The Ethics of Keeping Alfie Alive
By SAURABH JHA
Of my time arguing with doctors, 30 % is spent convincing British doctors that their American counterparts aren’t idiots, 30 % convincing American doctors that British doctors aren’t idiots, and 40 % convincing both that I’m not an idiot.
A British doctor once earnestly asked whether American physicians carry credit card reading machines inside their white coats. Myths about the NHS can be equally comical. British doctors don’t prostate every morning in deference to the NHS, like the citizens of Oceania sang to Big Brother in Orwell’s dystopia. Nor, in their daily rounds, do they calculate opportun...
Source: The Health Care Blog - May 21, 2018 Category: Consumer Health News Authors: at RogueRad Tags: OP-ED Uncategorized AlfieEvans Source Type: blogs
Physician burnout shouldn ’t be linked to resilience
Recently, I was asked to give a talk on resilience and its role in reducing physician burnout. I was excited by the opportunity, but asked if I could focus more on cultural change and institutional solutions for burnout. When they said no, I declined. Why?
Well, it’s not that I don’t see the value in resilience. A lot of physicians that I really respect write and speak about resilience. I think it’s a valuable concept and think that we (or anyone, really) could benefit from becoming more resilient. But I’m really hesitant to link my work with physician burnout to resilience.
If you have ever seen one o...
Source: Kevin, M.D. - Medical Weblog - May 12, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/nisha-mehta" rel="tag" > Nisha Mehta, MD < /a > Tags: Physician Practice Management Primary Care Source Type: blogs
MKSAP: 35-year-old woman is evaluated for intermittent fever
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 35-year-old woman is evaluated for intermittent fever, sweats, fatigue, and dull midchest pain of 2 weeks’ duration. Medical history is significant for liver transplantation 6 months ago for primary biliary cirrhosis; she was seronegative for cytomegalovirus and Epstein-Barr virus, and her donor was positive for both. Results of pretransplant testing for tuberculosis were negative. She received valganciclovir prophylaxis for 3 months after transplantation. Medications are tacrolimus, prednisone, mycophen...
Source: Kevin, M.D. - Medical Weblog - May 12, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Allergies & Immunology Infectious Disease Source Type: blogs
Agfa ’s DR 800 Multi-Purpose Imaging System Gets Green Light from FDA
Agfa landed FDA clearance for its DR 800 digital imaging system that can be used for radiography, fluoroscopy, and for a variety of other clinical applications. It includes the firm’s Dynamic MUSICA image processing algorithms that suppress image noise, provide brightness optimization, and reduces veiling glare.
There are a number of tools to speed up workflow, share images, and collaborate with clinicians around the hospital.
The company touts the system’s freedoms of movement, optional high-frequency fluoroscopy generators with different power ratings, and wireless control.
Here’s a promo video for the ...
Source: Medgadget - May 4, 2018 Category: Medical Devices Authors: Editors Tags: Radiology Source Type: blogs
New Kentucky Law Excludes Radiologists from Reading Black Lung Radiographs
A new law passed in Kentucky could reduce diagnosis rates of black lung in the state. The bill backed by Republican Representative Adam Koenig allows only NIOSH-certified pulmonologists to interpret chest x-rays in black lung compensation cases. Previously, B reader radiologists could also read chest radiographs in black lung claims.Black lung has become increasingly common among miners. Around one in 14 miners with at least 25 years of experience are diagnosed with the condition.According to NPR, there are only six pulmonologists in Kentucky with NIOSHcertification, the qualification to assess pneumoconiosis — other...
Source: radRounds - April 27, 2018 Category: Radiology Authors: Julie Morse Source Type: blogs
Radiology and Errors
Conclusion should use diagnostic terms / reflect one opinion about disease and not an echogenic …. Etc . one can take the help of , could rep …. in view of …… etcComparison with old images should follow , expressing various components including the effect of therapy/ progression of the disease findings etcAlways proof read your report with the help of your data entry operators( who would even confirm that you have reported the correct patient , i.e. images and report belong to the same individual/ investigation done is what the clinician ordered et...
Source: Sumer's Radiology Site - April 24, 2018 Category: Radiology Authors: Sumer Sethi Source Type: blogs
MKSAP: 41-year-old woman with burning epigastric and chest pain
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 41-year-old woman is evaluated in follow-up after presenting to the emergency department 1 week ago for burning epigastric and chest pain. In the emergency department, a complete blood count and liver chemistry studies were normal, but a radiograph of the chest and upper abdomen demonstrated calcified gallstones. The pain resolved with administration of a liquid antacid, and omeprazole was started. The pain had been present intermittently for approximately 6 months prior to the emergency department visit. It o...
Source: Kevin, M.D. - Medical Weblog - April 7, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Gastroenterology Source Type: blogs
Tropical Travel Trouble 007 Mega Malaria Extravaganza
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
aka Tropical Travel Trouble 007
When you think tropical medicine, malaria has to be near the top. It can be fairly complex and fortunately treatment has become a lot simpler. This post is designed to walk you through the basic principals with links to more in depth teaching if your niche is travel medicine, laboratory diagnostics or management of severe or cerebral malaria. If you stubbled on this post while drinking a cup of tea or sitting on the throne and want a few basi...
Source: Life in the Fast Lane - April 5, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine malaria Plasmodium plasmodium falciparum plasmodium knowles plasmodium malariae plasmodium ovale plasmodium vivax Source Type: blogs
Learn typical community acquired pneumonia with a Medcomic
Community-acquired pneumonia (CAP) is an acute infection of the lung parenchyma acquired outside of the hospital or less than 48 hours after hospital admission. CAP is classified into typical and atypical subtypes, differentiated by their presentation and causative pathogens. This illustration focuses on the classic features of typical CAP.
The most common cause of typical CAP is Streptococcus pneumoniae. It is an encapsulated, gram-positive, lancet-shaped diplococcus bacterium. Other common causative pathogens include Haemophilus influenzae, Moraxella catarrhalis, gram-negative bacilli (e.g., Klebsiella), and Staphylo...
Source: Kevin, M.D. - Medical Weblog - March 26, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/jorge-muniz" rel="tag" > Jorge Muniz, PA-C < /a > Tags: Conditions Infectious Disease Pulmonology Source Type: blogs
A physician is often the only person that sets the tone of hope, or despair
It was mid-afternoon in the ever-bustling surgical intensive care unit (ICU). The nurse, one of those experienced, battle-hardened savants of human symptoms, called me into one of the patient rooms. He was tachypneic on the ventilator with labored breathing and declining oxygen saturations; with each inspiration, his diaphragm would paradoxically elevate, his stomach bulge and the ventilator alarm with the dyssynchrony. Intubated, sedated and unaware, he was fighting for his breath and fighting for his life. A radiograph confirmed our suspicions — bilateral pneumothoraces — and the ICU team prepared for the obvious and...
Source: Kevin, M.D. - Medical Weblog - March 24, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/joshua-s-jolissaint" rel="tag" > Joshua S. Jolissaint, MD < /a > Tags: Physician Surgery Source Type: blogs
I Bless The Rains Down In Africa...Again
Some of you might have noticed that I haven ' t posted for a while. Did you call? Did you write? Did you check to see if i was still alive?Sorry...just the Jewish mother in me coming out. I ' m sure you all knew that the hiatus was justified, and you simply decided that my next missive would be well worth the wait. And I certainly hope to rise to your expectations.Many things have indeed been happening. Doctor Dolly is getting married in a few months, and you can imagine theturmoiljoy that has brought to the Dalai household. In the midst of plans for that amazing(ly expensive) event (JUST KIDDING, DOLLY!!) I received a pro...
Source: Dalai's PACS Blog - March 21, 2018 Category: Radiology Source Type: blogs
Tropical Travel Trouble 005 RUQ Pain and Jaundice
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
aka Tropical Travel Trouble 005
Guest Post: Dr Branden Skarpiak – Global Health Fellow, Department of Emergency Medicine. UT Health San Antonio
A 35 year old male presents to your emergency room for right upper quadrant pain that has gotten worse over the last 2-3 days. He also describes associated nausea, vomiting, and fevers. He denies other abdominal pain, or change in his bowel or bladder habits. His wife notes that he has started to “look more yellow” recent...
Source: Life in the Fast Lane - March 19, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine amebic amoeba amoebiasis amoebic dysentery amoebic liver abscess bloody diarrhoea e.dispar e.histolytica entamoeba histolytica Source Type: blogs
ProxiDiagnost N90 Digital Radiography-Fluoroscopy Combo System Cleared in U.S.
Philips landed FDA clearance for its brand new ProxiDiagnost N90 Digital Radiography-Fluoroscopy (DRF) system. The combined system can be used for nearby fluoroscopy and digital X-ray radiography, allowing an installation to be utilized for many use cases that would normally require two separate systems.
The firm touts the image quality of the ProxiDiagnost N90, which uses a high-end flat detector and features the “UNIQUE” image processing technology. UNIQUE helps to stabilize and harmonize all the captured shots in a given sequence of frames, avoiding repeat exposures that are often needed to generate a dia...
Source: Medgadget - March 19, 2018 Category: Medical Devices Authors: Editors Tags: Radiology Source Type: blogs
There ’s more to the story of the fired patient
She could have been my charming tiny kindergarten teacher, sitting there nonchalantly in her wheelchair with neatly folded arms in her lap. The delicate, airy cloud of silvery blonde hair on her head resembled Queen Elizabeth’s style. I named her Ms. Elizabeth. A few moments ago, though, she looked like a young child who could not comprehend the meaning of her condition. Whenever she was spoken to, her mind seemed to fixate only on one thing: could her pain management intensity be increased? Due to her chronic pain, Ms. Elizabeth begged for more morphine, more pills and more medication.
As a medical scribe, I was tucked ...
Source: Kevin, M.D. - Medical Weblog - February 26, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/anonymous" rel="tag" > Anonymous < /a > Tags: Physician Pain Management Source Type: blogs
Why Radiologists Shouldn ’t Work Overnight
Working overnight shifts (ONS) is an unwritten part of a radiologist ’s job description. However, burning the midnight oil only leads radiologists to make more diagnostic errors. In arecent study published in theJournal of the American College of Radiology, researchers at Emory University looked at the repercussions of ONS, and how physical and mental exhaustion influences image reading practices. In the study, researchers evaluated five faculty radiologists ’ and seven residents’ overall mental and emotional wellbeing post a “normal workday” and after ONS. They performed a Swedish Occupational Fatigue Inventory ...
Source: radRounds - February 10, 2018 Category: Radiology Authors: Julie Morse Source Type: blogs
