When People Live with Dementia Should You "Play Along" with Their Reality?
It was not unlike any other day, but on this particular afternoon, Dad was adamant. He was waiting for his medical degree from the University of Minnesota and couldn’t understand why it was taking so long to arrive. So, I did what I usually did—waited a few days to see if this episode of delusional thinking would pass. It did not. So, I used my computer to create a facsimile of a medical degree with my father's name on it. I printed it out, scribbled some “signatures” on the bottom, put it in a mailing envelope and brought it to the nursing home the following day. He was delighted. I added it to the other awards an...
Source: Minding Our Elders - July 21, 2021 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
Secular Stagnation – An Economic Argument for Universal Health Care Now
By MIKE MAGEE
John Maynard Keynes, the famous British economist, was born and raised in Cambridge, England, and taught at King’s College. He died in 1946. He is widely recognized today as the father of Keynesian economics that promoted a predominantly private sector driven, market economy, with an activist government sector hanging in the wings ready to assume center stage during emergencies.
Declines in demand pointed to recession. Irrationally exuberant spending signaled inflationary increases in pricing, eroding the value of your money. Under these conditions, Keynes encouraged the government and cen...
Source: The Health Care Blog - May 21, 2021 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Economics Mike Magee Universal Health Care Source Type: blogs
Health-Based Proxy Discrimination, Artificial Intelligence, and Big Data
Daniel Schwarcz (University of Minnesota), Health-Based Proxy Discrimination, Artificial Intelligence, and Big Data,Houston J. Health L.& Pol ’y (2021): Insurers and employers often have financial incentives to discriminate against people who are relatively likely to experience future healthcare costs. Numerous... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - April 8, 2021 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs
Advance Care Planning? Meh. - Part 2
by Drew Rosielle (@drosielle)This is Part 2/2 of a couple posts about advance care planning (ACP).The last post outlined why there are really good reasons to believe that ACP (completion of health care directives and the healthcare conversations that occur around healthcare directive (HCD) completion, implemented on a broad scale) does not lead to any better, patient-centered outcomes, particularly when evaluated as a health intervention to be applied across a population (which is how ACP is typically conceptualized and researched).In the prior post, I perhaps obnoxiously promised that I thought one of the most important A...
Source: Pallimed: A Hospice and Palliative Medicine Blog - March 31, 2021 Category: Palliative Care Source Type: blogs
Advance Care Planning? Meh. - Part 1
by Drew Rosielle (@drosielle) (no degrees)Several years ago I was giving a talk in front of a mostly palliative care audience and asked, "How often do you find yourself, in the care of your patients, saying to yourself something like ' Thank the stars this patient has a healthcare directive (HCD) ' ? " The overwhelming answer was a bunch of shrugs and people agreeing occasionally (but not routinely) HCDs are helpful.For something that seems so central to our work, why is it that so many of my colleagues that day were lukewarm about their utility?It ' s fair to say that the last few months have been a controversial one in t...
Source: Pallimed: A Hospice and Palliative Medicine Blog - March 29, 2021 Category: Palliative Care Tags: advance care planning rosielle Source Type: blogs
Lab-Generated Heart Valves Grow Inside Body
Researchers at the University of Minnesota have developed a tissue-engineered heart valve replacement that can grow within a patient. The breakthrough could allow children with congenital heart defects to avoid repeated surgeries to replace heart valves that they have outgrown.
To create the valves, the researchers cultured donor cells in a fibrin gel within a bioreactor, allowing them to deposit a collagen matrix. They then removed the donor cells from the valve constructs before implanting them into lambs, where endogenous cells populated the valves and enabled them to grow.
At present, children with heart defects...
Source: Medgadget - March 22, 2021 Category: Medical Devices Authors: Conn Hastings Tags: Cardiac Surgery Cardiology Materials Source Type: blogs
Rules of Medical Necessity
Amy Monahan (University of Minnesota), Daniel Schwarcz (University of Minnesota), Rules of Medical Necessity, SSRN: Health insurance contracts have long excluded coverage for care that is “experimental” or not “medically necessary.” Historically, insurance policies defined these key terms of coverage... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - March 17, 2021 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs
Confronting Stigma From Opioid Use Diorder in Cancer Care
by Fitzgerald Jones, Ho, Sager, Rosielle and MerlinHave you ever been so distressed by a perspective piece that it kept you up at night? The type of rumination that fills you with so much angst that you have no choice but to act. This is exactly how we felt when we read theAAHPM Quarterly Winter 2020 Let ’s Think About It Again.1 (member paywall)The column, which is structured as a sort of written debate in which two authors argue a clinical question, describes a case of a 45-year-old man with severe substance use disorder (SUD) recently diagnosed with extensive-stage small-cell lung cancer. He was offered aggr...
Source: Pallimed: A Hospice and Palliative Medicine Blog - January 30, 2021 Category: Palliative Care Tags: ftigerald jones ho merlin rosielle sager Source Type: blogs
Confronting Stigma From Opioid Use Disorder in Cancer Care
by Fitzgerald Jones, Ho, Sager, Rosielle and MerlinHave you ever been so distressed by a perspective piece that it kept you up at night? The type of rumination that fills you with so much angst that you have no choice but to act. This is exactly how we felt when we read theAAHPM Quarterly Winter 2020 Let ’s Think About It Again.1 (member paywall)The column, which is structured as a sort of written debate in which two authors argue a clinical question, describes a case of a 45-year-old man with severe substance use disorder (SUD) recently diagnosed with extensive-stage small-cell lung cancer. He was offered aggr...
Source: Pallimed: A Hospice and Palliative Medicine Blog - January 30, 2021 Category: Palliative Care Tags: ftigerald jones ho merlin rosielle sager Source Type: blogs
Recreational Cannabis Legalization and Alcohol Purchasing: An Interrupted Time Series Study
Collin Calvert, Darin (University of Minnesota), Recreational Cannabis Legalization and Alcohol Purchasing: An Interrupted Time Series Study, SSRN: Background: Whether recreational cannabis legalization is associated with changes in alcohol consumption (suggesting a potential substitution or complementary relationship) is a key... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - January 17, 2021 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs
Olanzapine FTW for Nausea Outside of CINV
by Drew Rosielle (@drosielle)A few months agoan interesting olanzapine study was published which I have been meaning to write a post about. It ' s important because while olanzapine has really established itself in the last decade as a highly effective antiemetic for chemotherapy induced nausea and vomiting, and is now in multiple CINV guidelines (eg Antiemetics: ASCO Guideline), etc, we don ' t have a lot of data for its efficacy for nausea outside of CINV, and so a well-done RCT is welcome.The study is amulti-center, US, adult, randomized, placebo-controlled, double-blind trial of olanzapine for nausea in advanced cancer...
Source: Pallimed: A Hospice and Palliative Medicine Blog - January 1, 2021 Category: Palliative Care Tags: anorexia cachexia nausea olanzapine rosielle Source Type: blogs
Uncoupling
Naomi Cahn (University of Virginia), June Carbone (University of Minnesota), Uncoupling, Az. St. L. J. (2021, Forthcoming): A series of Supreme Court decisions recognize the end of the federal-state-corporate partnership that once provided a foundation for employment security and family... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - December 31, 2020 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs
Law and Neuroscience
Owen D. Jones (Vanderbilt University), Jeffrey D. Schall (Vanderbilt University), Francis X. Shen (University of Minnesota), Law and Neuroscience, 2 L.& Neuroscience (2020): This provides the Table of Contents and Chapter 1 of the 2nd edition our coursebook “Law... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - December 28, 2020 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs
The Cheater! Academic Integrity in Remote Learning | TAPP 81
Cheating has become a concern in remote teaching. Host Kevin Patton discusses some approaches andbest practices forpreventing cheating,detecting cheating, andprosecuting cheating.00:52 | The Cheater04:00 | Academic Integrity20:26 | Sponsored by AAA21:54 | Consequences32:22 | Sponsored by HAPI33:20 | Remote Cheating42:50 | Sponsored by HAPS43:41 | Advanced Anti-Cheating51:34 | Staying Connected'If you cannot see or activate the audio playerclick here.Apply for your credential (badge/certificate) for listening to this episode. Please take the anonymous survey:theAPprofessor.org/survey Questions& ...
Source: The A and P Professor - November 9, 2020 Category: Physiology Authors: Kevin Patton Source Type: blogs
