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Latest Posts

Medical Terminology Reasoning (Or Lack Thereof)

SpitballIt’s been a very long time since I did an “Ask Dr. Rob” post. It’s also been a long time since I shot a spitball out of a straw and hit someone behind the ear during social studies class. I realize that just because it’s been a long time since I’ve done something, it doesn’t mean the world is better off with me doing it again.

Still, there have been some interesting questions that have come up and I think it’s time they should be answered. They’re both along the same line:

Question 1: What’s the difference between health care and healthcare? I see that you contribute to the Health Care Blog, but you write about healthcare all of the time. What’s the deal?

Question 2: What’s the difference between EMR and EHR?  It seems that some people feel that it’s vile and uncouth to call it “EMR,” only accepting people who call it “EHR” into their secret societies of people who are smarter than everyone else. What’s the deal? Read more »

*This blog post was originally published at Musings of a Distractible Mind*

Keeping Patients Quiet

Some things are just part of the problem in healthcare. The company Medical Justice is one such thing. I’ve written about them before. Medical Justice sees the medical malpractice crisis and devised a solution: Muzzle the patients. It’s as misguided as it is ridiculous.

Medical Justice says doctors need to stop their patients from saying bad things about them. They charge doctors hundreds — even thousands — of dollars a year to help do this.

Under one of their programs, they give doctors contracts to use with their patients. The doctor tells the patient that they must agree to the terms of the contract before the doctor agrees to see them.  Okay, so there are lots of forms that patients need to sign when they go to the doctor. What makes these so different? Read more »

*This blog post was originally published at See First Blog*

Games For Health 2010

Games For Health 2010It’s time for the 6th annual Games for Health conference. The conference, in partnership with the Robert Wood Johnson Foundation, provides a forum for experts in the fields of video games, healthcare, and science to come together and share the latest and greatest in health-related video game news and research.

From their promotional pamphlet:

Because digital games can actively engage and challenge people of all ages, they have the ability to help individuals manage chronic illnesses, support physical rehabilitation, pursue wellness goals and contribute to changes in health behaviors. Public health leaders, doctors and nurses, rehabilitation specialists, emergency first responders and other health professionals are also using games and game technologies to advance their skills and enhance how they deliver care and services. Games are even beginning to mine the wisdom of the crowds to forge critical new discoveries in biology and genomics.

The acceptance of games as a valuable health management and training method, the popular success of consoles like the Nintendo Wii, and the growth of smartphone game applications indicate that there is tremendous potential for continuing to move health and behavior change activities beyond clinical settings and the classroom and into consumers’ home, work, social and recreational spaces.

We’ll be reporting throughout the event (May 25-27). Stay tuned for info on the PS3 Move, a Wii laparoscopic trainer, and more.

*This blog post was originally published at Medgadget*

I’m Glad Economists Aren’t Practicing Medicine

I was invited to speak at the National Library of Medicine’s 2010 Annual Conference. Today I heard fellow speaker Uwe Reinhardt, Ph.D., discuss healthcare economics, and although his presentation was entertaining, as a physician I found it to be rather disturbing.

On the one hand I understand Reinhardt’s desire to engage Americans in a rational conversation about limited healthcare resources. My friend Dr. Rich Fogoros has been calling for this for many years. Yet, I was disappointed by his enthusiastic reductionism — that peoples’ lives should be reduced to a mere societal cost equation. He also said that, “When America grows up, it will look a lot more like Europe,” and cited a conversation with Dr. Phil Gingrey as an example of the congressman’s over-valuing human life. Read more »

How Will The iPad Fare In Healthcare?

Image representing iPad as depicted in CrunchBaseThe first iPad reviews are out, and they’re very positive. Here’s a selection of the reviews (compiled by MacRumors):

And here’s a roundup of recent medical blogs commentary on the iPad:

iMedical Apps has a nice review of how 5 medical apps might appear on the iPad, including the Blausten Human Atlas, Visual Dx Mobile, Procedures Consult, OsiriX and eFilm, and Papers.

The Unofficial Apple Weblog features a review of Carter’s Encyclopedia of Health and Medicine, an app designed specifically for the iPad. (This is not an eBook, but a full app with searchable interactive skeletons, etc.)

CareCloud, a new cloud-based EHR, plans to have an iPad version. Epic already has an iPhone app and presumably will have an iPad version available. Allscripts is rumored to have an upcoming EHR for the iPad. (No word on whether other EHRs plan on having an iPad app. If you have any information, please post a comment.)

According to Macworld, 1 in 5 doctors plan to buy an iPad. The Practice Fusion Blog has a discussion of other iPad-related surveys of doctors and healthcare professionals.

Healthcare Technology Online has a discussion of the pros of cons of the iPad in healthcare. Read more »

This post, How Will The iPad Fare In Healthcare?, was originally published on Healthine.com by Joshua Schwimmer M.D..

The Relationships Between Poverty and Healthcare

Readers interested in the relationships between poverty and healthcare will want to read several new postings on the Web.

One is an article about my Rhoades Lecture at the Wayne County Medical Society in Detroit, “Poverty and Healthcare in America.” It is posted on the World Socialist Web Site.

Second is by James Marks, MD, MPH, Vice President of the Robert Wood Johnson Foundation, entitled “The Poor Feel Poorly.” It is posted on the Huffington Post site.

Third is “Health and Healthcare in America’s Poorest City,” a tragic and dramatic portrayal of America’s failures to its own in Detroit, also on the World Socialist Web Site.

Finally, here is a link to a collection of papers on social inequalities in health by the McArthur Network on SES and Health, published by the New York Academy of Medicine under the title, “Biology of Disadvantage.”

*This blog post was originally published at PHYSICIANS and HEALTH CARE REFORM Commentaries and Controversies*

New Device Detects Whether Or Not You’ve Washed Your Hands

Doctors at the University of Florida invented a device that sniffs employees’ hands for soap residue to check whether they’ve washed them enough.

After employees wash their hands, they pass them under the sniffer and their badge activates. When they later approach a patient, a bed-side monitor reads the badge and flashes green if the person has clean hands. If the person didn’t wash or too much time has passed since they have, the badge vibrates to remind the employee.

We’d already covered bathing hands with plasma instead of soap. Don’t get those near the sniffer.

*This blog post was originally published at ACP Hospitalist*

Finding Work-Life Balance In Medicine

Paging Dr. Mortis, Dr. Rigor Mortis!

Paging Dr. Mortis, Dr. Rigor Mortis!

This is a sample section from a new book I’m writing on the transition from residency to practice.

When you die:

A) The house of medicine will collapse, and only recover by remembering your compassion and sacrifice.

B) Patients and staff will wail in sack-cloth and ashes

C) Someone may name a procedure or drug in your honor

D) People will walk over your dead body, take your vacant day-shifts and go through your pockets for change.

The answer is D. Although I’m using some hyperbole, the point is that when you die, some people will be sad; your loved ones will miss you. But life will go on. The hospital will not close, and the sick will not stop being sick. So conduct your life with this in mind. Medicine, for all it’s wonder and value, must not be a rock on which you wreck yourself. Let it enhance, not overwhelm, your life. Read more »

*This blog post was originally published at edwinleap.com*

HIV, Stigma, And The Media

Last November, the National Football League devoted the entire month to breast cancer awareness. Players like Reggie Bush wore pink gloves, armbands, even shoes, to promote efforts to fight the disease.

There were some heartwarming moments. Players brought their mothers, grandmothers, and other women who’d battled breast cancer to the games, all of them wearing attractive pink game-day jerseys. Announcers told their own stories of “courageous” battles against the disease waged by friends and family members.

It’s powerful and inspiring, these overpaid hulks of manhood showing they’re secure enough in their masculinity to don feminine-ish garb to support their sisters and mothers.

But try to imagine the NFL — or any sports league — launching a similar campaign to fight HIV and AIDS. Which player would trot out a brother, sister, or father who’s HIV positive? Which television announcer would proudly point to the afflicted and speak of their “inspirational” battle with HIV?

In an NPR interview last week, Theresa Skipper talked about why she concealed her HIV diagnosis for 19 years: Read more »

*This blog post was originally published at The Daily Monthly*

Is Healthcare The Engine Of The US Economy?

Commenting on the President’s budget, an editorial in the Times on Feb 2nd juxtaposed three of our nation’s dilemmas: the deficit, jobs and health care.

“President Obama got his priorities mostly right. The deficit, compared with what it could have been, is $120B. That’s a lot of money. But it’s not too much at a time of economic weakness, when deficit spending is needed to put Americans back to work.”

“Medicare and Medicaid will cost $788B; that should be another reminder of why the country needs health care reform.” Read more »

*This blog post was originally published at PHYSICIANS and HEALTH CARE REFORM Commentaries and Controversies*

Latest Interviews

Health Tips For Back-To-School

I was lucky enough to be asked by one of the local TV stations to talk about some back-to-school issues when it comes to health. I don t know about where you re at but most of the local schools around here started yesterday August rd Keeping up-to-date on immunizations…

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“Medical Self-Care” And The Doc Tom Interview

Next in our series of posts about our founder Doc Tom. Previous time capsules and Come ye economics buffs and algebra fans Get out your pencils and solve for x n and XX Whatever else the year XX is remembered for it will without a doubt go down in history…

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Latest Cartoon

cardiaccath

Here’s a cartoon I created a few years back. Enjoy!

- Dr. Val

*This blog post was originally published at Science-Based Medicine*

See all cartoons »

Latest Book Reviews

A Biomedical Look At Spaceflight

Book review by Dan Buckland Dan Buckland is an editor at Medgadget and an MD PhD student at Harvard Med MIT whose thesis deals with diagnosing back injury in spaceflight using ultrasound. Mary Roach author of previous entertaining books Bonk a history of sex research and Stiff a history of…

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UTI and “Eat, Pray, Love”

I really didn t expect to like Eat Pray Love. In fact since its publication in I’d been avoiding it like the plague. Typical new-agey Oprah-y girly-book I thought. Nothing in it to speak to me. Then I saw the trailer for the movie and I was hooked probably because…

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Will Science Succeed With An Anti-Aging Revolution?

Wouldn’t it be great if we could find a way to prolong our lives and to keep us healthy right up to the end Ponce de León never found that Fountain of Youth but science is still looking. What are the chances science will succeed How’s it doing so far…

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