Editorial: Disability, Aging, and the Importance of Recognizing Social Supports in Medical Decision Making
By Kevin Mintz, PhD and David Magnus, PhD
Note: The following editorial was recently published in the American Journal of Bioethics, Volume 21, Issue 11 (2021).
The two target articles in this issue draw an important connection between disability bioethics and geriatric bioethics. Dominic JC Wilkinson (2021) makes a pragmatic case for using frailty as a factor in the allocation of scarce resources in the Intensive Care Unit (ICU), arguing that doing so avoids ableist and ageist objections. Meanwhile, Andrew Peterson, Jason Karlawish, and Emily Largent (2021) articulate a framework that places supported decision-mak...
Source: blog.bioethics.net - October 29, 2021 Category: Medical Ethics Authors: David Magnus Tags: Disability Editorial-AJOB Featured Posts Health Disparities Justice Social Justice decision making Source Type: blogs
COVID ravaged my mother ’s body
The day that my 82-year-old mother was scheduled to receive her first COVID vaccine, she was admitted to the intensive care unit, critically ill with COVID pneumonia. It was late January. My siblings and I hadn ’t heard from our mother in a few days, and we were worried because she lived alone. Joanie was aRead more …COVID ravaged my mother’s body originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 27, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/judith-markey" rel="tag" > Judith Markey, PsyD < /a > < /span > Tags: Conditions COVID-19 coronavirus Infectious Disease Source Type: blogs
Swoop Portable MRI: Interview with David Scott, President and CEO of Hyperfine
Hyperfine, a company based in St Guilford, Connecticut, created Swoop, a portable MRI scanner. The device received FDA approval as the first bedside MRI scanner in 2020, and a recent study has shown that it can help to accurately spot hemorrhagic stroke, detecting 85 of 88 blood-negative cases (96.6% specificity).
Rapid detection is important for successful treatment of strokes, and helps ensure the best outcomes for patients. The device can be wheeled up to a patient’s bed and powered through a standard wall outlet. This is beneficial for critically ill patients, who may be risky to move. Clinicians can acquire and v...
Source: Medgadget - October 1, 2021 Category: Medical Devices Authors: Conn Hastings Tags: Emergency Medicine Neurology Orthopedic Surgery Pediatrics Radiology Source Type: blogs
EXALT Model B Single-Use Bronchoscope: Interview with Dave Pierce, Boston Scientific
Boston Scientific recently announced FDA clearance of the EXALT Model B single-use bronchoscope, intended for bedside procedures in intensive care units or in the operating room. As a single-use device that boasts high quality imaging and suction capabilities, the bronchoscope is ready to go out of the packaging, which means it mitigates the risk of infection posed by ineffective device reprocessing between patients. In the midst of the COVID-19 pandemic, when healthcare staff are working hard to prevent viral transmission within healthcare facilities, the scope will likely prove particularly useful.
Device reprocessing...
Source: Medgadget - September 9, 2021 Category: Medical Devices Authors: Conn Hastings Tags: Critical Care Exclusive Medicine Surgery Thoracic Surgery Source Type: blogs
Does Our Healthcare System Work for the Most Vulnerable Americans?
By DEBORAH AFEZOLLI, CARL-PHILIPPE ROUSSEAU, HELEN FERNANDEZ, ELIZABETH LINDENBERGER
“Why did you choose this field?” Most physicians are asked this question at some point in their early careers. We are geriatrics and palliative medicine physicians, so when that question is posed to us, it is invariably followed by another: “Isn’t your job depressing?”
No, our job is not depressing. We are trained in the care of older adults and those with serious illness, and we find this work very rewarding. What truly depresses us is how many vulnerable patients died during the pandemic, and how the scourge of COVI...
Source: The Health Care Blog - September 3, 2021 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Medical Practice Patients Physicians Carl-Philippe Rousseau Deborah Afezolli Elizabeth Lindenberger Geriatrics Health policy Helen Fernandez Palliative Care Source Type: blogs
CIO Podcast – Episode 13: Lori Sturgill – From Cardiac Tech to Healthcare CIO
For the 13th episode of the CIO podcast hosted by Healthcare IT Today, we sat down with Lori Sturgill, CIO at St. Francis Healthcare System. One thing that’s amazing about Sturgill is that she went from being a Cardiac Intensive Care Technician to becoming CIO. That’s quite the career path and you’ll hear about how […] (Source: EMR and HIPAA)
Source: EMR and HIPAA - August 16, 2021 Category: Information Technology Authors: John Lynn Tags: C-Suite Leadership Featured Editorial Health IT Company Healthcare CIO Podcasts Healthcare IT Hospital - Health System CIO Leadership Epic Epic EHR Epic History Female Healthcare CIO Health Connect Partners Healthcare Leadership Source Type: blogs
Reverse Potts Shunt for Pulmonary Arterial Hypertension in Children
Potts shunt was a surgical anastomosis between left pulmonary artery and descending aorta to improve pulmonary blood flow in cyanotic congenital heart disease with decreased pulmonary blood flow. It is a systemic to pulmonary shunt. The report was published one year after the Blalock-Taussig shunt which was also used for a similar purpose [1]. Later Potts shunt like other central aortopulmonary shunts, were discontinued because of higher risk of excessive pulmonary blood flow. A modified Blalock-Taussig shunt is still in use.
Reverse Potts shunt is a pulmonary to systemic shunt for relieving pulmonary arterial hypertensio...
Source: Cardiophile MD - August 4, 2021 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Cardiology Source Type: blogs
Shift Happens
Dataset shift can thwart the best intentions of algorithm developers and tech-savvy clinicians, but there are solutions.John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.Generalizability has always been a concern in health care, whether we ’re discussing the application of clinical trials or machine-learning based algorithms. A large randomized controlled trial that finds an intensive lifestyle program doesn’t reduce the risk of cardiovascular complications in Type 2 diabetics, for instance, suggests the...
Source: Life as a Healthcare CIO - July 28, 2021 Category: Information Technology Source Type: blogs
Health Care Should Go (Micro) Nuclear
By KIM BELLARD
I think of hospitals as the healthcare system’s nuclear power plants. They’re both big, complex, expensive to build, beset with heavy regulatory burdens, consistently major components of their respective systems (healthcare and electric generation) yet declining in number. Each is seen to offer benefits to many but also to pose unexpected risk to some.
Interestingly, there’s a “micro” trend for each, but aimed towards different ends.
Micro hospitals have been with us for several years. They usually have only around ten beds, along with an emergency room, lab and imaging.&...
Source: The Health Care Blog - July 21, 2021 Category: Consumer Health News Authors: Christina Liu Tags: Health Tech Kim Bellard nuclear power Source Type: blogs
Diagnosis: malformation of a health care system
In recent years, we have seen a magnificent increase in the accuracy of medical diagnoses. As the most compelling example, l propose the diagnosis provided by our country ’s top clinicians with regard to what ails our health care system. Seasoned veterans of outpatient clinics, emergency rooms, intensive care units, hospital wards, and operating suites, theyRead more …Diagnosis: malformation of a health care system originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 17, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/jeffrey-fraser" rel="tag" > Jeffrey Fraser, MD < /a > < /span > Tags: Policy Public Health & Source Type: blogs
A morning code blue for a COVID patient
An excerpt from An Eschatological Isolation. At 12:11 p.m., the overhead speaker announced: “Code Blue, Three West.” She repeated, “Code Blue, Three West.” Shit. I started my stopwatch and saved the patient note I was writing in the back office of Three West, the intensive care unit of a community hospital in Tampa Bay. AlreadyRead more …A morning code blue for a COVID patient originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 16, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/ammura-hernandez" rel="tag" > Ammura Hernandez, MD < /a > < /span > Tags: Physician COVID-19 coronavirus Hospital-Based Medicine Infectious Disease Source Type: blogs
An ER in Kathmandu during the pandemic: a lesson on motivation
It was 2:00 a.m. I had just finished shifting a severe coronavirus disease (COVID-19) pneumonia/ARDS patient to the intensive care unit (ICU) after he was intubated in the emergency room (ER). The ER was teeming with patients awaiting admission. For new patients to get a bed, some admitted ones have to be discharged or dead.Read more …Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - June 25, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/bijay-phuyal" rel="tag" > Dr. Bijay Phuyal < /a > < /span > Tags: Physician Emergency Medicine Source Type: blogs
NC Pediatricians/Physicians RISE Against CHEAP/PROFITEERING Hospital Executives: Maybe I'm Not " Disgruntled " . . . Or " Disruptive " . . . OR ALONE . . . After All.
First, read the following article (linked in red) at North Carolina Health News - " lifted " from a story/letter published at the Charlotte Ledger:The doctor won ' t see your newborn now - North Carolina Health NewsIt only under-scores the cheap, supremely arrogant C-Suite mind-set that I ' ve been blogging about . . . and fighting . . . as an inpatient Pediatrician covering the duty in small/rural/community hospitals in NC and Virginia . . . for over 20 years.Pediatricians that work for hospitals are " a-dime-a-dozen " . We ' re " interchangeable light bulbs " . We can be " replaced by nurses " . The gen...
Source: Dr.J's HouseCalls - June 23, 2021 Category: American Health Tags: ApolloMD APRN Central Carolina Hospital CMS Duke Lifepoint JCAHO LDRP medical scope creep Mother-Baby Care Pediatric Hospitalist Pediatrics Quality Assruance Source Type: blogs
Percutaneous left ventricular assist devices
This study also documented significantly greater increases in cardiac index and mean arterial blood pressure as well as significantly greater decreases in pulmonary capillary wedge pressure with TandemHeart. Severe adverse events and overall mortality were not significantly different between the two groups.
So we need more large scale studies on both types of percutaneous left ventricular assist devices and possibly improvements in their technical aspects to have a greater impact on survival in cardiogenic shock. Ongoing DanShock trial is one such study to look forward to.
References
Ergle K, Parto P, Krim SR. Percutaneou...
Source: Cardiophile MD - June 22, 2021 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Cardiology Source Type: blogs
