May 14th, 2011 by Iltifat Husain, M.D. in News, Opinion
Tags: Cardiology, Heart Sounds, Mobile Ultrasounds, Physical Exam, Stethoscopes, Technology, Ultrasound
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Recently, the Wall Street Journal did a great piece on how mobile technology is being used in medicine. They looked at the major avenues of use — from the hospital to personal to emergency care settings.
They gave an example of how a cardiologist has stopped carrying a stethoscope, and now just uses mobile ultrasound, a modality we have highlighted numerous times in the past.
Dr. Topol, a cardiologist in San Diego, carries with him instead a portable ultrasound device roughly the size of a cellphone. When he puts it to a patient’s chest, the device allows him to peer directly into the heart. The patient looks, too; together, they check out the muscle, the valves, the rhythm, the blood flow.
“Why would I listen to ‘lub dub’ when I can see everything?” Dr. Topol says. Read more »
*This blog post was originally published at iMedicalApps*
May 14th, 2011 by Elaine Schattner, M.D. in News
Tags: Breast Cancer, Cancer Screening, Mammography, Medical News, New York City, Women's Health
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A recent audit of nine NYC’s Health and Hospitals Corporation found City Comptroller Liu described as dangerous delays in women’s health care. It takes too long for women to get screening and diagnostic mammograms.
The 2009 audit found women at Elmhurst Hospital had the longest waits – 50 working days (that would be 10 weeks, i.e. 2.5 months) for diagnostic mammograms, on average. You can find more details here.
According to the Times’ coverage:
Ana Marengo, a spokeswoman for the city’s Health and Hospitals Corporation, which runs the public health system, said that the comptroller’s data was outdated…
At Elmhurst, she said, the wait as of December 2010 was 20 days for screening and 23 days for a general diagnostic test, as opposed to an urgent one. Read more »
*This blog post was originally published at Medical Lessons*
May 13th, 2011 by RyanDuBosar in News, Research
Tags: Colonoscopy, Competency, Gastroenterology, Mayo Clinic, Medical Education, More Training, Procedures
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Much more practice is needed than gastroenterological professional societies currently recommend, concluded Mayo Clinic researchers in Rochester, Minn.
Current recommendations are that 140 procedures should be done before attempting to assess competency, but with no set recommendations on how to assess it, wrote the author of the research. But it takes an average of 275 procedures for a gastroenterology fellow to reach minimal cognitive and motor competency.
Now, the American Society for Gastrointestinal Endoscopy is rewriting its colonoscopy training guidelines to reflect the need for more procedures and emphasize the use of objective, measurable tests in assessing the competency of trainees. Read more »
*This blog post was originally published at ACP Internist*
May 12th, 2011 by RyanDuBosar in News
Tags: Alternative Medicine, Avena, Drugs, Medicine Cabinet, Osama Bin Laden, Over-The-Counter Medications
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NBC News obtained from sources in Pakistan a list of drugs found in Osama bin Laden’s medicine cabinet, after Navy SEALs left the scene of the raid and Pakistan officials took over the compound.
The list shows that bin Laden was a fairly typical–almost American–consumer of over-the-counter medications. There was nothing to indicate he needed dialysis or had diabetes or Marfan syndrome. He did have secondary osetoporosis, according to physicians who examined photos of him over time. (That’s an actual job, by the way, for physicians who’d want a career drawing up profiles about the health of world leaders or terrorists and feeding that information to intelligence analysts.)
Bin Laden stocked pain relievers for kids living at the compound, some home remedies for nerves and gastrointestinal upset, and Avena syrup, which is an extract of wild oats that’s been associated with enhancing sexual desire. Much hay has been made from those wild oats, such as who might have been taking them.
*This blog post was originally published at ACP Internist*
May 11th, 2011 by ChristopherChangMD in News
Tags: Adults, Allergy, Anti-histamine, Azelastine, Child, ENT, kids, Meda Pharma, Nasal Spray
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Up until now, there have been three anti-histamine nasal sprays in the United States market available only by prescription… Astelin, Astepro, and Patanase.
However, in May 2011, Meda Pharma announced a new anti-histamine nasal spray Rhinolast Allergy that is available over-the-counter.
The active ingredient is azelastine, the same one as found in the prescription nasal spray Astelin and Astepro.
Azelastine has a triple mode of action: anti-histamine effect, mast-cell stabilizing effect, and anti-inflammatory effect. Azelastine has a rapid onset of action of 15 minutes.
It can be used from the age of 5 years.
This nasal spray can be used in combination with other over-the-counter anti-histamines medications taken orally like zyrtec, claritin, allegra, and benadryl.
Read more about this new nasal spray here.
Read more about allergy medications in general here.
*This blog post was originally published at Fauquier ENT Blog*
Recently, the Wall Street Journal did a great piece on how mobile technology is being used in medicine. They looked at the major avenues of use — from the hospital to personal to emergency care settings.
