Physicians behind bars: the consequences of medical misjustice
In 1985, Mr. Charles McCrory was on trial. Charles had found his wife dead, and her family was convinced that he was responsible, despite the fact that Charles denied any involvement and just wanted to grieve in peace. There was no real evidence against him, but the state had an ace up its sleeve in
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Physicians behind bars: the consequences of medical misjustice originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 19, 2023 Category: General Medicine Authors: L. Joseph Parker, MD Tags: Physician Pain Management Source Type: blogs
Four patients with chest pain and ‘normal’ ECG: can you trust the computer interpretation?
Conclusions are identical to those of Dr. McLaren, namely:It isnot safe toavoid interrupting emergency physicians— simply because prior to the QOH (Queen Of Hearts) AI application — no computer interpretation of " normal " from an ECG of a patient with new or recent CP symptoms could be relied on. Emergency physiciansmustbe interrupted to take a quick look atall ECGs of patients who present with new or recent CP.Emergency physicians should (and can!) be expected with training to be able to identify non-stemi OMIs that elude the computer. It is essential that they be ab...
Source: Dr. Smith's ECG Blog - October 19, 2023 Category: Cardiology Authors: Jesse McLaren Source Type: blogs
Wednesday Bible Study: Job finally shuts up
Yep. He spends the next three chapters saying, endlessly, the following:I used to be riding high, fortunate and admired, benevolent and generous.Now I ' m in the pits.If I ' d done anything wrong I could understand it. And then, thank God, " The words of Job are ended. " It ' s long past time for this guy to STFU.29 And Job again took up his discourse, and said:2 “Oh, that I were as in the months of old, as in the days when God watched over me;3 when his lamp shone upon my head, and by his light I walked through darkness;4 as I was in my a...
Source: Stayin' Alive - October 18, 2023 Category: American Health Source Type: blogs
A 20-something woman with cardiac arrest.
The patient is a 20 something female. She is healthy with no known cardiac disease. She was admitted to the neurology department due to headache and vomiting. She was found to have a viral CNS infection. A few days into her hospital stay she developedchest discomfort and the following ECG was recorded. What do you think? Why such large T-waves? Are these hyperacute T-waves? Are these ECG changes related to the CNS infection perhaps? What disease processes would you put on your list of differential diagnoses?When I saw the ECG of this patient I saw that there was definitely something " off " . I didn ' t get...
Source: Dr. Smith's ECG Blog - October 18, 2023 Category: Cardiology Authors: Magnus Nossen Source Type: blogs
Shear-Thinning Biomaterial for Embolic Applications: Interview with Upma Sharma, President and CEO of Arsenal Medical
Arsenal Medical, a medtech company based in Massachusetts, has developed Neocast, an embolic biomaterial designed for catheter-mediated embolization procedures. Conventional materials for embolization can have several limitations, including a lack of radiopacity, catheter clogging, catheter entrapment at the delivery site, solvent-mediated pain at the delivery site, and they can even cause sparking of electrocautery tools.
Neocast is solvent-free, avoiding delivery site pain, and functions with a unique shear-thinning action that allows deep vessel penetration. The material flows with the blood to embolize distal vessel...
Source: Medgadget - October 17, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Cardiac Surgery Cardiology Exclusive Materials Neurosurgery Radiology Vascular Surgery ArsenalMedical embolization Source Type: blogs
Just say no
I just finished reading Dopesick, by Beth Macy. You don ' t need to take my word that it ' s worth your while, the book was a huge bestseller. However, it does have a fairly narrow focus. It tells the story of the opioid epidemic largely within the confines of a region of rural Virginia, but this is a disaster of national scope that manifests somewhat differently in different places. Here ' s the really sad news: source:U.S. Department of Health and Human Services I know it ' s a little small but you can see it full size if you click the link. The short version of the story is that deaths from opioid ...
Source: Stayin' Alive - October 17, 2023 Category: American Health Source Type: blogs
Why health care professionals must back full care continuum for autism and intellectual disabilities
The Americans with Disabilities Act (ADA) requires that health care entities provide full and equal access for people with disabilities. Physicians must diagnose and treat such individuals, even though they receive little or no training in medical school. It’s tricky when the patient cannot convey where it hurts or describe their pain and may refuse
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Why health care professionals must back full care continuum for autism and intellectual disabilities originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 17, 2023 Category: General Medicine Authors: Irene Tanzman Tags: Conditions Neurology Source Type: blogs
Repost from Saturday Oct 14: The Queen gets it right with a better image
This is a case I posted Saturday, October 14.This ECG was texted to me after the fact with no information. What do you think?This is the ECG that I used for the post. It is high quality screenshot of a pdf:I had said that the Queen said this is Not OMI with low confidenceHowever, the image that had been texted to me and submitted to the Queen was not this one above. It was this one below: (photo of computer screen, lower quality):This is the image for which the Queen interpreted " Not OMI with Low Confidence "After posting, I wanted to getexplainability for the ECG, and I was unable to get the explainability fr...
Source: Dr. Smith's ECG Blog - October 17, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
A breakthrough in chronic pain detection?
Recently, a group of researchers at the University of California, San Francisco, reported that they may have found the holy grail of pain management. They accomplished this by performing “the first-in-human, long-term direct brain measurement of chronic pain-related neural activity.” Physicians have long sought a reliable way to detect and track the presence of chronic
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A breakthrough in chronic pain detection? originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 16, 2023 Category: General Medicine Authors: L. Joseph Parker, MD Tags: Conditions Pain Management Source Type: blogs
Midi Health Raises $25M in Series A Funding Led by GV (Google Ventures) to Expand Access to Expert and Affordable Midlife Care for Women
The Leading Virtual Clinic Delivering Insurance-Covered, Expert Care for Women Perimenopause and Menopause, Midi Health Plans Major Expansion of National Footprint
Midi Health, the emerging digital leader in women’s midlife healthcare, today announced the close of a $25M Series A funding round led by GV (Google Ventures). Investors Frederique Dame and Cathy Friedman from GV are joined by current investors Felicis, Semper Virens, Icon, 25M, and Operator Collective, bringing the company’s total funding raised to date to $40M.
In the year since the company officially launched to consumers, Midi Health has...
Source: EMR and HIPAA - October 16, 2023 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT 25M Cathy Friedman Felicis Frederique Dame Google Ventures GV Health IT Funding Health IT Fundings Health IT Investment ICON Joanna Strober Midi Health Operator Collective Semper Virens Source Type: blogs
All by myself … don ’ t wanna be
Throughout my career, I’ve been interested in how and why people see clinicians about their pain. I’m intrigued by the journey before, during and afterwards.
I’m interested in the social factors influencing choices in healthcare. If I’ve been gardening over the weekend and I wake up Monday with a sore back it’s easy to see a physio here in NZ. That visit is likely paid for by our accident compensation system (24/7 no-fault scheme paid for by taxes and levies). And the jolly joy germ in me thinks “Well at least that means people don’t have to see a doctor first” – but...
Source: HealthSkills Weblog - October 15, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Back pain Chronic pain Coping strategies Interdisciplinary teams Low back pain Occupational therapy Physiotherapy Psychology Research Science in practice Health pain management Therapeutic approaches Source Type: blogs
Bloody Religion
Go to follow-up
“With or without religion, you would have good people doing good things and evil people doing evil things. But for good people to do evil things, that takes religion.”Steven Weinberg
In 2003, I started a web page that documented the horrors of the Iraq war. The title of the page was corrie.html, because one of the first entries was about Rachel Corrie. This was it.
On Sunday, 16th March 2003, a 23-year-old American peace activist, Rachel Corrie, was crushed to death by a bulldozer as she tried to prevent the Israeli army destroying homes in the Gaza Strip.
You can read here some of th...
Source: DC's goodscience - October 15, 2023 Category: Science Authors: David Colquhoun Tags: Palestine war Gaza Israel Source Type: blogs
This ECG was handed over at triage. See how the Queen of Hearts AI does with these explainability images.
Submitted by anonymous, written by Pendell MeyersI was at triage when this ECG was presented to me.What do you think?Here ' s what the Queen of Hearts thinks:Note that the Queen has " HIGH " confidence that this is OMI. As noticed by the AI,if the patient presented with chest pain, then even this subtle ECG is diagnostic of OMI. Specifically, this ECG is diagnostic of acuteLAD OMI, with hyperacute T waves likely in V3 and V4, very small but abnormal STE in V2-V4 (because of its there is a lot of STErelative to the very small QRS), and there is also some terminal T wave inversion in V4 which may suggest some elem...
Source: Dr. Smith's ECG Blog - October 15, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
This ECG was texted to me after the fact with no information. What do you think?
This ECG was texted to me with no other information, with this quote: " You will see this in the Queen of Hearts. " I assumed it was in real time.The Queen said " Not OMI with low confidence "What do you think?The conventional algorithm said: SINUS RHYTHMABNORMAL QRS-T ANGLE [QRS-T AXIS DIFFERENCE> 60]ABNORMAL ECG This was my response: " I am not certain that I agree with the queen on this one. Be careful with it. Notice that the Queen has low confidence. "Why am I worried? The T-waves are quite tall. Although most hyperacute T-waves are bulky, wide, fat and symmetric in propo...
Source: Dr. Smith's ECG Blog - October 13, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
Prior Authorization Takes a Leap Forward in CMS Regulation
The Centers for Medicare & Medicaid Services (CMS) have taken a bold step by mandating a standard for prior authorization. I talked to Nikki Henck, Senior Director of Utilization Management at Sagility, about the implementation and potential impact of this proposed requirement, which, if finalized, will be enacted in January 2026.
The Dilemma of Prior Authorization
Prior authorization, also known as a pre-approval, strikes fear into both patients and providers. In a 2022 American Medical Association physician survey, 88% of providers said that the burden of doing prior authorization was high or extremely high. Anothe...
Source: EMR and HIPAA - October 12, 2023 Category: Information Technology Authors: Andy Oram Tags: Administration Health IT Company Healthcare IT Interoperability Regulations AMA CMS Electronic Prior Authorization FHIR Nikki Henck Prior Authorizations Sagility Source Type: blogs
