Fight Aging! Newsletter, February 4th 2019
In this study, we examined the benefits of early-onset, lifelong AET on predictors of health, inflammation, and cancer incidence in a naturally aging mouse model. Lifelong, voluntary wheel-running (O-AET; 26-month-old) prevented age-related declines in aerobic fitness and motor coordination vs. age-matched, sedentary controls (O-SED). AET also provided partial protection against sarcopenia, dynapenia, testicular atrophy, and overall organ pathology, hence augmenting the 'physiologic reserve' of lifelong runners. Systemic inflammation, as evidenced by a chronic elevation in 17 of 18 pro- and anti-inflammatory cytokin...
Source: Fight Aging! - February 3, 2019 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

The Age of A.I. Will Value Compassionate Care More Than Ever
While modern medicine created the professional, efficient, metric-driven medic alienated from the patients, the need for compassionate care is more urgent than ever. However, that’s not only up to the physician but also the organization, because individual attempts might result in burnout symptoms. Adoption of A.I. could change the situation for the better in the future, as it would create space for doctors and nurses to spend more quality time with patients. The question is, are doctors ready for it? Medicating Albert, the plush armadillo Two years ago, my niece had to spend two weeks in hospital as she partia...
Source: The Medical Futurist - February 2, 2019 Category: Information Technology Authors: nora Tags: Artificial Intelligence in Medicine AI care compassionate care digital digital health future healthare nursing physician technology Source Type: blogs

GrimAge is the Latest Evolution of the Epigenetic Clock
The original epigenetic clock is a measure of age, a weighted algorithmic combination of specific DNA methylation sites on the genome. Numerous variations on this theme are being produced, and here I'll point out news on the latest, a metric called GrimAge. DNA methylation is an epigenetic mechanism that steers protein production and thus cell behavior. Epigenetic clocks correlate well with chronological age, and it has been shown that populations of older individuals with pronounced age-related disease or otherwise exhibiting higher mortality rates tend to have higher epigenetic ages. There are some problematic exc...
Source: Fight Aging! - January 30, 2019 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs

uEXPLORER Whole Body PET-CT Cleared by FDA for Clinical and Research Use
United Imaging Healthcare, a company out of Shanghai, China, won FDA clearance for its uEXPLORER combined Positron Emission Tomography (PET) and Computed Tomography (CT) scanner. The device can perform whole-body scans using both imaging modalities at the same time. The system is expected to be used in both clinical practice, to spot cancers and to track disease progression, and in research when studying inflammation, blood flow, and other processes affecting large parts of the body. United Imaging believes its system can deliver superior imaging performance to existing PET/CT scanners thanks to new hardware...
Source: Medgadget - January 24, 2019 Category: Medical Devices Authors: Editors Tags: Nuclear Medicine Radiology Source Type: blogs

What Could Happen When You Don ’t Carefully Read a Radiology Report
A  lawsuitinvolving a 49-year-old male with colon cancer has demonstrated the need for physicians to thoroughly read radiology reports and for radiologists to effectively relay image interpretations.The patient had undergone a CT scan for pre-procedure workup for his extracorporeal shock wave lithotripsy to remove kidney stones. The scan showed a possible indication of colon cancer, and the radiologist had made note of those findings on the second page of the report that was sent to the urologist that same day. However, the urologist neglected to read the second page, and 19 months later, the patient was diagnosed wit...
Source: radRounds - January 18, 2019 Category: Radiology Authors: Julie Morse Source Type: blogs

Fatty liver disease: What it is and what to do about it
Non-alcoholic fatty liver disease (NAFLD), a condition of extra fat buildup in the liver, is on the rise — it now affects roughly 20% to 40% of the US population. It usually doesn’t cause any symptoms, and is often first detected by accident when an imaging study (such as an abdominal ultrasound, CT scan, or MRI) is requested for another reason. A fatty liver may also be identified on an imaging test as a part of investigating abnormal liver blood tests. NAFLD is intimately related to conditions like diabetes and obesity. It’s also linked to an increased risk of cardiovascular disease. Understanding NAFLD...
Source: Harvard Health Blog - January 10, 2019 Category: Consumer Health News Authors: Wynne Armand, MD Tags: Digestive Disorders Health Source Type: blogs

Heart disease and breast cancer: Can women cut risk for both?
Very often I encounter women who are far more worried about breast cancer than they are about heart disease. But women have a greater risk of dying from heart disease than from all cancers combined. This is true for women of all races and ethnicities. Yet only about 50% of women realize that they are at greater risk from heart disease than from anything else. Currently in the US, three million women are living with breast cancer, which causes one in 31 deaths. Almost 50 million women have cardiovascular disease, which encompasses heart disease and strokes and causes one in three deaths. Here’s what’s reall...
Source: Harvard Health Blog - January 8, 2019 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Breast Cancer Exercise and Fitness Health Healthy Eating Heart Health Women's Health Source Type: blogs

When AI Looks at X-Rays: Interview with Qure.ai CEO, Prashant Warier
If you follow the recent advances in medical technology and artificial intelligence, you may have heard people make bold claims that AI will replace tomorrow’s doctors. While there are still ways to go for technology to reach these sci-fi levels, many companies are actively designing AI systems that will accompany doctors or assist them with their daily tasks. One particularly challenging task has been to enable algorithms to examine medical images and make intelligent conclusions, create reports, or provide recommendations. Medgadget recently had the chance to ask Qure.ai’s CEO, Prashant Warier, about the stri...
Source: Medgadget - January 3, 2019 Category: Medical Devices Authors: Mohammad Saleh Tags: Exclusive Informatics Radiology Source Type: blogs

Meet Susan Potter: Immortal Corpse
At the age of 72, German immigrant Susan Potter was adamant about donating her body to science. Her body would be turned inside out and created into a 3D digital landscape of 6,900 photos for medical students to learn from. In 2015, her wish finally came true. In a  storyforNational Geographic, journalist Cathy Newman details Potter ’s journey from living human to “immortal corpse.”Potter ’s body was donated to the National Library of Medicine’s Visible Human Project, a program started by Vic Spitzer and David Whitlock at the University of Colorado in 1991. At the time, they received a go...
Source: radRounds - December 28, 2018 Category: Radiology Authors: Julie Morse Source Type: blogs

Weird accounting
I manage my mother's affairs. She's been in a nursing home since she was hospitalized last July for 11 days. So all of a sudden, on December 26, I get a bill from the hospital. I didn't expect one since she has a Medicare Advantage plan, but apparently there is a copay for this. Here's the itemization of the bill:CT Scan: $5,075EKG/ECG: $198Emergency Room: $2,609Laboratory: $3,429Medical/Surgical Supplies/Devices: $2,192.76Occupational Therapy: $2,901Other Care Items: $3,734Pharmacy: $1,369Physical Therapy: $5,913Room and Board: $46,838Total: $74,259In case you're wondering, room and board comes to $4,258 a day. That's a p...
Source: Stayin' Alive - December 27, 2018 Category: American Health Source Type: blogs

Urachal Anomaly: Case Reports
Presenting two case reports of urachal anomalies. Submitted by Dr MGK Murthy, Dr  GA Prasad Case 1(MRI)14 yrs boy with h/o periumbilical pain, swelling& discharge with periumbilical sinus in USG presents for MRI which show- An ill defined irregular subtle fluid signal intensity focus suggested in the infraumbilical region with a long thin linear low signal intensity on all pulse sequences properitoneal track identified extending to the superior aspect of urinary bladder with no definite fluid contents/ bladder diverticulum/secondary tracks/intraperitoneal extension/ presence of air /air fluid l...
Source: Sumer's Radiology Site - December 21, 2018 Category: Radiology Authors: Sumer Sethi Source Type: blogs

AI Collaboration Being Tested at University of Rochester Medicine
The radiology department at the University of Rochester Medicine has fully embraced artificial intelligence (AI) with their recent announcement that they ’re testing Aidoc, an artificial intelligence-based software that analyzes medical images to detect abnormalities.The testing program is part of the American College of Radiology ’sDSI ASSESS-AI registry, an initiative to determine how AI solutions impact radiology practices. With careful evaluation of various AI programs, healthcare institutions can decide on the most effective AI protocol.The Aidoc solution is being used in conjunction with  Nuance &rsq...
Source: radRounds - December 14, 2018 Category: Radiology Authors: Julie Morse Source Type: blogs

Amazon Launches New Medical Record Language Processing Service
One of the most significant factors in extracting information from EHR record is the use ofnatural language processing (NLP) which I have referred to in a number of previous notes (see, for example:EMRs and the Data Entry Paradox; Same Concept Not Applicable in the LIS World;Assessing Drugs Using"Real World Evidence" in Addition to Clinical Trials;AI Allows Computers to"Read" EHR Records and Make Predictions). A recent article discussed why one should"care" about Amazon's new medical language processing service (see:Why Should You Care About Amazon's New Medical Language Proc...
Source: Lab Soft News - December 13, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Computer Security Electronic Health Record (EHR) Healthcare Information Technology Healthcare Innovations Lab Information Lab Regulation Medical Research Medicolegal Issues Predictive Analytics Source Type: blogs

Thinking About Dumping Your Psychiatrist? You Might Not Need To
It’s tempting. I’ve been there. You hit a rough patch with your psychiatrist and you think, “I’m outta here.” There may be some things you can do to not only get your relationship back on track but also give it a turbo boost. I want to explore just a few of the things we can do to improve our relationships with our doctors. First some basic facts. Psychiatry is a rare discipline of medicine and the population of psychiatrists is aging and not being replaced quickly enough by younger physicians. There are many areas of the country, small town and rural particularly, that have few to no psychiat...
Source: World of Psychology - December 3, 2018 Category: Psychiatry & Psychology Authors: Tova Feinman Tags: Bipolar Communication Personal Psychotherapy PTSD Schizophrenia Psychiatry Source Type: blogs

The 4 Physiologic Etiologies of Shock, and the 3 Etiologies of Cardiogenic Shock
A 60-something presented with hypotension, bradycardia, chest pain and back pain.She had a h/o aortic aneurysm, aortic insufficiency, peripheral vascular disease, and hypertension.  She had a mechanical aortic valve.  She was on anti-hypertensives including atenolol, and on coumadin, with an INR of 2.3. She was ill appearing.  BP was 70/49, pulse 60.A bedside echo showed good ejection fraction and normal right ventricle and no pericardial fluid. Here is the initial ECG:What do you think?This ECG actually looks like a left main occlusion (which rarely presents to the ED alive):  ST Elevation in...
Source: Dr. Smith's ECG Blog - November 30, 2018 Category: Cardiology Authors: Steve Smith Source Type: blogs

Say Hello to Explorer, Your New Favorite Full-Body Scanner
TheEXPLORER, the new full-body scanner created in partnership between University of California Davis and United Imaging Healthcare in Shanghai has officially started producing images.A hybrid of positron emission tomography (PET) and x-ray computed tomography (CT), EXPLORER delivers whole-body scans in under 20 to 30 seconds. Most PET imaging systems are slow to develop each single slice of image, and once all the pieces of the images are generated then it takes around 30 to 40 minutes to be compiled into a principal three-dimensional image. This lag time makes it very challenging for physicians to assess the body in real ...
Source: radRounds - November 29, 2018 Category: Radiology Authors: Julie Morse Source Type: blogs

GE Healthcare ’s New Revolution Apex CT with Deep Learning Image Reconstruction
GE Healthcare unveiled a new CT scanner in its lineup of Revolution family of devices. The Revolution Apex device features the brand new Quantix 160 X-Ray tube and Deep Learning Imaging Reconstruction, a system built on GE’s Edison platform to produce “TrueFidelity” images in challenging cases. GE believes it offers the “industry’s leading spatial resolution, temporal resolution, coverage and spectral capability” and that the new X-ray tube and underlying software will provide even better results. The company says that the images have an improved, natural look that’s not so grainy,...
Source: Medgadget - November 29, 2018 Category: Medical Devices Authors: Editors Tags: Critical Care Emergency Medicine Radiology Surgery Source Type: blogs

New X-Ray from Canadian Startup Could Replace CT Scan for Lung Cancer Screening
Grand River Hospital in Waterloo, Ontario is introducing a portable multi-energy x-ray imager as an alternative to CT scan for lung cancer screening. The makers of the device claim it to be cost-effective and emit 50 times less radiation than a CT scan.The creators of the x-ray are KA Imaging, a Canada-based startup with a robust and innovative range of medical imaging products. Previously, they were awarded  $1 million Canadian dollarsfrom the Grand Challenges Canada fund to develop a LCD-based x-ray that uses less radiation and is cheaper to manufacture." With our single X-ray, you sort of walk up to the X-ray,...
Source: radRounds - November 27, 2018 Category: Radiology Authors: Julie Morse Source Type: blogs

Radiology Crisis in the UK Forces 56,000 Angina Patients to Forgo CT Scans
In the United Kingdom, around 56,000 patients with angina, a chest condition that can decrease blood flow to the heart, were unable to undergo necessary CT scans last year due to the region ’s radiologist shortage.According to a recent review from the Royal College of Radiologists (RCR) and the British Society of Cardiovascular Imaging (BSCI), there should have been 132,090 CT coronary angiography (CTCA) tests performed throughout England, Scotland, Wales, and Northern Ireland in 2017. However, only 75,791 —or 57 percent — of those tests were administered.Approximately 69,900 scans were performed in Engla...
Source: radRounds - November 17, 2018 Category: Radiology Authors: Julie Morse Source Type: blogs

AI Doesn ’ t Ask Why — But Physicians And Drug Developers Want To Know
We describe phenomena using science, which gives us a sense of understanding and structure – yet we often lack actual understanding about what we’re observing, or why our treatments work. We have scientific explanations that may appear solid at first glance, but are flimsy upon closer inspection. More commonly, I imagine, we rely on scientific explanations as heuristics to enable us to get through our days, as a scaffold upon which to organize our information. I suspect AI is viscerally uncomfortable, and challenging to apply to clinical care or drug discovery (see part 2), because of the psychological importan...
Source: The Health Care Blog - November 16, 2018 Category: Consumer Health News Authors: matthew holt Tags: Artificial Intelligence Pharmaceuticals Physicians AI David Shaywitz Health Tech Source Type: blogs

A CT scan for kidney cancer? It may depend on where you live.
About one in fifty people reading this essay will be diagnosed with kidney cancer at some time in their life. In fact, one out of one people  writing this essay has already been diagnosed with kidney cancer. (I had a small tumor removed from my left kidney not long after I turned 50.) But how many people […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 8, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/peter-ubel" rel="tag" > Peter Ubel, MD < /a > Tags: Conditions Nephrology Oncology/Hematology Source Type: blogs

HoloLens Used to Looks at Heart Scars in High Resolution
At the Beth Israel Deaconess Medical Center in Boston, researchers have been investigating the use of the Microsoft HoloLens augmented reality headset for visualizing myocardial scars during surgical interventions. During ablations and other electrophysiology procedures, the surgeon must have a good idea of where scars and other relevant items are within the heart. Typically, this is displayed on a computer screen and keyboards, mice, knobs, joysticks, and balls are used to control the zoom, rotation, and slicing of the images. All of these methods require the physician to look away from the patient and to use a physical c...
Source: Medgadget - October 29, 2018 Category: Medical Devices Authors: Editors Tags: Cardiac Surgery Cardiology Radiology Source Type: blogs

Managing Digital Health Regulatory Uncertainty
Uncertainty abounds when managing digital health regulatory uncertainty regarding the FDA and other international regulatory bodies. For this discussion we'll divide uncertainty into two categories, uncertainty due to a lack of knowledge about the potential regulations on the part of manufacturers and uncertainty about just what various regulatory agencies are doing - or going to do - about new and innovative products that meet the definition of a medical device. What is a Medical Device? Let's start with the first category; there is an astounding amount of misinformation and just plain wrong-headedness on the part of many...
Source: Medical Connectivity Consulting - October 24, 2018 Category: Information Technology Authors: Tim Gee Tags: Regulatory Bibliography Standards & Regulatory Source Type: blogs

Siemens Releases New MRI and PET/CT Scanner for Radiation Therapy Planning
At the American Society for Radiation Oncology annual meeting, Siemens Healthineers has unveiled its RT Pro edition for Biograph Vision PET/CT scanner and MAGNETOM Sola 1.5 Tesla MRI machine to help with radiation therapy planning. Both systems are specifically designed to aid in planning of radiotherapy procedures and each features some major improvements over previous devices. The RT Pro Edition for Biograph Vision PET/CT comes with a brand new detector that has the highest available sensitivity characteristics and produces higher image resolutions. Its 78 cm bore lets large bodies slide in and out and all...
Source: Medgadget - October 22, 2018 Category: Medical Devices Authors: Editors Tags: Oncology Radiation Oncology Radiology Source Type: blogs

Unexpected Lessons Learned From the Wheat Belly Lifestyle
In the seven years since the original Wheat Belly book hit bookstores and turned the nutritional world topsy-turvy and millions of people have engaged in a grain-free lifestyle, many unique lessons have been learned. Even though I had engaged the practices of this lifestyle for a number of years and in thousands of people before I broadcast these ideas through books, expanding the audience to many more people yielded feedback on an enormous scale, new lessons that even surprised me. Among the new lessons learned along the way: Plantar fasciitis—I did not expect to have so many people report that this painful conditi...
Source: Wheat Belly Blog - October 17, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates bowel flora gluten gluten-free grain-free grains Inflammation Weight Loss Source Type: blogs

Best practices in head CT imaging: How are we doing?
Computed tomography, or CT scanning, is one of the most powerful diagnostic tools to emerge during my medical career. Just look at the detail in the brain images above, taken at 90-degree angles through the brain. And I was there at the beginning. I remember well when I was a medical student taking neurology, and the first CT scanner arrived at the Mayo Clinic. By today’s standards, it was incredibly crude. It displayed a tiny image on a cathode ray tube that was then photographed with a Polaroid camera. Preservative lacquer was then smeared on the photograph and it was pasted into the patient’s chart with glue...
Source: Kevin, M.D. - Medical Weblog - October 14, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/christopher-johnson" rel="tag" > Christopher Johnson, MD < /a > Tags: Conditions Neurology Pediatrics Radiology Source Type: blogs

Navigating back pain treatments: Can a physiatrist help?
If self-care steps for back pain such as gentle activity, local heat, or massage don’t ease discomfort within a few weeks to a month, or if you struggle with chronic low back pain, a physiatrist can help you navigate the dizzying number of treatment options. These range from conservative therapies (such as medicines, physical therapy, and chiropractic care) to more invasive options (such as spine injections and spinal surgery). What is a physiatrist? Physiatrists are medical doctors who specialize in physical medicine and rehabilitation. We focus on holistic, nonsurgical care aimed at improving function for people wh...
Source: Harvard Health Blog - October 10, 2018 Category: Consumer Health News Authors: Edward N. Wei, MD Tags: Back Pain Bones and joints Health Pain Management Source Type: blogs

Drip bar: Should you get an IV on demand?
For many people receiving care in a hospital or emergency room, one of the most common occurrences (and biggest fears) is getting an IV, the intravenous catheter that allows fluids and medications to flow into a vein in your arm or hand. A trained health professional puts in an IV by sticking a needle that’s inside a thin tube (catheter) through the skin into a vein. Once inside the vein, the needle is removed. The catheter is left in the vein and taped down to keep it from moving or falling out. While IV lines are typically painless, the initial needle stick can be quite painful, especially for those who are a &ldqu...
Source: Harvard Health Blog - September 28, 2018 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Health Health trends Source Type: blogs

Signposting Teaching Moments: Get Credit for What You Already Do
  Hospitals around the country are struggling to accommodate the increasing number of patients requiring acute inpatient care while physician staffing remains relatively stagnant. Every time the emergency department goes into divert mode, the natural question is: “Why can’t the residents just take more patients? Can resident duty hours and teaching time preservation just be waived for a little while?” For clinical educators, the census and complexity of an inpatient service has a major effect on the time available for teaching. We ultimately want to provide the best learning experience for our studen...
Source: Academic Medicine Blog - September 25, 2018 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective clinical educators rounds teaching strategies Source Type: blogs

Deton is Developing “Aerosol Biopsy” to Detect Lung Diseases
Biopsies and bronchoscopies are the gold standard for diagnosing lung diseases, including pneumonia and cancer. However, these procedures are difficult to provide, requiring general anesthesia and an operating room. Deton hopes to simplify the process. The Pasadena-based company takes advantage of the lung’s natural reaction to bacteria or particles — coughing it out. Rather than invasively sampling lung tissue within the lungs, Deton’s patented technology samples the particles ejected from the lungs. The expelled cough sample is then read by a point-of-care analyzer or sent to a lab. “When a person...
Source: Medgadget - September 7, 2018 Category: Medical Devices Authors: Cici Zhou Tags: Diagnostics Exclusive Medicine Oncology Pathology Thoracic Surgery Source Type: blogs

What can physicians do to combat confirmation bias?
The day begins at 6 a.m. I am rounding on my nine patients, quickly examining them and providing a brief update about the plan. Like the other harried residents, I am speeding from one room to the next, trying to get everything done on time. And then, inevitably my beeper goes off — “Patient in emergency room being admitted, please call for signout.” I stop in my tracks. I can literally feel the time ticking away, and there is so much to do. But as I clear my mind to hear about the new admission, I have to remind myself of a lesson I learned as a medical student — the importance of slowing down. Ms....
Source: Kevin, M.D. - Medical Weblog - September 6, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/komal-kothari" rel="tag" > Komal Kothari, MD < /a > Tags: Physician Hospital-Based Medicine Neurology Source Type: blogs

New Study Suggest Rampant Healthcare Fraud Regarding Shared Decision Making & Patient Decision Aids
When Medicare agreed to cover Screening for Lung Cancer with Low Dose Computed Tomography (LDCT), it required that the clinician and patent first have a "shared decision making, including the use of one or more decision aids." But in a new study, rese... (Source: blog.bioethics.net)
Source: blog.bioethics.net - September 3, 2018 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

A day in the beautiful life of this doctor
Recently, a patient came in around 11 p.m., just as the chaos of the day had settled, and I was thinking of rest after 16 hours of work. He was an older gentleman with vague and concerning complaints that would demand a thorough workup. I suspended my thoughts of self-preservation and stepped in to evaluate him. After an hour and a half, I had found a source of infection that explained most of what was going on. But on a CT scan looking for blood clots, there was an advanced cancer that had grown silently and painlessly and was not at all in my differential diagnosis. Suddenly — my closure talk would go from “l...
Source: Kevin, M.D. - Medical Weblog - September 1, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/james-nichols" rel="tag" > James Nichols, MD < /a > Tags: Physician Oncology/Hematology Source Type: blogs

Rwanda and the Dreamers of Digital Health in Africa: Wakanda Is Real
Rwandans in remote villages are using an artificial intelligence-based algorithm on their mobile phones to get a diagnosis for their health problems, doctors in Kigali consult their colleagues in the Western Province about radiology cases through telemedicine, blood is delivered by Zipline’s medical drones, and a central electronic health records system ensures data is collected about health activities. Rwanda is a pioneer in digital health in Africa – a real Afrofuturistic embodiment of Black Panther‘s Wakanda. Let’s see how and why that happened. Wakanda gets real in Rwanda Black Panther&rsq...
Source: The Medical Futurist - August 29, 2018 Category: Information Technology Authors: nora Tags: Future of Medicine Healthcare Policy Africa AI artificial intelligence chatbot development digital health drones government medical drone mobile app mobile health regulation rwanda smartphone telemedicine Source Type: blogs

Rwanda and the Dreamers of Digital Health in Africa: Wakanda Is Real
Rwandans in remote villages are using an artificial intelligence-based algorithm on their mobile phones to get a diagnosis for their health problems, doctors in Kigali consult their colleagues in the Western Province about radiology cases through telemedicine, blood is delivered by Zipline’s medical drones, and a central electronic health records system ensures data is collected about health activities. Rwanda is a pioneer in digital health in Africa – a real Afrofuturistic embodiment of Black Panther‘s Wakanda. Let’s see how and why that happened. Wakanda gets real in Rwanda Black Panther&rsq...
Source: The Medical Futurist - August 29, 2018 Category: Information Technology Authors: nora Tags: Future of Medicine Healthcare Policy Africa AI artificial intelligence chatbot development digital health drones government medical drone mobile app mobile health regulation rwanda smartphone telemedicine Source Type: blogs

New Artificial Intelligence Software Spots Lung Nodules on CT Scans
Detecting lung nodules on CT scans is central to diagnosing cancer and the earlier that can be accomplished the better the outcome. Currently, only about two thirds of detectable nodules are actually spotted by trained professionals. Researchers at University of Central Florida have been working on an artificial intelligence program that can review CT scans and spot nodules with near perfect accuracy. Their software, called S4ND, relies on deep learning techniques, coupled with more than 1,000 previously captured lung CT scans, to point out suspect lesions. The Central Florida team built a 3D convolutional neural network t...
Source: Medgadget - August 27, 2018 Category: Medical Devices Authors: Editors Tags: Informatics Radiology Thoracic Surgery Source Type: blogs

Talking it Like it is: Advice from a HPM Fellow to all the New Interns
by Christine BridgesThe hallways are full again after a short June reprieve. Starched white coats, cleaner than it ever seemed possible bustle through the hallways, making up in speed what they lack in direction. They fill each space with eager anticipation. It is almost palpable. It is the scent of July. Each furtive glance at the clipboard in the elevator fills me with longing to tell them the advice I wish had been passed out with my first pager.The biggest challenge ahead of you will be communication. Over the next 3-7 years more often than relieving tension pneumothoraxes, performing thoracenteses, or placing art line...
Source: Pallimed: A Hospice and Palliative Medicine Blog - August 22, 2018 Category: Palliative Care Tags: bridges communication intern residency The profession Source Type: blogs

Do uninsured patients receive more unnecessary care?
American physicians dole out lots of unnecessary medical care to their patients. They prescribe things like antibiotics for people with viral infections, order expensive CT scans for patients with transitory back pain, and obtain screening EKGs for people with no signs or symptoms of heart disease. Some critics even accuse physicians of ordering such services to bolster their revenue. So what happens when uninsured patients make it to the doctor’s office with coughs, low back pain, or other problems? Do physicians stop ordering all these unnecessary tests and services, out of recognition that most of these patients w...
Source: Kevin, M.D. - Medical Weblog - August 17, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/peter-ubel" rel="tag" > Peter Ubel, MD < /a > Tags: Policy Medicare Public Health & Source Type: blogs

Fight Aging! Newsletter, August 6th 2018
In this study, we analyzed FGF21 levels and alterations in the expression of genes encoding components of the FGF21-responsive molecular machinery in adipose tissue from aged individuals so as to ascertain whether altered FGF21 responsiveness that develops with aging jeopardizes human health and/or accelerates metabolic disturbances associated with aging. We studied a cohort of 28 healthy elderly individuals (≥70 years) with no overt signs of metabolic or other pathologies and compared them with a cohort of 35 young healthy controls (≤40 years). Serum FGF21 levels were significantly increased in elderly indiv...
Source: Fight Aging! - August 5, 2018 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

3D-Printed Ceramic Implants Help Regrow Bone
Researchers at NYU have developed 3D-printed ceramic implants that dissolves slowly, allowing bone to grow in their place. The implants can be tailored to mimic the shape of the missing bone, and are chemically-coated to stimulate bone growth. The research team hopes that the technology will be useful for patients with non-healing bone defects. At present, large non-healing bone defects are difficult to treat. One option is bone grafting, but this involves damaging bone elsewhere, and isn’t always suitable. To address this issue, researchers are developing a variety of implants in the lab that can help to stimulate b...
Source: Medgadget - August 2, 2018 Category: Medical Devices Authors: Conn Hastings Tags: Materials Orthopedic Surgery Source Type: blogs

Undoing Aging: Doug Ethell's Presentation on the Leucadia Therapeutics Approach to Treating Alzheimer's Disease
Doug Ethell has a clear and comparatively easily tested hypothesis on an important cause of Alzheimer's disease: that it results from the progressive failure of drainage of cerebrospinal fluid through one particularly crucial pathway in the skull. This traps ever greater levels of metabolic waste in the brain, such as amyloid-β, tau, and α-synuclein, and leads to the spectrum of well-known neurodegenerative diseases characterized by protein aggregates and resultant dysfunction and death of neurons. Dave Gobel of the Methuselah Foundation backed the first work on this hypothesis a few years back, and the r...
Source: Fight Aging! - August 1, 2018 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs

See Me Now
​A young woman with known psychiatric illness and a tendency toward self-injury was sent to the emergency department for medical clearance. She had presented in the past after ingesting objects, so an upright chest and KUB radiograph were obtained.​Nothing unusual popped out at first glance, but it was an entirely different story when magnified in a dark room. The sharp square edge extending beyond the vertebral body was impossible to miss. The four holes confirmed she had almost certainly swallowed a razor blade. Inversion made it even easier to see.​Identifying the object is only half the battle. What is the next s...
Source: Lions and Tigers and Bears - August 1, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

How urgent care rejuvenates this primary care doctor
I volunteered to work Saturdays. And to do walk-ins. And to take all comers, not just our patients. It has been an interesting journey. Some clinics put their newest, least experienced clinicians on the very front line of doing urgent care. Here, it’s the opposite. I’ve got 39 years under my belt, and I see everything from sore throats to people who left the emergency room in the middle of a workup because their anxiety kept them from waiting for their CT scan to rule out a blood clot in their lungs. The waiting room fills up, and it’s just me and a medical assistant. Continue reading ... Your patients a...
Source: Kevin, M.D. - Medical Weblog - July 25, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/a-country-doctor" rel="tag" > A Country Doctor, MD < /a > Tags: Physician Primary Care Source Type: blogs

Why medical errors can never be completely eliminated
This article originally appeared in Physician’s Weekly. Image credit: Shutterstock.com Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 24, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/skeptical-scalpel" rel="tag" > Skeptical Scalpel, MD < /a > Tags: Physician Gastroenterology Surgery Source Type: blogs

Could you have prevented this young man's cardiac arrest?
Written by Pendell MeyersWe received a call from an outside hospital asking to transfer a " traumatic post arrest " patient. We were told that a young patient was brought in with altered mental status but complaining of right hip and/or leg pain after being found by his mother at the bottom of the stairs into the basement. His history was significant only for IV heroin abuse, but he denied any recent use. Apparently he had been confused about why he was at the bottom of the stairs, unsure if he had fallen, unsure whether there was any specific traumatic mechanism.The practitioner on the phone stated that he sudde...
Source: Dr. Smith's ECG Blog - July 24, 2018 Category: Cardiology Authors: Pendell Source Type: blogs

Name Your Price MRI Startup Coming to an Imaging Center Near You
Medmo, a unique name-your-price imaging service, is helping patients access affordable MRIs and other imaging services by matching them to imaging centers within their budget.  The New York-based startup’s platform is designed to help patients with high deductibles or no insurance find low-cost scans and imaging centers fill up empty slots in their schedule.Medmo could be paving the way for a whole new pricing concept in the healthcare industry. Since the platform works by connecting patients with imaging centers that might have last minute openings, users can pay discounted rates as low as $225 for an MRI and $...
Source: radRounds - July 19, 2018 Category: Radiology Authors: Julie Morse Source Type: blogs

Medmo Offers New “Name-Your-Price” Platform for Medical Imaging
New medical technology solution lets patients set their own price for radiology imaging tests, like MRIs and CAT scans Medmo (https://www.medmo.com) is a new, rapidly-growing healthcare start-up that enables patients to obtain medical imaging tests – such as MRIs, CT scans (CAT scans), PET scans, and more  – at the exact price they can afford, with no surprise fees or bills. Patients simply indicate the type of scan they need, and Medmo connects them with a nearby, accredited imaging center that can work with their budget. “The ‘name your price’ concept has worked well in the travel indus...
Source: Medgadget - July 12, 2018 Category: Medical Devices Authors: Medmo Tags: Releases - Featured Sponsored Content Source Type: blogs

The fecalization of America
I’ve been lately discussing the issue of small intestinal bacterial overgrowth, or SIBO, a situation in which bowel microorganisms (especially of the undesirable Enterobacteriaceae variety such as E. coli and Shigella) ascend up from the colon and colonize the ileum, jejunum, duodenum, and stomach. This has numerous health implications that are only beginning to be appreciated: irritable bowel syndrome (IBS), fibromyalgia, psoriasis and other skin rashes, restless leg syndrome, diverticular disease, heightened body-wide inflammation, increased risk for colon cancer—SIBO is either synonymous with these condition...
Source: Wheat Belly Blog - July 9, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates bowel flora dysbiosis Inflammation microbiota prebiotic probiotic sibo small intestinal bacterial overgrowth undoctored wheat belly Source Type: blogs

What Should You Do When Your Hospital Bills You Nearly $4,000 for a CT Scan?
A middle-aged Mississippi man has fallen victim to the trappings of the U.S. ’s overly-complex medical billing system. Jimmie Taggart, a financial consultant, was billed $3,878.25 for a CT scan earlier this year and is now refusing to pay.Taggart ’s doctor at the North Mississippi Medical Center recommended he undergo a CT scan after a urine test indicated he had kidney stones. Before agreeing to the scan, Taggart was assured by the medical center that his insurance would cover the procedure.Later on, a bill came in the mail stating that the scan cost $5,171 but his provider, Aetna, indicated that its in-networ...
Source: radRounds - July 7, 2018 Category: Radiology Authors: Julie Morse Source Type: blogs

A patient is left with a choice: financial devastation or blindness
That statement from a recent patient was a summary to me of what is bad in our health care “system.”  It’s a terrible summary of what is seen all over this country with people who must make the choice between financial solvency and health. Here’s what happened:  It was a new patient I saw, who is a veteran who owns two businesses.  He went out on his own when he “kept getting laid off.”  He has largely been successful in what he’s doing, but as is the case with many these days, he couldn’t afford health insurance.  This was especially bad because he h...
Source: Kevin, M.D. - Medical Weblog - June 29, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/rob-lamberts" rel="tag" > Rob Lamberts, MD < /a > Tags: Physician Primary Care Public Health & Policy Source Type: blogs