Repost from Saturday Oct 14: The Queen gets it right with a better image
This is a case I posted Saturday, October 14.This ECG was texted to me after the fact with no information. What do you think?This is the ECG that I used for the post.  It is high quality screenshot of a pdf:I had said that the Queen said this is Not OMI with low confidenceHowever, the image that had been texted to me and submitted to the Queen was not this one above.  It was this one below: (photo of computer screen, lower quality):This is the image for which the Queen interpreted " Not OMI with Low Confidence "After posting, I wanted to getexplainability for the ECG, and I was unable to get the explainability fr...
Source: Dr. Smith's ECG Blog - October 17, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

Aspects of Social Determinants of Health: An Introduction
It’s always been pretty obvious that factors such as wealth, race, education, and the quality of food and water have enormous impacts on health. But only in the past few years have the medical professions tried to quantify and capture these factors. Given that the field is increasingly digitized and data-driven, health IT is responsible for collecting and analyzing social determinants of health (SDoH). Data can both call out SDoH and help to address its effects. An example of calling out SDoH was cited by Dr. Sherri Onyiego, Medical Director for the Texas Market at Equality Health. They use claims data to track use o...
Source: EMR and HIPAA - October 16, 2023 Category: Information Technology Authors: Andy Oram Tags: Analytics/Big Data C-Suite Leadership Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System Regulations Care Management SDOH Social Determinants of Health Source Type: blogs

Your Insulin of the Future Could Be " Made in China " if Big PBMs Have a Say in the Matter
Back on June 16, 2022, I published an article on LinkedIn entitled "How the Civica Insulin Announcement May Be Disruptive to the PBM Kickback Scheme" (see the article athttps://www.linkedin.com/pulse/how-civica-insulin-announcement-may-disruptive-pbm-scheme-strumello/ if you wish to read it) which predicted that a growing number of insulin biosimilars whose active pharmaceutical ingredients (API ' s) are cultured in offshore laboratories are forecast to hit the U.S. market in the next few years. According to the FDA and the individual companies whom I also follow on LinkedIn, the U.S. Food and Drug Administration (FDA) typ...
Source: Scott's Web Log - October 15, 2023 Category: Endocrinology Tags: 2023 Congress insulin insulin prices lawmakers PBM Pharmacy Benefit Managers Source Type: blogs

Navigating the demands of emergency medicine [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join Rida Jawed, an emergency medicine resident in Pakistan. Rida shares her invaluable insights and experiences from her journey in the emergency department. We delve into essential rules for thriving in this demanding field, from self-care to continuous learning and effective communication. Rida Jawed Read more… Navigating the demands of emergency medicine [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 13, 2023 Category: General Medicine Authors: Tags: Podcast Emergency Medicine Source Type: blogs

This ECG was texted to me after the fact with no information. What do you think?
This ECG was texted to me with no other information, with this quote: " You will see this in the Queen of Hearts. "  I assumed it was in real time.The Queen said " Not OMI with low confidence "What do you think?The conventional algorithm said: SINUS RHYTHMABNORMAL QRS-T ANGLE [QRS-T AXIS DIFFERENCE> 60]ABNORMAL ECG This was my response: " I am not certain that I agree with the queen on this one. Be careful with it.  Notice that the Queen has low confidence. "Why am I worried?  The T-waves are quite tall.  Although most hyperacute T-waves are bulky, wide, fat and symmetric in propo...
Source: Dr. Smith's ECG Blog - October 13, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

Why aren ’ t more pediatricians leaning into rural health?
Rural health for children is in trouble. Don’t take my word for it, just ask the CDC. “The Centers for Disease Control and Prevention (CDC) has just offered further evidence that American children — and rural children in particular — are in trouble. Previously, the CDC had noted that poor U.S. children 2 to 8 Read more… Why aren’t more pediatricians leaning into rural health? originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 12, 2023 Category: General Medicine Authors: Tags: Policy Emergency Medicine Pediatrics Source Type: blogs

Unlocking the power of doctors in addiction treatment [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join Jack McGeachy, an emergency physician and expert in addiction medicine. Discover how doctors possess a hidden superpower when it comes to addiction treatment and how they can effectively address the biological, psychological, and social aspects of substance use disorder. Explore the world of Read more… Unlocking the power of doctors in addiction treatment [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 9, 2023 Category: General Medicine Authors: Tags: Podcast Psychiatry Source Type: blogs

Out of Control Health Costs or a Broken Society
Flawed Accounting for the US Health Spending Problem By Jeff Goldsmith Source: OECD, Our World in Data Late last year, I saw this chart which made my heart sink. It compared US life expectancy to its health spending since 1970 vs. other countries. As you can see,  the US began peeling off from the rest of the civilized world in the mid-1980’s. Then US life expectancy began falling around 2015, even as health spending continued to rise. We lost two more full years of life expectancy to COVID. By  the end of 2022, the US had given up 26 years-worth of progress in life expectancy gains. Adding four more ...
Source: The Health Care Blog - October 9, 2023 Category: Consumer Health News Authors: matthew holt Tags: Health Policy COVID Drug Overdoses gun violence Hospitals Jeff Goldsmith Maternal mortality Mental Health Obesity Poverty Regional Economy Society Source Type: blogs

Out of Control Health Costs or a Broken Society
Flawed Accounting for the US Health Spending Problem By Jeff Goldsmith Source: OECD, Our World in Data Late last year, I saw this chart which made my heart sink. It compared US life expectancy to its health spending since 1970 vs. other countries. As you can see,  the US began peeling off from the rest of the civilized world in the mid-1980’s. Then US life expectancy began falling around 2015, even as health spending continued to rise. We lost two more full years of life expectancy to COVID. By  the end of 2022, the US had given up 26 years-worth of progress in life expecta...
Source: The Health Care Blog - October 9, 2023 Category: Consumer Health News Authors: matthew holt Tags: Health Policy COVID Drug Overdoses gun violence Hospitals Jeff Goldsmith Maternal mortality Mental Health Obesity Poverty Regional Economy Society Source Type: blogs

Bonus Features – October 8, 2023 – 67% of Women are Having Issues with Getting a Clear Diagnosis – of which 25% are Still Waiting for Diagnosis or Gave up Entirely, Health Gorilla has 17 Healthcare Organizations Commit to Joining their QHIN, 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. News This year’s Customer Forum and Innovation Summit from Avel eCare will double as a celebration of their 30th anniversary! PEP Health’s AI-powered Patient Experience Platform releases its first report offering qua...
Source: EMR and HIPAA - October 8, 2023 Category: Information Technology Authors: Grayson Miller Tags: Healthcare IT 9amHealth Accelecom Amazon Web Services Artisight athenahealth Atropos Health Avel eCare AVIA Banner Health BJC Healthcare Boston Children's Hospital Children's Mercy Kansas City Cottage Health DrFirst Emma Smit Source Type: blogs

We ’re All In The Hot Seat Now.
BY MIKE MAGEE It’s not that easy living in the “Big Easy” these days and co-existing with a world dominated by water concerns. When Times-Picayune gossip columnist Betty Guillaud (as the folklore goes) “coined New Orleans’ undisputed nickname” in the 1960’s, it was a lifestyle eponym meant to favorably contrast life in “The Big Easy” with hard living in “The Big Apple.” That was well before August 23, 2004, when the levies failed to hold back the Gulf waters, and 1,392 souls perished leaving two names to last in infamy – Katrina and Brownie, of “Brownie, you’re doing a heck of a job”...
Source: The Health Care Blog - October 4, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Policy Cholera Mike Magee New York City Saltwater Source Type: blogs

Avel eCare Expands Hospitalist and Senior Care Telemedicine Services with Acquisition of Fident Health
The Deal Helps Strengthen and Scale Avel eCare’s Acute and Post-Acute Care Telemedicine Services to Meet the Growing Demand for Hospitalist and Senior Care Support Amidst Challenges of Clinician Burnout and Staffing Shortages Avel eCare, the nation’s leading provider of clinician-to-clinician telemedicine services, today announced the acquisition of Fident Health, a Texas-based virtual hospitalist provider dedicated to delivering high-quality telemedicine care to rural and suburban communities. The deal strengthens Avel eCare’s existing clinician network and builds on the company’s successful acute and post-acute t...
Source: EMR and HIPAA - October 3, 2023 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT Avel eCare Denise S. Brown MD Doug Duskin Fident Health Health IT Acquisitions Healthcare M&A NightWatch Source Type: blogs

Expert human ECG interpretation and/or the Queen of Hearts could have saved this patient's anterior wall
This is a re-post of an excellent case from 2021. See it again now, along with our new Queen of Hearts functionality. We ' ve come a long way in 2 years! And the pace only quickens.A man in his mid 60s with history of CAD and stents experienced sudden onset epigastric abdominal pain radiating up into his chest at home, waking him from sleep. He called EMS who brought him to the ED. He had active chest pain at the time of triage at 0137 at night, with this triage ECG:What do you think?I sent this ECG, without any text at all, to Dr. Smith, and he replied: " LAD OMI with low certainty. V3 is the one that is convincing. "&nbs...
Source: Dr. Smith's ECG Blog - October 1, 2023 Category: Cardiology Authors: Pendell Source Type: blogs

Another Three Biosimilar Insulins Planned from Meitheal Pharmaceuticals, Inc.
On September 21, 2023, Chicago-basedMeitheal Pharmaceuticals, Inc. (which is a subsidiary of a Chinese parent company named Nanjing King-Friend Biochemical Pharmaceutical Co., Ltd.) announced an exclusive commercial licensing agreement with a different Chinese company known asTonghua Dongbao Pharmaceutical Co. Ltd. with intent to sell three insulin biosimilars in the U.S. market.     The company press release can be seen athttps://www.meithealpharma.com/news/61 while the pharmaceutical industry trade press covered the story athttps://www.thepharmaletter.com/article/licensing-deal-to-bring-three-new...
Source: Scott's Web Log - September 30, 2023 Category: Endocrinology Tags: 2023 Biosimilar insulin Meitheal Pharmaceuticals Source Type: blogs