Wisdom…
…the quality of having experience, knowledge, and good judgment. I read today a collection of words that exude wisdom. I share it with you because the purpose of this blog is to do create value through education. Peggy Girshman was an award-winning health journalist. When ill with a life-limiting illness, she wrote her own eulogy. NPR published it today after her death. Must-read is an overused phrase, but it modifies perfectly her words. Here are a few excerpts, with my thoughts. Work-Life Balance: Though Girshman wished she could have worked longer, “to convince someone I was right,” she also wished she...
Source: Dr John M - May 9, 2016 Category: Cardiology Authors: Dr John Source Type: blogs

12 Percent of People Will Be Diagnosed With This Life-Threatening Heart Disease
The post below first appeared on HuffPost Healthy Living on April 20. Jen Hyde, a 30-year-old poet and artist living in Brooklyn, has a congenital heart defect. By the age of 25, Hyde had two open-heart surgeries, including a heart valve replacement. “I know that heart disease is the number one killer of women in America,” Hyde said. “I’m currently in great shape, but part of staying this way means building a strong relationship with my cardiologist so that the care I receive is preventative, not reactive.” Hyde is not alone in suffering from heart health issues — in the U.S., cardiovascular disease is the No...
Source: Disruptive Women in Health Care - April 25, 2016 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Chronic Conditions Source Type: blogs

Learn or Die!
This post originally appeared on The Timmerman Report and then ran on Venture Valkyrie. I have a new favorite TV show: Join or Die with Craig Ferguson. Ferguson is a irreverent, sometimes raunchy Scottish comedian who used to host the Late Late Show alongside his skeleton puppet sidekick Geoff.   Join or Die airs Thursdays at 11 pm on the History Channel, which is your first clue that this isn’t your run of the mill late night talk show. The premise of Join or Die, named after Ferguson’s tattoo, is that four people, a random assortment of comedians, actors, historians and scientists plus Ferguson, debate a historic q...
Source: Disruptive Women in Health Care - March 17, 2016 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Consumer Health Care Quality Source Type: blogs

Prophylactic Mastectomies Increasing Despite No Survival Benefit
One of the more concerning trends in breast cancer treatment is the growing use of bilateral mastectomy to treat breast cancer that is present in only one breast. We call this prophylactic contralateral mastectomy – or removal of a normal breast in order to prevent future breast cancer. A new study of almost half a million women with breast cancer reports that in 2009, 12.7% chose to treat cancer in one breast by removing both breasts, a rate almost triple that in 2002. Unfortunately, the additional surgery added no benefit, as survival rates were no better among women who had bilateral mastectomy compared to those...
Source: The Blog That Ate Manhattan - March 14, 2016 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Breast Cancer Source Type: blogs

TBT: Which is More Uncomfortable – The Colonoscopy or Treatment for Colon Cancer?
March is Colon Cancer Awareness Month, today’s TBT post provides some helpful information on colorectal cancer. Michelle was a healthy, active 47 year old. She tried to eat right and she exercised. It looked like the hard work was paying off: no health issues and lots of energy. Her work in the healthcare field motivated her to see her doctors regularly for checkups, to get mammograms and to have her blood work done annually. She knew she was getting close to the magical age of 50 and that soon she would need to get a colonoscopy to screen for colorectal cancer.  Since she had no family history of the disease she wa...
Source: Disruptive Women in Health Care - March 10, 2016 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Cancer TBT Source Type: blogs

MKSAP: 53-year-old woman with a skin lesion
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 53-year-old woman is evaluated for a slowly enlarging, telangiectatic, pearly, ulcerated 1-cm plaque on the left temple. It bleeds periodically when traumatized. Medical history is significant for atrial fibrillation. She takes warfarin daily. She is otherwise in good health. On physical examination, vital signs are normal. Cardiac examination shows an irregular heart rate but is otherwise normal. The remainder of the examination is unremarkable. Biopsy of the lesion reveals a basal cell carcinoma with microno...
Source: Kevin, M.D. - Medical Weblog - March 5, 2016 Category: Journals (General) Authors: Tags: Conditions Dermatology Source Type: blogs

TBT: Getting Diagnosed with Cervical Cancer
In honor of it being Cervical Cancer Awareness Month today’s TBT post is one we ran as part of a series back in 2014. January is Cervical Cancer Month. According to the CDC, in 2010 11,818 women in the United States were diagnosed with cervical cancer and 3,939 women died from the disease. And while these statistics are disheartening, once the leading cause of death in women, cervical cancer has rapidly declined over the past 40 years.  The decline in cases can be attributed to preventative medicine: more women are getting regular Pap tests, which can find cervical precancer before it turns into cancer. Throughout t...
Source: Disruptive Women in Health Care - January 14, 2016 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Cancer TBT Women's Health Source Type: blogs

A secret shopper’s perspectives on the EHR and clinical workflow
As someone who has practiced medicine using both paper and electronic records, and someone who’s been focused on the health tech scene for the past 20 years, you might think I’ve seen it all. Indeed, during my 35 year career in medicine and tech I’ve traveled the world and learned a lot about healthcare, clinical practice and the intersection between medicine and technology. However, there’s nothing like being a secret shopper to get a little reality check on where things stand with electronic health records and clinical workflow. For the past couple of months, and likely c...
Source: HealthBlog - December 10, 2015 Category: Information Technology Authors: hlthblog Tags: Uncategorized AI analytics BI care quality Clinical Workflow Clinicians collaboration communication compliance doctors eHealth EHR electronic medical records EMR Health IT health reform Healthcare healthcare costs hea Source Type: blogs

A secret shopper ’s perspectives on the EHR and clinical workflow
As someone who has practiced medicine using both paper and electronic records, and someone who’s been focused on the health tech scene for the past 20 years, you might think I’ve seen it all. Indeed, during my 35 year career in medicine and tech I’ve traveled the world and learned a lot about healthcare, clinical practice and the intersection between medicine and technology. However, there’s nothing like being a secret shopper to get a little reality check on where things stand with electronic health records and clinical workflow. For the past couple of months, and likely c...
Source: HealthBlog - December 10, 2015 Category: Information Technology Authors: hlthblog Tags: Uncategorized AI analytics BI care quality Clinical Workflow Clinicians collaboration communication compliance doctors eHealth EHR electronic medical records EMR Health IT health reform Healthcare healthcare costs hea Source Type: blogs

A secret shopper's perspectives on the EHR and clinical workflow
As someone who has practiced medicine using both paper and electronic records, and someone who's been focused on the health tech scene for the past 20 years, you might think I've seen it all. Indeed, during my 35 year career in medicine and tech I've traveled the world and learned a lot about healthcare, clinical practice and the intersection between medicine and technology. However, there's nothing like being a secret shopper to get a little reality check on where things stand with electronic health records and clinical workflow. For the past couple of months, and likely continuing for most of th...
Source: HealthBlog - December 10, 2015 Category: Information Technology Authors: hlthblog Tags: Uncategorized AI analytics BI care quality Clinical Workflow Clinicians collaboration communication compliance doctors eHealth EHR electronic medical records EMR Health IT health reform Healthcare healthcare costs hea Source Type: blogs

Exhibits At An Exhibition: Siemens Press Conference
"Pictures at an Exhibition" Courtesy TzviErezI'm back from a rather brief trip to Chicago and RSNA. I had two days to see stuff and get some edumacation, as we say down here in the South, and I tried to make the most of it.Educationally, I used my limited time to concentrate on PET and thyroid/parathyroid imaging. I come out reassured that we are doing things correctly. I'm still a little confused as to the best application of SPECT/CT to parathyroid imaging, so I'll probably be doing some experimentation when we finally get the darn thing sometime early next year. One presentation claimed better accuracy with good ol...
Source: Dalai's PACS Blog - December 5, 2015 Category: Radiology Source Type: blogs

MKSAP: 65-year-old man is evaluated after a recent colonoscopy
A 65-year-old man is evaluated after a recent colonoscopy, which disclosed a 2.5-cm pedunculated polyp in the sigmoid colon. The polyp was removed in its entirety in a single piece. Biopsy results showed a well-differentiated adenocarcinoma confined to the submucosa without evidence of lymphovascular involvement and a 1-mm margin. There is no family history of colorectal cancer. Physical examination findings are unremarkable. Which of the following is the most appropriate management? A: Colon resection B: CT scan of the abdomen and pelvis C: Radiation therapy D: Repeat colonoscopy in 3 months Continue reading ... Your pat...
Source: Kevin, M.D. - Medical Weblog - November 28, 2015 Category: Journals (General) Authors: Tags: Conditions Cancer GI Source Type: blogs

2016 Physician Fee Schedule: Includes Changes on Self-Referral Rules, Biosimilars and Reimbursement, Transparency Changes for Another Day
Earlier this year, we wrote about the proposed Medicare Physician Fee Schedule. In the proposed rule, CMS sought comment on whether to add Open Payments data to its "Physician Compare" website. Additionally, the proposal included a decision to fund previously controversial advance care planning codes, the first regulations implementing the post-SGR legislation, Stark Law exceptions, and more. For now, CMS decided against finalizing any decision to publish Open Payments data on the Physician Compare website, according to the rule. The final rule will be published in the Federal Register on November 16, 2015. Comments on th...
Source: Policy and Medicine - November 12, 2015 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Finding Common Ground in the Search for Better Patient Care and Outcomes
By JOE V. SELBY, MD A basic rule of scientific discovery is that the answers you get are only as good as the questions you ask. That is certainly the case in health care. Traditionally, it has been the sole responsibility of health researchers to develop questions for study that, when answered, can provide reliable and relevant information for patients and clinicians. For the most part, they’ve done an exceptional job, as evidenced by countless discoveries about the nature of disease and remarkable advances in diagnosing, preventing and treating them. But when researchers are the only ones determining scientific inquiry,...
Source: The Health Care Blog - October 7, 2015 Category: Consumer Health News Authors: Simon Nath Tags: THCB Source Type: blogs

Another irresponsible breast cancer alternative cure testimonial
It just occurred to me that Breast Cancer Awareness Month is fast approaching, not the least of which because I did a Komen event last night as one of the breast cancer experts. I sometimes wonder if I suffer from a bit of the imposter syndrome, because sixteen years on I still sometimes can’t believe… (Source: Respectful Insolence)
Source: Respectful Insolence - September 17, 2015 Category: Surgery Authors: Orac Tags: Cancer Complementary and alternative medicine Popular culture Pseudoscience Quackery Skepticism/critical thinking black salve breast cancer chemotherapy Corissa Macklin-Rice Gerson protocol radiation therapy vegan Source Type: blogs