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Cardiologist Expresses Doubt About Implications Of New Leadless Pacemaker

From Medgadget via The Medical Quack:

EBR Systems, a start-up out of Sunnyvale California, and Cambridge Consultants, the technology design and development firm, have developed a leadless pacemaker system for patients with advanced heart failure. The Wireless Cardiac Stimulation System (WiCS) comprises two units, an implantable electrode and an external control unit. The electrode incorporates an ultrasonic, wireless receiver and delivers an electrical stimulus to the heart based on triggering signals from the external control unit.

In its current iteration the WiCS system is designed to work with conventional pacemakers/defibrillators pacing the right ventricle of patients requiring biventricular pacing. The WiCS external control unit senses the pacing stimulus delivered to the right ventricle and initiates a burst of stimulus from the electrode implanted in the left ventricle. According to the company, Read more »

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

Health Care Is Stuck In The Past

We respond to certain “Code Blue” situations in our hospital. In the ED, of course, and in the outpatient areas and radiology, and if needed as back-up in the inpatient units. The hospital issues one of those overhead calls when there is a code blue — a cardiac arrest or other collapse, person down, injury, etc., but we also carry a pager in the ER in case we don’t hear the overhead call. The pager also signifies which doc is designated to respond to such a call, since we often have 8 docs working at once. It’s a little ritual we have at change of shift, passing off the pager and the spectralink phone, like the passing of the torch to the oncoming doc.

So of course I took the pager home the other day and had to make an extra trip to the hospital to return it. Ugh.

As I was driving back in, I took a moment to really look at the thing, and it struck me that this pager is the exact same model I used in medical school and residency, way back in the mid nineties. The exact same one: Read more »

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

Fast Moving Technology: Is The Pager Completely Extinct?

It’s funny what we remember.  As a 3rd year medical student rotating in surgery I remember quite clearly sitting in my attending’s office at Worcester Memorial Hospital.  He was a vascular surgeon.  I don’t remember his name.  On this particular day I had followed him to his office after rounds.  He had just received his new pager and placed a call to whomever had sent him the device.

It seemed there was a problem.  The device lacked the latest pager feature: vibration.  His current pager only beeped.  The dialog centered around his on-call demands as a vascular surgeon and his love for the symphony.  With a buzzing pager he Read more »

*This blog post was originally published at 33 Charts*

Cardiologist Discusses Upcoming mHealth Summit

Post image for Dr. Eric Topol discusses this “extraordinary time” in medicine #mHS11

Dr. Eric Topol

It is hard to easily comprehend the depth and breadth of Dr. Topol’s career. He has been a major figure in cardiology, genomics and wireless health while also assuming leadership positions in landmark institutions such as the Cleveland Clinic and the Scripps Institute in La Jolla.

As chairman of cardiology at the Cleveland Clinic, he led the program to become number one for heart care. He was lead investigator on numerous national & worldwide cardiovascular clinical trials and started a medical school at the Clinic. He was also among the first physicians nationwide to call attention to the potential cardiac dangers of Vioxx. His very public criticism of Merck and the FDA brought to light the intimate but not always visible connections between the pharmaceutical industry and academic medicine.

Later he moved to San Diego, where he currently serves as director of the Scripps Translational Science Institute, Chief Academic Officer for Scripps Health and Professor of Translational Genomics. He has been a leading proponent of wireless medicine for more than a decade. He co-founded the West Wireless Health Institute with Gary and Mary West who contributed the initial $45m gift to start the Institute and have since committed an additional $100m to found a not-for-profit venture fund for wireless health companies. He currently serves as Vice Chairman of the Institute which is dedicated to “innovating, validating, and advocating for the use of technologies including wireless medical devices to transform medicine.” Be sure to check out our recent interview of WWHI chief executive Don Casey.

Dr. Topol is delivering the opening keynote for the mHealth Summit on December 5. His new book “The Creative Destruction of Medicine” is also making its debut at the Summit as an e-book, available to meeting attendees. Read below to hear his thoughts on the mHealth Summit and wireless platforms’ potential to improve health & transform the practice of medicine.

Why are you participating in the mHealth Summit? Read more »

*This blog post was originally published at iMedicalApps*

The Future Of Health Care Requires Considerable Typing Skills

I always loved to type.  It started in high school with typing class.  We were told that typing was critical for college term papers.  I liked it so much that I took advanced typing.  It was myself and 12 girls with Farrah Fawcett hair.  Heaven.

Fast forward to 2011.  My interface with the medical record is my fingers.  Most of my communication flows through my hands.  I complete the core of my documentation in the exam room.  Fast documentation of information at the outset of an encounter allows for meaningful, eye-to-eye dialog during the latter part of the visit.

Those who can’t type have a different experience with their EHR.  Sure there’s voice recognition but when pressed they wish they could make a sentence instantly flow onto the screen.  Two colleagues this week, one from Barbados and another from the UK, Read more »

*This blog post was originally published at 33 Charts*

Latest Interviews

The Surprising Economic Burden Of ADHD (Attention-Deficit Hyperactivity Disorder)

If you can read this you need to download a more recent browser It is estimated that as many as million U.S. adults have ADHD Attention-Deficit Hyperactivity Disorder A recent research study publication-pending suggests that the economic burden of ADHD on America could be as high as billion annually. I…

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Is The Adderall Shortage A Harbinger Of Future Drug Supply Problems?

If you can read this you need to download a more recent browser Today most- if not all- Doctor’s offices are strained by the shortage of some prescription medication or vaccine. A month ago President Obama signed his executive order directing the FDA to take steps to reduce drug shortages…

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Latest Book Reviews

Book Review: The First Step To Improve Health Care Is A Close Examination Of How It’s Delivered

My friend and former Chair of the CFAH Board of Trustees Doug Kamerow has written a book that I think you will like. Besides being a mensch and witty as heck Doug is a family doctor and a preventive medicine specialist. In his new book Dissecting American Health Care Commentaries…

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“Your Medical Mind” Explores Factors That Influence A Patient’s Medical Decisions

Recently I had a conversation with Shannon Brownlee the widely respected science journalist and acting director of the Health Policy Program at the New America Foundation about whether men should continue to have access to the PSA test for prostate cancer screening despite the overwhelming evidence that it extends few…

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Book Review: Food Truths, Food Lies

Food Truths Food Lies written by family physician Eric Marcotte M.D. may be the most refreshingly evidence-based diet book of the decade. You will not find a single mention of super-foods magical berries or supplement must-haves in the entire book. What you will find is the cold hard truth about…

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