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Empathy: the unexpected gift from abuse
Months after I left him, I could still feel the pain he inflicted. He not only weaponized my insecurities but also demeaned the things about myself that I loved, insidiously dismantling my sense of self until nothing remained. I even doubted my ability as a psychiatrist, and I hated him for that. “Talking to you Read more… Empathy: the unexpected gift from abuse originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 28, 2024 Category: General Medicine Authors: Tags: Physician Psychiatry Source Type: blogs

Fight Aging! Newsletter, January 29th 2024
Fight Aging! publishes news and commentary relevant to the goal of ending all age-related disease, to be achieved by bringing the mechanisms of aging under the control of modern medicine. This weekly newsletter is sent to thousands of interested subscribers. To subscribe or unsubscribe from the newsletter, please visit: https://www.fightaging.org/newsletter/ Longevity Industry Consulting Services Reason, the founder of Fight Aging! and Repair Biotechnologies, offers strategic consulting services to investors, entrepreneurs, and others interested in the longevity industry and its complexities. To find out m...
Source: Fight Aging! - January 28, 2024 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

I Think There Is Little Doubt That, After 40 Years, Medicare Is An Overall Success.
This article is a great summary of a major innovation which, despite some false starts and ongoing issues, overall has been a success. It has genuinely become part of the fabric of Australian life and it is hard to find a better national health system anywhere on the globe! This fact is something we should all celebrate! Mind the gap: At 40, Medicare feels the pain of age as patients pay (Source: Australian Health Information Technology)
Source: Australian Health Information Technology - January 28, 2024 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Chest pain and a computer ‘normal’ ECG. Therefore, there is no need for a physician to look at this ECG.
This article,published this month (!), tells us that we physicians do not need to even look at this ECG until the patient is placed in a room because the computer says it is normal:Validity of Computer-interpreted “Normal” and “Otherwise Normal” ECG in Emergency Department Triage PatientsI reviewed this article for a different journal and recommended rejection and it was rejected.  There were zero patients in this study with a " normal " ECG who had any kind of ACS!  This defies all previous data on acute MI which would show that even undetectable troponins do not have a 100% negative predictive value.&nb...
Source: Dr. Smith's ECG Blog - January 27, 2024 Category: Cardiology Authors: Jesse McLaren Source Type: blogs

A Tour of Geroscience, Largely Focused on Unambitious Goals in the Treatment of Aging
Geroscience is a philosophy of development, suggesting that aging can be slowed and we should work towards means to do so. In practice, geroscience is, more or less, the the name given to that part of the research and development community that aims to produce means to alter metabolism to modestly slow aging. It is best represented by the development of supplements and repurposing of very well studied drugs, near all of which produce smaller benefits to long-term heath than regular moderate exercise, and none of which can match the benefits provided by the practice of calorie restriction. It is entirely unambitious. This l...
Source: Fight Aging! - January 26, 2024 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs

The Big Consult: Bringing Technology to Life
The previous articles in this series looked at differences between digital settings and clinical ones, along with criteria for choosing technologies. This final article looks at practical evaluation of vendors, and how to plan for a deployment. Evaluating the Vendor The traits of the vendor you work with are at least as important as the technology they offer—even more important, according to Aaron Neinstein, chief medical officer at Notable. He points out that products will change quickly along with the environments where they are used. Therefore, you must make sure that the clinicians and vendors are “aligned on...
Source: EMR and HIPAA - January 26, 2024 Category: Information Technology Authors: Andy Oram Tags: C-Suite Leadership Clinical Health IT Company Healthcare IT Hospital - Health System Aaron Neinstein Arcadia AvaSure care.ai Christine Vogel Cindy Koppen Clever Care Health Plan Equality Health Health IT Vendors Kate Behan Kh Source Type: blogs

Euphoria-free pain relief: A gabapentin alternative you ’ ve been waiting for?
A groundbreaking discovery in pain management could revolutionize how we treat chronic pain. In a report from a study published in the Proceedings of the National Academy of Sciences, researchers at New York University, in collaboration with colleagues at the University of Pittsburgh, have announced the discovery of a novel medication that could treat centralized Read more… Euphoria-free pain relief: A gabapentin alternative you’ve been waiting for? originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 25, 2024 Category: General Medicine Authors: Tags: Meds Pain Management Source Type: blogs

Uncovering the real story behind opioid prescriptions and deaths
As a non-clinician patient advocate and health care writer, I am frequently reminded of a quotation attributed to Samuel Clemens (Mark Twain): “Figures don’t lie. But liars figure.” I am also aware of a second quotation from economist Ronald H Coase: “If you torture the data for long enough, it will confess to anything.” I find Read more… Uncovering the real story behind opioid prescriptions and deaths originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 25, 2024 Category: General Medicine Authors: Tags: Conditions Pain Management Source Type: blogs

Acute chest pain in a patient with LVH and known coronary disease. What does the ECG show?
A 40-something with severe diabetes on dialysis and with known coronary disease presented with acute crushing chest pain.Here is his ED ECG:What do you think?There is a flat and downsloping ST segment in V2 and V3.  This could be due to posterior OMI.  Is there an old ECG for comparison?Here is the most recent previous ECG:Indeed, there was some normal ST elevation in V2 and V3, discordant to a relatively deep S-wave which could be due to some LVH.Here is another previous ECG:So it looks like a posterior OMI.2 years prior he had an angiogram which showed 90% proximal stenosis of the circumflex.  It...
Source: Dr. Smith's ECG Blog - January 25, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs

What kind of AV block is this? And why does she develop Ventricular Tachycardia?
Discussion: The initial ECG in today ' s case is pathological for any patient, especially for a 50-year old previously heathy female. Extensive conduction system abnormalities can have various causes (ischemia, genetic, infectious, amyloid, etc). Usually the medical history will provide clues to the cause. Even though the primary suspicion was not ischemic heart disease, a CT angiogram was performed, and it revealed normal coronary arteries. This ruled out coronary disease as the cause of conduction system disease. When assessing patients with early onset high grade conduction disorders and ventricular tachydysrhythmi...
Source: Dr. Smith's ECG Blog - January 23, 2024 Category: Cardiology Authors: Magnus Nossen Source Type: blogs

Redefining medical caution: How recent studies challenge benzodiazepine prescription norms
I want to draw your attention to two fairly recent studies. One of these is the BIND study. I love it when studies use easy-to-remember acronyms because it really helps to keep them straight. The BIND study found that “Many prolonged symptoms subsequent to benzodiazepine use and discontinuation … have been shown in a large Read more… Redefining medical caution: How recent studies challenge benzodiazepine prescription norms originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 22, 2024 Category: General Medicine Authors: Tags: Meds Pain Management Source Type: blogs

The words we use to talk about pain
Are you a ‘pain sufferer’? A ‘pain warrior’? A ‘pain victim’? Do you ‘ache’ or is it a ‘stabbing’ pain? Do you even know what ‘lancinating’ means? And let’s add in: are you a ‘catastrophiser’? Has your pain been developed through ‘chronification’? Is your body ‘unbalanced’ or ‘asymmetrical’? Do you ‘comply’ or ‘adhere’? Are you ‘motivated’? The ways we talk about pain are weird! We blithely use words, us clinicians and researchers (and yes, people with pain)...
Source: HealthSkills Weblog - January 21, 2024 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Assessment Chronic pain Clinical reasoning Professional topics Resilience/Health Science in practice biopsychosocial healthcare Source Type: blogs

A man in his 30s with chest pain. How was he managed? What if they had used the Queen of Hearts?
Written by Pendell MeyersA man in his late 30s with history of hypertension, tobacco use, and obesity presented to the Emergency Department for acute chest pain which started approximately 3 hours prior to arrival, in the setting of a very stressful situation. The pain radiated down both arms, 10/10 in severity. He stated it did not feel like his prior episodes of reflux. Vitals were within normal limits except some hypertension. Triage ECG:And here she explains her assessment:The ECG was read as simply " No ST elevation. " Which is true.The initial high sensitivity troponin I returned at around 3300 ng/L. No repeat E...
Source: Dr. Smith's ECG Blog - January 20, 2024 Category: Cardiology Authors: Pendell Source Type: blogs

Confusing correlation with causation: the most common error in science
The universe can be a very confusing place. Quite often, things will happen together or one-after-another that will cause even learned people to connect two events as causative when they are not. These misattributions are not just of academic concern. They can have real-world consequences. In 1347, a plague began to sweep through Europe. At Read more… Confusing correlation with causation: the most common error in science originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 19, 2024 Category: General Medicine Authors: Tags: Physician Pain Management Source Type: blogs

Healthcare AI – 2024 Health IT Predictions
As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions.  We asked the Healthcare IT Today community to submit their predictions and we received a wide ranging set of responses that we grouped into a number of themes.  In fact, we got so many that we had to narrow them down to just the best and most interesting.  Check out our community’s predictions below and be sure to add your own thoughts and/or places you disagree with these predictions in the comments and on social media. All of this year’s 2024 health IT predictions (updated as they’re shared): John and ...
Source: EMR and HIPAA - January 19, 2024 Category: Information Technology Authors: John Lynn Tags: AI/Machine Learning Ambulatory C-Suite Leadership Health IT Company Healthcare IT Hospital - Health System LTPAC 2024 Health IT Predictions Authenticx Availity Cara Brant care.ai Carenet Health Chakri Toleti Christopher Rogers Source Type: blogs