Myalgic encephalomyelitis/chronic fatigue syndrome and long COVID [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! “ME/CFS is a complex multi-system illness that destroys lives (essentially killing the person yet leaving them alive).  It leaves patients with unimaginable fatigue, post-exertional malaise (meaning that minor exertion makes them feel worse), cognitive deficits, cardiovascular dysfunction, gastrointestinal malfunctions, unrefreshing sleep, pain, and much Read more… Myalgic encephalomyelitis/chronic fatigue syndrome and long COVID [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - September 20, 2022 Category: General Medicine Authors: Tags: Podcast COVID Rheumatology Source Type: blogs

Experiment with Your Coping Strategies for Better Results
Earlier this year, I admitted to myself that my current coping strategies weren’tfighting off my depression as effectively as they were before. Had they simply stopped working, or had something fundamental changed inside of me? The answer was complicated.Obviously, my coping strategies weren’t working since I spent more than half of the days each week struggling to keep my spirits up, but for the longest time, I was too sick to do anything about it. I just limped along waiting to get better. The problem with that plan was that I wasn’t getting better. My depression was fueled by chronic illness. Waiting t...
Source: The Splintered Mind by Douglas Cootey - September 19, 2022 Category: Psychiatry Tags: Depression Goodreads Source Type: blogs

Ways to stop good clinicians leaving pain management (iii)
I’m an old hack when it comes to teamwork and pain management: I’ve worked in this field a long time. I’m familiar with reactions to both interpersonal differences within a team (and the myriad ways these can be expressed), and to the discourse that happens when posting a publicly available message. In fact, that’s why I publish on social media: so we can have open conversations rather than ones hidden behind paywalls, or in rarified academic settings. Humans are odd, and when poked – even when poked with good evidence – want to react, to bite back. The following comments are not about any specific organisation...
Source: HealthSkills Weblog - September 19, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Clinical reasoning Interdisciplinary teams Occupational therapy Physiotherapy Professional topics Psychology Research Science in practice conflict healthcare teamwork Source Type: blogs

Hearing Patients and Their Caregivers First Hand at the RARE Patient Advocacy Summit
Kind of on a whim I decided to head to San Diego (a great place for whimsical travel) for the RARE Patient Advocacy Summit by Global Genes.  To be fair, Effie Parks from Once Upon a Gene Podcast had told me about it before and I’d been on the fence on whether I should go or not.  Some other friends chimed in about being in San Diego as well, and I decided to last minute attend the event. I’ll admit that as an IT person focused on health IT, I initially felt like a fish out of water.  Luckily, I bumped into a number of amazing patient advocates (@rarelikeher and @BarbyIngle) and caregivers (@EMoriartyWade) I&...
Source: EMR and HIPAA - September 15, 2022 Category: Information Technology Authors: John Lynn Tags: C-Suite Leadership Clinical Communication and Patient Experience Healthcare IT Barby Ingle Caregivers Effie Parks Erin Moriarty Wade Global Genes Once Upon a Gene Patient Conferences Patients Rare Disease Rare Disease Conferences Source Type: blogs

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety, Social Media And Security Matters. Lots Of Interesting Perspectives - September 13, 2022.
-----This weekly blog is to explore the news around the larger issues around Digital Health, data security, data privacy, AI / ML. technology, social media and any related matters.I will also try to highlightADHA Propagandawhen I come upon it.Just so we keep count, the latest Notes from the ADHA Board were dated 6 December, 2018 and we have seen none since! It ’s pretty sad!Note: Appearance here is not to suggest I see any credibility or value in what follows. I will leave it to the reader to decide what is worthwhile and what is not! The point is to let people know what is being said / published that I have come upon, a...
Source: Australian Health Information Technology - September 13, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Undisclosed Conflicts of Interest by Physicians Creating the CDC Opioid Prescribing Guidelines: Bad Faith or Incompetence?
We described above how changes in opioid policy aimed at reducing Washington State’s Medicaid and Workers Compensation costs contributed to an increase in methadone deaths between 2003 and late 2014 (23-25). Focusing on similar cost reductions, the Centers for Medicar e and Medicaid Services (CMS) proposed rules for 2019 including several directives intended to reduce " Opioid Overutilization, ” including adoption of the “90 morphine milligram equivalent (MME) threshold cited by the 2016 CDC Opioid Guideline (147, 148). Simply put, reduced prescribing reduces costs for prescribed medications.Chou received research fu...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 12, 2022 Category: Palliative Care Tags: health policy judy kollas opioids research schechtman Source Type: blogs

“ The social ” – a brief look at family
Our most important relationships, the ones we learn most from, probably occur in families (Bowlby, 1978). As kids, even before we begin to speak, we observe our family members – and there’s reasonable evidence showing that how well these early relationships develop influences our experience of pain and how we express it. I had the occasion to read a little about adolescent and children’s pain, and the influence of parents on young people as they grow up. There’s a great deal of research interest in children’s pain because children with persistent pain grow up to be adults – usually al...
Source: HealthSkills Weblog - September 11, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Assessment Back pain Chronic pain Low back pain Research Science in practice adolescents biopsychosocial family pain management partners spouse Source Type: blogs

Weekly Overseas Health IT Links –10th September, 2022.
This article is adapted fromVoices in the Code: A Story About People, Their Values, and the Algorithm They Made,out Sept. 8 from Russell Sage Foundation Press.In May 2021, I got a call I never expected. I was working on abook about A.I. ethics, focused on the algorithm that gives out kidneys to transplant patients in the United States. Darren Stewart —a data scientist from UNOS, the nonprofit that runs the kidney allocation process—was calling to get my take: How many decimal places should they include when calculating each patient’s allocation score? The score is an incredibly important number, given it determines w...
Source: Australian Health Information Technology - September 10, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

We need to get real about chronic pain solutions
For all the time and attention that’s placed on whether opioids should be prescribed or even removed from the market, we must put equal – if not greater – emphasis on enhancing access to non-opioid pain treatments. Not prescribing opioids doesn’t solve or eliminate the root issue and reason many people are on painkillers to Read more… We need to get real about chronic pain solutions originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - September 9, 2022 Category: General Medicine Authors: Tags: Conditions Pain Management Source Type: blogs

Top 10 Research Topics To Pursue In Digital Health
The question we most frequently get at The Medical Futurist Institute is easily the one asking for guidance on potential research topics. In fact, we face it so often that we decided to write a summary of our thoughts to provide an overview and some insights to anyone who is willing to dive deep into digital health but is unsure about the best direction to take. Whatever you choose, take a look at these four criteria first Find a nicheAim for uncharted territoriesLook for ease of entrySeek answers to important questions We compiled a list of ten research topics we believe are in line with the above principles and ...
Source: The Medical Futurist - September 1, 2022 Category: Information Technology Authors: Andrea Koncz Tags: TMF Forecast Artificial Intelligence in Medicine Digital Health Research E-Patients Future of Medicine Health Sensors & Trackers Healthcare Design Healthcare Policy Portable Medical Diagnostics Telemedicine & Smartphones AI EMR v Source Type: blogs

The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
September 01, 2022 Edition-----This week it is all about weather and climate change with floods, heatwaves and droughts in Parkistan, Europe and China. In the US drought is causing all sorts of food supply issues and price rises.In the EU was a seeing all sorts of energy supply problems.In Australia we have a feast of investigations into ScoMo, RoboDebt and so on. Lots to browse!-----Major Issues.-----https://www.afr.com/policy/foreign-affairs/us-alliance-fear-that-dare-not-speak-its-name-20220818-p5bat8US alliance fear that dare not speak its nameUneasiness about divided, inward-looking America fulfilling its security gua...
Source: Australian Health Information Technology - September 1, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Newest Digital Health Programs Address Digestive Disease Management
The following is a guest article by Bill Snyder is CEO of Vivante Health. More than 70 million Americans suffer from a wide gamut of digestive diseases, but until recently few digital health solutions were available to help them manage their conditions. There are smartphone apps for tracking everything from exercise, sleep and calorie consumption to blood pressure, COVID-19 symptoms and even diabetes management, but gut health has largely been left in the digital dust – in part because there is no one-size-fits-all solution for a category spanning so many different disorders. Today that’s changing as health tech compan...
Source: EMR and HIPAA - August 29, 2022 Category: Information Technology Authors: Guest Author Tags: Analytics/Big Data C-Suite Leadership Health IT Company Healthcare IT Telemedicine and Remote Monitoring Bill Snyder Digital Health Employer Health GI Health GIThrive Healthcare Personalization Healthcare Sensors Vivante Health Source Type: blogs

Weekly Overseas Health IT Links –27th August 2022.
In this study, researchers gathered a diverse group of participants; 43 percent were Black, and 68 percent were women. They also considered factors such as age and insurance status when drawing conclusions.The study occurred through a clinical trial, where all participants were randomly assigned to have their next visit occur through either phone or video-based platforms. The central unit of measurement was visit satisfaction rate, reported on a ten-point scale. Researchers noted noninferiority data based on whether patient satisfaction between the telehealth methods exceeded a -15 percent margin.-----https://www.theverge....
Source: Australian Health Information Technology - August 27, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 22 August, 2022.
Here are a few I have come across the last week or so. Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.General Comment-----This week we seem to have more in the way of State-Based initiatives as well as the usual rubbish info sessions from the ADHA.Also the usual from of NBN news and news of #myHR Rule 42 – which I had never heard of!-----https://www.australianageingagenda.com.au/contributors/opinion/critical-staff-shortages-affect-more-than-frontli...
Source: Australian Health Information Technology - August 22, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Fight Aging! Newsletter, August 22nd 2022
In conclusion, application of a multi-species bat epigenetic clock provides strong evidence that hibernation is associated with slower epigenetic ageing. The multi-species clock explains 94% of the variation in the chronological ages of both hibernating and non-hibernating big brown bats; however, the clock estimates are equal to or greater than the chronological age, suggesting big brown bats age slightly faster than a 'typical' bat, especially during the active period. (Source: Fight Aging!)
Source: Fight Aging! - August 21, 2022 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs