When Time Stands Still
It was 6:30 a.m. It should have been easy to dispo the patient with elbow pain by the end of my shift at 7. He had continued pain and swelling, seemingly mostly in the olecranon area. The resident had already put in the x-ray order. A few minutes later, time stopped when I pulled up his lateral. Two decades as a nocturnist without radiology backup for reading plain films has led to my mantras: You have to have a framework to read your x-rays, and my colleagues have to mop up my errors if I don't get this right. It takes time from their patient care, and it makes me look bad.I have an unwavering stepwise app...
Source: Lions and Tigers and Bears - December 31, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Amazon Launches New Medical Record Language Processing Service
One of the most significant factors in extracting information from EHR record is the use ofnatural language processing (NLP) which I have referred to in a number of previous notes (see, for example:EMRs and the Data Entry Paradox; Same Concept Not Applicable in the LIS World;Assessing Drugs Using"Real World Evidence" in Addition to Clinical Trials;AI Allows Computers to"Read" EHR Records and Make Predictions). A recent article discussed why one should"care" about Amazon's new medical language processing service (see:Why Should You Care About Amazon's New Medical Language Pr...
Source: Lab Soft News - December 13, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Computer Security Electronic Health Record (EHR) Healthcare Information Technology Healthcare Innovations Lab Information Lab Regulation Medical Research Medicolegal Issues Predictive Analytics Source Type: blogs
Portable, Battery-Powered X-ray for Imaging Anywhere
Turner Imaging Systems announced it will be releasing its Smart-C X-ray device, which is a tiny C-arm designed for imaging the extremities at the point of care. The device can be used inside clinical offices, surgical suites, and even taken in the field for help with disaster relief.
The Smart-C weighs in at only 16 pounds (7 Kg) and can be carried by one person without too much trouble. Since it’s powered by a battery, there’s not even a need to have a power outlet to use it. The wireless tablet that comes with it serves as a display. This could be the first battlefield X-ray machine, if such capability were ...
Source: Medgadget - December 11, 2018 Category: Medical Devices Authors: Editors Tags: Emergency Medicine Orthopedic Surgery Radiology Source Type: blogs
New X-Ray Technique to Improve Tomo Scans, Imaging of Fragile Lab Samples
Researchers working in Australia, France, Switzerland, and Germany have developed two new techniques that may expand the capabilities of X-ray imaging in clinical and pre-clinical applications. One of the new technologies is designed to reduce the radiation dose delivered during mammographies and other X-ray imaging procedures, while the other technique can provide 3D X-ray scans of fragile biological samples using only one exposure.
3D reconstruction of a gold nanostructure shows the acquired image (yellow) compared to a simulated phantom of the object (semi-transparent red). Scale bar: 200 nanometers. Credit: Pab...
Source: Medgadget - December 6, 2018 Category: Medical Devices Authors: Editors Tags: Radiology Source Type: blogs
Xray features Chronic Osteomyelitis :DAMS eQ Series
Sharing brief video about visual multiple choice question on chronic osteomyelitis in DAMS eQ series.Famous Radiology Blog http://www.sumerdoc.blogspot.com
TeleRad Providers at www.teleradproviders.com Mail us at sales@teleradproviders.com (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - November 26, 2018 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Is it still worth it to go to medical school?
Medicine has changed immensely over the past 40 years. Not only has the drugs, surgeries, and procedures changed, but the culture and economics of medicine have changed as well. Radiologist and blogger Xrayvsn enlisted physician finance bloggers young and experienced to write posts on the common topic of generational perspectives of the past, present, and […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 21, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/wall-street-physician" rel="tag" > Wall Street Physician, MD < /a > Tags: Finance Medical school Practice Management Source Type: blogs
Smallest Ever Steerable Cardiac Ablation Catheter
Researchers at ETH Zurich and École polytechnique fédérale de Lausanne in Switzerland have developed the thinnest ever steerable cardiac ablation catheter. The device has a magnetic tip, which can be navigated using an external magnetic field with incredible accuracy via a computer.
Existing guiding catheters are typically steered by a pull wire within the lumen, but the new device doesn’t have a pull wire and therefore can be made much thinner and more flexible.
In addition to its thinness and flexibility, the new catheter can change its stiffness thanks to a special alloy within three sections of the catheter....
Source: Medgadget - November 6, 2018 Category: Medical Devices Authors: Editors Tags: Cardiology Source Type: blogs
Managing Digital Health Regulatory Uncertainty
Uncertainty abounds when managing digital health regulatory uncertainty regarding the FDA and other international regulatory bodies. For this discussion we'll divide uncertainty into two categories, uncertainty due to a lack of knowledge about the potential regulations on the part of manufacturers and uncertainty about just what various regulatory agencies are doing - or going to do - about new and innovative products that meet the definition of a medical device.
What is a Medical Device?
Let's start with the first category; there is an astounding amount of misinformation and just plain wrong-headedness on the part of many...
Source: Medical Connectivity Consulting - October 24, 2018 Category: Information Technology Authors: Tim Gee Tags: Regulatory Bibliography Standards & Regulatory Source Type: blogs
More From Ed Calabrese on Environmental Regulation
University of Massachusetts toxicologist (and Cato adjunct scholar) Edward J. Calabrese hasarrived. On October 3, he testified to the Senate Subcommittee on Superfund, Waste Management, and Regulatory Oversight, a part of the larger Committee on Environment and Public Works, chaired by John Barrasso (R-WY).Calabrese was asked for his expert opinion on a draft EPA proposal to consider alternative regulatory models, including ditching the “Linear-No Threshold” (LNT) model that it employs, as does almost every other regulatory agency on earth. You can read about EPA’s proposalhere.The LNT model assumes that the fir...
Source: Cato-at-liberty - October 22, 2018 Category: American Health Authors: Patrick J. Michaels Source Type: blogs
Broncopolmonite!
I realize it’s been quite some TIME since I’ve written a post, almost a MONTH!, so today I decided to sit down and write one, and it’s going to be a long one, so get yourselves some tea and get comfy…
CHAPTER ONE. PEEKABOO: in September I spent a lot of time researching possibly helpful but definitely non-toxic treatments for Peekaboo, my 11-year-old kitty whom I’ve written a lot about in recent times. She has a slipped disc, basically, and has been having a VERY hard time walking. The risk, of course, is that she’d stop walking altogether. Couldn’t let that happen!
I discover...
Source: Margaret's Corner - October 19, 2018 Category: Cancer & Oncology Authors: Margaret Tags: Blogroll Source Type: blogs
Best practices in head CT imaging: How are we doing?
Computed tomography, or CT scanning, is one of the most powerful diagnostic tools to emerge during my medical career. Just look at the detail in the brain images above, taken at 90-degree angles through the brain. And I was there at the beginning. I remember well when I was a medical student taking neurology, and the first CT scanner arrived at the Mayo Clinic. By today’s standards, it was incredibly crude. It displayed a tiny image on a cathode ray tube that was then photographed with a Polaroid camera. Preservative lacquer was then smeared on the photograph and it was pasted into the patient’s chart with glue. But th...
Source: Kevin, M.D. - Medical Weblog - October 14, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/christopher-johnson" rel="tag" > Christopher Johnson, MD < /a > Tags: Conditions Neurology Pediatrics Radiology Source Type: blogs
Navigating back pain treatments: Can a physiatrist help?
If self-care steps for back pain such as gentle activity, local heat, or massage don’t ease discomfort within a few weeks to a month, or if you struggle with chronic low back pain, a physiatrist can help you navigate the dizzying number of treatment options. These range from conservative therapies (such as medicines, physical therapy, and chiropractic care) to more invasive options (such as spine injections and spinal surgery).
What is a physiatrist?
Physiatrists are medical doctors who specialize in physical medicine and rehabilitation. We focus on holistic, nonsurgical care aimed at improving function for people who ar...
Source: Harvard Health Blog - October 10, 2018 Category: Consumer Health News Authors: Edward N. Wei, MD Tags: Back Pain Bones and joints Health Pain Management Source Type: blogs
New Open Enrollment Period for Medicare Advantage
This is the second in an ongoing series of informative Medicare posts courtesy of MedicareFAQ. You will see a ton of what are basically ads pushing Medicare Advantage plans. Few balance the pros and cons because they are saying that these plans offer more coverage. I'd suggest reading this article closely before deciding which type of Medicare is right for your parents, your spouse, or you. You will then be able to make an educated decision. - Carol
2019 starts a new enrollment period for Medicare Beneficiaries that are currently using Medicare Advantage plans, Open Enrollment Period.
This new enrollment period...
Source: Minding Our Elders - October 5, 2018 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
Obalon Touch Automated Inflator for Intragastric Balloons
Obalon Therapeutics, a company that makes swallowable, gas-filled intragastric balloons that are an option over bariatric surgeries, won FDA approval for the Obalon Touch automated inflation system. The new product is used to inflate the Obalon Balloon and is going to be made available along with the new Obalon Navigation System (pending FDA approval), an offering that makes X-rays unnecessary during placement of the balloon.
“We are pleased to have received FDA approval of The Obalon Touch™ Inflation System,” said Amy VandenBerg, Vice President of Clinical and Regulatory Affairs. “Our near-term product pipeli...
Source: Medgadget - October 3, 2018 Category: Medical Devices Authors: Editors Tags: GI Medicine Source Type: blogs
A New Conversation on Trust in Health Care and Health Professions Education
Broken hands on broken ploughs
Broken treaties, broken vows
Broken pipes, broken tools
People bending broken rules
Hound dog howling, bullfrog croaking
Everything is broken.
—Bob Dylan, “Everything is Broken”
For many patients, Bob Dylan’s lyrics may as well have been written about the U.S. health care system. While everything may not actually be broken, there has certainly been an erosion of trust in physicians during my career. In 1966, 73% of Americans reported having great confidence in the leaders of medicine; in 2012, that number had fallen to 34%.1
I see this lack of trust most keenly in the eyes of p...
Source: Academic Medicine Blog - September 20, 2018 Category: Universities & Medical Training Authors: David P. Sklar, M.D. Tags: Featured From the Editor health care teams learning environment New Conversations patient care trust Source Type: blogs
