When doctors develop [patient] portal hypertension [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! “Physicians today are confronting yet another epidemic, one that affects doctors directly and is not caused by a virus. It is the result of the ‘patient portal’ through which patients send typed messages directly to their physicians. Though the portal has benefits, anecdotal experience
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When doctors develop [patient] portal hypertension [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 20, 2022 Category: General Medicine Authors: The Podcast by KevinMD Tags: Podcast Primary Care Source Type: blogs
Weekly Roundup – December 17, 2022
Welcome to our Healthcare IT Today Weekly Roundup. Each week, we’ll be providing a look back at the articles we posted and why they’re important to the healthcare IT community. We hope this gives you a chance to catch up on anything you may have missed during the week.
MedAware’s Mission: Medical Alerts That Make Sense. Alert fatigue is so pervasive because it’s a symptom of bas design, John Lynn learned in his conversation with Dr. Gidi Stein at MedAware. That’s why the company focuses on optimizing alerts by analyzing data from relevant patient records and medical devices to ensure alerts are releva...
Source: EMR and HIPAA - December 17, 2022 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT Healthcare IT Today Weekly Roundup Source Type: blogs
Overcoming the epidemic of loneliness
As I drove home from work and turned right onto the familiar street that would eventually wind around like a smile to my home, I briefly closed my eyes and tilted my face to the sky, enjoying the butterscotch sunlight still peeking through the leaves framing the street. I noticed with contentment the various groups
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Overcoming the epidemic of loneliness originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 17, 2022 Category: General Medicine Authors: Giulia Faison, MD Tags: Conditions Psychiatry Source Type: blogs
Department of artifact : Normal “ wall motion defect ” in echocardiography
(This post is about some basics in echocardiography meant for fellows, and echocardiographers. Others can skip please )
This is a 27-year-old woman who was referred for routine* cardiac evaluation. What do you see?
What is the diagnosis?
This echo clip is from a woman who is 8 months pregnant. What you are seeing is perfectly physiologically and normal. On lying down there is a mechanical push of the diaphragm altering the LV shape and contraction. In the short axis, the left ventricle is contracting well, but the shape is not spherical in systole implying some desynchrony. Further, the IVS arena is contract...
Source: Dr.S.Venkatesan MD - December 14, 2022 Category: Cardiology Authors: dr s venkatesan Tags: Cardiology -Hemodynamics Echocardiography -Normal measurement Echocardiography-hemodynamics Teaching points cardiology research topic non ischemic wall motion defect in echocardiography wall motion defect in ers wall motion defect in lbbb Source Type: blogs
Reimagining Pain in the Wake of the Opioid Epidemic
The following is a guest article by Vijay Yanamadala, MD, Chief Medical Officer at Sword Health and System Medical Director of Spine Quality at Hartford Healthcare.
In 2017, after years of over prescribing opioids to treat pain, leading to opioid addiction for millions of Americans, opioid dependency was declared a public health emergency.
Since then, the opioid epidemic has only worsened. The COVID-19 pandemic, and its impact on people’s mental and physical health, has greatly contributed to a rise in opioid-related deaths.
When I was a medical student in the early 2000s, pain was viewed as a vital sign, like heart rate...
Source: EMR and HIPAA - December 13, 2022 Category: Information Technology Authors: Guest Author Tags: Communication and Patient Experience Healthcare IT Chronic Pain Hartford HealthCare MSK Musculoskeletal Care opioid crisis Opioid Epidemic Pain Management Patient Care Patient Compliance Physical Therapy PT Reimagining Pain Swo Source Type: blogs
As Balwani and Holmes Head To Jail …Will Others in Health Tech Follow?
by MIKE MAGEE
This week’s headlines seemingly closed a chapter on the story of medical research criminality in America. Ramesh “Sunny” Balwani, former president and COO of Theranos was sentenced to 13 years in prison for fraud. That’s 2 years more than his former business and romantic partner, Elizabeth Holmes.
White crime criminal defense attorney for all things science tech, Michael Weinstein, took the opportunity to trumpet out a confident message that crime doesn’t pay in Medicine with these words, “It clearly sends a signal to Silicon Valley that puffery and fraud and misrepresentation will be pr...
Source: The Health Care Blog - December 9, 2022 Category: Consumer Health News Authors: matthew holt Tags: Medical Practice Ethics Henry K. Beecher Medical Ethics Mike Magee Theranos Source Type: blogs
What are the mechanisms of beneficial action of alcohol in moderate amounts ?
Putative mechanisms
Alcohol dis-engages platelets that are in aggregation mode (Renaud et al Clin Chim Acta. 1996 Mar 15;246(1-2):77-89)
Alcohol has anti-atherogenic properties (BRUNECK study Stroke. 1998;29:900–907 )
Alcohol Increases HDL which we still believe to be good cholesterol ( Elizabeth R. De Oliveira e Silva Circulation. 2000)
Alcohol causes less Ischemic stroke, that is documented ( Hillbom M Alcohol and stroke: pathophysiologic mechanisms. Neuroepidemiology. 1998)
Alcohol promotes energy consumption.
It is a sort of baseline exercise equivalent (ELI* )
Alcohol can make a perso...
Source: Dr.S.Venkatesan MD - December 8, 2022 Category: Cardiology Authors: dr s venkatesan Tags: Alcohol and heart disease ada guidelines alcohol alcohol and cad alcohol and Interheart alcohol is it really beneficial INTERHEART study lancet interheart gbd study moderate alcohol beenfits what is moderate alcohol intake Source Type: blogs
Technical report on the Covid-19 pandemic in the UK
Department of Health and Social Care -This is a technical report on some of the scientific, public health and clinical aspects of the Covid-19 pandemic in the four nations of the UK. This is from the UK Chief Medical Officers (CMOs), Government Chief Scientific Adviser (GCSA), UK deputy CMOs most closely engaged in the Covid-19 response, NHS England National Medical Director, and the UK Health Security Agency Chief Executive. It is written for a specific audience: future CMOs, GCSAs, National Medical Directors and UK public health leaders facing a new pandemic or major epidemic in the UK and who were not part of the public...
Source: Health Management Specialist Library - December 1, 2022 Category: UK Health Authors: The King ' s Fund Library Tags: Covid-19 Public health and health inequalities Source Type: blogs
Empowering Biomedical Research in Rural West Virginia
Public health crises often disproportionately impact rural America. Sally L. Hodder, M.D., works to alleviate these disparities, especially regarding the opioid crisis and the COVID-19 pandemic. She’s the director of the West Virginia Clinical and Translational Science Institute (WVCTSI), the associate vice president of clinical and translational research, and a professor of medicine at West Virginia University.
Dr. Sally Hodder. Credit: West Virginia University.
Dr. Hodder’s work is focused in West Virginia, but her results are valuable assets to researchers across the country. Not only does treating chronic...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - November 23, 2022 Category: Research Authors: Chrissa Chverchko Tags: Being a Scientist Injury and Illness COVID-19 Medicines Pain Source Type: blogs
Think twice before prescribing opioids as a first-line treatment for pain
Everyone knows the terrible toll the opioid epidemic takes on our society. It doesn’t matter where you live and how wealthy or educated you are, no one is immune. I watched as a colleague tried to help a child struggling with addiction, spending countless hours of worry and thousands of dollars, only to have the
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Think twice before prescribing opioids as a first-line treatment for pain originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 22, 2022 Category: General Medicine Authors: Gary Call, MD Tags: Meds Medications Pain Management Source Type: blogs
Fight Aging! Newsletter, November 21st 2022
In this study researchers added new insight, showing that high-intensity aerobic exercise, which derives its energy from sugar, can reduce the risk of metastatic cancer by as much as 72%. If so far the general message to the public has been 'be active, be healthy', now researchers can explain how aerobic activity can maximize the prevention of the most aggressive and metastatic types of cancer.
The study combined an animal model in which mice were trained under a strict exercise regimen, with data from healthy human volunteers examined before and after running. The human data, obtained from an epidemiological study ...
Source: Fight Aging! - November 20, 2022 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
High Intensity Aerobic Activity Correlates with a Sizable Reduction in Metastatic Cancer Risk
In this study researchers added new insight, showing that high-intensity aerobic exercise, which derives its energy from sugar, can reduce the risk of metastatic cancer by as much as 72%. If so far the general message to the public has been 'be active, be healthy', now researchers can explain how aerobic activity can maximize the prevention of the most aggressive and metastatic types of cancer.
The study combined an animal model in which mice were trained under a strict exercise regimen, with data from healthy human volunteers examined before and after running. The human data, obtained from an epidemiological study ...
Source: Fight Aging! - November 18, 2022 Category: Research Authors: Reason Tags: Daily News Source Type: blogs
What is the most common cause of acquired heart disease in children in developed countries?
Kawasaki disease is the most common cause of acquired heart disease in children in developed countries. In developing countries it will be rheumatic heart disease.
Timely treatment of Kawasaki disease with intravenous immunoglobulin can reduce the incidence of coronary aneurysms from 25% to around 4%. Children with coronary aneurysms due to Kawasaki disease needs lifelong cardiology follow up. The prognosis depends on the initial and current level of coronary involvement. Some children may develop coronary obstruction and thrombosis leading to myocardial infarction. Revascularization procedures may be needed in some of th...
Source: Cardiophile MD - November 17, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
The Risk of Suffering Dementia is Declining
Numerous epidemiological studies have shown that the risk of suffering dementia in later life is in decline, even as demographic aging of the population drives an increase in the overall incidence of age-related disease. Why is the individual risk of dementia declining? It is potentially a consequence of the broad use of statins to reduce the consequences of atherosclerosis, as well as ever greater attention given to control of blood pressure in later life. The state of the vasculature is an important contribution to the state of the aging brain, with a variety of different mechanisms involved. The brain is an energy-hungr...
Source: Fight Aging! - November 15, 2022 Category: Research Authors: Reason Tags: Daily News Source Type: blogs
The environmental impact of the diabetes epidemic
The superior doctor prevents sickness. The mediocre doctor attends to impending sickness. The inferior doctor treats actual sickness.” – Chinese Proverb The management of diabetes today requires an understanding of the concept of the circular economy in eliminating waste and pollution, circulating products and materials at their highest level, and regenerating nature. Today, we saw
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The environmental impact of the diabetes epidemic originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 14, 2022 Category: General Medicine Authors: Dr. Syeda Fatima Murtaza, Ali R. Chaitou, MD, and Dr. Jobby JohnTags: Conditions Diabetes Source Type: blogs
