Ending the opioid crisis starts with physicians
A recently published opinion article by opioid advocates attempts to assuage physicians’ prescribing guilt, arguing “doctors prescribing to their patients did not create the U.S. opioid crisis.” As lawsuit after lawsuit concludes, Purdue Pharma, Johnson and Johnson, and blindered distributors and pharmacies share the blame for propping up pills for profit. Physicians may inflate home narcotic Read more… Ending the opioid crisis starts with physicians originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 11, 2023 Category: General Medicine Authors: Tags: Conditions Pain Management Source Type: blogs

How Automation Tech is Fixing Healthcare ’s Broken Hiring Pipeline
The following is a guest article by Dr. Kit Latham, Co-Founder and CEO at Credentially Workforce burnout is a major problem across the US healthcare system, with approximately one in three physicians experiencing burnout at any given time, according to research. As a doctor, I’ve seen first-hand how the pressure that it places on clinicians and administrative teams can have serious knock-on impacts on organizational outcomes and patient safety. Much has already been written about how clinician workload and patient demand can be safely reduced. But I believe that, because burnout is fundamentally a capacity problem, the f...
Source: EMR and HIPAA - July 10, 2023 Category: Information Technology Authors: Guest Author Tags: Administration Clinical Health IT Company Healthcare IT Hospital - Health System Administrative Burden Clinical Workload Credentially Dr. Kit Latham Healthcare Automation Healthcare Burnout Healthcare Credentialing Hiring Process Source Type: blogs

Data Democracy! ‘Dr. Google’ (2023) Vs. ‘Every Man His Own Physician’ (1767)
BY MICHAEL MILLENSON In the 18th-century, a pre-Google guide offered democratization of medical information In 1767, as American colonists’ protestations against “taxation without representation” intensified, a Boston publisher reprinted a book by a British doctor seemingly tailor-made for the growing spirit of independence. Talk about “democratization of health care information,” “participatory medicine” and “health citizens”! Every Man His Own Physician, by Dr. John Theobald, bore an impressive subtitle: Being a complete collection of efficacious and approved remedies for every disease...
Source: The Health Care Blog - July 7, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Medical Practice Democritization of Care Healthcare Michael Millenson Participatory medicine Source Type: blogs

Everything the government thinks it knows about the opioid crisis is wrong
“In July 2015, journalist Johann Hari gave a TED Talk that over 20 million people have since viewed. Hari offered convincing evidence that vulnerability to opioid addiction is a consequence of the conditions under which people live — the social determinants of health — rather than simple exposure to opioid pain relievers. This theme is Read more… Everything the government thinks it knows about the opioid crisis is wrong originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 1, 2023 Category: General Medicine Authors: Tags: Conditions Pain Management Source Type: blogs

Laudio Announces $13 Million Series B for its AI Solution that Drives Productivity and Reduces Burnout in Health Systems
Laudio Acts as a Trusted Co-Pilot to Thousands of Frontline Leaders Across 50+ Hospitals, Amplifying Their Work and Delivering Measurable, Large-Scale Improvements Laudio, the management solution for healthcare, today announced that it has raised a $13 million Series B funding round led by Define Ventures with participation from existing investors .406 Ventures, InHealth Ventures, MemorialCare Innovation Fund, and TeleTracking Technologies. This brings Laudio’s total funding to $25 million and highlights the growing demand from health system CEOs to deploy solutions that increase labor productivity and solve for the burn...
Source: EMR and HIPAA - June 26, 2023 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT .406 Ventures A.G Breitenstein Define Ventures FOLX Health Health IT Funding Health IT Fundings Health IT Investment inHealth Ventures Laudio MemorialCare Innovation Fund Michael S. Vaccaro Novant Source Type: blogs

What goes on in the brain matters
I am the first to say (quite loudly at times) that pain is a whole person experience. I say this because my experience of pain is mine and utterly unable to be shared in all its complexity. The only way other people know about my pain is through my actions – both involuntary and voluntary. And even then: the way I express myself differs depending on my social context, my mood, my goals, and what I think my pain represents. Yet when I’m asleep, I don’t have pain, when I have anaesthetic for my colonoscopy, I don’t have pain – so what goes on in my brain is kinda important. Now there have bee...
Source: HealthSkills Weblog - June 25, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Pain conditions Research Therapeutic approaches Source Type: blogs

6 Dangers And Risks Of Low Blood Pressure
Conclusion Low blood pressure (hypotension) may not be as prominent or noticeable as hypertension, but it can still have significant impacts on various organs over time. Unlike hypertension, hypotension is often only clinically considered and treated when it reaches a life-threatening condition called shock, requiring emergency care. Low blood pressure can result in adverse effects such as insufficient blood flow to the brain, compromising cognitive function, and leading to dizziness. The heart may struggle to pump blood effectively, resulting in chest pain and irregular heart rhythms. Kidney function can be im...
Source: The EMT Spot - June 22, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: Blood Pressure Source Type: blogs

A physician ’ s journey through propaganda and misinformation [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join us for a fascinating podcast episode as we explore the dangerous consequences of propaganda and misinformation within the context of the opioid epidemic. Our guest, Jay K. Joshi, a family physician and author of Burden of Pain: A Physician’s Journey through the Opioid Read more… A physician’s journey through propaganda and misinformation [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - June 20, 2023 Category: General Medicine Authors: Tags: Podcast Pain Management Source Type: blogs

Can You Try Cryotherapy With Hypertension?
Conclusion Returning to our original query: Can you try cryotherapy with hypertension? The answer is nuanced—it’s a cautious ‘maybe.’ While some research suggests a transient increase in blood pressure, it’s paramount to consult your healthcare provider and closely monitor your response to the treatment. After all, when it comes to managing health conditions, no stone should be left unturned. Read also: Can You Practice Tai Chi With Hypertension? Reference Cardiovascular and autonomic responses to whole-body cryostimulation in essential hypertension. https://pubmed.ncbi.nlm.ni...
Source: The EMT Spot - June 19, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: Blood Pressure Source Type: blogs

A man with chest pain off and on for two days, and " No STEMI " at triage.
 Written by Kaley El-Arab MD, edits by Pendell Meyers and Stephen SmithA 61-year-old male with hypertension and hyperlipidemia presented to the emergency department for chest tightness radiating to the back of his neck that has been intermittent for the past day or two. Here is his triage ECG which was obtained at 20:34 during active pain.What do you think?This ECG was read as “No STEMI” with no prior available for comparison. It is true this ECG does not meet STEMI criteria (there is 1.0 mm STE in III, and possibly 0.5 mm in aVF), but there is clear evidence of OMI findings on this ECG. Leads II, III, and aVF hav...
Source: Dr. Smith's ECG Blog - June 19, 2023 Category: Cardiology Authors: Pendell Source Type: blogs

Is it really depressing? Really living with chronic pain
Someone responded to my post Unpalatable truths about pain saying it was depressing. For a moment I thought – yeah, it is really. And then I reflected on my life living with, and working with people dealing daily with chronic, ongoing, persistent pain. It’s not inevitably miserable. Is there something wrong with me? This, of course, set me to thinking maybe my pain isn’t as intense as others. Well – how would I know? I can’t give my pain a number out of 10. It’s just there and I can’t remember a time without any pain, so I can’t compare a 0 = no pain at all with anything ...
Source: HealthSkills Weblog - June 18, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Clinical reasoning Pain conditions Psychology Research Resilience/Health Science in practice Wellness pain management Therapeutic approaches Source Type: blogs

Can You Take Painkillers With Hypertension?
Conclusion The crossroads of hypertension and painkillers is a complex and sensitive one. While studies have highlighted potential risks, there are ways to navigate this maze safely. It all comes down to individualized care, frequent communication with healthcare providers, and an active approach to managing your health. With the right approach, relief from pain can be found—even within the parameters of managing high blood pressure. Read also: Can Cold Medicine Raise Blood Pressure? Reference Nonsteroidal Anti-Inflammatory Drugs (NSAIDs), Published by American Heart Association in 2017. https://www....
Source: The EMT Spot - June 15, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: Blood Pressure Source Type: blogs

Two ECGs texted to me in the same hour. What would you recommend?
Written by Pendell MeyersBoth of these cases were sent to me with no information other than adults with acute chest pain. What would be your response?Case 1:Case 2:What if I told you that Case 1 has an abnormal initial troponin, and Case 2 has a normal initial troponin? Case 1An elderly male presented with chest pain. His vitals were within normal limits except some mild hypertension. Here was his triage ECG:What do you think?I texted back: " I just see LVH with no signs of OMI " .I sent this ECG to the Queen of Hearts (PMcardio OMI), and here is the verdict:You can subscribe for news and early access (via partic...
Source: Dr. Smith's ECG Blog - June 15, 2023 Category: Cardiology Authors: Pendell Source Type: blogs

What's new in midwifery - 13th June 2023 (2)
Some new research.   Most of this identified through McMaster ' s Evidence Alerts, so thanks to them.  I have given links to the article (subscription, payment or librarian intervention may be needed to access the full article) or in some cases, the record in PubMed.Three relating toperinatal mental healthInternet delivered psychological interventions for reducing depressive, anxiety symptoms and fear of childbirth in pregnant women - a systematic review.An interactive childbirth education platform to improve pregnancy-related anxiety - an RCT.Another RCT, Effect of immediate referral vs a brief pr...
Source: Browsing - June 13, 2023 Category: Databases & Libraries Tags: midwifery Source Type: blogs

Unpalatable truths about pain
Recently I read a blog post about the way “Explain pain” had landed with a group of people in the general public. The point being made was that people found the ideas presented unpalatable. They didn’t agree with the points and they thought the ideas were dismissive of their experience. Now I am a critic of any recipe-based approach to helping people. I am especially a critic of clinicians using something they’ve picked up on a weekend course, or out of a book, being applied holus bolus to an individual without nuance. There have been outrageous claims made about the effectiveness of giving some...
Source: HealthSkills Weblog - June 11, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Pain conditions Professional topics biopsychosocial pain management Therapeutic approaches Source Type: blogs