You ’re a doctor when you’re not giving anesthesia?
One recent afternoon in the GI endoscopy suite (not my favorite place to work, but that ’s a topic for another day), I walked up to the bedside of my next patient and introduced myself as I always do. “Hi,” I said, holding up my name badge for the patient and his wife to see. “I’mRead more …You ’re a doctor when you’re not giving anesthesia? originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 5, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/karen-s-sibert" rel="tag" > Karen S. Sibert, MD < /a > < /span > Tags: Physician Anesthesiology Source Type: blogs
Gastroenterology Embraces Artificial Intelligence
AI and machine learning have the potential to redefine the management of several GI disorders.John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.Colonoscopy is one of the true success stories in modern medicine.Studies have demonstrated that colonoscopy screening detects the cancer at a much earlier stage, reducing the risk of invasive tumors and metastatic disease, andreducing mortality. However, while colorectal cancer is highly preventable, it is thethird leading cause of cancer-related deathsin the U.S. A...
Source: Life as a Healthcare CIO - October 13, 2021 Category: Information Technology Source Type: blogs
A man in his 60s woken from sleep by epigastric pain. Would you have been able to correctly diagnose him?
Written by Pendell MeyersA 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: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. " After his response I sent him the baseline ECG (below), still with no context at all except that this was his prior ECG:Dr. Smith replied: " Now high certainty. By the way,...
Source: Dr. Smith's ECG Blog - October 5, 2021 Category: Cardiology Authors: Pendell Source Type: blogs
A Man With Sudden Onset of Gastroparesis
By HANS DUVEFELT
Leo Dufour is not a diabetic. He is in his mid 50s, a light smoker with hypertension and a known hiatal hernia. He has had occasional heartburn and has taken famotidine for a few years along with his blood pressure and cholesterol pills.
Over the past few months, he started to experience a lot more heartburn, belching and bloating. Adding pantoprazole did nothing for him. I referred him to a local surgeon who did an upper endoscopy. This did not reveal much, except some retained food in his stomach. A gastric emptying study showed severe gastroparesis.
The surgeon offered him a trial of metoclopra...
Source: The Health Care Blog - September 16, 2021 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Physicians Primary Care Hans Duvefelt Source Type: blogs
EXALT Model B Single-Use Bronchoscope: Interview with Dave Pierce, Boston Scientific
Boston Scientific recently announced FDA clearance of the EXALT Model B single-use bronchoscope, intended for bedside procedures in intensive care units or in the operating room. As a single-use device that boasts high quality imaging and suction capabilities, the bronchoscope is ready to go out of the packaging, which means it mitigates the risk of infection posed by ineffective device reprocessing between patients. In the midst of the COVID-19 pandemic, when healthcare staff are working hard to prevent viral transmission within healthcare facilities, the scope will likely prove particularly useful.
Device reprocessing...
Source: Medgadget - September 9, 2021 Category: Medical Devices Authors: Conn Hastings Tags: Critical Care Exclusive Medicine Surgery Thoracic Surgery Source Type: blogs
Hypotension, altered mental status, and aVR sign - activate the cath lab?
ConclusionsSTE-aVR with multilead ST depression was associated with acutely thrombotic coronary occlusion in only 10% of patients. Routine STEMI activation in STE-aVR for emergent revascularization is not warranted, although urgent, rather than emergent, catheterization appears to be important. (Source: Dr. Smith's ECG Blog)
Source: Dr. Smith's ECG Blog - July 21, 2021 Category: Cardiology Authors: Pendell Source Type: blogs
Optical Fiber Imaging for Next-Generation Endoscopes
Researchers at the University of Exeter in England have developed a technique to image tissues through an ultrathin optical fiber, potentially allowing for high-resolution imaging of single cells within the body. The optical fibers are as thin as a human hair, and could lead to tiny endoscopes that can be inserted into human tissues to image individual cells. If developed further, the technique could help clinicians identify diseased cells within the body, and help with the accurate placement of needles to obtain biopsy samples.
Endoscopy is an invaluable technique that allows clinicians to peer inside our bodies while ...
Source: Medgadget - June 23, 2021 Category: Medical Devices Authors: Conn Hastings Tags: ENT GI Pathology Surgery Urology Source Type: blogs
An ADHA Spokesman Defends The #myHealthRecord – What A Surprise!
This appeared last week: In defence of My Health Record Dr Steve Hambleton / June 3, 2021
In April, Which-50 ran a series of articles critical of the Federal government ’s implementation of My Health Record. The system is, however, not without its defenders. One such is Dr Steve Hambleton, a GP and Independent Clinical Advisor to the Digital Health Agency. This is his response. My patients benefit from the information that I and their other healthcare providers u pload to, and view in, My Health Record. Why? When healthcare providers upload their patients’ information, they save the patient from having to remember and...
Source: Australian Health Information Technology - June 9, 2021 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
GI Genius Polyp Detection System: Interview with Giovanni Di Napoli, President, Gastrointestinal at Medtronic
We recently reported on the de novo FDA clearance received by Medtronic for its GI Genius AI polyp detection system. The product is hugely flexible as it works with any video colonoscope and provides AI powered assistance for clinicians in identifying colorectal polyps during colonoscopies.
Medtronic reports that the system has significantly improved polyp detection rates, which should translate to better colorectal cancer patient outcomes through prompt diagnosis and early treatment.
As a clinician performs a colonoscopy the system analyzes the video data and highlights suspected polyps using a green box on the vid...
Source: Medgadget - May 13, 2021 Category: Medical Devices Authors: Conn Hastings Tags: Exclusive GI Source Type: blogs
Is IBD an underrecognized health problem in minority groups?
As many people know, inflammatory bowel disease (IBD) is a complex condition affecting the intestine, which is the part of the digestive tract that helps digest food and remove water, salt, and waste.
But you might not know this: in recent years in the US, IBD is being diagnosed more often among people who are Black, Hispanic/Latinx, East and Southeast Asian, or from other minority groups than it was in past decades.
Is this a true rise in cases? Is IBD underrecognized in minority populations? While we don’t have all the answers yet, exploring health disparities in IBD and explaining its symptoms may encourage more peopl...
Source: Harvard Health Blog - May 7, 2021 Category: Consumer Health News Authors: Adjoa Anyane-Yeboa, MD, MPH Tags: Digestive Disorders Health Health care disparities Inflammation Source Type: blogs
FDA Clears First AI Polyp Detection System for Colonoscopies
Medtronic won FDA de novo clearance for its GI Genius endoscopy technology that can spot suspicious lesions during routine colonoscopy exams. The system works with any video colonoscope and can even process pre-recorded colonoscopies.
Even highly experienced gastroenterologists can miss a polyp while navigating through the colon. Computer vision technology can carefully process the entirety of every video frame to spot any irregularities associated with polyps. According to Medtronic, “the GI Genius module has demonstrated a 14% absolute increase in ADR [adenoma detection rate] compared to colonoscopy alone fo...
Source: Medgadget - April 15, 2021 Category: Medical Devices Authors: Medgadget Editors Tags: GI Source Type: blogs
Racial disparities and early-onset colorectal cancer: A call to action
Colorectal cancer (CRC) is the second leading cause of death from cancer in both men and women in the US. Thanks in large part to increased screening of those over age 50 in last decade, overall CRC rates have been falling among the general population. However, the incidence of CRC among younger individuals in the US is rising at an alarming rate. Over the past 20 years, the rate of CRC has increased by 2.2% per year in people under age 50. Hidden within these statistics are the significant disparities in CRC incidence and outcomes that exist for African Americans.
Compared to whites, African Americans have a 20% higher in...
Source: Harvard Health Blog - March 17, 2021 Category: Consumer Health News Authors: Andrew Chan, MD, MPH Tags: Cancer Digestive Disorders Health care disparities Source Type: blogs
A woman in her 40s with acute chest pain
Case written by Neha Ray MD, Brandon Fetterolf MD, and Pendell Meyers MDA woman in her 40s with a history of rheumatoid arthritis, anemia, and thrombocytopenia presented to the ED with acute onset chest pain starting around 5am on the morning of presentation. It woke her from sleep. The chest pain was midsternal, severe, sharp, and constant. On the previous night she had had a mild version of the same pain that she thought was heartburn (esophageal reflux). She reported some radiation to the left arm. She also reports 3 episodes of non-bloody vomiting over the course of the morning. She had a recent admission fo...
Source: Dr. Smith's ECG Blog - November 29, 2020 Category: Cardiology Authors: Pendell Source Type: blogs
Nasal Endoscopy for Urgent and Complex ED Cases
Fiberoptics and endoscopy have changed the way we treat patients in the emergency department. Endoscopes are relatively easy to use, and can aid your diagnosis and treatment plan. Endoscopy may be useful in urgent cases, such as epistaxis, nasal foreign bodies, and ear debridement. It may also be helpful when dealing with more complicated presentations and critically ill patients, such as those with Ludwig's angina, epiglottis, tracheostomies, or those who need intubation.Fiberoptic tools are not just for surgeons and consultants. The endoscope has many uses in the emergency department, and we have a few tips and tricks...
Source: The Procedural Pause - October 28, 2020 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Early, tight control of Crohn ’s disease may have lasting benefits
The gastrointestinal (GI) tract is a remarkable organ: it resides on the inside of our bodies, but is regularly in contact with the outside world by virtue of what we ingest. It is quite incredible that the immune cells of the GI tract are not activated more regularly by the many foreign products it encounters every day. Only when the GI tract encounters an intruder that risks causing disease do the immune cells of the GI tract spring into action.
That is, of course, under normal circumstances. In people with Crohn’s disease, the normally tolerant immune cells of the GI tract are activated without provocation, and this a...
Source: Harvard Health Blog - October 16, 2020 Category: Consumer Health News Authors: Sarah Flier, MD Tags: Digestive Disorders Source Type: blogs
