Physicians are not incentivzed to talk with patients on the phone
Talking to patients on the phone can be very efficient and quite rewarding, like when I called a worried patient today and told her that her chest CT showed an improving pneumonia and almost certainly no cancer, but a repeat scan some months down the road would still be a good idea. She told me […]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 - January 26, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/a-country-doctor" rel="tag" > Hans Duvefelt, MD < /a > < /span > Tags: Physician Primary Care Source Type: blogs

Wuhan Ban
By now you probably know thatthe Chinese authorities have taken drastic measures to isolate Wuhan and other cities, shutting down all transportation services from the city. They have also started building hospitals to quarantine infected people.The U.S. is evacuating its diplomats from Wuhan, and offering to evacuate other Americans who want to leave China. No doubt similar measures will be taken elsewhere in China and in other countries where the virus appears. The economic cost of these measures will be at least many tens of billions of dollars, probably in the hundreds of billions. And of course isolation and quarantine...
Source: Stayin' Alive - January 25, 2020 Category: American Health Source Type: blogs

The new coronavirus: What we do — and don’t — know
A rapidly evolving health story broke in late December when a novel illness originating in Wuhan, China made the news. Reports of the number of infected people swiftly rose, and isolated cases of this new coronavirus — dubbed 2019-nCoV by scientists — have appeared in several countries due to international travel. At this writing, almost 1,300 confirmed cases and over 40 deaths have occurred in China, according to an article in the New York Times. Fortunately, public health officials in many countries, including the US, have put measures in place to help prevent further spread of the virus. These measures include healt...
Source: Harvard Health Blog - January 25, 2020 Category: Consumer Health News Authors: Todd Ellerin, MD Tags: Health Source Type: blogs

Artificial Intelligence vs. Tuberculosis – Part 2
By SAURABH JHA, MD Clever Hans Preetham Srinivas, the head of the chest radiograph project in Qure.ai, summoned Bhargava Reddy, Manoj Tadepalli, and Tarun Raj to the meeting room. “Get ready for an all-nighter, boys,” said Preetham. Qure’s scientists began investigating the algorithm’s mysteriously high performance on chest radiographs from a new hospital. To recap, the algorithm had an area under the receiver operating characteristic curve (AUC) of 1 – that’s 100 % on multiple-choice question test. “Someone leaked the paper to AI,” laughed Manoj. “It’s an engineering college joke,...
Source: The Health Care Blog - January 24, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Artificial Intelligence Health Tech Health Technology @roguerad AI Saurabh Jha TB tuberculosis Source Type: blogs

Coronavirus FAQ
What is a coronavirus? Coronaviruses are a group of viruses that cause diseases in mammals, including humans, and birds. Why are they called coronaviruses? The name derives from the fact that the viral capsule has a “halo” or “crown” surrounding it. What do coronaviruses do? In humans, the virus infects the airways giving rise to flu-like symptoms, a runny nose, cough, sore throat and fever, these are usually mild, but in rare cases can be lethal. Is there a vaccine against coronaviruses? No. Are there any drugs to block or treat infection? No. When were coronaviruses first discovered? In the 1960s ...
Source: David Bradley Sciencebase - Songs, Snaps, Science - January 24, 2020 Category: Science Authors: David Bradley Tags: Sciencebase Source Type: blogs

Novel coronavirus - epidemiology and genetics
Updated 23rd January 2020, 0900 UK timeI will update this post as I find new things.An outbreak of a new ( " novel " ) coronavirus started in Wuhan, China, and has spread, with cases reported in Shenzhen, Beijing, Chongqing and other cities in China, and in Thailand and South Korea.  There has been a case in the United States. Here are some sources of epidemiological and genetic information.  Separate posts covernews andtravel advice.Epidemiological informationProMedMailHealthMap (change Location at the top of the screen to China and then you will see current alerts, to the left.  You can...
Source: Browsing - January 23, 2020 Category: Databases & Libraries Source Type: blogs

COVID-19: epidemiology and genetics
Updated 12th March 2020, 2030 UK timeFor an up to date number of cases, see theWHO dashboard or theJohns Hopkins CSSE map.  JHU CSSE shows number of cases, recoveries and deaths.  NEW - For up to date numbers of cases in the UK, and by local authority in England, see tracking information fromPublic Health England.For up to date information relevant to the NHS, look at NHS Evidence Search.Epidemiological informationChina Center for Disease Control and Prevention: Tracking the Epidemic (in English).  Numbers of cases and deaths.ProMedMail for reports of cases.HealthMap.  Displays ...
Source: Browsing - January 23, 2020 Category: Databases & Libraries Tags: coronavirus COVID-19 NCOV Wuhan Source Type: blogs

Priscilla
Well, it’s been a really rough three weeks. The first thing that happened was on January 1, no kidding, when I came down with a case of the flu (much worse than the before-Xmas flu). It’s going around. A lot of people are sick with this thing. Anyway, it hit me with a very high fever and huge gastrointestinal issues. Terrible. Plus, one night, delirious with fever, I fell against the bathroom wall and injured my wrist. Ouch. Because my wrist was all swollen and hurt like the dickens, and I feared it might be fractured, Stefano took me to the emergency room at Florence’s university hospital, Careggi. We sp...
Source: Margaret's Corner - January 20, 2020 Category: Cancer & Oncology Authors: Margaret Tags: Blogroll cat Source Type: blogs

A Deeper Dive:  How Vulnerable Can a Therapist Be?
For as long as I can remember, “Peeling off the layers to reveal the real” has been my credo. In a dream, the words “Bare Boldly,” echoed through my sleeping but ever so active brain.” When messages come through that insistently, they can’t be ignored. My inner and outer work as a hybrid therapist-journalist prepare me to take this on every day. When that happens, I question if I am too self-revealing. Last year, I penned an article for Psych Central called When A Therapist and Journalist Comes Clean About Her Self Doubt. It takes a confessional tone as I admit that the way I present isn’t always an accurate ...
Source: World of Psychology - January 17, 2020 Category: Psychiatry & Psychology Authors: Edie Weinstein, MSW, LSW Tags: Aging Personal Authenticity Shame Vulnerability Source Type: blogs

Coming clean: Your anesthesiologist needs to know about marijuana use before surgery
Given the increasing prevalence and legalization of marijuana, many patients have come to think that marijuana use is not worth mentioning to their physicians. After all, they reason, I would not necessarily tell my doctor that I had a glass of wine last night, so why should I disclose that I smoked marijuana yesterday? Unfortunately, this reasoning is flawed. Because marijuana has a variety of effects on the body and on anesthesia medicines, it is crucial that anyone undergoing a preoperative evaluation disclose their marijuana use. Don’t worry that your anesthesiologist is judging you. That’s not our job! Our job is ...
Source: Harvard Health Blog - January 15, 2020 Category: Consumer Health News Authors: David Hepner, MD, MPH Tags: Health care Marijuana Prevention Safety Surgery Source Type: blogs

A new coronavirus causing respiratory disease in China
A new coronavirus appears to be causing a pneumonia-like illness in China. It is certainly a zoonotic infection – jumping from non-human animals to humans – as exemplified by previous outbreaks of SARS and MERS coronaviruses. The government in Wuhan, China confirmed on 31 December that dozens of cases of pneumonia of unknown cause were […] (Source: virology blog)
Source: virology blog - January 10, 2020 Category: Virology Authors: Vincent Racaniello Tags: Basic virology Information coronavirus emerging virus MERS pneumonia respiratory disease SARS viral viruses Wuhan outbreak zoonosis Source Type: blogs

ROX index
ROX index is used to predict the success (and failure) of high-flow nasal cannula (HFNC). ROX index is the ratio of pulse oximetry/fraction of inspired oxygen (FIO2) to respiratory rate. ROX index of 4.88 or measured after 12 hours of HFNC was associated with a lower risk of mechanical ventilation. This was noted in a study conducted on 157 patients with pneumonia [1]. It was a 4 year observation two center cohort study including patients with severe pneumonia treated with HFNC. 44 patients who needed mechanical ventilation was considered as HFNC failures. HFNC can delivered up to 60 litres of flow with humidified and war...
Source: Cardiophile MD - January 5, 2020 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Cardiology Source Type: blogs

Are You Pushing Your Own Emotional Buttons?  Learn How to Stop
In conclusion, it’s all about becoming more aware of how and when push our own emotional buttons and how we can replace old, reactionary behavior with positive, life-affirming actions. (Source: World of Psychology)
Source: World of Psychology - January 2, 2020 Category: Psychiatry & Psychology Authors: Tracy Shawn, MA Tags: Anxiety and Panic PTSD Self-Help Habit Change Negative Emotions Source Type: blogs

Opioid Overdose: Causes, Signs, and What to Do
Opioid Overdose: Signs, Symptoms, and What to Do Any individual who uses opioids runs the risk of overdosing. Overdoses can be fatal. In fact, more than 130 people in the United States die after overdosing on opioids every day. This makes it important to know what causes an opioid overdose, the signs that an opioid overdose is occurring, and what to do in the event of an opioid overdose. Opioid Overdose Causes In 2017, the CDC reported that more than 15,000 individuals died from drug overdoses involving heroin in the United States. That’s almost 5 deaths for every 100,000 Americans. However, there are some people who may...
Source: Cliffside Malibu - December 27, 2019 Category: Addiction Authors: Jaclyn Uloth Tags: Detox Resources for Alcohol and Drugs/Opiates Painkiller drug overdose opiate addiction opioid opioids Source Type: blogs