The Insanity of the Hepatitis B Vaccination
Conclusions
The hepatitis B vaccination program targeting newborns and infants does NOT make sense. The vaccination itself has not proven to be effective in preventing hepatitis B. There is very little risk of children becoming infected with hepatitis B.
Hepatitis B is a disease that is not highly infectious and tends to affect adults in high risk groups. The course of the disease is usually self-limiting with lifelong immunity acquired.
In contrast, many serious health consequences have resulted from the hepatitis B vaccination, including permanent disability and death.
References
http://www.nvic.org/nvic-archives...
Source: vactruth.com - July 8, 2016 Category: Allergy & Immunology Authors: Michelle Goldstein Tags: Logical Michelle Goldstein Top Stories adverse reactions Hepatitis B vaccine truth about vaccines Source Type: blogs
Senate Develops Policy Measures to Help Those Battling Chronic Illness
In 2014, the United States Senate Committee on Finance took a step toward improving care for the millions of Americans who are managing chronic illness. During a hearing entitled "Chronic Illness: Addressing Patients' Unmet Needs," Senators heard compelling testimony from individuals who are battling multiple chronic medical conditions, and who are seeking more effective tools to help them navigate the healthcare system. Senators have also heard from providers, employers, and health plans about the unique challenges each of them face in trying to offer quality healthcare at low costs.
The Senators in attendance at the fi...
Source: Policy and Medicine - March 1, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs
What To Make of the Senate Finance Committee’s Chronic Care Policy Options
Conclusion
Again, the Committee and staff deserve praise for their effort. Going forward, if the Committee holds to its cost neutral commitment members will need to convince the CBO telehealth services are substitutive, not duplicative. The Committee faces the same possible problem or limitation in creating new chronic care management codes and expanding or extending Medicare programming. It too is an election year and the bill currently has no comparative effort underway in the House. Hurdles or headwinds aside, one is left to wonder about other chronic care policy options not included in the memo. To name one it is beyon...
Source: The Health Care Blog - February 12, 2016 Category: Consumer Health News Authors: Simon Nath Tags: THCB David Introcaso Source Type: blogs
LITFL Review 201
Welcome to the 201st LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chuck of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
In his final talk at SMACC Chicago, the late Dr John Hinds shares More Cases From the Races. [MG]
The Best of #FOAMed Emergency Medicine
Should we be treating fever in the ED? HEFT EMCast discusses the HEAT trial and its relevance to EM practi...
Source: Life in the Fast Lane - October 12, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Research & Reviews in the Fastlane 102
This study reviewed data from over 30,000 OHCA and found that the initiation of early CPR (prior to EMS arrival) was associated with increased 30-day survival (10.5% vs. 4.0%). Unfortunately, the database has only limited information on neurologic function and thus, improved functional status cannot be assessed from this data set. However, this study further supports the need for increased lay person training as well as methods of bringing those lay providers to the patient (i.e. GoodSam application, mobile phone programs etc).
Recommended by Anand Swaminathan
Trauma
Reith G et al. Injury pattern, outcome and characteri...
Source: Life in the Fast Lane - October 1, 2015 Category: Emergency Medicine Authors: Soren Rudolph Tags: Anaesthetics Education Emergency Medicine Emergency Medicine Update Infectious Disease Intensive Care Pre-hospital / Retrieval R&R in the FASTLANE Review Toxicology Trauma critical care literature research and reviews Source Type: blogs
Older Dialysis Patients May Not Derive Benefit from Dialysis
Recently I asked the question can you be too old for dialysis. Then today I noticed a news release based on an article published in the new England Journal of Medicine which suggests that elderly patients living in nursing homes may not be deriving significant benefit from dialysis. I had feedback on my own article, which suggested the very concept of limiting dialysis based on age is repulsive. Let me make it quite clear, that it was never my intention to suggest such a thing.
My point remains that in order for a treatment to be offered, it must be shown to be of benefit to the patient. The first rule of medicine is …at...
Source: All Kidney News - September 29, 2015 Category: Urology & Nephrology Authors: jadhavbca Tags: Kidney News New England Journal Source Type: blogs
Beneficial Effect of Coffee in Dialysis Patients
its impact on renal disease is largely unknown and its effect on dialysis patients is even more obscure.
There have been many claims of medicinal or health benefits for drinking coffee. Studies have shown apparent reductions in the risks of:
Alzheimer’s disease
Parkinson’s disease
Heart disease
Diabetes mellitus type 2
Cirrhosis of the liver
Gout.
Recently a small study has reported that dialysis patients who drink coffee were more likely to have lower cholesterol. Of the 30 patients studied 26 were on peritoneal dialysis and only 4 were on hemodialysis.
The patients were divided into two groups. Group I patients dr...
Source: All Kidney News - September 29, 2015 Category: Urology & Nephrology Authors: jadhavbca Tags: Kidney News HDL LDL Source Type: blogs
Query about Dialysis cost
Jay wrote in our MMR Facebook page:
I hope someone can help me answer this question on GST. Before GST in April 2015, the cost of single dialysis treatment was RM90. After the implementation of GST, the cost went up to RM108. That’s 20% increase. I thought most medical services were GST exempt. Even if the consumables were to incur GST of 6%, surely they would not amount to 20% increase.
Hi Jay. After sourcing for some information from our Doctors, including nephrologists in the Doctors forum, Dobbs, here are some points which may help you understand the situation
1) The actual cost of dialysis is variable, ranging f...
Source: Malaysian Medical Resources - September 27, 2015 Category: Global & Universal Authors: palmdoc Tags: - Feedback Dialysis Haemodialysis Source Type: blogs
‘To Alcohol! The Cause of, and Solution to, All of Life's Problems’
A 37-year-old woman is brought into the emergency department by EMS after being found down next to a bottle of an unknown substance. (See photo.) Her family said she was initially tearful and repeatedly mumbling, “I’m sorry,” and became progressively less responsive.
She was obtunded and intubated for airway protection upon arrival to the ED. Her initial vital signs were a temperature of 98.8°F, heart rate 110 bpm, blood pressure 187/118 mm Hg, respiratory rate 22 bpm, and pulse oximetry 98% on ventilator. Initial ABG reveals a pH 6.89, pCO2 16, pO2 174, and bicarbonate 3.1. Pertinent lab results include a metabo...
Source: The Tox Cave - August 3, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
‘To Alcohol! The Cause of, and Solution to, All of Life's Problems’
A 37-year-old woman is brought into the emergency department by EMS after being found down next to a bottle of an unknown substance. (See photo.) Her family said she was initially tearful and repeatedly mumbling, “I’m sorry,” and became progressively less responsive.
She was obtunded and intubated for airway protection upon arrival to the ED. Her initial vital signs were a temperature of 98.8°F, heart rate 110 bpm, blood pressure 187/118 mm Hg, respiratory rate 22 bpm, and pulse oximetry 98% on ventilator. Initial ABG reveals a pH 6.89, pCO2 16, pO2 174, and bicarbonate 3.1. Pertinent lab results include a meta...
Source: The Tox Cave - August 3, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
LITFL Review 188
Welcome to the 188th LITFL Review. Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chuck of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
Unbelievable talk from John Hinds at SMACC US – Crack the Chest. Get Crucified. If you’re unclear why it is that the FOAM world was so saddened at John’s loss, this will quickly jog your memory. [AS]
The Best of #FOAMed Emergency Medi...
Source: Life in the Fast Lane - July 13, 2015 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Education LITFL review LITFL Reviews Source Type: blogs
Actions vs. Words: What counts most in understanding patient preferences?
<p class="MsoNormal" style="font-size: 11.1999998092651px; line-height: 19.0400009155273px;"><span style="font-size: 11.1999998092651px; line-height: 19.0400009155273px;">Clinicians striving to help patients achieve healthcare goals often encounter the perplexing dichotomy of the patient’s stated goals and preferences and actions to the contrary. Some of these challenges can be overcome with education and close follow up to help reinforce adherence to medical recommendations, but other times, these barriers are more enigmatic.</span></p>
<p class="MsoNormal&...
Source: blog.bioethics.net - June 9, 2015 Category: Medical Ethics Authors: Hayley Dittus-Doria Tags: Clinical Ethics Health Care autonomy decision making syndicated Source Type: blogs
Research and Reviews in the Fastlane 084
This study demonstrated that using a simulation program, EM residents could be brought up to speed on proper sterile technique and that these lessons could be applied clinically. The authors of this study found identical CRBI rates between ED and MICU placed central lines after this educational intervention.
Recommended by: Anand Swaminathan
Trauma
Hildebrand DR et al. Modern management of splenic trauma. BMJ. 2014; 348. PMID: 24696170
Pediatric patients with abdominal trauma can be a challenge to assess. Naturally, we often are concerned for potential splenic injury. What is the most current approach to managing splen...
Source: Life in the Fast Lane - May 21, 2015 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Airway Anaesthetics Education Emergency Medicine Intensive Care R&R in the FASTLANE Toxicology and Toxinology Trauma critical care examination research and reviews Source Type: blogs
Research and Reviews in the Fastlane 082
This article outlines the EXTRIP workgroup’s recommendations based on their systematic review. Our focus should be on dialyzing patients with altered mentation, renal impairment and the presence of dysrhythmias.Recommended by: Anand SwaminathanRead More: Hemodialysis in lithium poisoning: what is the evidence? (The poison review)Critical Care, Respiratory Kim NH et al. Chronic thromboembolic pulmonary hypertension. J Am Coll Cardiol. 2013; 62: D92-9. PMID: 24355646 (FREE OPEN ACCESS ARTICLE)We’re very savvy with acute PE but I must confess to being less than knowledgable about chronic VTE. There’s ...
Source: Life in the Fast Lane - May 6, 2015 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Education Emergency Medicine Haematology Intensive Care R&R in the FASTLANE Respiratory Resuscitation Toxicology and Toxinology Trauma critical care examination literature recommendations research and reviews Source Type: blogs
