Health Care Through the Back Door: The Dangers of Nurse Visits
By HANS DUVEFELT
In some practices, patients with seemingly simple problems are scheduled to be seen by a nurse or medical assistant. Sometimes they can even just drop off a urine sample in case of a suspected urinary tract infection.
This is a dangerous trap. What if the patient rarely gets urinary infections, has back pain and assumes it is a UTI instead of a kidney stone or shingles on their back just where one kidney is located; what if they have lower abdominal pain from an ovarian cyst or an ectopic pregnancy?
Another dangerous type of “nurse visit” is when patients focus on one symptom or parameter, thi...
Source: The Health Care Blog - May 12, 2022 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Primary Care Hans Duvefelt Source Type: blogs
Political Science, continued
Now I ' m going to say a bit about politics in the U.S. Elections -- certainly not in the U.S. -- are not machines for turning voters ' policy preferences into representation that produces them. Consider a current and very clear case. Polls consistently find that close to 70% of the electorate does not want Roe v. Wade to be overturned and wants abortion to remain legal. Yes, views about the circumstances under which it should be legal vary, but there is scant support for the bills being pushed through many state legislatures that would ban abortion entirely or allow it only under very narrow conditions. But despite ...
Source: Stayin' Alive - May 12, 2022 Category: American Health Source Type: blogs
What's new in midwifery - sort of - 30th April 2022
A new article, but historical, hence the rather odd title for this post.An article, in PLoS One, looks at the incidence of breastfeeding in a rural Dutch community in the 19th century, using isotope analysis of the bones of young children from a dairy farming community. It finds that the incidence of breastfeeding was low. Other similar communities had higher incidence and it is suggested that it is social factors that led to the low incidence in the community under investigation. It is suggested that one factor is that the mothers were responsible for looking after the dairy cattle, so were wor...
Source: Browsing - April 30, 2022 Category: Databases & Libraries Tags: midwifery Source Type: blogs
Empowering Trainees to be Leaders and Change Agents
We described several wellness initiatives that were done at individual campuses. The University of Illinois where I attend, we had a wellness committee that we formed led by students. We were able to partner with local companies to bring in more healthy food options. We were able to set up a counseling center dedicated specifically towards medical trainees.
Joe Geraghty:
And so that’s at the institutional level, but then in our local community, we had several letters from places like the University of Chicago. We had a medical student who wrote about how they were developing kind of like easy to digest infograp...
Source: Academic Medicine Blog - April 25, 2022 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast AM Podcast Transcript Annual Call for Trainee-Authored Letters to the Editor ATLAS Trainee Perspective leadership medical education scholarship medical students residents scholarly publishing trainee engagement Source Type: blogs
Constructing an Infrastructure Failure
Scott LincicomePoliticoreports today that high construction materials costs are imperiling not only the President ’s signature infrastructure bill, but also his party’s (already‐dim) electoral prospects this fall:With the midterm elections barely six months away, President Joe Biden took an opportunity Tuesday totout one of his signature (yet often overlooked) achievements— the $1.2 trillion that’s set to flow into the economy for new infrastructure projects over the coming decade.But those historic investments, from eliminating lead pipes and expanding rural broadband access to upgrading airports and passenge...
Source: Cato-at-liberty - April 20, 2022 Category: American Health Authors: Scott Lincicome Source Type: blogs
Telerobotic System Uses Magnets to Perform Endovascular Procedures
Researchers at MIT have developed a telerobotic surgical system that allows a surgeon to remotely treat patients who are suffering a stroke or aneurysm. The system could be very useful, as achieving treatment as soon as possible after a stroke is crucial, but the endovascular surgeons who specialize in treating such patients may not be present at smaller clinics or remote hospitals. This system would allow them to provide treatment even if they are located in a different hospital. The robot uses a magnet to guide a wire through the blood vessels to the clot or aneurysm.
When someone suffers an ischemic stroke, time is o...
Source: Medgadget - April 20, 2022 Category: Medical Devices Authors: Conn Hastings Tags: Neurology Neurosurgery Radiology Telemedicine Vascular Surgery mit Source Type: blogs
Monopoly and Monopsony in the U.S. Economy – Is Big Business Too Powerful? (Part 1)
Ryan BourneLast week I testified at the House Select Committee on Economic Disparity and Fairness in Growth about the idea of monopsony and monopoly power (you can watch the event and read my testimonyhere andhere).Democratic witnesses and politicians claimed that the U.S. is plagued both by highly concentrated labor markets in many regions and by highly concentrated product industries, which each grant companies the market power to suppress wages for American workers and raise prices for consumers respectively. Indeed, highly concentrated industries were even blamed by some witnesses for a large component of our...
Source: Cato-at-liberty - April 11, 2022 Category: American Health Authors: Ryan Bourne Source Type: blogs
Friday Feature: Great Minds School
Colleen Hroncich“Every child deserves an excellent education,” says Steven Shadel, Director ofGreat Minds Schools. “In the aftermath of COVID-19, many families want that education to be virtual. Some are motivated by safety concerns, others like the flexibility it offers. Whatever their motivation, families increasingly need high‐quality virtual education options.”Founded in 2007 by a group of education advocates,Great Minds is an award ‐winning curriculum provider. A few years ago, company leaders began planning a tuition ‐free virtual school option that would utilize the Great Minds ...
Source: Cato-at-liberty - April 8, 2022 Category: American Health Authors: Colleen Hroncich Source Type: blogs
Case of the Week 678
This week ' s fascinating and unusual case was donated by Dr. Vicki Schnadig at University of Texas Medical Branch. The patient is an elderly woman from rural Louisiana who presented with a subcutaneous thigh nodule. Dr. Schnadig ' s team first performed a fine needle aspirate of the lesion which showed the following laminated spherical structure, but no definitive pathogen:Following this, the team noted a worm-like object protruding from the aspiration site and pulled it out:The following are histologic sections of this object:Diagnosis? (Source: Creepy Dreadful Wonderful Parasites)
Source: Creepy Dreadful Wonderful Parasites - April 5, 2022 Category: Parasitology Source Type: blogs
People who grew up in cities tend to be worse navigators
By Matthew Warren
The environment in which you grew up can have a long-lasting effect on your navigational skills, according to an analysis of data from nearly 400,000 players of a mobile game.
People who spent their childhood in rural or suburban areas tended to be better at navigating in the game Sea Hero Quest than those who grew up in cities. This difference could be seen decades later, the researchers report in Nature, and was particularly striking in countries where cities are organised in a grid layout.
Antoine Coutrot from the University of Lyon and colleagues looked at data from 397,162 people from 3...
Source: BPS RESEARCH DIGEST - April 1, 2022 Category: Psychiatry & Psychology Authors: BPS Research Digest Tags: Brain Cognition Source Type: blogs
Only Six People Used the Postal Banking Pilot Program
Nicholas AnthonyLately it has seemed like the bad news has just been piling up. From thebank account freezes in Canada tosweeping legislation on cryptocurrency here in the United States and then thewar in Ukraine, 2022 has been off to a rocky start. However, one spot of good news came when thefinal version of the omnibus spending bill that President Biden signed into law revealed that the funding planned for another postal banking pilot program had been removed.Originally, $6,000,000 was allocated for a new postal banking pilot program despite last year’s test of the programonly reaching 6 people. The spending was ...
Source: Cato-at-liberty - March 30, 2022 Category: American Health Authors: Nicholas Anthony Source Type: blogs
Weekly Australian Health IT Links – 28 March, 2022.
ConclusionsThis review provides a (1) comprehensive data map for PPH for obesity in Queensland and (2) globally translatable framework to identify, collate and appraise primary data sources to advance PPH for obesity and other noncommunicable diseases. Significant challenges must be addressed to achieve PPH, including: using designed and organic data harmoniously, digital infrastructure for high-quality organic data, and the ethical and social implications of using consumer-centred health data to improve public health.Note: Found the #myHR not much use-----https://au.hudson.com/jobview/aps-6-complex-services-manager/e596db...
Source: Australian Health Information Technology - March 28, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Hospital Systems: A Framework for Maximizing Social Benefit
Conclusion
We do not propose this performance framework as a regulatory guide for state or federal authorities. Rather it is presented as a voluntary alternative for managements and Boards seeking to demonstrate the community benefits created by their institutions.
At their best, large health systems can deliver sophisticated, complex care to their communities. But they can also play a key role with community partners in addressing the social determinants of health, thus reducing per capita health cost. Large multi-billion health systems are here to stay. The conversation about how to enhance the health ...
Source: The Health Care Blog - March 21, 2022 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Hospitals Health Systems Ian Morrison Jeff Goldsmith Source Type: blogs
A tale of liberty
The childish refusal of so many Americans to take simple actions and endure what is at most a minor inconvenience to save the lives of their neighbors in the name of " liberty " has reminded me of many of the paradigmatic tales in public health history. I ' m going to give you one: the story of milk.From the late 19th to the late 20th Century, life expectancy in the U.S. and other wealthy countries essentially doubled. In 1880 life expectancy at birth in the U.S. was about 40 years. Now it ' s nearly 80. (We ' ve actually lost ground recently but that ' s another story.) While the death rate at all ages has declined, the b...
Source: Stayin' Alive - March 19, 2022 Category: American Health Source Type: blogs
Homeward Raises $20 Million
Homeward, a new company focused on improving access to high-quality, affordable primary and specialty care in rural communities, today launched with an initial $20 million investment from General Catalyst. Led by key executives who drove Livongo’s success, Homeward will be the first comprehensive provider to take on full risk in rural markets. Today, 60 million […] (Source: EMR and HIPAA)
Source: EMR and HIPAA - March 10, 2022 Category: Information Technology Authors: Healthcare IT News Tags: Healthcare IT Hospital - Health System Amar Kendale Brian Vandenberg Dr. Aaron Friedkin Dr. Bimal Shah General Catalyst Hemant Taneja Homeward Jennifer Schneider Livongo Source Type: blogs
