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A Stethoscope App for the iPhone: Is It Better The Old Fashioned Way?

It’s out there. It makes a cool picture, but I wonder how many medical students realize how unimportant apps like this have become to today’s cardiovascular care. Don’t get me wrong, it’s good to hear the difference between a systolic and diastolic murmur, or for the really talented, a diastolic rumble on physical exam. Recognizing the difference between mild and severe aortic stenosis is also very helpful. After all, the physical exam remains the most cost-effective instrument in medicine. Read more »

*This blog post was originally published at Dr. Wes*

Tips For Living Till 100

Research from Denmark shows that life expectancy is increasing steadily and there is a good possibility that by controlling life factors, most everyone can live to be 100. Of course, living in a high income, first world country is the first factor. The Danish experts report that since the 20th century, people in developed countries are living about three decades longer than in the past.

Check out the list (click on it for a better read) to see what factors you can control.

Tip: Don’t eat the nuts if you have an allergy. That would definitely lower your chances! And having a baby “later in life” does not mean with IVF or infertility drugs. And a “little” wine doesn’t mean a bottle a day.

*This blog post was originally published at EverythingHealth*

Tips To Manage Acute Intracerebral Hemorrhage

Some quick tips about medically managing patients with acute intracerebral hemorrhage, courtesy of a talk at Stroke 2010 by Craig Anderson, MD, George Institute for International Health in Sydney NSW, Australia:

–avoid excess elevation of variables like blood pressure, glucose levels and body temperature

–maintain hydration; many of these patients present dehydrated

–elevate the head

–abandon intensive insulin therapy

–In terms of lowering blood pressure, going from 220 mm Hg systolic to 140 mm Hg over one hour appears safe, but it’s still unknown whether more rapid lowering is better, or if it would be better to achieve a lower systolic level.

*This blog post was originally published at ACP Hospitalist*

Filibustering And The Senate’s Dysfunction

The Senate, which was supposed to pass an omnibus bill including an extension of uninsurance benefits, an extension of COBRA benefits, and (not incidentally) yet another temporary patch on the 21% cuts in Medicare physician reimbursement, failed to do so on Friday before it adjourned early for the weekend. At least that’s the top-line headline, and most people never read further than that when it comes to wonky policy/process articles like this.

The real reason that the bill is stalled (and that the cuts which are deadlined at 2/28 will go into effect) is, as they say, the Gentlman from Kentucky, Senator Jim Bunning. Read more »

*This blog post was originally published at Movin' Meat*

Today’s HIMSS 2010 Interview Schedule

Better Health bloggers, Val Jones, Nick Genes, and Mike Sevilla are in Atlanta to talk to interesting exhibitors at the largest health information technology (HIT) event of the year.

Monday, March 1st has a full schedule of interviewees… Please join us live on UStream to tune in for the interviews and participate on Twitter! Ask your question in real time. Drop by the UStream channel at the designated time to hear from your favorite vendor…

himss-schedule-day-1

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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