Study finds alcohol use the biggest risk factor for dementia
This study looked specifically at the effect of alcohol use disorders, and included people who had been diagnosed with mental and behavioural disorders or chronic diseases that were attributable to chronic harmful use of alcohol.Of the 57,000 cases of early-onset dementia (before the age of 65), the majority (57%) were related to chronic heavy drinking.What is the Difference Between Alzheimer ’s and DementiaSubscribe to the Alzheimer's Reading - This is a Free Service - Join NowLargest study of its kind finds alcohol use biggest risk factor for dementiaOf the 57,000 cases of early-onset dementia (before the age of 65), t...
Source: Alzheimer's Reading Room, The - February 23, 2018 Category: Neurology Tags: alcohol dementia alcohol disorder Alzheimers Dementia chocoholic abuse chronic alcohol abuse dementia care dementia risk early onset dementia Source Type: blogs

What If The Pathologist Is Wrong?
And they won ' t review all the tests. This is a two part misadventure.First I was horrified by thisfirst story where two women were found to have been misdiagnosed by a pathologist at a hospital in Ireland. Their original breast cancer diagnoses were incorrect. One woman was diagnosed with DCIS in 2010 and had a mastectomy. Based on the original pathology she was not required to have any additional treatment. In 2012, to the surprise of her and her doctor, her cancer came back." Her original 2010 biopsy had shown invasive cancer but this had been missed.The hospital said this was a mistake that any pathologist could have ...
Source: Caroline's Breast Cancer Blog - February 22, 2018 Category: Cancer & Oncology Tags: breast cancer treatment cancer diagnosis medical errors pathology report Source Type: blogs

Medgadget Boards the Orbis Flying Eye Hospital
Fresh off a project in Cameroon, the Orbis Flying Eye Hospital paid a special visit to the San Francisco Bay Area for fundraising activities and a resupply before spending the holidays in Arizona for maintenance and its next project in Peru. Medgadget was given a private tour and got a close look at everything from the cockpit to the converted cargo hold below. Our tour began as we approached the massive mobile hospital, which was parked on the tarmac at Moffett Federal Airfield in Mountain View, CA. A McDonnell Douglas model MD-10, this plane had previously served as a cargo transport plane for FedEx. FedEx not only gen...
Source: Medgadget - December 18, 2017 Category: Medical Devices Authors: Scott Jung Tags: Exclusive Ophthalmology Source Type: blogs

What ’s New and In the Queue for Academic Medicine
What’s New: A Preview of the December Issue The December issue of Academic Medicine is now available! Read the entire issue online at academicmedicine.org or on your iPad using the Academic Medicine for iPad app. Highlights from the issue include: Beyond “Dr. Feel-Good”: A Role for the Humanities in Medical Education Kumagai proposes several unique ways in which the arts and humanities contribute to the development of physicians who practice with excellence, compassion, and justice. Exploring Integration in Action: Competencies as Building Blocks of Expertise Mylopoulos and colleagues find that understanding integ...
Source: Academic Medicine Blog - December 6, 2017 Category: Universities & Medical Training Authors: Journal Staff Tags: Featured Issue Preview empathy global health health disparities medical education medical students Source Type: blogs

I never expected to be a patient
As a surgical resident nearing my final year of training, I loved to operate. Whenever I was on call in the trauma unit at our large urban teaching hospital in Washington, DC, I’d yearn for my pager to go off. I was always tired, too — but for a surgical resident, fatigue is a given. Sleep and eat when you can, get your work done and operate like a madwoman: That was my life. It felt like a high-adrenaline thrill ride, and I was enjoying every swoop and turn. I never expected that, while racing towards the final exhilarating peak of my training, I would become a patient myself. Ironically, it happened right after t...
Source: Kevin, M.D. - Medical Weblog - December 3, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/naderge-pierre" rel="tag" > Naderge Pierre, MD < /a > Tags: Physician Rheumatology Surgery Source Type: blogs

Vanderbilt Disputes Suggestion That Larger Hospitals ’ Data Is Less Secure
Ordinarily, disputes over whose data security is better are a bit of a snoozer for me. After all, if you’re not a security expert, much of it will fly right over your head, and that “non-expert” group definitely includes me. But in this case, I think the story is worth a closer look, as the study in question seems to include some questionable assumptions. In this case, the flap began in June, when a group of researchers published a study in JAMA Internal Medicine which laid out analysis of HHS statistics on data breaches reported between late 2009 to 2016. In short, the analysis concluded that teaching hospit...
Source: EMR and HIPAA - November 27, 2017 Category: Information Technology Authors: Anne Zieger Tags: EHR Electronic Health Record Electronic Medical Record EMR EMR Security Healthcare HealthCare IT HIPAA General Hospitals Healthcare Data Breach HHS JAMA Internal Medicine PHI Teaching Hospitals Vanderbilt University Source Type: blogs

Vermont AG Probing Pharma and Physician Relationships
The Vermont attorney general is investigating the extent to which drug and device makers may have violated state law by giving gifts or payments for other items to health care providers, according to a source familiar with the matter. As some of our readers may recall, Vermont banned industry gift giving to health care providers over concerns that the payments influence the way physicians practice medicine and prescribe medications, a contentious issue that later led the federal government to create a database to which drug and device makers must report any payments to physicians and teaching hospitals. The Vermont law p...
Source: Policy and Medicine - November 27, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Surgeon grows vegetables across from his hospital to cope with stress and burnout
From thisReuters/Yahoo article:"Dr. Brian Halloran, a vascular surgeon at St. Joseph Mercy Ann Arbor, starts planning his garden long before spring arrives in southeast Michigan. His tiny plot, located in the shadow of the 537-bed teaching hospital, helps Halloran cope with burnout from long hours and the stress of surgery on gravely ill patients. "You really have to find the balance to put it a little more in perspective," he said.Hospitals such as St. Joseph Mercy Ann Arbor have been investing in programs ranging from yoga classes to personal coaches designed to help doctors become more resilient. But national burnout ra...
Source: Clinical Cases and Images - Blog - November 22, 2017 Category: Universities & Medical Training Tags: Burnout Physician Psychology Stress Source Type: blogs

Practicing Medicine While Black
By KIP SULLIVAN, JD The managed care movement thrives on misleading words and phrases. Perhaps the worst example is the incessant use of the word “quality” to characterize a problem that has multiple causes, only one of which might be inferior physician or hospital quality. [1] To illustrate with a non-medical analogy, no one would blame auto repair mechanics if 50 percent of their customers failed to bring their cars in for regular oil changes. We would attribute the underuse of mechanics’ services to forces far beyond the mechanic’s control and would not, therefore, refer to the problem as a “quality” problem...
Source: The Health Care Blog - November 9, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Is physician shadowing immoral?
Countless times as a patient both at Memorial Sloan Kettering and Weill Cornell in New York City, I have witnessed doctors arrogantly waltzing into an examination room and arriving not alone but with an entourage. Like Greeks bearing gifts, they arrived with something unwanted and threatening: medical students, interns, residents, and fellows. And not once, in all the many times that I have been subjected to this ignominious practice, was my consent ever obtained prior to the doctor’s arrival. Some would argue that this practice is perfectly acceptable provided high school students and college students are not doing the ...
Source: Kevin, M.D. - Medical Weblog - November 6, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/david-penner" rel="tag" > David Penner < /a > Tags: Patient Hospital-Based Medicine Patients Primary Care Source Type: blogs

“Mouths full of gold.” Private practice in Britain’s National Health System
By SAURABH JHA, MD When Aneurin Bevan was asked how he convinced doctors to come on board the National Health Service (NHS) he allegedly replied, “I stuffed their mouths full of gold.” Bevan recognized that to conscript doctors to the largest socialist experiment in healthcare in the world he had to appeal not so much to their morals, but pockets. There is much piety about the NHS. It is the envy of the world, though oddly Saudi oil barons still favor Cleveland Clinic and Texas Heart Institute over quaint little hospitals in rural Scotland. The NHS featured in Britain’s 2012 Olympic parade along with Mr. Bean and the...
Source: The Health Care Blog - October 29, 2017 Category: Consumer Health News Authors: at RogueRad Tags: Uncategorized Source Type: blogs

University of Michigan ’s Hybrid OR: High Tech Surgical Gadgetry Inside One Room
The University of Michigan in Ann Arbor sports one of the finest medical centers in America. We won’t even mention the football team. One of the reasons U of M’s clinics are at the forefront of what they do is because the university gives physicians the freedom to seek new ways of doing things. This includes building new facilities designed to handle the kind of medical practices that are expected to take place in the near future. One such facility is the recently built hybrid operating room at the Frankel Cardiovascular Center, a room which combines a high-end cath lab with a traditional open-chest surgical en...
Source: Medgadget - October 27, 2017 Category: Medical Devices Authors: Editors Tags: Cardiac Surgery Cardiology Exclusive Source Type: blogs

Do the portraits hanging in medical schools hurt women and minorities?
Our powerful subconscious minds are processing information that we don’t even realize we are taking in, so to achieve gender equity we must actively uncover things that are unintentionally promoting stereotypes. For example, we know that if we want to promote a gender equitable environment that putting portraits of men on the walls of the classrooms would not be ideal. Even if there were one or two women in the mix, this type of tokenism contributes to persistent sexism and gender disparities. Indeed, decorating our medical school educational facilities — entrances, classrooms, lectures halls and teaching hospitals —...
Source: Kevin, M.D. - Medical Weblog - October 12, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/julie-silver" rel="tag" > Julie Silver, MD < /a > Tags: Education Medical school Practice Management Source Type: blogs

Lessons From Massachusetts ’ Failed Healthcare Cost Experiment
By SOUMERAI, KOPPELL & BOLOTNIKOVA Massachusetts passed a massive medical cost control bill in 2012, a “Hail Mary” effort to make health-care more affordable in the nation’s most expensive medical market. The problems of the Massachusetts’ law offer invaluable lessons for the nation’s health-care struggles. Driven in part by a Boston Globe investigation that exposed the likely collusion of the Partners Healthcare hospital system (including several Harvard Medical School teaching hospitals) with Blue Cross/Blue Shield, the largest healthcare insurer in the state, the law marked the biggest health reform since...
Source: The Health Care Blog - September 27, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized cost containment Harvard Medical School Massachusetts Partners Romneycare Source Type: blogs

Beyond Gaming: How Osso VR is Already Transforming Surgical Training
In a nondescript office building in downtown Palo Alto, I enter a conference room with the furnishings of a typical Silicon Valley tech company. Suddenly, my view changes, and I am transported to the inside of a brightly lit operating room, myself fully gowned and staring down at the exposed knee of an anesthetized patient. I turn my head to the right, pick up an orthopedic insertion handle, and slowly step toward the patient. So begins my meeting with our own Medgadget editor, Dr. Justin Barad, who is co-founder and CEO of Osso VR, a company that is seeking to modernize surgical training through the use of virtual r...
Source: Medgadget - September 21, 2017 Category: Medical Devices Authors: Scott Jung Tags: Exclusive Orthopedic Surgery Source Type: blogs