Doctors with borders
During my internal medicine internship in 1980 a professor chided our team because housestaff no longer prepared and interpreted peripheral blood smears. He scoffed that they don’t make doctors like they used to. I have heard similar lamentations through the years. I imagine that millennia ago Galen griped that his apprentices did not examine phlegmRead more …Doctors with borders originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 30, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/david-a-goodkin" rel="tag" > David A. Goodkin, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Nephrology Source Type: blogs
Update on management of the acute abdomen in critically ill patients
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - August 11, 2021 Category: Internal Medicine Tags: critical care gastroenterology hospital medicine Source Type: blogs
The fight to curb antimicrobial resistance: how are we doing?
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - August 11, 2021 Category: Internal Medicine Tags: hospital medicine infectious disease pharmacology quality and safety Source Type: blogs
The future of general internal medicine is bright
A 2020 President ’s Message by Dr. Douglas DeLong struck a reassuring, optimistic note regarding the future of general internal medicine, a primary care specialty that has struggled in the last decade with decreasing numbers of residents choosing to join its ranks. Data shows that since 2011, the percentage of U.S .-trained physicians who have matched intoRead more …The future of general internal medicine is bright originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 2, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/betty-rabinowitz" rel="tag" > Betty Rabinowitz, MD < /a > < /span > Tags: Physician Primary Care Source Type: blogs
Psychiatrists can be valuable vaccine educators
When watching the news or reading articles about COVID-19, the physicians who contribute are often in internal medicine, epidemiology, emergency medicine, etc. You do not typically see psychiatrists contributing to discussions on the virus itself but more about the mental health ramifications of COVID-19. Psychiatrists are also not often considered integral in the role ofRead more …Psychiatrists can be valuable vaccine educators originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 22, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/katherine-gantz-pannel" rel="tag" > Katherine Gantz Pannel, DO < /a > < /span > Tags: Physician COVID-19 coronavirus Infectious Disease Source Type: blogs
Problems With Epic ’s Sepsis Prediction Model Underscore Larger Issues With Algorithmic Prediction Models
Recently, a small blaze of negative publicity erupted when research was published suggesting that Epic’s deterioration index designed to predict the onset of sepsis performs far worse than the vendor claims. Researchers behind the study, which appears in JAMA Internal Medicine, examined a cohort of 27,697 patients undergoing 38,455 hospitalizations, concluding that sepsis occurred in […] (Source: EMR and HIPAA)
Source: EMR and HIPAA - June 29, 2021 Category: Information Technology Authors: Anne Zieger Tags: AI/Machine Learning EMR-EHR Health IT Company Healthcare IT Hospital - Health System Epic Epic AI Epic Analytics Epic Artificial Intelligence Epic Deterioration Index Healthcare Predictive Analytics JAMA Sepsis Alerts Sepsis Pred Source Type: blogs
Becoming The Patient: My turn on the other side of the stethoscope
A few months ago I had a virtual visit with a new primary care physician. My prior primary care physician had left the practice and I had to find a new one. I’ll admit that I was sheepish. You see, although I am a physician I will be the first to admit that there is a lot I am not doing to take care of my own health.
One major area for improvement is lifestyle — specifically my diet and exercise. As we spoke she summarized: “you know what to do; how do you we get you there?”
And so, the physician became the patient.
I speak to many patients about what they should be doing. Speaking/teachi...
Source: JeffreyMD.com - June 29, 2021 Category: Internal Medicine Authors: Dr. Jeff Tags: My Life Source Type: blogs
Health Tech: Part II –Powering Up The Vision
By MIKE MAGEE
Few can disagree that, in the fog of the Covid 19 pandemic, health technology entrepreneurs have been on a tear. In the first year of Covid’s isolation induced new reality, digital health companies experienced a $21.6 billion investment boost, double that of the prior year, and four times 2016 funding.
By year two, the investment community exhibited some signs of self-restraint by raising a few open ended questions. For example, in early 2021, Deloitte & Touche led a Future of Health panel at the J.P. Morgan Healthcare conference, reporting that “panelists suggested that entrepreneurs need to go...
Source: The Health Care Blog - June 28, 2021 Category: Consumer Health News Authors: Christina Liu Tags: Health Tech Mike Magee Source Type: blogs
Health Tech, Part I: Where We Are Going, Not Just How Fast We Can Get There
By MIKE MAGEE
What will be the lasting impact of the Covid 19 pandemic?
We still don’t know the answer to that question in full. But one thing that can be said with some certainty is that it has strengthened the hand of Big Tech and all things virtual. Consider the fact that within the Biden White House administration, 13 senior aides have Big Tech resumes with time spent in firms like Google, Facebook, Twitter, Apple, Amazon, Microsoft and more.
This pandemic-induced scrape with mortality has instigated widely varied responses ranging from existential re-awakenings to explosive entrepreneurship.
In health ca...
Source: The Health Care Blog - June 25, 2021 Category: Consumer Health News Authors: Christina Liu Tags: Health Tech Health Technology Biotech Mike Magee Source Type: blogs
Postprandial syncope : Incidence, mechanism & hemodynamics.
Syncope is one of the common, yet difficult symptoms to evaluate especially in the elderly. Post-prandial syncope is one condition likely to be missed out.As the name suggests It has a distinct relationship with food intake. Mild fall in postprandial BP is an expected response but if it exceeds a limit* syncope is triggered. (*Highly variable)
Hemodynamics of Postprandial state
Normally splanchnic circulation demands up to a 25% increase in blood volume after a moderately large meal.
When this happens there must be compensatory vasoconstriction elsewhere especially in muscles. Lack of this respon...
Source: Dr.S.Venkatesan MD - June 24, 2021 Category: Cardiology Authors: dr s venkatesan Tags: Cardiology -Clinical signs Cardiology -Definitions Cardiology -Hemodynamics Cardiology -Mechnisms of disease Syncope gastrointestinal cause for syncope orthostatic vs postprandial hypotension post prandial hypotension post-prandial hypoten Source Type: blogs
Primary aldosteronism: an update
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - June 11, 2021 Category: Internal Medicine Tags: cardiovascular endocrinology nephrology Source Type: blogs
Procalcitonin guided antibiotic treatment is beneficial in a variety of infections
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - June 3, 2021 Category: Internal Medicine Tags: hospital medicine infectious disease Source Type: blogs
PROP ’s Disproportionate Influence on U.S. Opioid Policy: The Harms of Intended Consequences
ConclusionDespite being turned back from an effort to bluntly reduce opioid prescribing by the FDA in 2013 based on a lack of scientific evidence for its position (17,18), PROP has had a disproportionate effect on opioid policy in the Untied States for almost a decade. PROP found a willing federal regulatory partner in the CDC, and while PROP may not have “secretly written” the 2016 CDC Pain Guidelines (75), they certainly enjoyed disproportionate representation on CDC’s review panels and Core Expert Group (23-25) in a process that lacked transparency (22, 23, 26, 27). When the CDC admitted that its Pain Guideline ha...
Source: Pallimed: A Hospice and Palliative Medicine Blog - May 3, 2021 Category: Palliative Care Tags: CDC health policy kollas opioids pain prop Source Type: blogs
