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Skin Failure: An Emerging Concept
This post is based on my article that recently appeared in the Journal of the American Medical Directors Association. Skin failure is an emerging concept that ties together current trends in clinical practice and deserves wider acceptance. Wound care providers have long recognized that skin failure exists, but adoption of the name has been limited due to confusion as to its clinical manifestations. Terms such as Kennedy ...Read More (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - September 25, 2016 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Featured Pressure Ulcers & Wound Care bedsores decubiti decubitus ulcer Healthcare Quality iatrogenic Improving Medical Care Jeffrey M Levine MD pressure sores unavoidable wound healing Source Type: blogs

STEMI versus ventricular aneurysm: two ECG prediction tools
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - September 20, 2016 Category: Internal Medicine Tags: cardiovascular Source Type: blogs

Pulmonary manifestations of Sjogren's syndrome
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - September 20, 2016 Category: Internal Medicine Tags: pulmonary rheumatology Source Type: blogs

Subway Inspiration
Recently I’ve gotten into the habit of carrying my sketchbooks onto the subway. More crowded than ever, the NY subway is an endless kaleidoscope of people, fashion, and color. This post presents some of my favorite work based on scenes in and around the subway. Some were completed on-site, some were started in the subway and completed in the studio, and some were total studio ...Read More (Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers)
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - September 18, 2016 Category: Geriatrics Authors: Jeffrey M. Levine MD Tags: Art & Medicine art and medicine Jeff Levine MD Jeffrey M Levine MD painting sketchbook urbansketchers watercolor Source Type: blogs

Who Makes Insurance Companies Require MOC?
One of the largest reason physicians must participate in the ABMS Maintenance of Certification (MOC) program is because insurance companies demand it. At least this is what the NCQA would like us to believe. Those "evil-doer" insurance companies! But it is the National Committee for Quality Assurance (NCQA), heavily marketed (video) by the likes of Atul Gwande, MD, that set the rules about (Source: Dr. Wes)
Source: Dr. Wes - September 17, 2016 Category: American Health Authors: DrWes Source Type: blogs

Stress ulcer prophylaxis: an example of a non evidence based “standard of care”
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - September 14, 2016 Category: Internal Medicine Tags: gastroenterology hospital medicine Source Type: blogs

The emerging link between community acquired pneumonia and cardiac disease
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - September 13, 2016 Category: Internal Medicine Tags: cardiovascular infectious disease pulmonary Source Type: blogs

Thrombocytopenia as a prognostic marker in septic shock
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - September 12, 2016 Category: Internal Medicine Tags: critical care hematology hospital medicine Source Type: blogs

TIMI and GRACE perform poorly in the evaluation of patients presenting with chest pain to the ER
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - September 10, 2016 Category: Internal Medicine Tags: cardiovascular Source Type: blogs

TPA administration in patients with stroke mimic
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - September 9, 2016 Category: Internal Medicine Tags: neurology Source Type: blogs

In ordering troponins, consider the pretest probability
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - September 8, 2016 Category: Internal Medicine Tags: cardiovascular hospital medicine Source Type: blogs

A Rebuttal to ABIM President and CEO's Defense of MOC
In August, Medical Economics published an interview with Richard Baron, MD entitled: "The Man Behind MOC Defends the Program Against Critics." Medical Economics then solicited practicing physicians to write a rebuttal. I accepted, but with a warning: @MedEconomics @DrLaurieG Happy to do so but come with a warning label: I will not mince words. — Westby Fisher, MD (@doctorwes) August 7, 2016 (Source: Dr. Wes)
Source: Dr. Wes - September 7, 2016 Category: American Health Authors: DrWes Source Type: blogs

TTP presenting as complete heart block
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - September 7, 2016 Category: Internal Medicine Tags: cardiovascular hematology Source Type: blogs

Medical and surgical treatment of primary aldosteronisn
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - September 7, 2016 Category: Internal Medicine Tags: endocrinology nephrology Source Type: blogs

How the ABMS MOC Program Threatens Major Medical Journal Integrity
They are two of the most prestigious academic journal's in the United States: the New England Journal of Medicine (NEJM) and the Journal of the American Medical Association (JAMA). Both have published extensively on the American Board of Medical Specialties' (ABMS) Maintenance of Certification (MOC) program. Both have clear rules requiring full disclosure of conflicts of interest: the NEJM has (Source: Dr. Wes)
Source: Dr. Wes - September 4, 2016 Category: American Health Authors: DrWes Source Type: blogs