A Brief History of Price Controls by Annoyed Republican Administrations
By UWE REINHARDT Although, unlike most other nations, the U.S. has only two parties worth the name, their professed doctrines compared with their actions strikes me as more confusing than the well-known S.sky Decomposition which, as everyone knows, can be derived simply from a straightforward application of Kramer’s rule to a matrix of second partial derivatives of a multivariable demand function. The leaders of the drug industry, for example, probably are now breaking out the champagne in the soothing belief that their aggressive pricing policies for even old drugs are safe for at least the next eight years from the al...
Source: The Health Care Blog - November 21, 2016 Category: Consumer Health News Authors: John Irvine Tags: THCB Source Type: blogs

Post-Tonsillectomy and Adenoidectomy Bleeding Emergencies
​I have immense respect for a few pediatric emergency conditions. Post-surgical bleeding following a tonsillectomy and adenoidectomy (T&A) has given me several memorable patient care experiences over the years. Honestly, the word "memorable" is actually a euphemism for terrifying.​Part of the problem with post-T&A bleeding is the patient. Typically, it's a pediatric patient who for hours has been quietly bleeding into the posterior pharynx while quietly swallowing the evidence (e.g., blood). By the time the patient presents to the ED, a significant but unknown percentage of the child's total blood vol...
Source: M2E Too! Mellick's Multimedia EduBlog - November 1, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

We are nurses: Stop the bullying in health care
The surgeon is doing a tonsillectomy on a 4-year-old boy. Dr. Jones drops an instrument on the floor of the OR. The instrument is now contaminated and has to be sterilized by a special machine called an autoclave. This was a small hospital, so they did not have a large inventory of duplicate surgical instruments. So the circulating nurse put the instrument into the autoclave. As this machine locked in with a special timer, they had to wait for the sterilization process to be completed. It was 2 minutes, then 3 minutes. The surgeon screamed at the nurse saying it was taking too long. Dr. Jones stood up, having his sterile s...
Source: Kevin, M.D. - Medical Weblog - August 29, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/debbie-moore-black" rel="tag" > Debbie Moore-Black, RN < /a > Tags: Physician Nurse Source Type: blogs

Jahi McMath “at 15″
One year ago today (12/17/14), Steve Phillips posted on this blog on the approximate one year anniversary (Dec. 12) of the declaration that then 13-year old Jahi McMath was brain dead, after complications of, of all things, what one would think should have been a simple tonsillectomy.  At the time, she was described as having her vital functions artificially maintained, as her parents pressed their... // Read More » (Source: blog.bioethics.net)
Source: blog.bioethics.net - December 18, 2015 Category: Medical Ethics Authors: Jon Holmlund Tags: Health Care bioethics end of life syndicated Source Type: blogs

CCC Update 011
Updates to the LITFL Critical Care Compendium are coming thick and fast at the moment. Here’s a quick summary as these entries don’t appear in the LITFL blog feed, and you otherwise need to search for them using search keywords in the CCC table, by googling “litfl ccc searchterm” or by searching GoogleFOAM. Remember, constructive feedback is the fuel that LITFL runs on, hit us with it! Here’s what is new in the CCC since CCC Update 010: Cerebral venous thrombosis This condition reared its head in the last round of FCICM exam vivas I believe — and it wouldn’t surprise me if it...
Source: Life in the Fast Lane - August 15, 2015 Category: Emergency Medicine Authors: Chris Nickson Tags: Critical Care Compendium Education Emergency Medicine Intensive Care CCC cerebral venous thrombosis early mobilistation extremity trauma ICU acquired weakness MODS Source Type: blogs

Project: Genetics
I've come to the conclusion that I have "Left-side-of-the-body-itis",having had to have had 2 cataract surgeries,1 L.arm ulnar nerve surgery,1 tonsillectomy, 1 C-section, 1 L.eye muscle surgery for double vision,& I'm not entirely sure where the pancreas really is in me but I'm guessing it's toward the left. Also 1 messed up Lumbar Disk affecting strength and motility on the Left Leg although that has much improved,& I'm now in matenence phase (chiropractic) for that. However,I now have a messed up ligament in my left shoulder and it hurts to do anything with it. I told my chiropractor today that I wanted to get it...
Source: The D-Log Cabin - June 4, 2015 Category: Endocrinology Authors: HVS Source Type: blogs

HealthIMPACT Southwest recap: CIOs think dashboards need significant improvement
I chair the HealthIMPACT series of events that is held in a variety of cities throughout the year. HealthIMPACT is a no-nonsense and “No BS” local one-day event for busy health IT professionals that pretty much know what they’re doing but are looking to learn from their peers (instead of professional presenters). We don’t try to add further hype to common trends everyone’s already seen many times or explain the obvious to make ourselves look smart; we explain the implications of trends to your daily work, figure out how to operationalize innovations, and provide actionable advice so that you can do ...
Source: The Healthcare IT Guy - May 26, 2015 Category: Information Technology Authors: Shahid N. Shah Tags: Events Implementation Innovation Source Type: blogs

Arkansas Payment Improvement Initiative: Expanding Episodes To Other Clinical Areas
Editor’s note: This post is part of a periodic Health Affairs Blog series, looking at payment and delivery reforms in Arkansas and Oregon. The posts are based on evaluations of these reforms performed with the support of the Robert Wood Johnson Foundation. The authors of this post are part of the team evaluating the Arkansas model. After the first year of implementation of the episodic payment component of the multi-payer Arkansas Payment Improvement Initiative (APII), the state has identified both successes and challenges. While previous posts go into greater detail on the nuances of Arkansas’ approach to episodes and...
Source: Health Affairs Blog - May 19, 2015 Category: Health Management Authors: William Golden, Joseph W. Thompson, Michael Motley, A. Mark Fendrick, Christopher Mathis and Michael Chernew Tags: Innovations in Care Delivery Medicaid and CHIP Payment Policy APII Arkansas Payment Improvement Initiative CMMI CMS Payment Reform PCMH SIM Testing Award States Source Type: blogs

How to Prevent and Treat Tonsil Stones
When I was a child, it was commonplace to remove tonsils. The thinking of the day was that tonsils didn’t serve much of a purpose. Much like the thinking of the day about the appendix. Now we know the tonsils serve as filters keeping bacteria, viruses, and foreign bodies that enter the mouth from making their way into the digestive system. When they do their jobs well, the trapped bacteria or viruses can cause a great deal of discomfort. In that regard, a sore throat is a sign that the tonsils are doing their job. For some people, especially adolescents, the tonsils can trap “mouth debris” (isn’t th...
Source: Conversations with Dr Greene - May 18, 2015 Category: Child Development Authors: Dr. Alan Greene Tags: Dr. Greene's Blog Diseases & Conditions Tonsils Source Type: blogs

Jodie’s Story: A Little Girl Lost After Illegally Given an Untested 8-in-1 Vaccine
Conclusion Jodie was harmed beyond repair when a doctor decided to allow her to be injected with an untested 8-in-1 vaccine. She survived the shot, but sadly, has lived her life in severe pain because of what was done to her. She will live the rest of her life suffering brain damage, bowel problems, seizures, not being able to communicate easily, not being able to eat properly nor take care of herself. Many parents whose children greatly suffer and need constant care worry about their injured child’s future and what is best for them. Although the family is thankful and blessed that Jodie survived, they have deep concerns...
Source: vactruth.com - March 14, 2015 Category: Allergy & Immunology Authors: Augustina Ursino Tags: Augustina Ursino Case Reports on Vaccine Injury Human Top Stories Brian Deer Dr. Andrew Wakefield Experimental Vaccines Jodie Marchant MMR vaccine William Marchant Source Type: blogs

The Joint Commission Cracking Down on Wrong Twin Surgery.
Oakbrook Terrace, IL -  The Joint Commission (TJC) announced new hospital safety mandates yesterday after 27 more cases of wrong twin surgery were reported this week alone.  American hospitals documented 1,492 cases of wrong twin surgeries last year, a 114% increase from just two years prior."After years of nitpicking, we almost ran out of stuff to investigate.  This twin thing is going to keep us busy for years," said Dr. Alan Fleming, President of TJC.In one wrong twin surgery incident last week,  42-year-old Stan Wilson accidentally had his tonsils removed after the registrar failed to correctly ente...
Source: The Happy Hospitalist - February 19, 2015 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs

Arkansas Payment Improvement Initiative: Self-Insured Participation
Editor’s note: This post is part of a periodic Health Affairs Blog series, which will run over the next year, looking at payment and delivery reforms in Arkansas and Oregon. The posts will be based on evaluations of these reforms performed with the support of the Robert Wood Johnson Foundation. The authors of this post are part of the team evaluating the Arkansas model. Designed and launched by the state’s Medicaid program and some of its largest private insurers, including Arkansas Blue Cross Blue Shield (BCBS) and QualChoice, the Arkansas Payment Improvement Initiative (APII) has been a multi-payer effort since its i...
Source: Health Affairs Blog - January 7, 2015 Category: Health Management Authors: Joseph W. Thompson, William Golden, Michael Motley, Mark Fendrick, Christopher Mathis, and Michael Chernew Tags: All Categories Employer-Sponsored Insurance Payment Policy States Source Type: blogs

Brain death and uncertainty
The case of Jahi McMath has been back in the news. She was declared brain dead Dec. 12, 2013 after she went into cardiac arrest following a tonsillectomy surgery in California. Her mother did not accept the diagnosis of brain death and moved her to New Jersey where state law allows the continuation of medical treatment for a person who has been declared brain dead... // Read More » (Source: blog.bioethics.net)
Source: blog.bioethics.net - December 17, 2014 Category: Medical Ethics Authors: Steve Phillips Tags: Health Care end of life Health Care Practice syndicated Source Type: blogs