Clinical Decision Making
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With a nod to Star Trek, Bones, Data and even the Holo Doctor Much of medical practice is as much a mystery to doctors as it is to patients. Human physiology is so complex, and the external variables so numerous, that we often have no sure knowledge of why one patient did well or another […]
After all the hype and knee jerk politics and media I was delighted to read this piece Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records by Upadhyay, Sittig and Singh (PDF file here) A thoughtful piece that drilled in to the detail of events surrounding the arrival and subsequent […]
Previously posted on HITConsultant On a recent flight, I had my headphones on and the Rolling Stones’ “Satisfaction” began to play. It’s a song I have heard hundreds of times over the years, but I was struck by the difference listening to it with headphones made. With no distractions, I noticed the bass line, in […]
In an interesting post on the medscape site (subscription/registration probably required): The Pitfalls of Giving Free Advice to Family and Friends Shelly Reese described some of the challenges of giving medical advice to friends and family (even if you are a wannabe Dr Phil). As she puts it the path can sometimes lead to challenging areas […]
The FDA issued a warning letter to 23andMe on Nov 22, 2013. There followed a slew of articles, posts, tweets and commentary – amongst the many there’s also more reason for concern …. Class Action Law Suit Filed Against @23andMe http://t.co/4pYhZGaaE0 via @forbes @danmunro— Gregg Masters (@2healthguru) December 3, 2013 And this piece on Forbes […]
Patients deserve the same standard and car that doctors receive when they need treatment. But as I have said before (Doctors Die Differently and more recently Treatment Creep in Medicine – sucking Decency out of Patients) we remain challenged especially when it comes to dying. This piece by Dan Gorenstein, How Doctors Die: Showing Others the […]
This recent post on the Atlantic: How CPR Became So Popular reminded me of a piece I wrote some time back – Doctors Die Differently. As I said then: Its not that doctors don’t want to die, its just that they knwo they know enough about modern medicine to know its limits, importantly they have […]
Loved spending time with Dr Pat Salber (@DocWeighsIn) from the Health 2.0 conference that took place a couple of weeks ago I had the privilege of watching her in action as she blended social media with the sessions at Health 2.0 and tweeted a picture of her in action Here’s how @Docweighsin is a leading […]
A recent article on the The Difference between Science and Technology in Birth on the AMA site demonstrates the challenges we still face in getting clicnal practice influenced by science and data. Studies and data may show the path for best clinical practice but as the authors note there are multiple instances of the clinical community […]
It was this podcast, “The Bitter End” From the awesome radio show radiolab that covered a topic that people are often reluctant to discuss but is an important part of our reality…as they say there are few things certain in life but birth death (and taxes) are at the top of the list. The piece […]
via online.wsj.com The latest book exposing the healthcare system and how broken it is from Dr Makary a surgeon from Johns Hopkins. As he says Meet ‘Shrek,’ a doctor who insists on surgery in every case—and has a surgical-incision infection rate of 20%. and more troubling He quotes a recent Hopkins survey of employees of […]
ScienceDaily (Nov. 24, 2011) — Research on physicians’ decision-making processes has revealed that those who pay attention to failures as well as successes become more adept at selecting the correct treatment. The researchers also found that all the physicians in the study included irrelevant criteria in their decisions about treatment. See Also: Health & Medicine […]
