CPOE Humor Memes. (Laugh Q 1 Hour PRN Scheduled Routine Stat)
If you're looking for a little CPOE humor, look no further. CPOE stands for Computerized Physician Order Entry. CPOE provides a perfect opportunity for good humor. Their ain't nothin' funnier in this world than watching emotional breakdowns in middle-aged 1%ers as they try to navigate C-B-C on a standard English keyboard that hasn't changed in centuries. No matter what your position is on physician order entry, we can all agree on one thing: If you can't laugh at yourself, the Happy Hospitalist will do it for you. What you'll find here is a fine assortment of original (and not so original) ...
Source: The Happy Hospitalist - May 5, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Critical Care Compendium update
LITFL’s Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care.
Currently there are almost 1,500 entries with more in the works… Some pages are more developed than others, and all the pages are being constantly revised and improved. Links to new references and online resources are added daily, with an emphasis on those that are free and open access (FOAM!).
These pages originated from the FCICM exam study notes created by Dr Jeremy Fernando in 2011, and have been updated, modified and added to since. As such will be particularly us...
Source: Life in the Fast Lane - November 17, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Critical Care Compendium Education eLearning Emergency Medicine Featured CCC LITFL collection Source Type: blogs
Pharmalot... Pharmalittle... Good Morning
Rise and shine, everyone, another hectic day is on the way. And this may be a soggy one, unfortunately. But we will persevere, nonetheless, as our spirits remain sunny. Once again, let us recall what the Morning Mayor used to say: Every brand new day should be unwrapped like a precious gift. How bad can a little rain and cloudy skies really be? While you ponder, here are some tidbits. As always, have a great day and do stay in touch...
Glaxo Sells The Bad With The Good In New Safety Push (Bloomberg News)
Bayer Seeks Wider Use For Eylea Eye Drug In Europe (Reuters)
Novartis To Boost Boston R&D HQ By 150 Jobs (The Boston...
Source: Pharmalot - November 7, 2013 Category: Pharma Commentators Authors: esilverman Source Type: blogs
Healthcare Update Satellite — 11-04-2013
See more medical news from around the web on my other blog at DrWhiteCoat.com
72 year old Connecticut patient awarded $9.3 million after being hospitalized for UTI, then given overdose of Lovenox. She developed intra-abdominal bleeding and required several surgeries and blood transfusions to correct the problem. She also developed a large abscess at the site of a central line insertion. Attorneys for the patient say that it was “an understatement” to say that the standard of care was violated.
One of the ideas behind providing more patients with “insurance” (not with “health care,” mind you) is that the insured...
Source: WhiteCoat's Call Room - November 5, 2013 Category: Emergency Medicine Doctors Authors: WhiteCoat Tags: Healthcare Update Source Type: blogs
Worrier In Chief
Saul couldn't have been a nicer guy. The story behind his arrival to the nursing home was long and sorted. But now we had a black gangrenous foot to deal with. The culprit, not the toe ulcer that brought him in to the hospital in the first place, but small thrombosed blood vessels from heparin induced thrombosis and thrombocytopenia, a reaction to a medication given as a precaution.
The vascular surgeon was equivocal, amputation versus watchful waiting. Toes can autonecrose (self amputate), but when the black tide of dead tissue spread towards the ankle our options became limited. As the white count began to rise, I had t...
Source: In My Humble Opinion - September 5, 2013 Category: Family Physicians Authors: Jordan Grumet Source Type: blogs
Think twice before getting an injection for low back pain or sciatica
It’s been a while since I did a Cycling Wednesday topic. As I was skimming thorough the Journal of the American Medical Association last night, I came across this review article on spinal injection therapy for low back pain. It was a shocker.
Two factors brought my attention to the article: First, almost all the cyclists or runners I know have been beset with either back pain or sciatica (referred pain or weakness down the leg). In fact, in some cases, back issues have ended their competitive careers. I too have been flattened with low back pain. It was awful. The other reason to pay attention to the review is the huge n...
Source: Dr John M - June 19, 2013 Category: Cardiology Authors: Dr John Source Type: blogs
Hazards of using enoxaparin in patients with reduced creatinine clearance but above the threshold for dose adjustment
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - May 2, 2013 Category: Internists and Doctors of Medicine Tags: pharmacology hematology cardiovascular nephrology Source Type: blogs
MKSAP: 28-year-old man with left calf deep venous thrombosis
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.A 28-year-old man is evaluated 24 hours after a new diagnosis of a left calf deep venous thrombosis. One week ago, he underwent orthopedic surgery. Two weeks ago, he returned from vacationing in Italy on an 8-hour flight. Current medications are enoxaparin, 80 mg subcutaneously twice daily, and warfarin, 5 mg/d.On physical examination, temperature is normal, blood pressure is 145/85 mm Hg, pulse rate is 72/min, and respiration rate is 18/min. BMI is 25. His lungs are clear. His left calf is erythematous and edemat...
Source: Kevin, M.D. - Medical Weblog - February 23, 2013 Category: Family Physicians Tags: Conditions Medications orthopedics Source Type: blogs
Drug Costs In Hospitals & Clinics To Rise 4 Percent
The cost of medications administered by clinics and hospitals are expected to rise by as much as 4 percent this year, which is less than in previous years, thanks to the increasing availabitily of lower-cost generics, according to a study in the American Journal of Health-System Pharmacy.
Specifically, medication expenditures are projected to rise between 1 percent and 3 percent across all clinics and hospitals not run by the federal government. But medication costs are forecast to increase between 2 percent and 4 percent in clinics, while there will be a 1.5 percent gain ih hosptials.
“In the aggregate, drug expenditur...
Source: Pharmalot - February 19, 2013 Category: Pharma Commentators Authors: Ed Silverman Tags: Uncategorized Affordable Care Act Contraceptives Epogen Lovenox Procrit Prolia Remiicade Rituxan Xgeva Source Type: blogs
Rivaroxaban Effective In Medically Ill Patients But At High Bleeding Cost
The recent arrival of novel oral anticoagulants has provided important new options for venous thromboembolism (VTE) treatment and prevention. New indications for these drugs have been granted for patients with atrial fibrillation and following orthopedic surgery. But an additional indication, for acutely ill medical patients at risk for VTE, does not appear likely in the near future, as a new trial published in the New England Journal of Medicine shows that one of these novel drugs, though effective at preventing VTE, also resulted in a significant increase in bleeding risk. In the Multicenter, Randomized, Parallel Group ...
Source: CardioBrief - February 7, 2013 Category: Cardiology Authors: Larry Husten Tags: Heart Rhythms Prevention, Epidemiology & Outcomes Anticoagulant atrial fibrillation Enoxaparin sodium rivaroxaban Venous thrombosis VTE Source Type: blogs
Precordial ST depression. What is the diagnosis?
A middle aged male with no h/o CAD presented with one week of crescendo exertional angina, and had chest pain at the time of the first ECG:Here is the patient's previous ECG:NormalHere is the patient's presenting ED ECG:What do you think?There is isolated ST depression in precordial leads, deeper in V2 - V4 than in V5 or V6. There is no ST elevation. Precordial ST depression may be subendocardial ischemia or posterior STEMI. How can we tell the difference? See the list below.If you thought it might be a posterior STEMI, then you might have ordered a posterior ECG [change leads V4...
Source: Dr. Smith's ECG Blog - January 1, 2013 Category: Cardiology Authors: Steve Smith Source Type: blogs
