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Uncover Your Heart Disease Risk With A Wrist Band Device?

A study published in journal Chest has shown that novel intra-sleep pulse oxymetry can be an effective modality in identifying cardiovascular disease risk in patients. In the study, a modified version of Weinmann‘s SOMNOcheck micro oximeter was used to observe pulse wave attenuation, heart rate acceleration, pulse propagation times, as well as respiration-related pulse oscillations and oxygen desaturation episodes. All the collected data was analyzed by an algorithm, and the prognostic results were checked against European Society of Hypertension/European Society of Cardiology (ESH/ESC) risk factor matrix.

Some details from the study abstract: Read more »

*This blog post was originally published at Medgadget*

The Ten Types of Doctor Bloggers

One of my favourite blogs just featured a nice picture that presents the 10 typical types of medical bloggers.

Here they are:

  • Dr. Funny
  • Dr. Mommy
  • Dr. Boring
  • Dr. Didactic
  • Dr. Product Placement
  • Dr. Resident
  • Dr. No Longer A Doctor
  • Dr. Political
  • Dr. Miracle
  • Dr. Whiny

Which type do you belong to?

Click on the image for the original source and size.


*This blog post was originally published at ScienceRoll*

Physicians And Hospitals Protect Their Turf With Patient-Safety Arguments

Prototype ‘BS’ meter.

So many folks express views that are obviously self-serving, but they try to masquerade them as altruistic positions that benefit some other constituency. These attempts usually fool no one, but yet these performances are common and ongoing. They are potent fertilizer for cynicism.

Teachers’ unions have been performing for us for decades. Their positions on charter schools, school vouchers, merit pay and the tenure system are clear examples of professional advocacy to protect teachers’ jobs and benefits; yet the stated reasons are to protect our kids. Yeah, right. While our kids are not receiving a top flight education, the public has gotten smart in a hurry on what’s really needed to reform our public educational system. This is why these unions are now retreating and regrouping, grudgingly ‘welcoming’ some reform proposals that have been on the table for decades. This was no epiphany on their part. They were exposed and vulnerable. They wisely sensed that the public lost faith in their arguments and was turning against them. Once the public walked away, or became adversaries, established and entrenched teachers’ union views and policies would be aggressively targeted. Those of us in the medical profession have learned the risk of alienating the public. Teachers have been smarter than we were.

The medical profession is full of ‘performances’ where the stated view is mere camouflage. For example, Read more »

*This blog post was originally published at MD Whistleblower*

When Prescription Directions Are Unclear

“Take one to two pain pills by mouth every 4 to six hours”

To me that is clear.  I was reminded recently that it isn’t to all patients.

A patient complained of lack of relief from her pain medicines after surgery.  Her description of the pain didn’t suggest any complications so I ask how she was taking them.  I was looking for a way to safely use NSAIDS or Tylenol as a boost rather than giving her something stronger.

“I take one pain pill and then wait an hour to take another one.”

I prompted her to tell me when she took the next dose.

“I wait four hours and then take one pain pill, but I wait for six hours to take the next one.”

Ah!

I had mentioned to her and her caregiver that due to her small size she should begin with just one, then wait for 30 minutes to an hour to see if she needed the second one.  They were doing that, but the other part wasn’t clear. Read more »

*This blog post was originally published at Suture for a Living*

Challenges Continue For Women In Science And Medicine

I didn’t turn on the computer yesterday (yes, it was glorious), so I missed Mother’s Day coverage in our local newspaper. When we returned home, I was happy to see that on the front page of the print copy the dean of Duke School of Medicine, Nancy Andrews, M.D., Ph.D., was featured with her daughter in the lab on their “fun Saturdays” together.

Also cited and pictured in the article was Duke vice dean for research and professor of pharmacology and cancer biology, Sally Kornbluth, Ph.D., and her daughter.

Written by News & Observer science editor Sarah Avery, the article describes how women are increasing in ranks in biomedical degrees earned while still lagging at the associate professor level and up. This trend was cited specifically for faculty and administrators in basic science departments of medical schools, but is widespread in academic science and engineering. Read more »

*This blog post was originally published at Terra Sigillata*

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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