Funtabulously Frivolous Friday Five 126
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia…introducing Funtabulously Frivolous Friday Five 126
Question 1
An anxious but otherwise healthy child receives oral midazolam as an anxiolytic prior to an ED procedure. The child develops agitation and delirium. How do you treat this idiosyncratic postmidazolam paradoxical reaction?
+ Reveal the Funtabulous Answer
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Flumazenil
Case reports indicate that such reactio...
Source: Life in the Fast Lane - November 20, 2015 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five Anaphylaxis flumazenil Leptospirosis midazolam Purpura fulminans reverse segond fracture tryptase levels Source Type: blogs
Sexism in Science: Bias Beyond the Lab
CONCLUSION
There’s no doubt that we’ve come far in this field and an improved concentration on exploring sex-based biology has resulted in a better understanding of sex differences–but we need to continue to such efforts in order to promote good health for all men and women. Clinical trials need to be designed to ensure not only the inclusion of, but also the recognition of their differences. Working toward inclusivity of medical research will benefit us all by increasing our understanding of what causes various illnesses and how to treat them.
RESOURCES
Primary
Society for Women’s Health Research: History
...
Source: Disruptive Women in Health Care - November 19, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Women's Health Source Type: blogs
Working Toward Happier Birthdays: An Effort In California To Lower C-Section Rates
Birth is universal, and because of this fact, it is also a big health care issue. Childbirth is the number-one reason for hospitalization in the United States. The stakes are high, both healthwise and costwise. It is the only instance that begins with one patient and ends with at least two. And at about $15,000-$20,000 per birth, it is an expensive proposition. Additionally and importantly, birth is a compelling Medicaid issue, because nationwide, Medicaid pays for half of births.
Within the topic of maternity care, cesarean section (“C-section”) figures prominently, especially in the United States, where the rate is o...
Source: Health Affairs Blog - November 3, 2015 Category: Health Management Authors: Stephanie Teleki Tags: Costs and Spending GrantWatch Hospitals Medicaid and CHIP Payment Policy Quality California California HealthCare Foundation Health Care Costs Health Care Delivery Health Philanthropy Maternal Health Patient Safety pregnancy St Source Type: blogs
Reversing Essure: Say Hello To Essure Reversal Baby Emily!
Mom with second Essure reversal baby, Emily Ann.
Reversing Essure is possible if you are hoping for another baby. Removing Essure without a hysterectomy is possible if you are having symptoms after Essure.
Most health care providers are not aware Essure inserts can be safely removed without a hysterectomy.
Dr. Monteith is a reversal specialist who helps women restore natural fertility through Essure reversal surgery and treats women with symptoms from Essure with Essure removal surgery.
Essure inserts can be removed without a hysterectomy and Essure can be reversed and allow the chance for natural conception and pregnancy...
Source: Tubal Reversal Blog - October 15, 2015 Category: Reproduction Medicine Authors: Dr. Monteith Tags: essure reversal Fall River how is essure reversed Massachusetts pregnancy reversing essure symptoms tubal reversal facebook Source Type: blogs
The Section 1557 Regulation: What’s Missing, And How We Can Include It
Kristin Agar, a 63-year-old social worker, was diagnosed with lupus in 2008, a rare disease in which the body’s own immune system can cause serious damage to the kidneys, brain, skin, and joints. Unfortunately, despite having insurance coverage, Kristin has found that the drug she needs to treat her lupus is unaffordable. All around the United States, Kristin joins other patients with chronic conditions like HIV, Hepatitis C, Multiple Sclerosis, Rheumatoid Arthritis, and Leukemia, who are having trouble paying for their medications.
In June, Robert Restuccia and I wrote a Health Affairs Blog post showing that discrimi...
Source: Health Affairs Blog - September 21, 2015 Category: Health Management Authors: Douglas Jacobs Tags: Costs and Spending Drugs and Medical Technology Equity and Disparities Following the ACA Insurance and Coverage Long-term Services and Supports Payment Policy Population Health Public Health Americans With Disabilities Act chronic dise Source Type: blogs
The AMA’s Forgotten Fight Against Physician Greed
By MICHAEL MILLENSON
Perhaps the most well-known part of the 1965 Medicare creation tale is the opposition by the American Medical Association (AMA) to “socialized medicine.” Yet with financial incentives assuming a new prominence for provider and patient alike, we shouldn’t overlook the AMA’s equally unsuccessful battle against the excesses of capitalistic medicine. The forgotten story of the professionalism’s failure to contain physician greed provides an important policy perspective.
The Myth Of Medicine’s ‘Golden Age’
Medical practice pre-1965 is often portrayed as a mythical “Golden Age.” The truth...
Source: The Health Care Blog - September 10, 2015 Category: Consumer Health News Authors: John Irvine Tags: THCB Source Type: blogs
September Man of the Month: Dr. Neel Shah
September’s Man of the Month is Dr. Neel Shah. Dr. Shah gave us permission to crosspost his article below which was first published in June on The Conversation. Dr. Shah was also recently featured in this Boston Globe article. In the article below he makes the argument that giving birth outside a hospital with a midwife could be safer and cheaper for many American women.
Are hospitals the safest place for healthy women to have babies? An obstetrician thinks twice
There is a good chance that your grandparents were born at home. I am going to go ahead and assume they turned out fine, or at least fine enough, since yo...
Source: Disruptive Women in Health Care - September 10, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Childbirth Choice Man of the Month Quality Source Type: blogs
Medicare, Fair Pay, And The AMA: The Forgotten History
Perhaps the most well-known part of the 1965 Medicare creation tale is the opposition by the American Medical Association (AMA) to “socialized medicine.” Yet with financial incentives assuming a new prominence for provider and patient alike, we shouldn’t overlook the AMA’s equally unsuccessful battle against the excesses of capitalistic medicine. The forgotten story of professionalism’s failure to contain physician greed provides an important policy perspective.
The Myth Of Medicine’s ‘Golden Age’
Medical practice pre-1965 is often portrayed as a mythical “Golden Age.” The truth, as I found researching ...
Source: Health Affairs Blog - September 10, 2015 Category: Health Management Authors: Michael Millenson Tags: Costs and Spending Health Professionals Hospitals Medicaid and CHIP Medicare Payment Policy Quality Affordable Care Act American Medical Association George H.W. Bush Kenneth Arrow Physicians Richard Nixon socialized medicine Source Type: blogs
Implementing Health Reform: HHS Proposes Rule Implementing Anti-Discrimination ACA Provisions
On September 3, 2015, the Department of Health and Human Services (HHS) issued a notice of a proposed rulemaking intended to implement section 1557 of the Affordable Care Act (ACA). The Department also provided a summary of the rule and a set of questions and answers regarding the rule.
Section 1557 of the ACA provides that an individual shall not, on the basis of race, color, national origin, sex, age, or disability, be
excluded from participation in,
denied the benefits of,
or subjected to discrimination under
any health program or activity of which any part receives federal financial assistance, or any program or a...
Source: Health Affairs Blog - September 4, 2015 Category: Health Management Authors: Timothy Jost Tags: Equity and Disparities Featured Following the ACA Source Type: blogs
Implementing Health Reform: HHS Proposes Rule Implementing Anti-Discrimination ACA Provisions (Contraceptive Coverage Litigation Update)
September 6 Update
Decision Upholding Religious Accommodation On Contraceptive Coverage Prompts Vigorous Dissent
On September 4, 2015, the Seventh Circuit federal court of appeals rejected another challenge to the accommodation offered by the federal government to religious nonprofit organizations that object to the coverage of contraceptives under the Affordable Care Act’s preventive services mandate. The two-to-one decision in Grace Schools v. Burwell reverses a district court decision which had granted the plaintiff religious organizations a preliminary injunction under the Religious Freedom Restoration Act (RFRA).
Th...
Source: Health Affairs Blog - September 4, 2015 Category: Health Management Authors: Timothy Jost Tags: Equity and Disparities Featured Following the ACA Source Type: blogs
Arkansas Payment Improvement Initiative: Expanding Episodes To Other Clinical Areas
Editor’s note: This post is part of a periodic Health Affairs Blog series, looking at payment and delivery reforms in Arkansas and Oregon. The posts are based on evaluations of these reforms performed with the support of the Robert Wood Johnson Foundation. The authors of this post are part of the team evaluating the Arkansas model.
After the first year of implementation of the episodic payment component of the multi-payer Arkansas Payment Improvement Initiative (APII), the state has identified both successes and challenges. While previous posts go into greater detail on the nuances of Arkansas’ approach to episodes and...
Source: Health Affairs Blog - May 19, 2015 Category: Health Management Authors: William Golden, Joseph W. Thompson, Michael Motley, A. Mark Fendrick, Christopher Mathis and Michael Chernew Tags: Innovations in Care Delivery Medicaid and CHIP Payment Policy APII Arkansas Payment Improvement Initiative CMMI CMS Payment Reform PCMH SIM Testing Award States Source Type: blogs
How do you know if cancer treatment worked?
The patient was a young looking 74-year-old woman, accompanied by her husband. She was not exactly sure why she was seeing me and nodded as I explained that I see all women with anal or rectal cancer who are being treated with radiation therapy. I explained that we recommend that these patients use vaginal dilators to improve elasticity after radiation in the pelvic region, and my meeting with her was an opportunity for me to show her the dilators, educate her about the reasons for their use, and answer any questions she may have.
“Oh, no thanks, my dear,” she began, “I’ve no need for those. We’re not sexually ac...
Source: Kevin, M.D. - Medical Weblog - May 14, 2015 Category: Journals (General) Authors: Anne Katz, RN, PhD Tags: Conditions Cancer Source Type: blogs
The road to health care for veterans is baroque
Read the voices of Service: this discussion thread is a show and tell of what women veterans have to go through to get care. It also demonstrates some traits of women warriors: generosity, tenacity , wisdom , guts and extreme moxie.
It is unconscionable that those who served have to come home and fight more battles. Shame on us.
Alana Vollmer-Bland Question…..I have a 30% rating for PTSD from Afghanistan. I told the shrink at the VA at the beginning of the claims process and then another counselor at the VA here about the sexual assault while I was on active duty. She spent 6 weeks doing intake on me and waffled be...
Source: Disruptive Women in Health Care - April 17, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Women Veterans Source Type: blogs
Surprise! When it comes to a vaginal hysterectomy, this insurance company gets it right.
The preferred route for a hysterectomy is vaginal. This means the entire surgery is done through the vagina with no incisions in the abdomen of any kind. The joke among surgeons is that it is a bit like taking a car apart through the muffler. While doing surgery entirely through the vagina may sound highly complex, it’s really just like any surgery. A vaginal hysterectomy done correctly it is an elegant, neat procedure with excellent safety and very quick recovery. If I needed a hysterectomy and I was a candidate (most women are) I would choose a vaginal hysterectomy.
Continue reading ...
Your patients are rating you on...
Source: Kevin, M.D. - Medical Weblog - March 16, 2015 Category: Journals (General) Authors: Jennifer Gunter, MD Tags: Conditions OB/GYN Source Type: blogs
A fifth operation and permanent menopause
Number of days since surgery: 13Pain level: manageableMood: relieved!It's been quite a while since I last wrote but, as usual, plenty has happened! I've been put into chemical menopause, taken out of chemical menopause, put back into chemical menopause again and now I'm recovering from yet more major surgery. And I'm finally in permanent menopause.Last April, as an attempt to control the high level of pain I was having, my oncology surgeon put me on a course of Prostap injections (you can read more about this in my previous blog post). His thinking was that by temporarily shutting down my remaining ovary he could s...
Source: Diary of a Cancer Patient - February 24, 2015 Category: Cancer & Oncology Source Type: blogs
