How our sickest patients mirror the political divisions of our country
I was on service as the attending physician recently, and it struck me how closely our sickest patients in the intensive care setting mirror the political mires of our country. Usually, when I’m on service, it’s an all-consuming matter, with little time for media and external affairs. However, this time it was different: history in
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How our sickest patients mirror the political divisions of our country originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 21, 2022 Category: General Medicine Authors: Rabia Rafi Razi, MD, MPH Tags: Policy Critical Care Public Health & Policy Source Type: blogs
The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
The objective most consistent with recent operations is to conquer Luhansk, Donetsk, and Kherson, with a view to their eventual annexation and Russification. But not only are they some way from achieving that (w ith much of Donetsk still in Ukrainian hands and the Russia position in Kherson highly contested) it would also require an explicit Ukrainian surrender for it to serve as the basis for a declaration of victory. That will not be forthcoming.-----https://www.afr.com/world/europe/how-britain-giggled-its-way-into-crisis-20220710-p5b0giHow Britain giggled its way into crisisBoris Johnson has exposed the costs of Britain...
Source: Australian Health Information Technology - July 21, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
July 14, 2022 Edition-----The biggest news this week was the assassination of the ex-PM of Japan – Shinzo Abe – who was a good friend to OZ incidentally.In the US we have had a wind-up to a busy summit season – NATO etc – and the ongoing war in Ukraine which is becoming a deepening, protracted and horrible situation which it seems hard to resolve sadly.In the UK Boris is out but not gone and the battle for the succession is off and rolling.In OZ we have Albo back and we need to work out what to mitigate these various natural disasters and actually get on with it!!!! The response has been pathetic so far I reckon!--...
Source: Australian Health Information Technology - July 14, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Who Has the Toughest Time: People with Alzheimer ’s or Their Caregivers?
Photo credit Dario Valensuela
Though they look through the prism of the future from different angles, people with Alzheimer's disease and their loved ones will likely find their lives dramatically altered after the onset and diagnosis of AD. Certainly, the person who develops the disease is facing a life-altering and ultimately terminal disease. However, because of the intensive care needed by people with advanced Alzheimer's, and the pain involved in watching a loved one gradually lose their cognitive abilities, some people wonder if the caregivers endure more than the person with the disease.
Every case of Alzheime...
Source: Minding Our Elders - May 31, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
Premature babies grow up. It ’s time to pay attention.
Premature babies (a.k.a. preemies) and their families are increasingly becoming a powerful voice in society. Life in and after the neonatal intensive care unit (NICU) is like being dropped off a cliff. I support the preemie community from pregnancy to NICU to home and into the adult years because I had a preemie. My daughter’sRead more …Premature babies grow up. It’s time to pay attention. originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - May 24, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/post-author/deb-discenza" rel="tag" data-wpel-link="internal" > Deb Discenza < /a > < /span > Tags: Conditions Pediatrics Source Type: blogs
Rehab Fails: What goes wrong in rehab 4
It’s not hard to choose rehab fails, the problem is more about when to stop! I tell a lie, it’s more about how to make changes so these things don’t happen.
Today’s #rehabfail is all about attempting to carve bits of a person off so each profession gets “their” bit to do with what they will. Oh boy, this is a doozy, and it comes to me off the back of seeing the return of the age-old argument about whether pain is “all about the bio” or whether the person gets a look-in. Cuz if it’s all bio then we just treat that bio and be done with it, right? It’s a question ...
Source: HealthSkills Weblog - April 10, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Interdisciplinary teams Pain Pain conditions Professional topics biopsychosocial Chronic pain Health healthcare pain management Research Therapeutic approaches Source Type: blogs
Welcome To The Virtual Ward!
The expression ‘virtual ward’ is trending. But is it just the expression we hear about more often, or is there a real trend? And by the way: what is a virtual ward? And what is it good for?
It is yet difficult to find one, generally accepted definition for the new phenomenon. The same phrase is used for a number of quite different solutions. For the sake of understanding, here is what we think about when we speak of virtual wards.
“A virtual ward is a solution that supports patients who would otherwise be in hospital to get the acute care, remote monitoring and treatment in their own homes, with the use o...
Source: The Medical Futurist - April 5, 2022 Category: Information Technology Authors: Andrea Koncz Tags: TMF Artificial Intelligence in Medicine Digital Health Research E-Patients Future of Medicine Health Sensors & Trackers Healthcare Policy Telemedicine & Smartphones virtual ward Source Type: blogs
Weekly Australian Health IT Links – 28 March, 2022.
ConclusionsThis review provides a (1) comprehensive data map for PPH for obesity in Queensland and (2) globally translatable framework to identify, collate and appraise primary data sources to advance PPH for obesity and other noncommunicable diseases. Significant challenges must be addressed to achieve PPH, including: using designed and organic data harmoniously, digital infrastructure for high-quality organic data, and the ethical and social implications of using consumer-centred health data to improve public health.Note: Found the #myHR not much use-----https://au.hudson.com/jobview/aps-6-complex-services-manager/e596db...
Source: Australian Health Information Technology - March 28, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Balancing care during COVID
I started this commentary when the initial COVID spike involving the mass hospitalization of unvaccinated individuals occurred, and non-COVID patients requiring hospitalization were turned away because no beds, especially in intensive care, were available. Some patients traveled hours to find vacant beds, and a few even died! I put the draft aside as COVID declinedRead more …Balancing care during COVID originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 22, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/m-bennet-broner" rel="tag" > M. Bennet Broner, PhD < /a > < /span > Tags: Conditions COVID Infectious Disease Source Type: blogs
The Pandemic And The Atrophy of Primary Care
Steven H Miles, MD
For the first part of my medical career, I worked in intensive care units, hospitals, clinics, and nursing homes. Every morning I got a note telling me which of my patients were hospitalized. I was expected to see them. I made house calls to families in crisis (although this was being suppressed and so I did this off duty). When families or patients were frightened, usually by medical instability or the imminence of death, I wrote my phone number on my business card and gave it to them.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - January 3, 2022 Category: Medical Ethics Authors: Steven Miles Tags: Clinical Ethics Featured Posts Source Type: blogs
PM Scott Morrison Seems To Say That You Are On Your Own If You Get COVID19!
This appeared an hour or so ago:
Scott Morrison says healthcare system can cope despite warnings of Covid-19 pressure Scott Morrison has called for people to ‘manage their own health’ as hospital staff and paramedics feel the strain of soaring Covid-19 cases. Catie McLeod January 3, 2022 - 9:20AM NCA NewsWire Rising Covid-19 cases and hospitalisations continue to put enormous pressure on parts of Australia’s healthcare system as hospitals grapple with staff shortages and ambulances are delayed. There are at least 188,000 active coronavirus cases in the country, with almost 2000 people in hospital and almost 150 pat...
Source: Australian Health Information Technology - January 3, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
How to check for pulsus paradoxus?
Pulsus paradoxus is an exaggeration of the normal inspiratory fall in blood pressure. The paradox in pulsus paradoxus is that the pulse is not well felt when the heart sounds are still audible. The extent of fall in inspiratory pressure can be documented using a sphygmomanometer.
Pulsus paradoxus
Pulsus paradoxus is the typical finding in cardiac tamponade, though it can occur more commonly in obstructive airways disease. In obstructive airways disease, it is due to the wide swing in intrathoracic pressure. Other less likely causes are constrictive pericarditis and restrictive cardiomyopathy. It has also been reported in ...
Source: Cardiophile MD - December 31, 2021 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: General Cardiology Source Type: blogs
The Limits of Advance Care Planning
by Michael Pottash (@mpottash)Several luminaries of palliative care – writing in the Journal of the American Medical Association– recently outlined a strong case against advance care planning, referring specifically to advance directives and the efforts to plan for a future illness state. Planning for the end of life and documenting preferences was meant to improve “goal-concordant care” by providing a road map of a pe rson’s wishes for the end of their life when they can no longer communicate for themselves.When the Unitde States Supreme Court ruled against the family of Nancy Cruzan, they effectively placed a l...
Source: Pallimed: A Hospice and Palliative Medicine Blog - November 22, 2021 Category: Palliative Care Tags: acp advance care planning pottash Source Type: blogs
Developments In Psychology ’s Covid Research
By Emma L. Barratt
Early in the pandemic, there was a rapid shift in the pace of research. With the situation evolving quickly, lockdowns coming into effect, and the massive loss of life that followed, researchers across academia were racing against the clock to produce papers.
This haste was unusual for most scientists, more used to detailed scrutiny, further investigations, and collaboration. As a result, some were concerned about the rigour of papers that would ultimately see the light of day. Early on, psychologist Vaughan Bell tweeted with regards to Covid research, “If it’s urgent, the urgency is to ...
Source: BPS RESEARCH DIGEST - November 8, 2021 Category: Psychiatry & Psychology Authors: BPS Research Digest Tags: Coronavirus Feature Source Type: blogs
