What's new in midwifery - 30th September 2020
In the newsFirst in this fortnightly update, some news stories.  An article in the Guardian by Zoe Williams, Bilge, booze and misogyny: why I ' m outraged by a new idea to police pregnant women, about NICE proposals in their draft guidelines on fetal alcohol syndrome, to record a mother ' s alcohol intake on the child ' s health record.  See the previous What ' s new post for more.This,about an the first prosecution of an NHS trust for lack of candour, the case involved the death of a patient from a perforated endoscopy, but the duty of candour regulations apply across health care.  The CQC br...
Source: Browsing - September 30, 2020 Category: Databases & Libraries Tags: midwifery Source Type: blogs

A Good Story
​That was the chief compliant. Right away, I was skeptical because it seemed rare that something was actually stuck in a patient's throat.Long ago, I had moved away from plain x-rays to CTs for this complaint. Direct visualization was fraught with problems. I just didn't do it enough to feel confident that I would be able to see an embedded fishbone among the glistening saliva. It was possible that it could be so buried in soft tissue that I could not see the top.I thought I had already seen the future path before I drew back the curtain.Lying comfortably on his side was a 22-year-old man with rock solid vital signs, an ...
Source: Lions and Tigers and Bears - September 1, 2020 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Functional dyspepsia: Causes, treatments, and new directions
Functional dyspepsia (FD) is a common condition, loosely defined by some physicians as a stomach ache without a clear cause. More specifically, it is characterized by the feeling of fullness during or after a meal, or a burning sensation in the mid-upper abdomen, just below the rib cage (not necessarily associated with meals). The symptoms can be severe enough to interfere with finishing meals or participating in regular daily activities. Those with FD often go through multiple tests like upper endoscopy, CT scan, and gastric emptying study. But despite often-severe symptoms, no clear cause (such as cancer, ulcer disease, ...
Source: Harvard Health Blog - July 6, 2020 Category: Consumer Health News Authors: Vikram Rangan, MD Tags: Digestive Disorders Mind body medicine Pain Management Source Type: blogs

Gastrointestinal Diseases in America: The Costly Impact on Employers and Patients
SPONSORED POST By SAM HOLLIDAY Medically reviewed by Jenny Blair, MD Gastrointestinal diseases like inflammatory bowel disease (IBD), gastroesophageal reflux disease (GERD), and irritable bowel syndrome (IBS) are more prevalent—and costlier—than many employers realize. Up to 70 million Americans are affected by gastrointestinal (GI) diseases each year—twice as many people as those living with diabetes (34.2 million).[1],[2] Overall direct healthcare costs for GI diseases are estimated to be $136 billion each year in the U.S., more than heart disease ($113bn) and mental health disorders ($99bn) [Figure 1]...
Source: The Health Care Blog - June 25, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Health Tech gastrointestinal diseases Oshi Health Sam Holliday Source Type: blogs

aScope 4 Cysto Disposable Cystoscope Released by Ambu
Ambu, a Danish company, is releasing a single-use flexible cystoscope. Used for visualization within the bladder during diagnostic and interventional procedures, the Ambu aScope 4 Cysto comes ready to go in its sterile packaging and is disposed of once a procedure is complete. There is no reprocessing involved, the device doesn’t need to be repaired, and a clinical practice simply needs to keep stock of the scopes to provide relevant services. The chance of transferring an infection between patients drops to essentially zero. A urologist working within a hospital can simply take a scope and an accompanying...
Source: Medgadget - May 13, 2020 Category: Medical Devices Authors: Medgadget Editors Tags: Urology Source Type: blogs

Olympus High End EVIS X1 Endoscopy System Unveiled
Olympus is unveiling its new top-of-the-line endoscopy system, the EVIS X1. The company hopes that the new features offered on-board the EVIS X1 will help with the diagnosis and management of a variety of GI disorders and bronchial conditions. The system sports a number of advancements, including Extended Depth of Field (EDOF), Red Dichromatic Imaging (RDI), Texture and Color Enhancement Imaging (TXI), and Narrow Band Imaging (NBI). TXI, in particular, is an interesting feature that can provide physicians with novel imaging information while displaying tissues almost as they would look under simple white light illu...
Source: Medgadget - April 23, 2020 Category: Medical Devices Authors: Medgadget Editors Tags: Diagnostics ENT GI Ob/Gyn Oncology Source Type: blogs

‘Not Just Dots On a Map’: SLPs Speak Their Truth From the COVID-19 Battlefront
Tuesday, March 10. Speech-language pathologist Fatima Warren was grocery shopping with her grandmother when she first noticed the painful body aches. Chalking it up to the rainy day and an earlier workout, she ran a hot bath. Wednesday, March 11. Warren woke up with chills, fever, and worsening aches. She drove straight to the closest ER in her hometown of Lexington, Kentucky. There, staff ran numerous tests, but not for COVID-19. The 45-year-old didn’t qualify because she hadn’t traveled outside the country and couldn’t name a contact with the virus. Thursday, March 12. Worried about infecting her 13-year-old son an...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - April 1, 2020 Category: Speech-Language Pathology Authors: Bridget Murray Law Tags: Slider Speech-Language Pathology Uncategorized acute care Cognitive Rehabilitation Dysphagia FEES Health Care MBSS personal protective equipment skilled nursing facilities Swallowing Disorders Source Type: blogs

Perils of patient empowerment threaten to become a disease by itself !
Professional medical practice demands to put always the patient’s interest first. Unfortunately, current practicing methods threaten doctors to yield to patient’s whims & wishes which are influenced by significant non-academic forces. The principle of Informed consent is gradually losing its true meaning. Who is informing what ? and to whom?  is becoming a hazy conundrum in complex two-way confabulation based on severely battered evidence-based medicine. Some of the conversations not heard in silent corridors of big hospitals Why did you stent his LAD ? , He had triple vessel disease Is’int CABG Ide...
Source: Dr.S.Venkatesan MD - March 5, 2020 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs

FUJIFILM ’s AI Colonic Polyp Detector Cleared in Europe
FUJIFILM is introducing a new technology that is capable of automatically detecting suspected polyps in real-time during colonoscopy exams. Called CAD EYE, the technology consists of hardware and software components that are compatible with the company’s ELUXEO 7000 endoscopy system. CAD EYE relies on FUJIFILM’s REiLI, an AI platform developed for medical applications. It can perform complex segmentation of 2D and 3D images, spot lesions, and is compatible with various imaging modalities. CAD EYE was trained on FUJIFILM’s own super-computer, which was fed hundreds of colonoscopy exams that had ...
Source: Medgadget - February 27, 2020 Category: Medical Devices Authors: Medgadget Editors Tags: GI Informatics Surgery Source Type: blogs

Renaissance Radiologists: Meet AJ Gunn, MD
AJ Gunn, M.D. graduated magna cum laude from Brigham Young University in Provo, UT, earning a BS in exercise physiology with a minor in sociology. He then returned home to South Dakota to attend medical school at the University of South Dakota. During medical school, he participated in the competitive Howard Hughes Medical Institute – National Institutes of Health Research Scholars Program and was awarded the Donald L. Alcott, M.D. Award for Clinical Promise. He graduated summa cum laude in 2009. He completed his diagnostic radiology residency at the Massachusetts General Hospital of Harvard Medical School in Boston, MA ...
Source: radRounds - February 21, 2020 Category: Radiology Authors: Robin Pine Miles Source Type: blogs

Renaissance Rad Feature: Meet AJ Gunn, MD
AJ Gunn, M.D. graduated magna cum laude from Brigham Young University in Provo, UT, earning a BS in exercise physiology with a minor in sociology. He then returned home to South Dakota to attend medical school at the University of South Dakota. During medical school, he participated in the competitive Howard Hughes Medical Institute – National Institutes of Health Research Scholars Program and was awarded the Donald L. Alcott, M.D. Award for Clinical Promise. He graduated summa cum laude in 2009. He completed his diagnostic radiology residency at the Massachusetts General Hospital of Harvard Medical School in Boston, MA ...
Source: radRounds - February 21, 2020 Category: Radiology Authors: Robin Pine Miles Source Type: blogs

FDA Clears Olympus TJF-Q190V Duodenoscope With Disposable Endcap
Olympus received FDA clearance for its TJF-Q190V duodenoscope that features a single-use endcap and novel flushing adapter that reduce the chance for pathogens to settle between cases. Olympus touts that the new device has a large field of view, a reliable guidewire locking system, and precise handling. Duodenoscopes are used to perform endoscopic retrograde cholangiopancreatography (ERCP) procedures as an option over open surgery. A few years ago duodenoscopes were identified as carriers of infections, due to flawed design and insufficient processing, and even led to a number of patient deaths. The industry had to rei...
Source: Medgadget - February 4, 2020 Category: Medical Devices Authors: Medgadget Editors Tags: GI Surgery Source Type: blogs

LapTrainer Mixed Reality Simulator for Laparoscopy Training Unveiled
KARL STORZ, a German maker of surgical tools and endoscopy products, has partnered with VirtaMed, a Swiss maker of medical simulators, to release a simulator for laparoscopic training. The LapTrainer device is a mixed reality simulator combining real laparoscopic tools with a computer generated representation of what is going on inside the model patient. Students can use the device to do repeat practice sets of common techniques and procedures, improving their skills and gaining experience that would otherwise have to be acquired on real patients. Patient positioning, how to place trocars, and even how to prep...
Source: Medgadget - February 3, 2020 Category: Medical Devices Authors: Medgadget Editors Tags: Ob/Gyn Surgery Thoracic Surgery Urology Source Type: blogs

PENTAX Releases IMAGINA LED Powered Endoscopy System
PENTAX is releasing its IMAGINA Endoscopy System in the U.S., having just received FDA clearance for the GI imaging platform. The endoscope sports two powerful and long lasting LEDs at the tip that do not require regular replacement, unlike traditional bulbs that can be costly to regularly swap for new ones. Given enough procedures, a clinic can end up saving significant amounts by using the IMAGINA over a system containing conventional bulbs. The system also features a HD+ CMOS light sensor and a touchscreen display on the control unit with 1080p resolution. A combination of high end illumination with high resoluti...
Source: Medgadget - January 16, 2020 Category: Medical Devices Authors: Medgadget Editors Tags: GI Source Type: blogs

Coming clean: Your anesthesiologist needs to know about marijuana use before surgery
Given the increasing prevalence and legalization of marijuana, many patients have come to think that marijuana use is not worth mentioning to their physicians. After all, they reason, I would not necessarily tell my doctor that I had a glass of wine last night, so why should I disclose that I smoked marijuana yesterday? Unfortunately, this reasoning is flawed. Because marijuana has a variety of effects on the body and on anesthesia medicines, it is crucial that anyone undergoing a preoperative evaluation disclose their marijuana use. Don’t worry that your anesthesiologist is judging you. That’s not our job! Our job is ...
Source: Harvard Health Blog - January 15, 2020 Category: Consumer Health News Authors: David Hepner, MD, MPH Tags: Health care Marijuana Prevention Safety Surgery Source Type: blogs