Does non -IRA lesion status confuse you : Try a blind primary PCI !
Primary PCI of IRA is a legally, & globally validated (of course with lots of ifs & buts) coronary reperfusion strategy.
What to do, if we happen to detect, a significant or borderline lesion in non- IRA territory ?
There are too many guidelines scattered across cardiology literature either to “help or confuse” us. They argue for either immediate intervention , defer transiently, postpone or just ignore it , based on clinical ,hemodynamic*, Individual, institutional , or some other non academic factors. (Permanently deferred PCI is other wise called medical management is practiced by s...
Source: Dr.S.Venkatesan MD - April 13, 2024 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs
Does the “ Non -IRA ” lesion status confuse you often ?..Try a blind primary PCI !
Primary PCI of IRA , continues to be a clinically & statisticaly validated (Inspite of some ifs & buts) coronary reperfusion strategy.
What to do, if we happen to detect, a significant or borderline lesion in non- IRA territory ?
There are too many guidelines scattered across cardiology literature either to “help or confuse” us. They argue for either immediate intervention , defer transiently, postpone or just ignore it , based on clinical ,hemodynamic*, Individual, institutional , or some other non academic factors. (Permanently deferred PCI is other wise called medical management is prac...
Source: Dr.S.Venkatesan MD - April 13, 2024 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs
We Da Peeps
In the previous post I listed some structural and contingent reasons why the relationship between voting and any idea of popular sovereignty is problematic. I didn ' t even mention some of the specific kludgy features of the U.S. system, such as the overrepresentation of small states in both the Senate and the Electoral College, which is itself an unwieldy and dangerous anachronism; gerrymandering; and obstacles to voting.However, let ' s assume we had none of those problems. In fact, propose a fantasy world in which we either had direct democracy -- all legislation by referendum -- or that representatives had to take a hi...
Source: Stayin' Alive - April 12, 2024 Category: American Health Source Type: blogs
More Poli-sci
This post will be in two parts -- or maybe I ' ll just get to one part now and do the second part separately, we ' ll see how it goes. The first part is some empirical true facts about elections and electoral democracies, or republics if you prefer to use that term for representative systems such as ours. I don ' t want to get hung up on vocabulary. The second is philosophical -- how should we understand democracy, popular rule, We The People? How does that work and how can it work and how should it work?So, Part One. Many people assume that elections and the resulting legislative and executive (and in some states, judicia...
Source: Stayin' Alive - April 11, 2024 Category: American Health Source Type: blogs
Political Science
I always do my best to write clearly and precisely, but it seems I don ' t always manage to get my meaning across. So let ' s try a couple of ideas again. Please read carefully, and think about what I actually write, not what you think I might think or what other people think. The First Amendment applies only to government. It constrains what government can do, it does not place any constraint of any kind on any other entity. The courts have interpreted it a bit more broadly than its literal language. If " congress shall make no law . . . " then the executive cannot have any legal authority to do what no law permits. ...
Source: Stayin' Alive - April 10, 2024 Category: American Health Source Type: blogs
Lilly's Carelessness in Discontinuing 3 mL vials of Humalog Causes Shortages in 10 mL vials of Humalog + Unbranded Lispro
Last week, the JDRF shared newshttps://x.com/JDRF/status/1770848177354137650 in a series of three Tweets about how Eli Lilly& Company, Inc. was reporting that 10 mL vials of Humalog and the company ' s identical, unbranded (meaning Lilly sells it using the generic drug name rather than brand-name Humalog) version of Humalog known as Lilly Insulin Lispro Injection could be facing temporary lack of availability in selected locations around the country. Lilly tried to reassure everyone that it was only a temporary issue. But while Lilly complains it cannot keep up with demand for Mounjaro/Zepbound, it is having its own su...
Source: Scott's Web Log - April 9, 2024 Category: Endocrinology Tags: Eli Lilly and Company 2024 Humalog lispro vials Source Type: blogs
Case Western Reserve University ’s Law-Medicine Center Presents Judicial Review of Public Health Laws: From Deference to Indifference with Wendy E. Parmet
.; 12:00PM – 1:00PM on Tuesday, April 16th, 2024. The Elena and Miles Zaremski Law Medicine Forum presents Judicial Review... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - April 9, 2024 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs
Dump Punts
Apparently realizing that they were caught on the horns, as it were, the dumpsters handlers wrote a statement for him in which he tried to split the baby by saying that abortion policy should be left entirely up to the states. Presumably he agreed to this although his dementia is too far advanced for him to have written the statement.The whole issue has never been anything but opportunism for him. He proclaimed himself to be a strong supporter of abortion rights until he decided to run for president as a Republican, and then he had a very difficult time articulating exactly what he thought about the entire question until t...
Source: Stayin' Alive - April 8, 2024 Category: American Health Source Type: blogs
Plaintiff attorneys and their contingency fees: causes of chaos in medical malpractice litigation
In the English Rule, the losing party in a lawsuit pays all legal costs. It is accepted worldwide; however, in the United States, it was replaced by the American Rule. In the American Rule, both the plaintiff and defendant in a lawsuit pay their own legal costs. Of course, there are exceptions. In theory, the
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Plaintiff attorneys and their contingency fees: causes of chaos in medical malpractice litigation originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 8, 2024 Category: General Medicine Authors: Howard Smith, MD Tags: Physician Malpractice Source Type: blogs
Complexity and chronic pain*
*Persistent didn’t alliterate so well!
I’ve been pondering what makes persistent pain so complicated? What is it about this problem that means clinicians use terms like ‘heart-sink’, or ‘problematic’, or ‘difficult’ when they talk about people living with pain?
While nociception and all the associated neurobiological processes associated with pain are undoubtedly complex (and poorly understood), I don’t think this is what people mean when they describe chronic pain is complex. After all, there are loads of body systems and disease processes that are complex.
I...
Source: HealthSkills Weblog - April 7, 2024 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Professional topics Science in practice healthcare pain management Source Type: blogs
Sunday Sermonette: The usual BS
We now have three fairly short pieces, all of which are in the same vein. The righteous will prosper, the wicked will have their downfall. Sad to say, it just ain ' t so, and repeating it every Saturday won ' t make it true. If we want the righteous to flourish, and the wicked to have their downfall, we need to make it happen ourselves. God is of no help.A Psalm. A Song for the Sabbath.92 It is good to give thanks to theLord, to sing praises to thy name, O Most High;2 to declare thy steadfast love in the morning, and thy faithfulness by night,3 to the music of th...
Source: Stayin' Alive - April 7, 2024 Category: American Health Source Type: blogs
More on Freeze Peach
This is a topic I address from time to time, but it seems a new post is needed now because of various nonsense that ' s going on. First, let me make one thing perfectly clear, as a man we would all like to forget used to say: free speech and academic freedom are not the same. Legally, the only meaning of Free Speech ™ is the First Amendment, as interpreted by the courts. Originally it applied only to the federal government, but the 14th Amendment extended the protections of the Bill of Rights to the States, so it now applies to all government entities within the United States, and that includes your small tow n Board of ...
Source: Stayin' Alive - April 4, 2024 Category: American Health Source Type: blogs
Rise of mega payouts: Physicians are now the white whales
In recent years, malpractice attorneys have intensified their efforts to target physicians, becoming more aggressive in their pursuit of legal action. This relentless pursuit can be likened to Captain Ahab’s relentless quest for the white whale in the famous novel Moby Dick. The landscape has become increasingly challenging for physicians, as recent tort reform legislation
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Rise of mega payouts: Physicians are now the white whales originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 4, 2024 Category: General Medicine Authors: Jay K. Joshi, MD & Will Medical Facial Recognition Technology (mFRT) Reawaken Eugenics?
By MIKE MAGEE
How comfortable is the FDA and Medical Ethics community with a new super-charged medical Facial Recognition Technology (mFRT) that claims it can “identify the early stages of autism in infants as young as 12 months?” That test already has a name -the RightEye GeoPref Autism Test. Its’ UC San Diego designer says it was 86% accurate in testing 400 infants and toddlers.
Or how about Face2Gene which claims its’ mFRT tool already has linked half of the known human genetic syndromes to “facial patterns?”
Or how about employers using mFRT facial and speech patterns to identify employees likely t...
Source: The Health Care Blog - April 4, 2024 Category: Consumer Health News Authors: matthew holt Tags: Uncategorized Source Type: blogs
Proposition 12 and a Patchwork Problem: The Need for a Federal Standard for Farm Animal Confinement Laws
Michelle Sutton (Texas Tech University), Proposition 12 and a Patchwork Problem: The Need for a Federal Standard for Farm Animal Confinement Laws, 57 Tex. Tech L. Rev. (forthcoming 2024): Animal agriculture producers strive to provide a safe and sustainable supply... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - April 4, 2024 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs
