Author: Dr Nick

Page: 34

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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The latest in a an annual competition looking for unusual and innovative users of Dragon the winner of the 2010 I speak Dragon contest EvanUp posted a story Dragon NaturallySpeaking: a matchmaker – a truly heart warming story of adversity that was overcome by chance introduction linked to Dragon and culminated in marriage……EvanUp the author […]

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In a recent online discussion the question was posed “what makes up the skills and requirements of a CMIO”. There was much discussion on the nature of the job, the skills needed and where new recruits needed to go to get those skills. But one reply stood out linking the skill set to everything we […]

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In the Spirit of helping those that face the digital tidal wave of technology in healthcare with trepidation I offer the following top ten reasons why this will be a good thing and include some thoughts on easing the transition from current methods to a digitized clinical office 1) Ready Access for EveryonePaper medical records […]

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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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Fascinating study released suggesting that ALS (commonly known as Lou Gehrig’s disease) is mis diagnosed in many athletes suffering head trauma and concussion as well as military veterans: >>Study Says Brain Trauma Can Mimic Lou Gehrig’s Disease: A new study suggests that concussions and head trauma can cause degenerative diseases similar to A.L.S. and that […]

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Perhaps a better strategy might be not eating the burger and shake rather than offering packets of Statins to go with excess fat and food intake:A Burger, Shake, and Some StatinsBut practical challenges seem to prevent our ever increasingly over weight society from moderating input so this could prove to be a practical approach that […]

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In what is likely to be a troubling problem that will likely occur with increasing frequency the FDA has warned that there are a number of counterfeit copies of military-grade tourniquets which may either break or fail to function as well as the original. FDA Warns Consumers of Fake Tourniquets These are devices to designed […]

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Nuance released their latest offering for the iPhone today (as previewed at HIMSS 2010)- it was reviewed in several journals including AppAdvice: Dragon Search Goes Medical with a favorable review Once again, Nuance Communications has another excellent app on their hands, although this one is much more narrowly tailored. But if you’re working in the […]

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Guest posting on Healthcare IT Central today that featured a Day in the Life of a CMIO (thanks to Gwen Darling for posting). As I state in the piece What follows is modeled on the Hollywood principle to make a series interesting – compress activity that might span days, weeks and even months into a […]

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Joshua has Asperger’s and in an interesting twist to the StoryCorp project he interviewed his mom in I this touching piece. Joshua Littman, a 12-year-old boy with Asperger’s syndrome, interviews his mother, Sarah. Joshua’s unique questions and Sarah’s loving, unguarded answers reveal a beautiful relationship that reminds us of the best—and the most challenging—parts of […]

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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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NPR featured a segment recently on the reducing unnecessary scans “Requiring Doctors To Justify Scans Reduces Waste” with a simple 9 point scale to demonstrate the value of a test in the diagnostic process. Low score means the test has limited or no value and high score means the test has a high chance of […]

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IN a study that holds little surprise to me (declaration I own no Apple stock and am not linked to them in any way aside from being a user): Doctors Choose iPhone over BlackBerry. While there may be much wrong with Apple product they get one very important aspect right – usability. I’ve said it […]

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Medicine is complex and providing the best possible care is a challenge, and it is getting more complex on a daily basis. I’m willing to bet that at least a few readers will still hold onto the belief that playing music, in particular Mozart, can improve brain function. IN fact searching Google Scholar reveals about […]

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The Meaningful Use and Standards have finally been issued and I had the fortune of sitting down with Janet Dillione, EVP and GM of Nuance Healthcare to get feedback on the final rules and their impact on the healthcare industry bject> These are interesting times with some tremendous emerging technologies that will bring more and […]

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Thought critical free-text physician notes are under threat in the current slew of Electronic Medical Records and are at risk of being washed away in the rush towards the digitization of medical records. In Jeff Barry’s article in Health Management Technology; “Value of Unstructured patient narrative” he cites examples of Throwing the patient out with […]

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Download now or preview on posterous Clinical Narrative Integrated into the EHR – Nick van Terheyden.pdf (1178 KB) From Health Data Matrix August 2009: Clinical Narrative Integrated into the EHR – Harmony with Healthstory It’s been 40 years since we placed a man on the moon. It was a big step forward for mankind. We even had a […]

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The Atlantic featured a post by David Rothman that presented an iPad Stimulus plan: A national information stimulus plan: How iPad-style tablets could help educate millions and trim bureaucracy–not just be techno toys for the D.C. elite. Hold on – don’t give up quite yet, it’s not quite as crazy as it sounds and he […]

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Along the lines of Deep Blue IBM is breaking new ground with its latest research innovation “Watson” focused no Natural Language Processing applied in this instance to the well known television game of Jeopardy. Take a look at the video that features the Super Computer Watson pitted against contestants in a real game of Jeopardy. […]

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Harvard business review blogger Jeff Goldsmith wrote a pretty damming write up on the healthcare technology sector: “Has the US Health Technology Sector Run out of Gas“. He covers the lack of recent innovation and development across the board including pharmaceuticals, medical devices and even the once promising bio technology and personalized medicine/gene therapy concepts. […]

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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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Mobility and medicine has long been a staple of clinicians lives. With the increasing penetration of wireless and connectivity we have seen increasing ability to access information on the move but data capture continued to be a challenge. Now technology is catching up and providing tools and technologies that will allow physicians to be effective […]

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