A new policy on professionalism in the use of social media was [recently] adopted by the American Medical Association (AMA). The AMA Office of Media Relations was kind enough to share a copy of the policy:
The Internet has created the ability for medical students and physicians to communicate and share information quickly and to reach millions of people easily. Participating in social networking and other similar Internet opportunities can support physicians’ personal expression, enable individual physicians to have a professional presence online, foster collegiality and camaraderie within the profession, provide opportunity to widely disseminate public health messages and other health communication. Social networks, blogs, and other forms of communication online also create new challenges to the patient-physician relationship. Physicians should weigh a number of considerations when maintaining a presence online:
(a) Physicians should be cognizant of standards of patient privacy and confidentiality that must be maintained in all environments, including online, and must refrain from posting identifiable patient information online.
(b) When using the Internet for social networking, physicians should use privacy settings to safeguard personal information and content to the extent possible, but should realize that privacy settings are not absolute and that once on the Internet, content is likely there permanently. Thus, physicians should routinely monitor their own Internet presence to ensure that the personal and professional information on their own sites and, to the extent possible, content posted about them by others, is accurate and appropriate.Read more »
*This blog post was originally published at 33 Charts*
Senator Scott Brown (R-MA) thinks so. So does Senator Ron Wyden (D-OR). And Senator Bernie Sanders (I-VT). Senators Brown, Wyden and Sanders have introduced the “Empowering States to Innovate Act.” Ezra Klein blogs that the Senators may have found a way forward on health reform.
“If a state can think of a plan that covers as many people, with as comprehensive insurance, at as low a cost, without adding to the deficit, the state can get the money the federal government would’ve given it for health-care reform but be freed from the individual mandate, the exchanges, the insurance requirements, the subsidy scheme and pretty much everything else in the bill,” Ezra Klein writes. “If conservative solutions are more efficient, that will be clear when their beneficiaries save money. If liberal ideas really work better, it’s time we found out. Forget repeal and replace, or even reform and replace. How about compete and succeed?”
The Wonk Roomreports that Wyden, Brown, Sanders, who co-sponsored the original innovative waivers amendment, believe that their home states of Oregon, Massachusetts, and Vermont are leading the pack in adopting innovative approaches. These include the well-known Massachusetts program that Brown voted for as a state legislator, and single payer bills that have been introduced in Vermont and Oregon. The bill, though, also could appeal to states seeking a more conservative, less regulatory solution, since they would be able to decide how they wanted to provide comprehensive coverage to the uninsured, free of most of the mandates of the Affordable Care Act (ACA). Read more »
Clara Barton Camp (CBC) is awesome — this is an indisputable fact. I talk about CBC all the time when I’m at conferences, because there is something so unique and incredibly supportive about knowing that your fellow campers are also insulin-dependent and aren’t afraid to show it.
Part of what makes CBC so cool is that it makes you feel like having diabetes is…sort of cool. Almost everyone at camp has it, so if your pancreas happens to work, it makes you the odd one out instead of part of the WYOI (wear your own insulin) crowd. What’s more empowering than taking an isolating chronic illness and making it the common — and intrinsically cool — thread?
Which is why this video — a diabetes take on the Marcel the Shell with Shoes On — is so brilliant. It takes the Marcel the Shell concept and turns it on its diabetes head. And if you’re “in the know” with diabetes, it will make you laugh. If you listen closely, you’ll hear some of my favorite diabetes lines of all time. (Including, but not limited to: “One time I licked a glucose tab and went into DKA.”)
It takes some serious (cotton?) balls to make this video. I love it. This video was created, voiced, and edited by the talented CBC team of Abby Bayer (who guest posted here), Savannah Johnson (her post is here), Allie D, and Alissa Carberry (I think it’s time for Alissa and Allie to post, since I have nothing to link to for them).
What else can I say, other than this video had me in tears from laughing last night. Clara would be proud!
*This blog post was originally published at Six Until Me.*
Ask any third-year medical student how hormonal contraception prevents pregnancy, and they’ll probably tell you it prevents ovulation. What they won’t tell you is that this effect is variable and dose-dependent, and if we depended on it alone, hormonal contraception would be much less effective.
That’s because of the very important, and in my opinion, much under-appreciated effect of hormonal contraception on cervical mucus.
A Cervical Mucus Primer
Fertile cervical mucus— which forms under the influence of rising estrogen levels in the first half of the menstrual cycle and is maximal around ovulation –- is thin, watery, clear and easy for sperm to traverse.
Non-fertile mucus — which forms after ovulation and also in pregnancy under the influence of progesterone –- is the exact opposite: Thick,tacky, non-distensible and impossible for sperm to penetrate. (It’s not called the mucus plug for nothing.) Read more »
*This blog post was originally published at tbtam*
How fast does sudden cardiac arrest cause unconsciousness? In just seconds.
Here’s a video of Salamanca soccer player Miguel Garcia’s episode. At the start of the video, Mr. Garcia can be seen in the background of the image kneeling behind the players in the foreground. Watch carefully as he stands after tying his shoes.
Although it is difficult to see, it appears an automatic external defibrillator arrives in about two minutes, though given the fact his shirt is still on as he’s taken from the field, we note the device is on his gurney as he’s hurried to a nearby ambulance. Reportedly, he survived this sudden cardiac arrest event:
This was NOT a heart attack, but rather a loss of cardiac function caused by a rapid, often disorganized heart rhythm disorder. Compare the relatively long time to resuscitation using an external automatic defibrillator verses the very rapid response afforded to Belgian soccer player Anthony Van Loo, whose internal defibrillator was already installed before he played as primary prevention of sudden death from right ventricular dysplasia.
-WesMusings of a cardiologist and cardiac electrophysiologist.
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