed with a group of people in the general public. The point being made was that people found the ideas presented unpalatable. They didn’t agree with the points and they thought the ideas were dismissive of their experience. Now I am a critic of any recipe-based approach to helping people. I am especially a critic of clinicians using something they’ve picked up on a weekend course, or out of a book, being applied holus bolus to an individual without nuance. There have been outrageous claims made about the effectiveness of giving some...
Source: HealthSkills Weblog - June 11, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Pain conditions Professional topics biopsychosocial pain management Therapeutic approaches Source Type: blogs

A Hand Up, Not a Hand-Out
BY KIM BELLARD As many of you did, I followed the recent debt ceiling saga closely, and am relieved that we now have a compromise, of sorts.  The House Republicans demanded a lot of things, most of which they did not get, but one area where they did prevail was in toughening work requirements for food (SNAP) and income (TANF).  They somehow believe that there are uncounted numbers of “able-bodied” people sitting around on their couches collecting government benefits, a myth that goes back to Ronald Reagan’s welfare queen stereotype, and have long advocated work requirements as the remedy.  Ironic...
Source: The Health Care Blog - June 6, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Policy Guaranteed Income Programs Kim Bellard SNAP Source Type: blogs

Unraveling The Hypertension-COPD Connection: A Healthier Future Ahead!
Get an in-depth look at the lesser-known connection between hypertension and COPD through the lens of Dr. Bernard MY Cheung’s pioneering study. Find out why regular health checks and lifestyle changes are the way forward in the battle against these silent threats. Quick Summary The complex relationship between hypertension and COPD, particularly among young heavy smokers, exacerbates cardiovascular disease risk. Insights from Dr. Cheung’s study underscore the urgency of holistic health management strategies, focusing on both hypertension and COPD. This includes regular blood pressure monitoring and qu...
Source: The EMT Spot - June 3, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: News Source Type: blogs

Pulmonary hypertension and it ’ s mysterious affair with exercise !
PH has always been an exciting academic topic in cardio-pulmonary medicine, for both clinicians and researchers. It is also one of the extensively studied hemodynamic parameter. The pressure in pulmonary circulation is intimately tied to the function of two critical organs. lungs and heart and various systemic factors.The fact that pulmonary circulation is essentially expansive & engulfed by the dynamics of lungs, makes PA pressure a continually variable parameter. Further,the chest wall compliance, airway resistance ,influence of pleural pressure fluctuations, make it difficult to estimate the normative pulmonary arte...
Source: Dr.S.Venkatesan MD - May 17, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized esc 2022 guidelines ph excercise induced ph pre post capillary pulmonary ht pulmonary hypertension Source Type: blogs

Pulmonary hypertension and it ’ s mystery affair with exercise !
PH has always been an exciting academic topic in cardio-pulmonary medicine, for both clinicians and researchers. It is also one of the extensively studied hemodynamic parameter. The pressure in pulmonary circulation is intimately tied to the function of two critical organs. lungs , heart and various systemic factors. The fact that pulmonary circulation is essentially expansive & engulfed by the dynamics of lungs, makes PA pressure a continually variable parameter. Further ,the chest wall compliance, airway resistance , influence of pleural pressure fluctuations, make it difficult to estimate the normative pulmonary art...
Source: Dr.S.Venkatesan MD - May 17, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized esc 2022 guidelines ph excercise induced ph pre post capillary pulmonary ht pulmonary hypertension Source Type: blogs

A 40-something woman with acute pulmonary edema -- see the Speckle Tracking echocardiogram.
A 49 year old woman with h/o COPD only presented with sudden dyspnea.  She had acute pulmonary edema on exam.  PrehospitalConventional algorithm interpretation: ANTERIOR INFARCT, STEMITransformed ECG by PM Cardio:PM Cardio AI Bot interpretation:OMI with High ConfidenceWhat do you think?There is STE and hyperacute T-waves in V2 and V3, with significant STE in I and aVL, and inferior reciprocal STD.This is proximal LAD Occlusion until proven otherwise.On arrival, lung ultrasound confirmed pulmonary edema (B lines).  An ECG was recorded:ED ECG 1:The findings are still present but not nearly as profound now...
Source: Dr. Smith's ECG Blog - April 12, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

The Reach of ChatGPT into Health Care Expands
The recent release of GPT-4, the newest version of OpenAI’s platform, shows that generative AI is evolving even more quickly than we can find uses for it. In a recent Healthcare IT Today interview with Bill Rogers, co-founder and president of Orbita, he discusses the implications of OpenAI’s chatGPT, Orbita’s recent improvements, and the ways that tools such as chatGPT can make health care more efficient. Rogers started Orbita 8 years old, and it has been interacting with patients through voice for years. New AI technologies can provide information from large collections of documents with what Rogers call...
Source: EMR and HIPAA - April 7, 2023 Category: Information Technology Authors: Andy Oram Tags: AI/Machine Learning C-Suite Leadership Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System Bill Rogers ChatGPT Generative AI Generative AI in Healthcare GPT-4 Healthcare AI Healthcare Chatb Source Type: blogs

From hope to heartbreak: a story of loss in the ICU
Ms. Laura was a vibrant and feisty lady with a personality that filled the room. She had been my patient two months ago when she was admitted for an irregular heartbeat and COPD exacerbation. She was a smoker, and despite her heart issues, she had a strong will to live. I had advised her to Read more… From hope to heartbreak: a story of loss in the ICU originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 31, 2023 Category: General Medicine Authors: Tags: Conditions Critical Care Source Type: blogs

Bonus Features, ViVE Edition – March 28, 2023 – New products from Babylon and Everly Health, partnership news from Infor and LexisNexis, and more
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job. This edition is a special dispatch from ViVE 2023. There have been a lot of new research reports, products, and partnerships announced in Nashville. We wanted to try and cover as many announcements for the Healthcare IT Today co...
Source: EMR and HIPAA - March 28, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT Healthcare IT Today Bonus Features ViVE ViVE 2023 ViVE23 Source Type: blogs

Revolutionizing COPD management with virtual care solutions [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! Today’s episode features Brian Gelbman, a pulmonary and critical care physician. The COPD management space is facing a growing crisis, with a shortage of pulmonologists and respiratory therapists, and limited access to pulmonary rehabilitation facilities. This has resulted in a fragmented care landscape that Read more… Revolutionizing COPD management with virtual care solutions [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 23, 2023 Category: General Medicine Authors: Tags: Podcast Pulmonology Source Type: blogs

A big data COVID train wreck
BY ANISH KOKA If there was any doubt the academic research enterprise is completely broken, we have an absolute train wreck of a study in one of the many specialty journals of the Journal of the American Medical Association — JAMA Health. I had no idea the journal even existed until today, but I now know to approach the words printed in this journal to the words printed in supermarket tabloids. You should too! The paper that was brought to my attention is one that purports to examine the deleterious health effects of Long COVID. A sizable group of intellectuals who are still socially distancing and wearing n95s ...
Source: The Health Care Blog - March 13, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Policy Anish Koka Covid research COVID-19 Long Covid Source Type: blogs

Retrieving Billions in Overpayments by CMS
This article focuses on the relatively young technologies that enable CMS to uncover overbillings, whether they be errors or fraud. The article is based on an interview with Kel Pults, chief clinical officer and vice president of MediQuant. A future article will explain how Medicare Advantage plans are trying to improving data collection and reporting, and how AI helps. Challenges of Investigating Overpayments Undeserved payments are needles lurking in the haystack of 135 million Americans enrolled in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). But the needles pile up fast. Improper payments f...
Source: EMR and HIPAA - February 17, 2023 Category: Information Technology Authors: Andy Oram Tags: AI/Machine Learning Analytics/Big Data Health IT Company Healthcare IT Regulations Revenue Cycle Management #COVID19 CMS COVID Reimbursement Healthcare AI Healthcare Analytics Kel Pults MAOs Medicare Advantage MediQuant Overp Source Type: blogs

Viemed Invests $2M in ModoHealth
Viemed Healthcare, Inc., a respiratory care and technology-enabled home medical equipment services company, announced that it has made a strategic investment in ModoHealth, a value-based care and patient management platform connecting payors, patients, and post-acute providers. ModoHealth expects to use the proceeds of the investment to fund the expansion of its proprietary patient management network, which combines clinical tools, remote patient monitoring, data analysis and patient-centric engagement. “We are incredibly excited to partner with the team at ModoHealth to grow the innovative population health platform,”...
Source: EMR and HIPAA - January 27, 2023 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT Casey Hoyt Health IT Funding Health IT Fundings Health IT Investment Home Medical Equipment ModoHealth patient engagement Value Based Care Viemed Viemed Healthcare Viemed Healthcare Inc. Source Type: blogs

Using Design Thinking to Advance SDOH Data Exchange Initiatives
The following is a guest article by Sarah Samis, VP, Public Health Products & Platforms at GCOM. Chronic diseases, which most Americans have at least one of, are the leading causes of death and disability in the U.S. These ongoing and usually incurable diseases account for more than 80% of hospital admissions, 90% of prescriptions filled, and 75% of all physician’s visits. Two-thirds of all deaths are caused by five chronic diseases in particular: heart disease, cancer, stroke, diabetes, and chronic obstructive pulmonary disease.  Preventing and managing chronic disease is not solely a job for an individual and thei...
Source: EMR and HIPAA - January 26, 2023 Category: Information Technology Authors: Guest Author Tags: Analytics/Big Data Communication and Patient Experience Healthcare IT cancer CDC Center for Disease Control Chronic Diseases Chronic Illness Chronic Obstructive Pulmonary Disease Data Exchange Design Thinking diabetes GCOM Heart Source Type: blogs

Fighting the Wrong (Culture) War
By KIM BELLARD News flash from the culture wars: they’re coming to take our gas stoves! Well, actually, “they” are not, but the kind of people who got alarmed about it are a threat to our health, and to theirs. The gas stove furor started with a Bloomberg News interview that Richard Trumka, Jr, a Consumer Product Safety Commission commissioner. “This is a hidden hazard,” he said. “Any option is on the table. Products that can’t be made safe can be banned.” He was referring to the well known but little acknowledged fact that gas stoves emit various pollutants, especially nitrogen dioxide. Last ye...
Source: The Health Care Blog - January 20, 2023 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Culture Wars Gas Stoves Kim Bellard Source Type: blogs