The compassion crisis in U.S. health care
No, I am not suggesting a new medical diagnosis, but I am merely pointing out a society-wide ailment in our U.S. culture. In support of my contention, I point to Compassionomics, the superb 2019 book by Drs. Stephen Trzeciak and Anthony Mazzarelli. In their compelling science-based presentation, the authors state, “Specifically, the hypothesis is that providing
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The compassion crisis in U.S. health care originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 25, 2024 Category: General Medicine Authors: Drew Remignanti, MD, MPH Tags: Physician Emergency Medicine Source Type: blogs
Over-diagnosing MI is not* as negligent as missing it!
As the medical literature expands exponentially, the quality and intent of the research questions sound awry. There are only a handful of journals like JAMA that are bold enough to ask some tough and pragmatic questions in this glitzy world of medical extravaganza.
The current issue wants to set the pace for an important debate, on a topic that is rarely discussed.
The question is
Link to the article
Check whether your answers concur with this crucial query from Harvard Medical School and Massachusetts General Hospital. Three questions this article wishes to address.
1.What is the reason it is happening?...
Source: Dr.S.Venkatesan MD - April 25, 2024 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized acc aha esc guidlines dilemma in cardiology drsvenkatesan ethics in medicine high senstivity troponins jama network nstemi pci Source Type: blogs
Biotechnology and biological warfare [PODCAST]
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! We welcome Ketan Desai, a physician executive, as we’ll delve into the fascinating and concerning realm of biological warfare and bioterrorism. Join us as we explore historical instances of biological weapons, the implications of genetic technology advancements, and the ethical considerations
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Biotechnology and biological warfare [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 23, 2024 Category: General Medicine Authors: The Podcast by KevinMD Tags: Podcast Emergency Medicine Infectious Disease Source Type: blogs
Non-opioid post-op pain relief [PODCAST]
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! Join us as we sit down with Amy Baxter, a clinical associate professor of emergency medicine, to explore how societal factors, deceptive marketing, and profit-driven health care systems have contributed to the opioid epidemic. Amy will shed light on the effectiveness
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Non-opioid post-op pain relief [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 22, 2024 Category: General Medicine Authors: The Podcast by KevinMD Tags: Podcast Pain Management Source Type: blogs
How Health Data Sharing Impacts How Clinicians Care for Patients
The following is a guest article by Dr. Guillermo Diaz, Chief Medical Information Officer at Los Angeles Department of Health Services – Ambulatory Care Network, and Ali Modaressi, CEO at Los Angeles Network for Enhanced Services (LANES)
When Alex was brought into L.A. General’s emergency room, the hospital’s care team documented a number of indicators that appeared to be related to a neurological issue. As part of their intake process, the team checked Alex’s (a pseudonym) medical history through the hospital’s health information organization and discovered the patient had recently undergone a cardiac surger...
Source: EMR and HIPAA - April 22, 2024 Category: Information Technology Authors: Guest Author Tags: Analytics/Big Data Communication and Patient Experience Health IT Company Healthcare IT Interoperability Ali Modaressi Ambulatory Care Network Data Sharing Dr. Guillermo Diaz HIEs LANES Los Angeles Department of Health Services Los Source Type: blogs
Chest pain, resolved. Does it need emergent cath lab activation (some controversy here)? And much much more.
In this study, the major outcomes were the same for both groups, but of 70 patients in the delayed group,4 required emergent intervention for sudden re-occlusion. You can make your own conclusions. I think I would want to intervene before there is risk of re-occlusion.However, one could make a reasonable argument for delaying, especially if you would need to awaken your cath team in the middle of the night. It requires full antiplatelent and antithrombotic therapy, and, in my opinion, if you delay, you should institute continuous 12-lead ECG monitoring. This is why:1. Why we need cont...
Source: Dr. Smith's ECG Blog - April 22, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs
Bonus Features – April 21, 2024 – 89% of physicians said generative AI vendors need to be transparent about where info comes from, 73% of consumers expect a 4-star rating before they ’ ll engage with a provider, plus 21 more stories
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.
Studies
According to a Wolters Kluwer survey, 68% of physicians think generative AI will benefit healthcare – but to trust the technology, 89% said vendors need to be transparent about where information was sourced and wh...
Source: EMR and HIPAA - April 21, 2024 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT Brand Engagement Network Butterfly Network CharmHealth CHG Healthcare Clarify Health Cured Databricks Donna Boyer eClinicalWorks Epic Research Google Cloud Harvard Medical School HCTec Healthcare IT Today Bonus Fe Source Type: blogs
Who Needs a CT Coronary Angiogram?
CT coronary angiograms are increasing in popularity as a non-invasive screening test for detecting blocks in coronary arteries.
Coronary arteries are blood vessels supplying oxygenated blood to the heart.
Angiograms are images of blood vessels, usually obtained by injecting medications for contrast from body structures.
CT angiograms are reconstructions from multi slice CT scans following injection of contrast material into a forearm veins.
Veins are blood vessels returning deoxygenated blood to the heart.
CT coronary angiogram can be done as an outpatient test, in the X-ray department.
As of now CT angiograms cannot repla...
Source: Cardiophile MD - April 18, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Is OMI an ECG Diagnosis?
Written by Jesse McLaren A 70 year old with prior MIs and stents to LAD and RCA presented to the emergency
department with 2 weeks of increasing exertional chest pain radiating to the
left arm, associated with nausea. The pain recurred at rest 90 minutes prior to
presentation, felt like the patient ’s prior MIs, and was not relieved by 6
sprays of nitro. Paramedics provided another 3 sprays of nitro, and 6mg of
morphine, which reduced but did not resolve the pain. What do you think of the ECG, and does it
matter?There ’s normal sinus rhythm, LAFB, old anterior Q waves,
and no diagnostic sign of OMI. I sent th...
Source: Dr. Smith's ECG Blog - April 18, 2024 Category: Cardiology Authors: Jesse McLaren Source Type: blogs
Helping Clinicians Gain More Control Over Their Time
For Rishi Sarna, MD, Chief Clinical Officer at Backline, communication is central. He points out that communications have lagged behind everything else in medicine, and are holding back progress in patient care and the physician experience. In the video interview below, we sat down with Dr. Sarna and Jackie Rice, VP and CIO at Frederick Health, to discuss these challenges and Frederick Health’s work with the Backline team to address them.
Dr. Sarna admitted that, traditionally, doctors have routinely sent photos over unprotected message channels to get consultations. This was a violation of HIPAA, but the doctors o...
Source: EMR and HIPAA - April 16, 2024 Category: Information Technology Authors: John Lynn Tags: C-Suite Leadership Clinical Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System IT Infrastructure and Dev Ops Regulations Security and Privacy Backline Care Coordination DrFirst Frederick H Source Type: blogs
Need High Awareness of Symptoms of Heart Attack
High degree of awareness of heart attack symptoms in the community will go a long way in seeking early treatment. For life threatening diseases like heart attack, early recognition of symptoms and prompt reporting to the emergency department is highly desirable.
But a study from United States showed that 47% were not able to recognize some heart attack symptoms while 6% were not able to recognize any heart attack symptoms.
The main heart attack symptoms assessed by the study were:
Chest pain or discomfort
Shortness of breath
Pain or discomfort in arms or shoulders
Feeling weak, lightheaded, or faint
Jaw, neck, or back pai...
Source: Cardiophile MD - April 16, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Saving lives with naloxone: perspectives from the frontline
According to a recent report by the Stanford-Lancet Commission on the North American Opioid Crisis, “more than 600,000 people in the USA and Canada have died from opioid overdose since 1999, and a staggering 1.2 million more are estimated to die due to overdose by 2029.” The opioid crisis has reinforced hard lessons learned in
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Saving lives with naloxone: perspectives from the frontline originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 14, 2024 Category: General Medicine Authors: David I. Deyhimy, MD & ECG in LMCA Stenosis
ECG in a person with persistent anginal pain for the past several hours showing significant ST segment depression anterolateral leads along with sinus tachycardia. ST segment elevation is noted in aVR. Such a pattern is consistent with significant left main coronary artery stenosis.
Clinical evaluation and X-Ray chest showed features of pulmonary edema. Angiography done after initial stabilization showed severe stenosis of distal left main coronary artery. In addition, there were multiple lesions in all three vessels, making a standard indication for an urgent coronary artery bypass grafting.
A similar ECG pattern can also...
Source: Cardiophile MD - April 13, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Does non -IRA lesion status confuse you : Try a blind primary PCI !
Primary PCI of IRA is a legally, & globally validated (of course with lots of ifs & buts) coronary reperfusion strategy.
What to do, if we happen to detect, a significant or borderline lesion in non- IRA territory ?
There are too many guidelines scattered across cardiology literature either to “help or confuse” us. They argue for either immediate intervention , defer transiently, postpone or just ignore it , based on clinical ,hemodynamic*, Individual, institutional , or some other non academic factors. (Permanently deferred PCI is other wise called medical management is practiced by s...
Source: Dr.S.Venkatesan MD - April 13, 2024 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs
Does the “ Non -IRA ” lesion status confuse you often ?..Try a blind primary PCI !
Primary PCI of IRA , continues to be a clinically & statisticaly validated (Inspite of some ifs & buts) coronary reperfusion strategy.
What to do, if we happen to detect, a significant or borderline lesion in non- IRA territory ?
There are too many guidelines scattered across cardiology literature either to “help or confuse” us. They argue for either immediate intervention , defer transiently, postpone or just ignore it , based on clinical ,hemodynamic*, Individual, institutional , or some other non academic factors. (Permanently deferred PCI is other wise called medical management is prac...
Source: Dr.S.Venkatesan MD - April 13, 2024 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs
