Tag Archives: practice

By ALLISON BOND http://well.blogs.nytimes.com I could tell my patient was dying. In the final stage of liver failure, she lay listlessly in her hospital bed, her skin ashen and her eyes dull. Intractable intestinal bleeding, likely related to her underlying disease, had landed her in the intensive care unit. Although all …

www.news-medical.net Contributor: Marissa Garey According to the Ambulatory Surgical Center of America (ASCOA), more than 60% of Americans would like their end-of-life preferences to be followed. Yet, granting this wish is difficult when the patient is unresponsive. While this topic is quite controversial, surrogates tend to seek guidance from a …

Should old doctors be forced to retire? There is controversy regarding aging practitioners. It is questioned whether or not older physicians are capable of contributing to the overall goal of successfully meeting health demands. Regardless of age, physicians are held to high expectations: impressive education, current knowledge, and competency to …

www.post-gazette.com A troubling case before the state Supreme Court asks if parents can sue their doctor for not telling them about a fetus’ birth defects. An auxiliary issue is whether doctors have an obligation to disclose to patients the negative outcome of an examination or test. Presumably, ethics would demand …

By Philip Zazove www.cnn.com When I was 4 years old, my mother and father received devastating news — I was deaf. It was the 1950s, a time when people with disabilities received few accommodations or support. A time long before any legislation like the Americans with Disabilities Act was conceived, …

By Melanie Tucker www.thedailytimes.com How long is 45 minutes? If you’re stuck standing in line at the bank or waiting for your meal at a restaurant, 45 minutes can seem like forever, each moment drawing out like an eternity. But, in the grand scheme of life, 45 minutes is almost …

CHRISTINA FARR www.npr.org How can you tell ­the difference between a good surgeon and an exceptional one? You could start by looking for the one who has the rare ability to visualize a human organ in three dimensions from little more than a scan. “The handful of the top surgeons …

Salynn Boyles www.healthleadersmedia.com In-hospital outcomes among patients undergoing CAS in the US varied fourfold after adjusting for differences in patient risk factors in an analysis of data from a large, nationwide stenting registry. From MedPage Today. In-hospital outcomes among patients undergoing carotid artery stenting (CAS) in the U.S. varied fourfold after …

By ROBERT PEAR www.nytimes.com WASHINGTON — The federal government opened the door to a new era of genetic medicine on Thursday by introducing a standard way to ensure the accuracy of DNA tests used to tailor treatments for individual patients. Scientists have identified hundreds of genetic mutations that appear to increase …

Alexandra Wilson Pecci http://healthleadersmedia.com Researchers find a “very strong relationship between [physician] satisfaction and burnout and the leadership behaviors of physician supervisors” in large healthcare organizations. Physician burnout is prevalent throughout the U.S. healthcare system—experienced by nearly half (46%) of physicians, according to data published in JAMA last year. But effective leadership …

www.cbsnews.com Virtual reality headsets are already revolutionizing the way people experience video games: put on a pair of goggles and you can travel anywhere from outerspace to the battlefield. But gamers aren’t the only ones this technology can transport to new worlds, reports CBS News’ Kara Finnstrom, only on “CBS …

PONCIE RUTSCH www.npr.org If you need to see a urologist, the odds are very good that your doctor will be a man. Only about 8 percent of the practicing urologists are female, according to a poll from WebMD that includes gender distribution among medical specialties. The fact that there are …

  Erika Fry fortune.com Bernard J. Tyson, chairman and chief executive of Kaiser Permanente—the $56 billion non-profit health insurer and hospital operator—is more optimistic about America’s healthcare system than he’s ever been. That’s saying something, given that the fate of the Affordable Care Act hangs in the balance pending a …

DANIELLE VENTON www.wired.com IN RWANDA, PEOPLE have to deal with all kinds of threats to their health: malaria, HIV/AIDS, severe diarrhea. But in late 2012, Agnes Binagwaho, Rwanda’s Minister of Health, realized her country’s key health enemy was  something far more innocuous. The thing causing the most harm to her people, the leading …

BY MAGGIE FOX www.nbcnews.com Scientists have formulated a needle-free vaccine against measles and say the little stick-on patch could be the answer to fighting measles — and perhaps other diseases such as polio, too. The Centers for Disease Control and Prevention calls the patch a “game-changer” and is helping the team at Georgia …

By DANIELA J. LAMAS, M.D. http://well.blogs.nytimes.com When Martin Fernandez came into Mount Sinai Hospital’s emergency room one recent afternoon, with high fever and excruciating abdominal pain, he and his family were asked an unexpected question. Mr. Fernandez, 82, would have to be officially admitted to receive intravenous antibiotics for his urinary …

JOHN HENNING SCHUMANN www.npr.org  Poor old Dr. Krebs. His painstaking Nobel-winning work on cellular metabolism, called the Krebs cycle, has made him the symbol for what’s ailing medical education. “Why do I need to know this stuff?” medical students ask me. “How many times have you used the Krebs Cycle lately?” senior doctors jokingly …

Linda Girgis, MD www.physiciansweekly.com Since entering medical school, I wished to be a pediatrician. There was nothing more noble in my mind than curing sick children and babies. That dream changed suddenly one night on my surgery rotation. It was early evening, when a Code-22 rang out over the hospital …

Dan Diamond www.forbes.com Americans want a lot from our doctors. We want caring bedside manner, effective communication, up-to-date knowledge, and finely honed clinical skills. We ideally want more than five minutes to spare in a visit. We want doctors who treat the whole person, not just the illness; doctors who …

Marine Cole www.thefiscaltimes.com Silicon Valley is trying to revolutionize the way Americans get medical care by bringing doctors directly to your phone, but another fast-growing trend is also reminiscent of the old-fashioned doctor house calls. Several startups are promising to deliver a doctor to you usually within the next hour …

Emily Hause www.medschoolpulse.com Hello my diverse readers! When I applied to medical school, I had this idea in my mind that there was some sort of perfect pre-med applicant prototype that schools had in mind. All I had to do to be accepted was become or fit into that perfect pre-med mold. …

ROB STEIN www.npr.org It’s another busy morning at Dr. Anthony Aurigemma’s homeopathy practice in Bethesda, Md. Wendy Resnick, 58, is here because she’s suffering from a nasty bout of laryngitis. “I don’t feel great,” she says. “I don’t feel myself.” Resnick, who lives in Millersville, Md., has been seeing Aurigemma for years …

By Sean West www.fiercehealthcare.com Increased demand for services will only exacerbate the problems expected by the shortage of close to 90,000 physicians in the next 10 years, according to a new survey that examines 2015 trends in healthcare recruitment. Despite the factors behind the shortage–including the millions of newly insured consumers under the Affordable …

Written by Shannon Barnet www.beckershospitalreview.com While job areas related to patient care have experienced a long history of diversification, the same cannot be said of healthcare jobs in upper management, according to a report from the NAACP. Some hospitals and health systems have created programs to monitor diversity procurement but, overall, diversity …

JOHN HENNING SCHUMANN   www.npr.org Famed doctor and medical educator William Osler once said, “A physician who treats himself has a fool for a patient.” What, I wonder, does that say about us doctors who treat our own kids? This past winter, my daughter got the flu. She was miserable: …

Written by Catharine Paddock PhD www.medicalnewstoday.com Doctors and researchers writing in the American Journal of Preventive Medicine argue it is time to push the message that UV tanning causes – as opposed to merely being associated with – skin cancer. They note that when the US Surgeon General finally announced that smoking causes lung …

Bruce Davis, MD www.physiciansweekly.com I’m on day 5 of an 8-day run of Port-and-Starboard trauma call (Navy talk for every other night) and am feeling my age. There was a time when I could do this for weeks at a time and still have the energy to play or go …

ROB STEIN www.npr.org When Kevin Lopez opens the door to his Greenbelt, Md., apartment to greet a visitor he’s never before met, he initially conceals his right hand. “I’m self-conscious, definitely, about my right hand,” he says. But eventually Lopez relaxes. “I was born like this,” he says. “As you …

By Peter Shadbolt www.cnn.com Ever had a headache so big, you felt like drilling a hole in your head to let the pain out? In Neolithic times trepanation — or drilling a hole into the skull — was thought to be a cure for everything from epilepsy to migraines. It …

ANNA GORMAN www.npr.org Dan Swangard knows what death looks like. As a physician, he has seen patients die in hospitals, hooked to morphine drips and overcome with anxiety. He has watched death drag on for weeks or months as terrified relatives stand by helplessly. Recently, however, his thoughts about how …

By MIKKAEL A. SEKERES, M.D. http://well.blogs.nytimes.com   Every night when I put my 6-year-old son to sleep, we go through the same routine. At his request, I carry him upstairs, slung over my shoulder like a “sack of potatoes.” Then, I sit on his bed while he changes into his pajamas; …

By Nick Thompson and Laura Smith-Spark www.cnn.com It might sound like a really old wives’ tale, but a thousand-year-old Anglo-Saxon potion for eye infections may hold the key to wiping out the modern-day superbug MRSA, according to new research. The 10th-century “eyesalve” remedy was discovered at the British Library in a leather-bound volume of Bald’s Leechbook, widely …

Anne Austin www.theweek.com We might think of state supported health care as an innovation of the 20th century, but it’s a much older tradition than that. In fact, texts from a village dating back to Egypt’s New Kingdom period, about 3,100-3,600 years ago, suggest that in ancient Egypt there was a …

www.sciencedaily.com Both physicians and patients overestimate the risk of heart attack or death for possible acute coronary syndrome (ACS) as well as the potential benefit of hospital admission for possible ACS. A survey of patient and physician communication and risk assessment, along with an editorial, were published online last week …

www.physiciansweekly.com On Gary Schwitzer’s website healthnewsreview.org, a debate about the role of physicians who work as journalists took place. It was sparked by an NBC News report on the changing of Chronic Fatigue Syndrome to its new name—Systemic Exertion Intolerance Disease (SEID). The report featured commentary by Dr. Natalie Azar, …

www.fda.gov The U.S. Food and Drug Administration approved the ResQCPR System, a system of two devices for first responders to use while performing cardiopulmonary resuscitation (CPR) on people whose hearts stop beating (cardiac arrest). The devices may improve the patient’s chances of surviving cardiac arrest. The Centers for Disease Control …

Bruce Davis, MD www.physiciansweekly.com I was not having a good morning. I had just come off Trauma call—a difficult 24hr shift that was finally behind me. I had finished a long week of rounding on the Trauma Service and had turned the patients over to Sid, who would be the …

NSIKAN AKPAN www.npr.org How do you turn a contagious disease like tuberculosis from a set of statistics — 9 million cases, 1.5 million deaths a year — into a human story? One way is by making a 4 1/2 minute video. “Thembi Jakiwe: Strength of a Woman” is the story of a …

STEVE LOHR www.nytimes.com Jeffrey Hammerbacher is a number cruncher — a Harvard math major who went from a job as a Wall Street quant to a key role at Facebook to a founder of a successful data start-up. But five years ago, he was given a diagnosis of bipolar disorder, …

Honor Whiteman www.medicalnewstoday.com When receiving information about treatment options and prognosis, advanced cancer patients favor doctors who provide more optimistic information and perceive them to be more compassionate when delivering it. This is according to a new study published in JAMA Oncology. The study was conducted by researchers from the University …

KATHERINE HOBSON www.npr.org A group of lung cancer survivors was chatting online last May about what they thought was a big problem: Influential treatment guidelines published by a consortium of prominent cancer centers didn’t reflect an option that several people thought had saved their lives. They wanted to change that. …

Honor Whiteman www.medicalnewstoday.com A new case report published in the journal Open Forum Infectious Diseases reveals that a woman who was treated for a recurrent Clostridium difficile infection with the gut bacteria of an overweight donor quickly and unexpectedly gained weight herself following the procedure. The authors say the case suggests doctors should avoid …

CATHERINE SAINT LOUIS www.nytimes.com A wide majority of pediatricians and family physicians acquiesce to parents who wish to delay vaccinating their children, even though the doctors feel these decisions put children at risk for measles, whooping cough and other ailments, a new survey has found. Physicians who reluctantly agreed said they did so …