Catastrophising: Nuance is needed
The last two posts I’ve written here and here have explored differing perspectives and current debate about the term catastrophising – and I hope I’ve been clear that I don’t dispute the usefulness of (or the accumulated data about) a construct that is associated with poor outcomes across so many pain experiences. I just don’t find the term and its definition lands well with people living with pain, and the way it’s discussed amongst some clinicians is problematic. This post is my take on a nuanced approach.
The term catastrophising is defined as ‘an exaggerated negative mental ...
Source: HealthSkills Weblog - May 5, 2024 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Uncategorized catastrophising catastrophizing Chronic pain Health pain management Research Source Type: blogs
Lean Digital: How AI Drives Treatment Recommendations for Weight Loss
The first article in this series laid out what we know about body weight and obesity today. The rest of the Lean Digital series will look at some contributions that digital technologies are making toward solutions.
The best contribution that information can make to weight management is to find more effective, personalized treatments: to match the right person to the right treatment, whether it be surgery, drugs, diet, exercise, or some combination. AI is turning up intriguing successes in this endeavor.
I talked to Dr. Ronald Razmi, co-founder and managing director at Zoi Capital and author of the book AI Doctor: The Rise ...
Source: EMR and HIPAA - April 30, 2024 Category: Information Technology Authors: Andy Oram Tags: AI/Machine Learning Analytics/Big Data Clinical Communication and Patient Experience Genomics-Precision Medicine Health IT Company Healthcare IT Telemedicine and Remote Monitoring Andres Acosta apree health Behavior Management Behavi Source Type: blogs
Catastrophising – the views of people with pain
Last week I posted the first in a series on pain catastrophizing. This week, instead of looking at the measurement instruments, I thought it worthwhile seeing what people with pain feel when looking at this construct. After all, when we’re talking about us (people with pain) shouldn’t our perspectives be taken into account? Nothing about us without us.
Webster and a large team of collaborators (Webster et al., 2022) conducted possibly the largest study examining the responses of people living with pain to the terms associated with catastrophising. Now the number of collaborators on this project tells you on...
Source: HealthSkills Weblog - April 28, 2024 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Cognitive skills Professional topics Psychology Research Science in practice catastrophising catastrophizing Clinical reasoning pain management Source Type: blogs
Doctors beware: Your credentials could land you in prison
I hate to say that we should follow the Fox Mulder School of Paranoia on this one, but the evidence is clear. You can go to prison for what others do with your credentials. Being a doctor comes with incredible privileges, or at least it used to. Now, with the corporate takeover of medical care,
Read more…
Doctors beware: Your credentials could land you in prison originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 23, 2024 Category: General Medicine Authors: L. Joseph Parker, MD Tags: Physician Pain Management Source Type: blogs
Non-opioid post-op pain relief [PODCAST]
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! Join us as we sit down with Amy Baxter, a clinical associate professor of emergency medicine, to explore how societal factors, deceptive marketing, and profit-driven health care systems have contributed to the opioid epidemic. Amy will shed light on the effectiveness
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Non-opioid post-op pain relief [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 22, 2024 Category: General Medicine Authors: The Podcast by KevinMD Tags: Podcast Pain Management Source Type: blogs
Addiction treatment, legal troubles, and the role of the DEA [PODCAST]
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! Joining A.J. Reid Finlayson, a psychiatrist, Jeffrey A. Singer, a general surgeon, and Peter R. Martin, also a psychiatrist. We’ll be discussing the case of Dr. Ralph Thomas Reach, an addiction medicine physician whose medical license was revoked, leading to legal
Read more…
Addiction treatment, legal troubles, and the role of the DEA [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 21, 2024 Category: General Medicine Authors: The Podcast by KevinMD Tags: Podcast Pain Management Source Type: blogs
The Evolution of Healthcare at Home, the Technology Driving this Change, and It ’ s Impact on the World of Healthcare
The world of healthcare is ever-evolving, especially when new technology is being adopted. One such new area is healthcare at home. Although we were forced into fully remote operations with COVID-19, we have been making modifications along the way and have discovered how beneficial it can be to our organizations and our patients. To make further strides though, we have to understand where we’ve come from, where we are now, and how it is making an impact. So let’s take a deeper look into healthcare at home to see how it has evolved over time, the technology that is driving this change, and how it is impacting ou...
Source: EMR and HIPAA - April 19, 2024 Category: Information Technology Authors: Grayson Miller Tags: Communication and Patient Experience Health IT Company Healthcare IT Telemedicine and Remote Monitoring Academy Medtech Ventures Alaina Victoria Brenden Hayden Cara Lunsford Carrie Nelson Cindy Gaines Digital Communication Discern He Source Type: blogs
Is OMI an ECG Diagnosis?
Written by Jesse McLaren A 70 year old with prior MIs and stents to LAD and RCA presented to the emergency
department with 2 weeks of increasing exertional chest pain radiating to the
left arm, associated with nausea. The pain recurred at rest 90 minutes prior to
presentation, felt like the patient ’s prior MIs, and was not relieved by 6
sprays of nitro. Paramedics provided another 3 sprays of nitro, and 6mg of
morphine, which reduced but did not resolve the pain. What do you think of the ECG, and does it
matter?There ’s normal sinus rhythm, LAFB, old anterior Q waves,
and no diagnostic sign of OMI. I sent th...
Source: Dr. Smith's ECG Blog - April 18, 2024 Category: Cardiology Authors: Jesse McLaren Source Type: blogs
Elite access vs. public scrutiny: Medication disparities exposed
A recent New York Times opinion piece detailed a lack of available pain medications. While the DEA claims that it is not purposefully restricting legitimate medication availability, even the names of its own operations belie this statement. On Halloween 2023, the DEA launched Operation “Bottleneck,” serving immediate suspension orders to six large pharmaceutical supply companies.
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Elite access vs. public scrutiny: Medication disparities exposed originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 16, 2024 Category: General Medicine Authors: L. Joseph Parker, MD Tags: Meds Pain Management Source Type: blogs
Supported self-management – what are we managing, actually?
One of the words that has been in my vocabulary for decades is ‘management.’ No, I don’t mean the proliferative middle management layer infesting healthcare for about as long as I’ve been working in health. I mean ‘pain management’ or ‘supported self-management.’ As ever, what pops up for me is about what, exactly, is being managed?
Is it pain? Well – not exactly. After all, pain does what it does, and if we focus on pain reduction alone just look where that gets us (Ballantyne & Sullivan, 2015; Cutler & Glaeser, 2021). And quickly, lest anyone think I’...
Source: HealthSkills Weblog - April 14, 2024 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Uncategorized Source Type: blogs
56 year old male had 5/10 chest pain for several hours, then presented to the ED in the middle of the night with 1/10 pain.
A 56 year old male with PMHx significant for hypertension had chest pain for several hours, then presented to the ED in the middle of the night.He reported chest pain that developed several hours prior to arrival and was 5/10 in intensity. The pain was located in the mid to left chest and developed after riding his bike. There was associated fatigue when symptoms developed and mild shortness of breath at onset of chest pain however that has since resolved. The patient states he experienced similar 7/10 chest pain 2 days prior when he had to hurry to catch the bus. He states he experience...
Source: Dr. Smith's ECG Blog - April 14, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs
CodaMetrix Announces $40M Series B Financing to Advance Medical Coding Quality and Clinically Enrich Claims Data Through AI
CodaMetrix, the leading artificial intelligence (AI) solution for transforming healthcare and revenue cycle management, today announced that it has closed its $40 million Series B funding round. Transformation Capital led the financing with continued support from existing investors SignalFire, Series A lead, and Frist Cressey Ventures. Todd Cozzens, Co-Founder and Managing Partner at Transformation Capital, will join CodaMetrix’s Board of Directors. Series B financing will be used to further advance CodaMetrix’s AI-powered solutions which improve medical coding quality, produce clinically comprehensive data sets, reduc...
Source: EMR and HIPAA - April 9, 2024 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT CMX CodaMetrix Frist Cressey Ventures Hamid Tabatabaie Health IT Funding Health IT Fundings Health IT Investment Henry Ford Health Mass General Brigham Mount Sinai Health System SignalFire Todd Coz Source Type: blogs
8 Mindblowing Examples Of Technology Innovation In Healthcare
Medical innovations often conjure images of sterile labs, high-tech equipment, and complex procedures. But every now and then, remarkable breakthroughs come with a dash of ‘why didn’t I think of that?’ ingenuity. From reimagined everyday objects to solutions inspired by the natural world, these innovations prove that effective healthcare doesn’t always need to be complicated.
Let’s see some medical innovations that are as surprising as they are effective. We collected eight of our favorites that show how a little out-of-the-box thinking is leading to big changes in healthcare.
1. Zip-up ...
Source: The Medical Futurist - April 9, 2024 Category: Information Technology Authors: Andrea Koncz Tags: TMF creative healthcare healthcare innovation 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
Fight Aging! Newsletter, April 8th 2024
In this study, we tested a stem cell secretome product, which contains extracellular vesicles and growth factors, cytoskeletal remodeling factors, and immunomodulatory factors. We examined the effects of 4 weeks of 2×/week unilateral intramuscular secretome injections (quadriceps) in ambulatory aged male C57BL/6 mice (22-24 months) compared to saline-injected aged-matched controls.
Secretome delivery substantially increased whole-body lean mass and decreased fat mass, corresponding to higher myofiber cross-sectional area and smaller adipocyte size, respectively. Secretome-treated mice also had greater whole-bod...
Source: Fight Aging! - April 7, 2024 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
