A Health Plan CEO Daydreams
By MICHEL ACCAD, MD Jim was at his desk, looking weary. The last few weeks had been brutal.  Despite working twelve-hour days, he felt that he had little to show for it.  His annual board meeting was to take place the next day, and he expected it to be tense. With a replacement bill for the ACA about to be voted on, and with Trump in the White House, the situation seemed particularly precarious.  The board members had asked him to present a contingency plan, in case things in DC didn’t go well. As CEO of a major health insurance company, Jim was well aware that business as usual had become unsustainable in his l...
Source: The Health Care Blog - May 4, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized AHCA health reform MICHEL ACCAD repeal and replace Source Type: blogs

Could you have a heart attack and not know it?
Here’s a surprising fact: nearly half of people who have a heart attack don’t realize it at the time. These so-called silent heart attacks are only diagnosed after the event, when a recording of the heart’s electrical activity (an electrocardiogram or ECG) or another test reveals evidence of damage to the heart. One explanation for this phenomenon may be a higher-than-average tolerance for pain. Some people mistake their symptoms as indigestion or muscle pain, while others may feel pain, but in parts of their upper body other than the center of the chest, says Dr. Kenneth Rosenfield, who heads the vascular medicine a...
Source: Harvard Health Blog - April 17, 2017 Category: Consumer Health News Authors: Julie Corliss Tags: Health Heart Health Source Type: blogs

Home remedies that may be worth a try
Harvard Medical School embraces evidence-based medicine — treatments that have been shown to be effective through high-quality studies called randomized controlled clinical trials. So it’s always a little surprising when a Harvard doctor proposes a home remedy, as Dr. James P. Ioli did in an interview about toenail fungus. Dr. Ioli, who is chief of the podiatry service at Harvard-affiliated Brigham and Women’s Hospital, suggested that daily applications of Vicks VapoRub might be at least as effective as most of the topical treatments for toenail fungus that are available by prescription or over the counter. Toenail f...
Source: Harvard Health Blog - March 22, 2017 Category: Consumer Health News Authors: Beverly Merz Tags: Complementary and alternative medicine Health Managing your health care Source Type: blogs

Listen to your patient ’s story: It’s their diagnosis
Sir William Osler wasn’t exactly wrong when he said, “Listen to your patient, he is telling you the diagnosis.” But he didn’t mean it literally. His patients did not offer up esoteric and complete medical diagnoses on a silver platter. They left him clues in plain language that he listened to carefully in order to make the correct diagnosis. He penned his words in an era when medical information was scarce among non-medical people. There was no Dr. Google, Dr. Oz or Dr. House to educate the public about diseases or medical terminology a century ago. In a way, I think doctors today have to do more filtering of w...
Source: Kevin, M.D. - Medical Weblog - December 14, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/a-country-doctor" rel="tag" > A Country Doctor, MD < /a > Tags: Physician Primary care Source Type: blogs

Antidepressants And Women ’s Bones
Certain antidepressants used to relieve hot flashes, night sweats and other menopausal symptoms appear to increase the risk of bone fractures. The class of drugs, selective serotonin reuptake inhibitors (SSRIs), include Celexa, Lexapro, Prozac, Luvox, Paxil and Zoloft, and are now considered effective alternatives to hormone replacement therapy. Investigators from Boston’s Northeastern University used a pharmaceutical database to identify more than 137,000 women age 40 through 64 who began taking SSRIs for menopausal symptoms between 1998 and 2010 and compared them with some 236,000 women taking prescription drugs fo...
Source: Dr. Weil's Daily Health Tips - November 1, 2016 Category: Consumer Health News Authors: Dr. Weil Tags: Science and Supplement News antidepressant bone density bones Source Type: blogs

How to Control Pain with Your Mind
Most of us believe that we have no control over pain/discomfort in our body. If we feel pain we might use painkilling medicine or some type of ice or heat or other analgesic topical treatment. But most of us would not consider using our mind to control pain. I’d like to share with you something I have learned that is very cool. You CAN in fact use your mind to reduce and in some cases eliminate pain, discomfort, and other body annoyances. Let’s see how this works. The Foundation of Efficacy : Belief The first step in being able to use this natural tool of your mind for pain relief it is to believe that it’...
Source: Life Learning Today - October 27, 2016 Category: Consumer Health News Authors: AgentSully Tags: Featured FUN Happy Healthy Living How To Ideas Solving Problems mind mind control natural pain management Source Type: blogs

How to Cope with the Stress of High School
“Remember that awful feeling that last day of summer vacation before the first day of school?” His question was like a fart at a funeral and roused me from my previously relaxed summer drowse. A long slumbering dragon in the cave of my gut, released a combination of indigestion and a feeling that can I only describe with the word “blech.” Only in all caps and much longer. The end of lazy hot long days and the beginning of what seemed like just like long days… trapped in a windowless classroom. Raging hormones, existential yearnings, barely restrained frustration coupled with the desire for social ...
Source: World of Psychology - September 22, 2016 Category: Psychiatry & Psychology Authors: Maedean Yvonne Myers, MC, RCC Tags: Anxiety and Panic Bullying Children and Teens Creativity Personal Self-Help Stress Student Therapist Adolescence college High School School stress Young Adulthood Source Type: blogs

Unbreakable Kimmy Schmidt: Coping with Trauma
The original 2015 Netflix series Unbreakable Kimmy Schmidt, starring Ellie Kemper, is pure comedy at its finest as quirky — and certainly bubbly — 29 year-old Kimmy Schmidt moves from Indiana to New York City for a fresh start. She finds a home with Titus, the dramatic and eccentric roommate looking for stardom (played by Tituss Burgess), has adventures with Lillian, the tough-as-nails and offbeat landlord (played by Carol Kane), and begins to work as a nanny for Jacqueline, a snobby but lovable socialite (played by Jane Krakowski). But underneath the literally laugh out loud dialogue and hilarity is a serious ...
Source: World of Psychology - September 12, 2016 Category: Psychiatry & Psychology Authors: Lauren Suval Tags: Celebrities General Psychology PTSD Trauma Women's Issues Ariel Castro bunker Childhood Trauma Ellie Kemper kidnapping Optimism Posttraumatic Stress Disorder Sexual Abuse Sexual Assault Unbreakable Kimmy Schmidt Source Type: blogs

OCHIN Shows That Messy Data Should Not Hold Back Health Care
The health care industry loves to complain about patient data. It’s full of errors, which can be equally the fault of patients or staff. And hanging over the whole system is lack of interoperability, which hampers research. Well, it’s not as if the rest of the universe is a pristine source of well-formed statistics. Every field has to deal with messy data. And somehow retailers, financial managers, and even political campaign staff manage to extract useful information from the data soup. This doesn’t mean that predictions are infallible–after all, when I check a news site about the Mideast conflicts...
Source: EMR and HIPAA - September 12, 2016 Category: Information Technology Authors: Andy Oram Tags: Clinical Decision Support Healthcare Analytics Population Health Management Abby Sears Big Data Clayton Gillett OCHIN Patient Identification Patient Matching Source Type: blogs

A miracle in the intensive care unit
She fit into the palm of his hand. That long nine months. Waiting desperately for that baby they thought they could never have. Jeff, football player from his high school days, met the love of his life, Bridget, at the school party. She was smart and beautiful; Jeff was big and burley, but as kind and gentle as a kitten. They hung out through their college days.. And finally said their “I do’s.” Within a few years, they tried and tried to have a baby. Year after year, MD after MD. And finally, Bridget was pregnant. Her water ruptured, a little too early, and Jeff drove her frantically to the hospital. Two...
Source: Kevin, M.D. - Medical Weblog - August 12, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/debbie-moore-black" rel="tag" > Debbie Moore-Black, RN < /a > Tags: Conditions Heart Infectious disease Source Type: blogs

Gulf War Illness 25 Years After Desert Storm
In the 25 years since Desert Storm, about 250,000 of the almost 700,000 involved in the Gulf War 1 theater have suffered from some version of the complex of symptoms now called Gulf War Illness. This illness was discussed in a recent symposium co-hosted by the Brookings Institution and Georgetown University Medical Center. While Desert Storm battle casualties were light, military personnel were exposed to various chemical and biological agents. These included Pyridostigmine Bromide, to prevent the effects of nerve gases which had been used previously by Iraq; organophosphate pesticides (such as DEET) which were embedded in...
Source: Health Affairs Blog - August 4, 2016 Category: Health Management Authors: Joel Kupersmith and Michael O'Hanlon Tags: Featured Organization and Delivery Public Health Quality Department of Defense desert storm Gulf War Illness Research Veterans Veterans Administration Source Type: blogs

Stomach disorders involve both brain-to-gut plus gut-to-brain pathways
New research indicates that in patients with irritable bowel syndrome (IBS) or indigestion, there is a distinct brain-to-gut path, where psychological symptoms begin first, and separately a distinct gut-to-brain pathway, where gut symptoms start first. Related Posts:Brand new study finds link between depressive disorder and…Group suppresses oxidative stress and neuronal death…Probiotics and the gut-brain axisCan changes in the brain affect your microbiome?Chronic abdominal pain often linked to emotional…The post Stomach disorders involve both brain-to-gut plus gut-to-brain pathways appeared first on My...
Source: My Irritable Bowel Syndrome Story - July 22, 2016 Category: Gastroenterology Authors: Ken Tags: IBS News Source Type: blogs

An Elderly Male with " Indigestion "
< div dir= " ltr " style= " text-align: left; " trbidi= " on " > < span style= " font-family: & quot;arial & quot;; font-size: 14.6667px; vertical-align: baseline; " > < a href= " http://www.ems12lead.com/tag/brooks-walsh-m-d/ " > This case was contributed by Brooks Walsh, an ECG enthusiast who has contributed frequently < /a > , and edited by Smith < /span > < br / > < span style= " font-family: & quot;arial & quot;; font-size: 14.6667px; vertical-align: baseline; " > < br / > < /span > < span style= " font-family: & quot;arial & quot;; font-size: 14.6667px; vertical-align: baseline; " > < b > < u > Case < /u > < /b > <...
Source: Dr. Smith's ECG Blog - June 23, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs

An Elderly Male with "Indigestion"
This case was contributed by Brooks Walsh, an ECG enthusiast who has contributed frequently, and edited by SmithCaseAn elderly male called EMS after he developed “indigestion.” The paramedic recorded  a series of ECGs; the initial ECG is representative here:Computer read: “Normal ECG”What do you think?Two doses of nitroglycerin reduced the patient’s symptoms during transport. He was almost asymptomatic when he arrived in the ED. The paramedic interpreted this as a STEMI.An ECG was obtained in the ED:There is ST elevation in V2-V4.  Is it normal ST elevation (early repol?) or LAD occlusion?The compu...
Source: Dr. Smith's ECG Blog - June 23, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs