August 30th, 2010 by Steven Roy Daviss, M.D. in Better Health Network, News, Research
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Last week’s article in the journal Science looked at the effects of the anesthetic/dissociative drug ketamine (Vitamin K or “Special K” on the street) on brain cell function in rats, concluding that “ketamine might be useful in treating depression because it increases brain activity instantly — so there is no need to wait weeks or months for the drug to take effect.”
Another article from the journal Nature Reviews Neuroscience reviewed the state-of-the-art in psychedelic science and found that “countless studies show that hallucinogens promote healthy neural activity in the brain. The researchers also created a chart to show what test subjects’ states of mind are, according to studies, when under the influence of various substances.”
IMAGE: “Assessing altered states of consciousness” (click to enlarge)
Source: “Psychedelics May Be Good For Our Mental Health” (Lanny-Yap)
*This blog post was originally published at Shrink Rap*
August 30th, 2010 by Nicholas Genes, M.D., Ph.D. in Better Health Network, Health Policy, News, Opinion, Research
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Here’s a confession: Despite my steadfast advocacy of medical blogging as a means to promote understanding and education, I continue worry a lot about professional liability. Not just whether the things I write could hurt my career, but, in terms of academic output, is blogging a waste of time? What view does my department’s leadership take on blogging?
Still, I’ve continued to support medical blogging as a useful academic endeavor, hoping that someday this support would be borne out. When sites like Sermo and Facebook came along, I despaired that more physician opinions were going to be hidden behind walled gardens, available only to select colleagues or friends.
Then, last week, some revelations — I discovered a member of my department’s leadership was blogging, or at least, had commented on a blog. How about that! The other revelation? Facebook may be the last great hope for academic discussions to flourish on blogs.
This all arose from a pretty academic question about emergency department implementation of electronic medical records. Does the degree of implementation (full, partial, or none) impact patient wait times in the emergency department? Read more »
*This blog post was originally published at Blogborygmi*
August 30th, 2010 by GarySchwitzer in Better Health Network, Health Policy, News, Opinion, Quackery Exposed
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There are many stories journalists could report on about conflicts of interest and questions about evidence in the treatment of low back pain, perhaps especially with spinal fusion. We talked about many of these with journalists from the American Society of News Editors in a workshop at the Foundation for Informed Medical Decision Making in Boston in May.
John Fauber of the Milwaukee Journal-Sentinel hammers one of these issues, looking at how Medtronic’s Infuse product “went from revolutionary advance to public health alert.”
Here’s his story on MedPageToday: “Spinal Fusion Device: A Bone of Contention for FDA.”
His entire series entitled “Side Effects: Money, Medicine and Patients” is indexed on the Milwaukee Journal-Sentinel website. The image below is from the Journal-Sentinel’s online story:
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
August 30th, 2010 by RyanDuBosar in Better Health Network, Health Policy, News
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More than one-fifth of hospitals are government-owned, but states and counties are out of cash to keep them open. So, charitable hospitals are being sold to for-profit groups or facing closures. Rising costs and more uninsured patients run smack into falling Medicare and Medicaid reimbursement. When bonds come due, there’s little chance of states and counties paying them back. And the facilities are often standalones, and they can’t fall back on corporate backing. This year, 53 hospitals have been sold in 25 arrangements. While the deals often stipulate that care for the poor continues, no one is certain exactly how or even whether such services will continue.
That said, other charitable hospitals are making big profits. What are they doing differently? First, they’re competing for patients, so they’re increasing room sizes, offering amenities and even investing in high-end procedures such as robotic surgery. They continue to offer community care, but they’re acting more like for-profit institutions to cover their charitable missions. But this conflicts with an old-fashioned view of what charitable care is supposed to be.
Stepping into the breach is the Centers for Medicare and Medicaid Services, which is offering one solution, by increasing reimbursement for inpatient services in rural areas. The agency is expanding a pilot program by increasing reimbursement for inpatient services. Facilities are eligible if they offer care to rural areas in the 20 states with the lowest population densities, have fewer than 51 beds, provide emergency-care services and are not a critical-access hospital. (Wall Street Journal, Washington Post, Modern Healthcare)
*This blog post was originally published at ACP Internist*
August 30th, 2010 by DrWes in Better Health Network, Health Policy, Health Tips, News, Opinion
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In case you haven’t seen it, a list of the 100 Most Powerful People in Health Care was [recently] published. In thinking about this list I realized that, in reality, these people had little to do with my patients’ health care delivery. So how did they became the most powerful people in health care?
Quite simply, they are not the 100 most powerful people in health care, but rather they are the 100 most powerful people overseeing the funding of health care — at least for the moment. In as little as 11 months, many of the people on this list will be gone or have moved on to their next money-making venture.
So who are the most powerful people in health care? Read more »
*This blog post was originally published at Dr. Wes*
