How can we reduce the no-show rate in primary care?
At a quality and patient safety meeting recently, one of the departments was presenting their annual report on all they have done, reviewing progress that has been made around several quality and patient safety initiatives. One of their project centered on efforts to decrease an incredibly high no-show rate. Coupled with their desire to avoid […]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 - November 15, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/fred-n-pelzman" rel="tag" > Fred N. Pelzman, MD < /a > Tags: Physician Primary Care Source Type: blogs

The many benefits of strengthening the primary care workforce
The United States spends more on health care per capita than any other country in the world — yet health outcomes continue to fall short. In order to close the spending gap with other countries, United States health care policy must focus on reducing costs. While a variety of suggestions have been put forth by […]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 - November 14, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/nicole-liner-jigamian" rel="tag" > Nicole Liner-Jigamian, MSW < /a > Tags: Policy Primary Care Public Health & Source Type: blogs

Artificial Intelligence Diagnoses Heart Murmurs Better Than Expert Cardiologists
At the just concluded American Heart Association’s Scientific Sessions 2018 in Chicago, Eko, the makers of popular digital stethoscopes, showed off a neural network AI algorithm that is able to detect murmurs better than a group of cardiologists. The study, titled “Artificial Intelligence Detects Pediatric Heart Murmurs With Cardiologist-Level Accuracy,” involved teaching a computer to spot suspicious murmurs by first giving it thousands of previously diagnosed sound recordings. The computer analyzed these for unique audio signatures and found enough nuances to be able to identify murmurs in a sample...
Source: Medgadget - November 14, 2018 Category: Medical Devices Authors: Editors Tags: Cardiology Informatics Medicine Pediatrics Source Type: blogs

The risks of co-signing PA and NP charts
We all know that there ’s a remarkable shortage of physicians in America and that it’s growing worse.  This is especially true in primary care but it’s present across all specialties.  This shortage alone is a significant stress on practicing physicians.  But when it is coupled with corporatization, the increa sing complexity of medical care, unrelenting electronic charting requirements and […]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 - November 13, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/edwin-leap" rel="tag" > Edwin Leap, MD < /a > Tags: Physician Emergency Medicine Source Type: blogs

Reducing Healthcare Costs with Virtual Visits; Tangible Evidence Provided
I have suggested in the past notes that deploying virtual visits (telemedicine) in a health system can reduce costs but did not provide any tangible evidence to support the idea (see:Telemedicine Used in New Healthcare Settings Like Coaching). However, in a recent webinar, executives fromSpectrum Health make the point that deploying virtual visits does result in substantial savings for the health system; they also provide concrete evidence for this assertion (see:Spectrum Health Uses Site-to-Site Telehealth Consults to Avoid Transfers and Reduce Costs).Spectrum is a large health system operating in central Michigan wi...
Source: Lab Soft News - November 13, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Healthcare Business Healthcare Delivery Healthcare Information Technology Healthcare Innovations Medical Research Quality of Care Telemedicine Source Type: blogs

Future Trends Help You Choose The Most Fitting Medical Specialty
“I’m a medical student. Which specialty should I choose and what skills will a future doctor need?” “I’m in radiology. Looking at the recent advancements in medical technology, was it a wise choice or should I train myself in something different, too?” These are the questions I most frequently receive after my keynote speeches. While all should be aware of their own physical and intellectual capabilities, here are a few pieces of advice which skills to concentrate on based on the current and future trends in healthcare. The most significant trends in healthcare Artificial intelligence, w...
Source: The Medical Futurist - November 13, 2018 Category: Information Technology Authors: nora Tags: Future of Medicine Medical Education Medical Professionals capabilities crowdsourcing digital digital health digital literacy gamification Healthcare Innovation medical specialties medical specialty patient design skills tech Source Type: blogs

What administrators don ’t understand about urgent care centers
Several years ago, a group of us concerned about health care costs and outcomes met with some local HR benefit managers. One was the head HR person of a city. In part of the conversation, she raved about a local chain of urgent care centers. She loved the fact that she could go to one […]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 - November 13, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/richard-young" rel="tag" > Richard Young, MD < /a > Tags: Policy Emergency Medicine Primary Care Source Type: blogs

Understanding the health care needs of people with multiple health conditions
The Health Foundation - Analysis of data from 2014 to 2016 for 300,000 people in England found that one in four adults had two or more health conditions, equating to approximately 14.2 million people in England. Over half (55 per cent) of hospital admissions and outpatient visits and three quarters (75 per cent) of primary care prescriptions are for people living with two or more conditions. In the least-deprived fifth of areas, people can expect to have two or more conditions by the time they are 71 years old, but in the most-deprived fifth, people reach the same level of illness a decade earlier, at 61 years of age....
Source: Health Management Specialist Library - November 13, 2018 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Local authorities, public health and health inequalities Source Type: blogs

Behavioral weight loss programs are effective — but where to find them?
The US Preventive Services Task Force (USPSTF) is a team of volunteer experts from various primary care medicine and nursing fields. They identify big medical problems, review the research, and translate it into action plans (called practice recommendations) for doctors like me. Just this fall, they tackled obesity, with the goal of identifying effective ways we in primary care can help people to lose weight. And it’s not about aesthetics. This is about disease prevention, especially diabetes, high blood pressure, and heart disease, which are particularly associated with obesity. They were NOT looking at surgeries or...
Source: Harvard Health Blog - November 12, 2018 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Diet and Weight Loss Healthy Eating Source Type: blogs

Doctors overcorrect too often
Back when cholesterol target numbers ruled unopposed (before 2013), we all checked fasting lipids every three months. Before 2012, we also checked liver function quarterly in hapless riders on the cholesterol pill merry-go-round. That year the FDA announced there had not been enough reports of statin-induced liver problems to recommend routine monitoring. I have many […]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 - November 12, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/a-country-doctor" rel="tag" > A Country Doctor, MD < /a > Tags: Physician Cardiology Primary Care Source Type: blogs

Split Pea and Celeriac Soup – Perfect.
If you want to know my perfect Saturday in NYC, here it is… Wake up latish – 8 am. Shower and have a cup of coffee while you plan tonight’s dinner. Make a shopping list, set up a loaf of bread to rise, then hit the streets with Mr TBTAM on the bikes. Ride across town, through Central Park, chatting a bit on the phone with your little brother who often calls you on Saturday mornings  (love my wireless airpods), across the West Side to Riverside Park and the West Side Greenway. If it’s a cold day in November, dress warmly – scarf, gloves – and don’t let the wind b...
Source: The Blog That Ate Manhattan - November 12, 2018 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Recipes Soups Vegetarian Pea soup Split pea Source Type: blogs

3 things physicians can learn from politicians
Shock. Horror. Did you just read the title correctly, or are you seeing things? Well, after you recover from the shock of reading a line you probably never thought you could possibly see in writing— let me tell you this: Physicians and politicians are probably as opposite as you can imagine in terms of […]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 - November 12, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/suneel-dhand" rel="tag" > Suneel Dhand, MD < /a > Tags: Physician Hospital-Based Medicine Primary Care Source Type: blogs

Improving access and continuity in general practice: practical and policy lessons
This report sets out the evidence on continuity of care, its impact on clinical outcomes and wider health services, its importance to patients and GPs, and the relationship between improved access initiatives and continuity of care within general practice. The report aims to help providers, commissioners and policy-makers maximise the opportunities to improve continuity provided by the additional investment in primary care to support improved access. It examines how to achieve the optimal balance between these two dimensions of care when redesigning services for local populations.ReportMore detail (Source: Health Managemen...
Source: Health Management Specialist Library - November 12, 2018 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Developments in primary and community care Source Type: blogs

Changing the focus from physician burnout to physician well-being
Physician well-being is a major focus of many physician organizations and is frequently highlighted in popular media.   Some have described the root of the problem as a disconnect between expectation and reality.  This is a helpful framework for situations that result in disappointment.  I recently rented a house on Airbnb. Eagerly anticipating our vacation, I […]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 - November 11, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/amy-locke" rel="tag" > Amy Locke, MD < /a > Tags: Physician Primary Care Source Type: blogs

Make your 15 minutes with a patient memorable
Compassion. Empathy. These are some of the words commonly thrown around in medical school and residency training. If you ask most medical students why they chose medicine, they will respond with something like this: “ I love to help people,” or “I want to save a life.” I remembered when I entered medical school, one […]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 - November 11, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/adeleke-adesina" rel="tag" > Adeleke Adesina, DO < /a > Tags: Physician Emergency Medicine Primary Care Source Type: blogs

The complex expectations of patients toward their physicians
When my father reached his mid-80s, an accelerating accumulation of physical and mental functioning issues persuaded him to switch to a primary care physician in a concierge medical practice. Although the doctor ’s pedigree proclaimed his competence, he mostly excelled as the medical equivalent of a hotel concierge who can magically procure hard-to-get restaurant reservations at […]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 - November 10, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/michael-l-millenson" rel="tag" > Michael L. Millenson < /a > Tags: Patient Patients Primary Care Source Type: blogs

Making Room for the Army Captain
Christopher D. Reyes, CCRN, CPN is a DNP Pediatric Primary Care NP student. He plans to complete his education in Spring 2021. Christopher D. Reyes is also a Captain in the Army Reserve Nurse Corps. Sometimes the two conflict. Like in February of 2018 when he registered for two spring courses (Advanced Physiology/ Pathophysiology and The post Making Room for the Army Captain appeared first on Johns Hopkins Nursing Magazine. (Source: Nursing Blogs at Johns Hopkins University)
Source: Nursing Blogs at Johns Hopkins University - November 9, 2018 Category: Nursing Authors: Editor Tags: On the Pulse Military veterans Source Type: blogs

Physicians are trapped between patient satisfaction and unnecessary prescribing
I don ’t mean to pick on McDonald’s. Insert any other large retail business where customer satisfaction massively trumps every other consideration of the relationship between employee and customer. Telemedicine companies have exploded the past few years. I suspect a lot of my readers have already see n this, but just in case not, a recent study in […]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 - November 9, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/richard-young" rel="tag" > Richard Young, MD < /a > Tags: Patient Infectious Disease Primary Care Source Type: blogs

The main difference between functional medicine and evidence-based medicine
Figuring out what ’s actually true is far harder than most people realize. Our brains are both hypothesis-generating machines and incredibly credulous. As a result, most of the things we believe to be true turn out to be false. We don’t just mistakenly believe that vaccines cause autism, that the flu shot can giv e us the […]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 - November 9, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/alex-lickerman" rel="tag" > Alex Lickerman, MD < /a > Tags: Physician Primary Care Source Type: blogs

Doctor on Demand Expands Reach with Walmart Collaboration and Coupon for Care
I continue to be interested in what is happening with first-tier (i.e., primary) healthcare. It's being shaken up by retail drug store, walk-in clinics likeMinuteClinic, urgent care centers, and virtual care. With for-profit companies now deeply embedded in the mix, aggressive marketing of services is being introduced and now a coupon is being used to attract customers to virtual care. Details were provided in as recent article (see:Doctor on Demand expands through Walmart collaboration) with an excerpt below:Walmart and the parent company ofMucinex are partnering withDoctor On Demand, a virtual care provider head...
Source: Lab Soft News - November 8, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Healthcare Business Healthcare Delivery Healthcare Innovations Medical Consumerism Source Type: blogs

PSA-based screening for prostate cancer: Interpreting the changing guidelines
Comparing the 2018  U.S. Preventive Services Task Force (USPSTF) recommendation statement on prostate cancer screening in the October 15th issue of American Family Physician with its previous recommendation, the first question family physicians ought to ask is: What new evidence compelled the USPSTF to move from recommending against PSA screening in all men to determining that there was a small net […]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 - November 8, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/kenneth-lin" rel="tag" > Kenneth Lin, MD < /a > Tags: Conditions Oncology/Hematology Primary Care Source Type: blogs

Urgent care isn ’t the answer to our broken system
I’ve only worked four shifts of urgent care so far, but four 12-hour shifts means I’ve seen a lot: a lot of patients, a lot of different ailments, a lot of different reasons that people come to urgent care centers. I have to admit that this has been a breath of fresh air for 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 - November 8, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/rosalind-kaplan" rel="tag" > Rosalind Kaplan, MD < /a > Tags: Physician Primary Care Public Health & Policy Source Type: blogs

The scope of diagnosis – some thoughts after attending #DEM2018
This past weekend I participated in the Society to Improve Medical Diagnosis annual meeting.  I saw many old and new friends.  Going to a meeting often stimulates thinking.  Because we often talk about diagnostic errors, we must first define diagnosis.  As I listened to talks, observed posters, and talked with colleagues a broader concept occurred.  Probably others have considered this, and if so, please send me the reference. Diagnosis has several levels.  A patient coming to see either a primary care physician, cardiologist, emergency physician or someone else (including urgent care, nurse p...
Source: DB's Medical Rants - November 8, 2018 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs

We need more behavioral health treatment in primary care
I don ’t know how many times a patient has told me, “I was in therapy once, and it didn’t help.” My response is always: “That’s like saying‘I saw a movie once and I didn ’t like it’. ” That usually breaks the ice just a little. In primary care, we certainly run into a few patients […]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 - November 8, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/a-country-doctor" rel="tag" > A Country Doctor, MD < /a > Tags: Conditions Primary Care Psychiatry Source Type: blogs

Medical scribes let the doctor focus on you
It’s a gorgeous weekend and you are playing a game of basketball with friends. You take a jump shot, scoring two points, but twist your right ankle on landing. You feel immediate pain and stop playing. After resting for an hour, you notice increased swelling and are having difficulty walking, so you go to the nearby urgent care center. The physician comes to see you, introduces herself, then introduces the medical scribe, who moves to the corner of the room in front of the computer. As the doctor starts asking you questions, the scribe begins typing. Scribes are becoming increasingly common in doctor’s offices....
Source: Harvard Health Blog - November 7, 2018 Category: Consumer Health News Authors: Adam Landman, MD, MS, MIS, MHS Tags: Health Health care Source Type: blogs

Why patients don ’t do what physicians tell them
A guest column by the American College of Physicians, exclusive to KevinMD.com. Those of us who provide clinical care inevitably have patients who simply don ’t do what we tell them.  And this isn’t limited to only primary care but is encountered in all specialties and by subspecialists and consultants alike. Not only can this be […]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 - November 6, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/philip-a-masters" rel="tag" > Philip A. Masters, MD < /a > Tags: Physician American College of Physicians Primary Care Source Type: blogs

We need to make better use of the health team and technology
Nearly a quarter of a century ago (good heavens, I can hardly believe I have to say that!), when I was just starting out as a junior faculty attending, I remember one of my mentors taking me to the hospital with him on morning rounds to see all of his patients who were admitted to […]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 - November 5, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/fred-n-pelzman" rel="tag" > Fred N. Pelzman, MD < /a > Tags: Physician Primary Care Source Type: blogs

There ’ s a Psychiatrist Crisis in America That Few Are Talking About
There’s a psychiatrist crisis in America and virtually nobody is having a serious conversation about how to fix it. It’s not clear how we, as a nation, can brag about our amazing healthcare system when finding a psychiatrist who takes your insurance and is open to new patients is virtually impossible in most places in the U.S. Even worse is that the crisis is still growing and little is being done to avert it. Over at Popula, Jameson Rich details his ordeal in trying to find a new psychiatrist that takes his insurance: My therapist would make a dosage recommendation in consultation with some other doctors, she...
Source: World of Psychology - November 5, 2018 Category: Psychiatry & Psychology Authors: John M. Grohol, Psy.D. Tags: General Policy and Advocacy Professional Psychiatry Treatment american psychiatrist lack of psychiatrists psychiatrist crisis Source Type: blogs

2018 Midterms: The Year of the Female Physician
By NIRAN AL-AGBA MD  While women make up more than half of the U.S. population, an imbalance remains between who we are as a nation and who represents us in Congress. The gender disparity is no different for physicians: more than one third of doctors in the U.S. are women, yet 100 percent of physicians in Congress are men. To date, there have only been two female physicians elected to Congress. However, in the coming midterm election, there are six races with a chance at making history. It’s these battles which could make 2018 “The Year of the Female Physician.” I remember being a first-time voter in...
Source: The Health Care Blog - November 5, 2018 Category: Consumer Health News Authors: matthew holt Tags: Physicians Politics Midterm Elections Niran Al-Agba Women Source Type: blogs

Patient satisfaction: Who is rating the ratings?
Everything is being rated these days. But who is rating the ratings? As a public service, I have been blogging about the shortcomings of various rating systems since 2010. Two recent papers on this topic are worthy of review. In a randomized controlled  study, investigators from the University Hospital of Münster, Germany found that medical students who […]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 - November 5, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/skeptical-scalpel" rel="tag" > Skeptical Scalpel, MD < /a > Tags: Physician Primary Care Source Type: blogs

3 ways physician-pharma partnerships are improving quality of care
We ’ve all heard about the importance of greater stakeholder collaboration in health care. It’s the premise of current movements aimed at improving the outlook on some of the most costly, chronic conditions. Like most physicians today, I maintain a tight work schedule to keep bottom-line margins in the black. On a daily basis, I see […]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 - November 4, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/jack-pinney" rel="tag" > Jack Pinney, MD < /a > Tags: Meds Hospital-Based Medicine Primary Care Source Type: blogs

When Western medicine fails patients and clinicians
It ’s a common scenario: a patient shows up to my office lugging a bagful of over-the-counter supplements, defiantly informing me that they “don’t believe in prescription drugs.” In the very next breath, they present a lab slip with a list of bloodwork that their alternative medicine doctor wan ts me to order to help diagnose their […]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 - November 3, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/kimberly-rogers" rel="tag" > Kimberly Rogers, MD < /a > Tags: Meds Medications Primary Care Source Type: blogs

Where Does Blood Testing Stand Today?
The dream about a drop of blood signaling a wide range of diagnostic results was shattered with Elizabeth Holmes and the Theranos scam. The machination of the company has set back the innovation of blood testing and investment into the field for years. However, there’s always hope. The Medical Futurist looked around where blood testing stands today and what’s the future it is heading towards. Dreaming about a home laboratory Stephen just came home from walking his dog, Barney, an always smiling labrador. The 40-something got off his smart shoes, sat back on the yellow couch that he and her partner, Sara, were f...
Source: The Medical Futurist - November 3, 2018 Category: Information Technology Authors: nora Tags: Biotechnology Business Future of Medicine Medical Professionals Patients Portable Diagnostics Researchers blood blood draw blood test blood testing digital health health market home Innovation laboratory theranos Source Type: blogs

Health in 2 Point 00 Episode 56
On Episode 56 of Health in 2 Point 00, Jess and I report from Livongo’s new office in San Francisco. In this episode, Jess asks me about Carrot Health’s $25 million raise for their digital smoking cessation program and 98point6’s $50 million raise for their on-demand primary care app. We also have our special guest star Dr. Jennifer Schneider here to tell us about how Livongo is working to Silence Noisy Healthcare with Applied Health Signals- Matthew Holt   (Source: The Health Care Blog)
Source: The Health Care Blog - November 2, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health in 2 point 00 Jessica DaMassa Matthew Holt 98point6 carrot health health care startups Livongo Silence Noisy Healthcare Application Source Type: blogs

What this student learned from a standardized patient exam
Many people think medical school is all about memorization and books. But some of the most valuable lessons I learned in my first year as a medical student came from a much different experience. No matter what stage you are at in your journey, there are always new facts, techniques, and procedures to learn. You […]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 - November 2, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/adam-nessim" rel="tag" > Adam Nessim < /a > Tags: Education Medical school Primary Care Source Type: blogs

Make sure you pay attention to your medical interpreter
During my flight from Denver to Japan, I watched a movie called Un Traductor. It is a true story directed by the children of the couple who are the main characters in the movie. The reason why I chose this movie was that there was a Brazilian actor in it. Even so, I was not […]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 - October 31, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/andrea-bischoff" rel="tag" > Andrea Bischoff, MD < /a > Tags: Physician Hospital-Based Medicine Primary Care Source Type: blogs

Transdiagnostic therapies in primary care
I learned a new word recently: transdiagnostic, which refers to something that is applicable across a spectrum of conditions. It seems that this is becoming an increasingly popular concept in treating anxiety disorders. No wonder. As I researched this word,  I read this: As of 2013, there are twelve anxiety-disorder diagnoses and over twenty-five subtypes and […]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 - October 30, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/a-country-doctor" rel="tag" > A Country Doctor, MD < /a > Tags: Conditions Primary Care Rheumatology Source Type: blogs

Perfecting The Power to Talk – The Future of Voice And Speaking
Talking, conversing, exchanging words: for more than 10 million people, this seemingly simple act cannot be imagined without assistive technologies, such as voice generating devices, touch screens or text-to-speech apps. What does the digital future bring for them? How could innovations turn around the translation industry or the medical administration process? Here’s a glimpse into the future of voice and speaking. Speaking, identity, voice stereotypes Give me the key! – This simple sentence carries much more information when it’s pronounced. A weary Philippino mother could instruct her little child as s...
Source: The Medical Futurist - October 30, 2018 Category: Information Technology Authors: nora Tags: Cyborgization Future of Medicine Medical Professionals Patients apps assistive technology Health Healthcare Innovation speaking speech speech generating voice voice generating device Source Type: blogs

Eko and Mayo Clinic Working on Automated Cardiac Screening Tool
Eko, the company that makes smart electronic stethoscopes that we’re very fond of and which is sponsoring our popular Medgadget 2018 Sci-Fi Writing Contest, has now partnered with the Mayo Clinic to develop automated tools to screen patients for heart conditions. Initially, they’re focusing the attention on spotting low ejection fraction, an indication of a weak heart, from auscultation sounds. Currently, echocardiography is used to identify the presence of a low ejection fraction, but it’s costly and requires a separate procedure, making it a poor screening modality. The new partnership aims to comb...
Source: Medgadget - October 29, 2018 Category: Medical Devices Authors: Editors Tags: Cardiology Medicine Pediatrics Source Type: blogs

4 things this family physician wants patients to know
Dear patients: A few things come up daily in my office that need to be addressed. I ’m just going to put these out there in the blogosphere in the hopes that someday they’ll be shared widely and save myself and other doctors a whole lot of hair-pulling (as an alternative to crowdfunding a Super Bowl […]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 - October 29, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/annie-ray" rel="tag" > Annie Ray, MD < /a > Tags: Physician Primary Care Source Type: blogs

The gift of suffering in medicine
“There will always be suffering. It flows through life like water… ” Those famous lyrics sung by Nick Cave in his Lime-Tree Arbour ring true for many of us. They take on an entirely different layer of meaning for physicians. Even the very journey of becoming a physician is marked by suffering. While many of […]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 - October 29, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/kristine-tatosyan-jones" rel="tag" > Kristine Tatosyan-Jones, MD < /a > Tags: Physician Primary Care Source Type: blogs

Wait and see … when do we “ escalate ” care for low back pain?
Prompted by reading a paper by Linton, Nicholas and Shaw (in press), today’s post is about various service delivery models for low back pain and not the content of back pain treatment. Service delivery in New Zealand is assumed to be based on getting most bang for the buck: we have a mainly socialised healthcare system, along with a unique “no fault, 24 hour” insurance model for accidents whether at work or elsewhere, which means market forces existing in other countries are less dominant. There are, however, many other influences on what gets delivered and to whom. Back to most bang for buck. With a l...
Source: HealthSkills Weblog - October 28, 2018 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Back pain Interdisciplinary teams Low back pain Professional topics Research Science in practice health systems treatment Source Type: blogs

Female physicians prioritize patients over profits
Gender politics aside, let’s talk about why the way doctors get paid matters to you as a patient. Female physicians don’t just get paid less because they prioritize their families, they get paid less because they prioritize patients. In the fee-for-service model, doctors are paid per patient visit, so the more patients they see, the more they get paid. This means that the worst doctors are paid the most. Health care administrators love “productive” doctors who see 40 to 50 patients per day in 5 to 10 minute visits. These doctors make a ton of money rolling patients through the assembly line, and the...
Source: Kevin, M.D. - Medical Weblog - October 28, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/emily-orourke" rel="tag" > Emily O'Rourke, MD < /a > Tags: Physician Practice Management Primary Care Source Type: blogs

Should You Get a Mammogram?
Leda Derderich wishes she’d started having mammograms sooner. Dederich had stage IV breast cancer diagnosed at age 45, two years after she and her doctor discussed and dismissed the need for a routine screening mammogram while breastfeeding at age 43. That decision to delay screening mammograms may have meant that she lost the chance to find and treat her breast cancer before it had spread beyond the breast. It’s a decision she regrets now, and blames on the confusion around mammogram guidelines. I have had a much harder time accepting that I was not screened for breast cancer before it was too late. No...
Source: The Blog That Ate Manhattan - October 28, 2018 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Breast Cancer Mammography ACOG ACR ACS Guidelines mammogram Stage IV USPSTF Source Type: blogs

Millennials want convenient care
The Kaiser Health News article, “Spurred By Convenience, Millennials Often Spurn The ‘Family Doctor’ Model,” caught my eye. Millennial patients want “convenience, fast service, connectivity, and price transparency” while doctors and health experts worry about “fragmented or unnecessary care, including the misuse of antibiotics” and loss of  “care that is coordinated and longitudinal.” It’s as if the needs of the patients and the concerns of doctors are mutually exclusive. They are not. The challenge is the current health care system does not provide for...
Source: Kevin, M.D. - Medical Weblog - October 27, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/davis-liu" rel="tag" > Davis Liu, MD < /a > Tags: Tech Mobile health Primary Care Source Type: blogs

When physicians order tests: a tale of 2 patients
Sometimes things go just the way you want them to, and sometimes they don’t. Compare and contrast the case of two different patients, and how things went trying to get them the care they needed. The first patient, let’s call him Mr. Smith, called up one day last week with a brand-new symptom, which after a phone call was ultimately determined to be disturbing enough that he was offered a same-day appointment. After coming in that same day, he was interviewed and examined, and no definitive diagnosis could be made at the time of the office visit. As often happens, the wide differential diagnosis of possible thin...
Source: Kevin, M.D. - Medical Weblog - October 25, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/fred-n-pelzman" rel="tag" > Fred N. Pelzman, MD < /a > Tags: Physician Primary Care Radiology Source Type: blogs

The doctor inside never truly rests
People like to think the worst about doctors: We don’t listen, we don’t care, we only want your money. But, the truth is we do care, and that is why most of us answered the calling to become doctors. That is why the burnout rate for doctors is so high. Patients hate to wait in the waiting room for too long. But, truth is, I sometimes need to take a break to cry because I just told a patient they have cancer. Of course, I can’t show that face to patients because I need to put on my strong one to give them hope, even though it tears me up inside. When you think we aren’t listening, it might because we...
Source: Kevin, M.D. - Medical Weblog - October 24, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/linda-girgis" rel="tag" > Linda Girgis, MD < /a > Tags: Physician Primary Care Source Type: blogs

When patients can ’t tell you their symptoms
Today I had a followup appointment with a young adult male with severe intellectual disabilities. He is barely verbal. Several weeks ago his caregiver told me that this young man often pointed to his chest and would say “hurt” or “heart,” they weren’t sure which. He also seemed to have gotten pickier about his food, and would literally pick at the food on his plate as if examining it. His appetite was definitely down, but he hadn’t lost any weight yet. Jimmy is young and slender, not a smoker, and has no cardiovascular disease in his family, so I prescribed him omeprazole. “So, how...
Source: Kevin, M.D. - Medical Weblog - October 24, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/a-country-doctor" rel="tag" > A Country Doctor, MD < /a > Tags: Physician Primary Care Source Type: blogs

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Over the past year, new health coverage products that are not subject to the consumer protections of the Affordable Care Act have hit the individual market. One type of limited health-insurance-like offering that was already available but is now gaining attention is a direct primary care arrangement, or DPCA. Most often, a DPCA is a contract between a primary care provider and a patient, under which the provider agrees to deliver primary care services in exchange for a monthly fee.         (Source: The Commonwealth Fund: Blog)
Source: The Commonwealth Fund: Blog - October 23, 2018 Category: International Medicine & Public Health Authors: Maanasa Kona, Kevin Lucia, Sabrina Corlette Source Type: blogs

A new physician experiences the opioid crisis
Seven years ago, I officially became a doctor. After years of hard work, sacrifice and insecurity, I finished my residency and passed my board certification exam in internal medicine. I was a fourth generation internist in my family and was so eager to begin my career in a new city with my fiancé. My first job out of residency seemed perfect. I had a set outpatient schedule, administrative support, and great salary and benefits. I was ready to hit the ground running, managing chronic disease and promoting preventive health. What I did not realize was that the next two years at this practice would be some of the most...
Source: Kevin, M.D. - Medical Weblog - October 22, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/shaily-shah" rel="tag" > Shaily Shah, DO < /a > Tags: Physician Primary Care Source Type: blogs