Disruptive noises from Pennsylvania
I'm not sure how I missed this, but it is still timely and worth noting. In June, a new Disruptive Health Technology Institute was created at Carnegie Mellon University, in collaboration with Allegheny Health Network and Highmark, Inc. The insurance company, Highmark, will make its claims data available to DHTI researchers. By mining that data, the researchers will make suggestions to CMU researchers as to fruitful areas that might benefit from new technologies. The focus will be on accessibility of medical diagnostics, behavior change, chronic disease management, data mining, improved endoscopy, i...
Source: Running a hospital - August 29, 2013 Category: Health Managers Source Type: blogs
New Colon Visualization System Spots Precancerous Lesions Thanks to New 3D Technology
Colonoscopies are credited for saving thousands of lives every year by making early diagnoses of cancerous polyps. Yet, lesions that don’t visually “pop-out” from two dimensional imaging can also develop into full blown cancer.
A team from Madrid-MIT M+Vision Consortium, a Boston/Madrid collaboration of researchers, has developed a new endoscope that provides both 2D and volumetric imaging of the interior colon wall thanks to a technique called photometric stereo endoscopy.
From MIT:
Originally developed as a computer vision technique, photometric stereo imaging can reproduce the topography of a surface...
Source: Medgadget - August 2, 2013 Category: Technology Consultants Authors: Editors Tags: GI Pathology Source Type: blogs
What is causing the anemia?
55-year-old man is admitted for chest pain. When we see him the next day, he mostly complains of persistent abdominal pain. He finds eating difficult because of nausea and some vomiting. He denies diarrhea or constipation. He does say that for three days he had black tarry stools during the previous week.
A previous endoscopy was unremarkable.
His labs:
WBC 10.8
Hgb 9.6
Hct 30.7
Plt 316
MCV 86
RDW 16.8
Stool for occult blood was negative.
Your job is to order lab tests, and predict results. We tried to look at the peripheral smear, but at our hospital this is a major difficulty. Pathology told our students it w...
Source: DB's Medical Rants - July 31, 2013 Category: Health Medicine and Bioethics Commentators Authors: rcentor Tags: Attending Rounds Source Type: blogs
Sony Introduces Head-Mounted Display for Endoscopic Surgery
Sony is launching a head-mount display for endoscopy. During laparoscopic procedures, surgeons normally have to divide their attention between the monitor displaying the endoscopic image and the surgical field where the instruments are. Sony’s head-mounted display allows surgeons to quickly switch between the two without changing position by implementing a gap at the bottom of the device, which enables the wearer to view both the images inside the head-mounted monitor and the actual area of surgery outside of it.
Additionally, the head-mounted display gives the benefit of viewing 3D images. Multiple 3D endoscopes hav...
Source: Medgadget - July 23, 2013 Category: Technology Consultants Authors: Wouter Stomp Tags: Ob/Gyn Surgery Source Type: blogs
The Internet of Things Creeps into Healthcare
In conclusion, the Internet of Things is creeping into healthcare, almost unnoticed. But the ubiquitous nature of IoT makes it self almost invisible to humans. Both in hospitals and at home, the possibilities are endless. Although we are early in the maturity of this technology as noted by the Wired article, we will soon connected devices become ubiquitous, a programmable platform, with medical devices talking to each other while improving care provision and our personal health.
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Source: eHealth - July 20, 2013 Category: Technology Consultants Authors: John Sharp Tags: Uncategorized Disruptive Technology Health 2.0 IoT Source Type: blogs
I hate heartburn
I really, really, really hate heartburn. I am at the point where I could even say I really, really, really, really, really, really, really, really hate heart burn. I get heart burn all the time.I take Prilosec (or the cheaper version from Costco) daily. I take tums as needed. I watch what I eat.I have a hiatal hernia which is on the border between being big and small. It is 3cm and small is considered 3cm, so I guess its middle sized. It helps contribute to heart burn.I am also on meloxicam for my back which is an anti inflammatory and has a tendency to irritate stomachs. But if I don't take it, I get more aches and ...
Source: Caroline's Breast Cancer Blog - June 20, 2013 Category: Cancer Tags: heartburn Source Type: blogs
Affinity RNs Call for Halt to Flawed Electronic Medical Records System Scheduled to Go Live Friday
At my May 30, 2013 post "Marin General Hospital's Nurses are Afraid a Defective EMR Implementation Will Harm or Kill Patients ... CEO Cites Defective HHS Paper and Red Herrings As Excuse Why He Knowingly Allows This To Continue" at http://hcrenewal.blogspot.com/2013/05/marin-general-hospitals-nurses-are.html, I lamented that hospital management felt they could ignore clinicians calling for implementation postponement of what they viewed as bad health IT, dangerous to patients, with impunity.Finally, medical professionals stand up to imperial hospital management that, in a perhaps criminally negligent fashion (e.g., see...
Source: Health Care Renewal - June 19, 2013 Category: Health Medicine and Bioethics Commentators Tags: Affinity Medical Center National Nurses United imperial CEO healthcare IT risks Michelle Mahon RN ill-informed management labor unions Source Type: blogs
Endochoice Fuse Receives FDA Clearance; Reduces Colonoscopy Miss Rate (VIDEO)
EndoChoice has received FDA clearance for its Fuse endoscopy system and is presenting research showing that the device might reduce the miss-rate of adenomas during colonoscopies. The flexible endoscope has three small cameras at its tip, giving the colonoscopist a panoramic view of the action. Where traditional endoscopes provide up to 170 degrees of forward vision, the Fuse provides a wide 330 degree view. Multiple imagers are integrated in the tip of the scope, making the panoramic view possible. Instead of fiber optics, it employs multiple LEDs, also integrated into the tip, to illuminate the field of view. This way, s...
Source: Medgadget - May 23, 2013 Category: Technology Consultants Authors: Wouter Stomp Tags: GI Source Type: blogs
Cook’s New Flexor Vue Urological Endoscopy System (w/video)
Cook Medical is launching in the U.S. and Europe its new Flexor Vue Deflecting Endoscopic System. The device is designed for use during urological procedures for easy navigation and visualization as an option over endoscopes in select cases.The Flexor Vue includes a one-time-use disposable sheath and a visualization source that can be reused up to ten times with careful handling. According to a company representative, “the Flexor Vue is a new type of endoscope because of its disposability. It’s typically used for flexible ureteroscopy, but there are other medical applications as well. Flexor Vue eliminates the need...
Source: Medgadget - May 22, 2013 Category: Technology Consultants Authors: Editors Tags: Urology Source Type: blogs
SEDASYS Propofol Sedation System Gets FDA Nod
Ethicon Endo-Surgery, a Johnson & Johnson company, announced that the FDA granted PMA approval for its SEDASYS device, the first computer-assisted personalized sedation (CAPS) system for use by clinicians in the endoscopy suites.In other words, the system aims to replace anesthesiologists and CRNAs with computerized technology to administer propofol and to monitor minimal-to-moderate sedation in patients undergoing upper and lower endoscopies. According to the company, only ASA class I and II patients are eligible to receive propofol via SEDASYS.Read More (Source: Medgadget)
Source: Medgadget - May 10, 2013 Category: Technology Consultants Authors: Editors Tags: Anesthesiology GI Source Type: blogs
Defensive Medicine and the Drone Wars
From my interview with Andrew Thompson the other day, the issue of a medical malpractice crisis was raised. Mr Thompson averred that such a concept is pure myth, a spook story older docs tell young interns around the campfire at night. And he may be right. In a paper from the Journal of Healthcare Quality, researchers at Johns Hopkins demonstrated, using data from the National Practitioner Data Bank, that "catastrophic claims" (those awards in excess of $1 million) totalled about $1 billion per year, a figure that represents just 0.05% of total national healthcare spending in this country.
No...
Source: Buckeye Surgeon - May 9, 2013 Category: Surgeons Authors: Jeffrey Parks MD Source Type: blogs
Defensive Medicine and the Drone Wars
From my interview withAndrew Thompson the other day, the issue of a medical malpractice crisis was raised. Mr Thompson averred that such a concept is pure myth, a spook story older docs tell young interns around the campfire at night. And he may be right. In apaper from the Journal of Healthcare Quality, researchers at Johns Hopkins demonstrated, using data from the National Practitioner Data Bank, that "catastrophic claims" (those awards in excess of $1 million) totalled about $1 billion per year, a figure that represents just 0.05% of total national healthcare spending in this country. Now one...
Source: Buckeye Surgeon - May 8, 2013 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
Cases: Transdermal Granisetron for Refractory Nausea and Vomiting
Discussion: There were many factors that likely contributed to the dramatic improvement in Ms Emma N’s refractory nausea and vomiting. Better psychiatric care through the palliative care psychologist and psychiatrist almost certainly played a role in her overall clinical turn-around. The close attention, serial visits and supportive counseling she received in the Palliative Care clinic could also have been therapeutic. Up-titration of her olanzapine also likely was helpful. Olanzapine is an atypical antipsychotic that works on multiple receptors including dopaminergic, serotonergic, adrenergic, histaminergic and mus...
Source: Pallimed: A Hospice and Palliative Medicine Blog - May 1, 2013 Category: Palliative Carer Workers Authors: Christian Sinclair Source Type: blogs
Transdermal Granisetron for Refractory Nausea and Vomiting
Discussion: There were many factors that likely contributed to the dramatic improvement in Ms Emma N’s refractory nausea and vomiting. Better psychiatric care through the palliative care psychologist and psychiatrist almost certainly played a role in her overall clinical turn-around. The close attention, serial visits and supportive counseling she received in the Palliative Care clinic could also have been therapeutic. Up-titration of her olanzapine also likely was helpful. Olanzapine is an atypical antipsychotic that works on multiple receptors including dopaminergic, serotonergic, adrenergic, histaminergic and mus...
Source: Pallimed: A Hospice and Palliative Medicine Blog - May 1, 2013 Category: Palliative Carer Workers Authors: Christian Sinclair Source Type: blogs
Bombing Suspect’s Wounds
Bomb suspect’s wounds as possible clinical scenarios are discussed below:
Although we are not directly involved in the care of the alleged bombing suspect of the Boston Marathon Dzhokar Tsarnaev who was recently apprehended, we are closely following media reports of his arrest and subsequent transfer to the Beth Israel Deaconess Medical Center.
News reports have shown photos of him lying on the grass with his hands apparently cuffed and his shirt pulled up with law enforcement officers working over him. Also photos have been published of him climbing out of the boat under his own power and also of him on a stretcher...
Source: Inside Surgery - April 20, 2013 Category: Surgeons Authors: Editor Tags: Musings bombing Boston marathon Dzhokar Tsarnaev suspect wounds Source Type: blogs
