In-Office Pediatric Ear Tube Procedures: Interview with Preceptis Medical ’s Greg Mielke
Preceptis Medical, a medtech company based in Minnesota, created the Hummingbird Tympanostomy Tube System. The device allows ear, nose, and throat (ENT) surgeons to insert ear tubes in the comfort of their office. The procedure requires only local anesthetic and is intended to be less distressing for pediatric patients than the conventional approach, which requires general anesthesia. The Hummingbird device provides a “one-pass” approach to ear tube placement, with an ear drum incision and tube placement occurring with a few simple manipulations of the device. Medgadget spoke with Steve Anderson, CEO of Preceptis Me...
Source: Medgadget - November 8, 2022 Category: Medical Devices Authors: Conn Hastings Tags: ENT Exclusive Pediatrics hummingbirdears Source Type: blogs

Properly Naming the Sinusitis-Otitis-Conjunctivitis Syndrome
One of our nonphysician providers recently announced, “This kid has that double-sickening thing you talk about all the time." She was referring to the sudden worsening of signs and symptoms (e.g., onset of fever) in a patient who had had an upper respiratory tract infection for several days.The majority of links in a Google search for “double-sickening" are references for sinusitis, but new-onset pneumonia is another double-sickening event. The Infectious Diseases Society of America guidelines for sinusitis acknowledge double-sickening and concur that pneumonia can present similarly. I investigate for sinusit...
Source: M2E Too! Mellick's Multimedia EduBlog - November 1, 2021 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Pneumonia – “a disease of the ancients”
Doctor examining a lung radiography   The COVID-19 pandemic has been a painful reminder of how important lung health is. But there are many other threats to this very vital organ. Numerous lung diseases have plagued the human race throughout history, and doctors have been working tirelessly to find effective means of beating them – a battle that continues to the present day.  While many diseases cause symptoms in the lung, several of them attack this organ directly. “Pneumonia” is not a single disease, but rather a generic term for inflammatory conditions affecting the lungs. Pneumonias affect hundreds of milli...
Source: GIDEON blog - November 12, 2020 Category: Databases & Libraries Authors: Kristina Symes Tags: Epidemiology News Source Type: blogs

Will AI-Based Automation Replace Basic Primary Care? Should It?
By KEN TERRY In a recent podcast about the future of telehealth, Lyle Berkowitz, MD, a technology consultant, entrepreneur, and professor at Northwestern University’s Feinberg School of Medicine, confidently predicted that, because of telehealth and clinical automation, “In 10-20 years, we won’t need primary care physicians [for routine care]. The remaining PCPs will specialize in caring for complicated patients. Other than that, if people need care, they’ll go to NPs or PAs or receive automated care with the help of AI.” Berkowitz isn’t the first to make this kind of prediction. Back in 2013, when mo...
Source: The Health Care Blog - October 7, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Artificial Intelligence Health Tech AI Ken Terry primary care Source Type: blogs

Cures for Cerumen Impaction
​Cerumen impaction removal may not be considered an emergent procedure in the emergency department, but this omnipresent natural phenomenon will bring patients, from infants to the elderly, to your department at all hours of the day and night because loss of hearing is a foreign and uncomfortable sensation.Cerumen impaction can cause complete hearing loss, pain, dizziness, chronic cough, and even infection. Patients who attempt to remove cerumen at home can end up with otitis externa or otitis media and even tympanic membrane trauma. The cerumen can block visualization of the tympanic membrane so TM rupture or ear infect...
Source: The Procedural Pause - October 1, 2020 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Osia, a New Type of Implantable Hearing Solution by Cochlear, Secures FDA Clearance: Interview
Earlier this month, Cochlear received FDA clearance for the Osia 2 System, the first active osseointegrated steady-state implant (OSI). The Osia System represents a new type of bone conducting hearing solution that uses digital piezoelectric stimulation to transmit sound vibration directly to the inner ear. While present in other auditory equipment and some medical devices, piezoelectricity has not previously been used in this type of hearing implant. The Piezo Power transducer allows the Osia System to transmit without any moving parts and avoids the use of natural hearing systems which may be damaged or functioning impro...
Source: Medgadget - December 23, 2019 Category: Medical Devices Authors: Medgadget Editors Tags: ENT Exclusive Source Type: blogs

Are antibiotics needed for your child with an ear infection?
The common practice in this country (although not everywhere— Europe, for example) has long been to treat all acute middle ear infections (otitis media) with antibiotics. This is not necessarily needed. We now know that for many children another reasonable approach is to wait a day or so to see if the symptoms get […]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 22, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/christopher-johnson" rel="tag" > Christopher Johnson, MD < /a > < /span > Tags: Conditions Infectious Disease Pediatrics Source Type: blogs

Meet Debara Tucci, Incoming Director of NIDCD
The recently appointed director of NIDCD brings an extensive research background in hearing loss, ear disease, and cochlear implantation—and an enthusiasm for addressing barriers to hearing health care. Interview by Jillian Kornak The National Institutes of Health (NIH) recently named Debara L. Tucci the next director of the National Institute on Deafness and Other Communication Disorders (NIDCD), replacing acting director Judith Cooper. Tucci will leave her position as professor of surgery in the Division of Head and Neck Surgery & Communication Sciences at Duke University Medical Center, where she has served on the...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - May 24, 2019 Category: Speech-Language Pathology Authors: Jillian Kornak Tags: Academia & Research Audiology Health Care News Private Practice Schools Slider Aging and Hearing Loss audiologist hearing health care public health Source Type: blogs

Pediatric Conjunctivitis a Simple Diagnosis Until It Isn’t
​Conjunctivitis is a common condition and easy enough to treat, but several uncommon conjunctivitis syndromes require more care and should not be missed.Conjunctivitis is either infectious (viral or bacterial) or noninfectious (allergic or nonallergic). Viral infections are more common in adults, bacterial ones in children, usually caused by Staphylococcus aureus, Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis. Adults tend to have more S. aureus infections, while the other pathogens are more common in children. An adenovirus is typically responsible for viral-associated infections in conjunct...
Source: M2E Too! Mellick's Multimedia EduBlog - March 1, 2019 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Not just bad health IT, but SPECTACULARLY bad health IT
I define bad healthcare IT as:... IT that is ill-suited to purpose, hard to use, unreliable, loses data or provides incorrect data, is difficult and/or prohibitively expensive to customize to the needs of different medical specialists and subspecialists, causes cognitive overload, slows rather than facilitates users, lacks appropriate alerts, creates the need for hypervigilance (i.e., towards avoiding IT-related mishaps) that increases stress, is lacking in security, lacks evidentiary soundness, compromises patient privacy or otherwise demonstrates suboptimal design and/or implementation. (http://cci.drexel.edu/faculty/ssi...
Source: Health Care Renewal - January 20, 2018 Category: Health Management Tags: bad health IT healthcare IT amateur KevinMD Niran S. Al-Agba Source Type: blogs

Is Marital Status in a Febrile 5-year-old Child Important?
By NIRAN AL-AGBA, MD My pediatric practice is one which harkens back to days long ago when physicians knew their patients and pertinent medical histories by heart. My 81-year-old father and I were in practice together for the past 16 years; he still used the very sophisticated “hunt and peck” to compose emails. The task of transitioning to an electronic record system seemed insurmountable, so we remain on paper. Our medical record system has not changed in almost five decades. I would not have it any other way. This past spring, he walked into my office shaking his head in disbelief after thumbing through a stack of fa...
Source: The Health Care Blog - January 9, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Primary Diagnosis: None
By NIRAN AL-AGBA, MD My pediatric practice is one which harkens back to days long ago when physicians knew their patients and pertinent medical histories by heart. My 81-year-old father and I were in practice together for the past 16 years; he still used the very sophisticated “hunt and peck” to compose emails. The task of transitioning to an electronic record system seemed insurmountable, so we remain on paper. Our medical record system has not changed in almost five decades. I would not have it any other way. This past spring, he walked into my office shaking his head in disbelief after thumbing through a stack of fa...
Source: The Health Care Blog - January 9, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

CMS Releases Final Rule for Second Year of QPP - Includes PI-QI CME Improvement Activity
Last week, the Centers for Medicare & Medicaid Services (CMS) released a final rule that makes changes in the second year of the Quality Payment Program (QPP) under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), including the Merit-based Incentive Program (MIPS) and Advanced Payment Models (APMs). The second year of the QPP continues to build on transitional year 1 policies, noting that a “second year to ramp-up the program will continue to help build upon the iterative learning and development of year 1 in preparation for a robust program in year 3.” In addition to the final rule, CMS als...
Source: Policy and Medicine - November 6, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

CMS Releases Final Rule for Second Year of QPP
Last week, the Centers for Medicare & Medicaid Services (CMS) released a final rule that makes changes in the second year of the Quality Payment Program (QPP) under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), including the Merit-based Incentive Program (MIPS) and Advanced Payment Models (APMs). The second year of the QPP continues to build on transitional year 1 policies, noting that a “second year to ramp-up the program will continue to help build upon the iterative learning and development of year 1 in preparation for a robust program in year 3.” In addition to the final rule, CMS als...
Source: Policy and Medicine - November 6, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

The challenge of “ evidence based ” sore throat guidelines
CONCLUSION Although the evidence for the management of acute sore throat is easily available, national guidelines are different with regard to the choice of evidence and the interpretation for clinical practice. Also a transparent and standardized guideline development method is lacking. These findings are important in the context of appropriate antibiotic use, the problem of growing antimicrobial resistance, and costs for the community. We assume that the word “evidence” is all inclusive.  How can 9 guidelines on one subject differ significantly?  The first problem occurs in selecting the evidence.  Like ...
Source: DB's Medical Rants - October 23, 2017 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs