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Healthcare Illuminatedhttp://healthcareilluminated.publisha.com/articles/16346 Posted via email from drnic’s posterous

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The Doctor will Sync You Nowhttp://www.thehealthcareblog.com/the_health_care_blog/2010/11/the-doctor-will-sync-you-now-.html Posted via email from drnic’s posterous

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A colleague and friend wrote this great piece for Health Management Technology : The Problem with Problem Lists in which he reviews the history of the problem list (now over 40 years old!) and while While their value in patient care has been demonstrated in countless studies, physicians have historically adopted them with much less enthusiasm than […]

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While the idea of law suits against vaccine manufactures is appealing. Opening these doors to a multitude of frivolous cases will have a chilling effect on vaccine development and vaccine use Supreme Court Considers Vaccine Injury Case On the list of snake oil challenges is the vaccine causes autism bunkum. Unsupported in any scientific study […]

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Don’t think immunization is just for kids its not. Adults need those boosters too Adults Not Getting Tdap Boosters (CME/CE) Have you had yours? Posted via email from drnic’s posterous

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In a timely piece from the NY Times featuring Dr Verghese who continues to demo strategy and teach medical students that the physical examination is an essential part of the clinician patient interaction.  At Stanford, Dr. Abraham Verghese on a mission to bring back something he considers a lost art: the physical exam.<<<<<<<http://nyti.ms/9pqWHCIn what seems […]

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No doubt the recently presented abstract on fish oil will drive even more alternative medicine claims. The study currently preliminary: HFSA: Fish Oil Benefits Early Heart Failure (CME/CE) As always the data requires careful analysis and while superficially linking taking fish oil to reducing cardiac diseases but there are problems with this approach – the […]

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In yet another noteAble challenge faced in the healthcare system over the coming years is the massive increase in Dementia over the next 20 years. Expect to see an additional 85% more in the next 20 years Report Predicts Massive Dementia Burden This is another symptom of the baby boomers getting older tied to the […]

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In a move away from “pay and chase” to fraud prevention Medicare will start to ask for fingerprint and background checks on some beneficiaries in an attempt to decrease fraud Medicare Proposes New Anti-Fraud Measures Challenging problem with big money at stake but seems this strategy may fall foul of individual rights based on innocent […]

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For Compression Hose, Length Matters (CME/CE) Using above knee bs cAlf length compression TED stockings improves prevention of DVTs in at risk patients Posted via email from drnic’s posterous

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Dr Frances Oldham Kelsey was ahead of her time and is to be honored tomorrow for her contribution in preventing a a much larger Kevadon (better known as Thalidomide) disaster that occurred in Europe: The Public’s Quiet Savior From Harmful Medicines 50 years on much of her insistence on scientific rigor and data remain the main […]

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New developments in technology to allow for the creation of components in real time in three dimensions >>>http://www.nytimes.com/2010/09/14/technology/14print.html?_r=1&nl=technology&… imagine the possibilities for grafts, artificial organs and joints built customized to the individual. We are starting to see customized drugs – it won’t be long before we see customized implants and even artificial organs. Posted via […]

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I’m what is probably no big surprise we find detailed studies showing billions wasted with unnecessary vista to the doctor and the ED: Health Care Wastefulness Is Detailed in Studies A heavy reliance on emergency rooms care is seen as a sign of weaknesses in the primary health care system. http://nyti.ms/cFqcED If there’s a lesson […]

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Average wait time for “emergency” treatment is in excess of 4 hours. As the article puts it: Fast Treatment Rare in Emergency Departments>>enough time to watch 4 episodes of the TV series ER! Actually more like 6 if you removed the adverts A sorry state of affairs that reflects the strain on the service and a […]

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It is probably no great surprise that sledding injuries occur in children but the severity especially in children under 4 years of age tends to be more severe and more likely to be a head injury. The commonest injury across all groups was fractures followed by contusions and abrasions  Sledding Injuries Common in Kids, Can […]

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Previous spill clean ups show increased health problems in the workers including respiratory problems and even some chromosomal changesOil Spill Clean-Up Tied to Adverse Health Effects (CME/CE) Posted via email from drnic’s posterous

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Insurers are backing the Meaningful use standards that will mirror the governments program of financial incentives for meaningful use Payers Make Moves Toward MU Incentives Federal incentive payments for meaningful use of electronic health records became more meaningful on Aug. 5 as four major commercial insurers announced programs that could result in additional private sector incentives. The payers are Aetna Inc., […]

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In what will no doubt be a spirited debate the NY times (http://nyti.ms/a31hD3) has highlighted the Data Used to Justify Health Savings Can Be Shaky: http://nyti.ms/a31hD3 >>>>A report is used to show that Americans could save while maintaining quality, but that may not always hold<< I am reminded of the quote from my math teacher: “there are […]

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A new study from the UK has shown that the transmission of hospital aquired infections that used to be confined to contact and surfaceode has now been found air borne >>>>A study finds that clostridium difficile, which causes deadly intestinal infections in patients, is not only spread by contact with contaminated surfaces but can also […]

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The use of speech as an integral tool to clinical documentation and the capture of clinical knowledge continues to expand. In this piece from Healthcare IT News (Busy physicians want to leverage power of dictation) Dr Levine an OBGYN resident reports his experiences and states speech recognition software allows me to "interpret out loud" and […]

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Imaging Economics ran a piece on Speech Recognition in use at Greensboro and Mount Sinai http://www.imagingeconomics.com/issues/articles/2010-05_02.asp Speech and voice recognition systems have come a long way, and while no technology translates everything perfectly, expanding capabilities have increased both usefulness and effectiveness. As for its use in the EMR Yet, the integration of speech recognition for […]

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