April 29th, 2011 by Iltifat Husain, M.D. in Opinion
Tags: Android, Device Of Choice, healthcare, iPad, iPhone, Medical Apps, Physicians, Smart Phones, Technology
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Last month on match day, fourth year medical students from around the country — myself included — found out where we’ll be doing our residencies.
I was extremely excited to find out I matched at my home institution, Wake Forest University School of Medicine, to do my Emergency Medicine residency, a program rich in EM culture and innovation.
Almost immediately after “The Match”, iMedicalApps received emails from fourth year medical students questioning what type of mobile device they should purchase for residency — almost all asking between an iPhone or Android.
We even found out some residency directors were already making suggestions for the incoming residents, choosing the iPhone. Below is an excerpt from one such e-mail:
If you are considering a change in mobile companies, please look carefully at an iphone. There are many apps that we will be using in the near future and it would be a significant benefit to have one.
After much debate between the editors at iMedicalApps, we have came to the conclusion that the choice of smartphone for not only a resident, but for physicians and others in healthcare has now become abundantly clear — the iPhone.
Here’s why. Read more »
*This blog post was originally published at iMedicalApps*
April 28th, 2011 by AndrewSchorr in Health Policy, Opinion
Tags: Adverse Event Reporting, AEs, Drug, Facebook, FDA, healthcare, Marketing, Online Communities, Pharmaceuticals, Social Media, Transparency, Twitter
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Imagine you’re a pharmaceutical company product manager and your specific product helps people with a chronic illness, or a cancer that can be managed by taking a pill or an injectable medicine over many years. You want to be part of the dialogue patients have with each other. You want to be part of the community. Facebook users, and other social media participants, are increasingly forming groups around health conditions, big and small. You want to be there, because, after all, your company has invested hundreds of millions of dollars developing the approved drug and hopes this medicine, and perhaps a successor, will be on the market for a long time.
This is an exciting time on the Internet and pharmaceutical product managers want to be part of health discussions. But it is fraught with legal pitfalls and penalties that can range into the millions of dollars if the product manager, or associated marketing agencies, make even an innocent mistake. Read more »
*This blog post was originally published at Andrew's Blog*
April 28th, 2011 by Elaine Schattner, M.D. in News, Opinion
Tags: American College of Surgeons, Dr. Lazar Greenfield, DVT, Gaff, Greenfield Filter, Medical News, Semen, Sexual Statement, Valentine's Day
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A few days ago I read that Dr. Lazar Greenfield, Professor Emeritus at the University of Michigan, resigned as the president-elect of the American College of Surgeons over flak for authoring a Valentine’s Day-pegged, tacky, tasteless and sexist piece in Surgery News. The February issue is mysteriously absent in the pdf-ied archives. According to the Times coverage: “The editorial cited research that found that female college students who had had unprotected sex were less depressed than those whose partners used condoms.
From Pauline Chen, also in the Times:
It begins with a reference to the mating behaviors of fruit flies, then goes on to discuss studies on the menstrual cycles of heterosexual and lesbian women who live together. Citing the research of evolutionary psychologists at the State University of New York, it describes how female college students who had been exposed to semen were less depressed than their peers who had not, concluding: “So there’s a deeper bond between men and women than St. Valentine would have suspected, and now we know there’s a better gift for that day than chocolates.”
Not that I’m OK with any of this, as I’ve known the ickiness of older male physicians who don’t even realize when they’re being inappropriate. Read more »
*This blog post was originally published at Medical Lessons*
April 28th, 2011 by Toni Brayer, M.D. in Health Policy, Opinion
Tags: Complications, Embryo Transfer, Embryos, IVF, Limiting the number of embryos transferred, Octo-mom, Pediatrics, Premature Birth, Reproductive Endocrinology
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Everyone knows about “Octomom” and her octuplets born after in-vitro fertilization (IVF). That was an extreme case, but multiple births resulting from unregulated artificial reproductive technologies have skyrocketed over the last decade. The increased rate of twins, triplets and even higher multiples are due to in-vitro treatments and those women and infants are at much higher risk of pregnancy complications, premature birth and long term health problems.
New research, published in theJournal of Pediatrics, looked at admissions at just one hospital in Montreal, Quebec and found multiple embryo transfers was responsible for a significant proportion of admissions to the neonatal intensive care unit (NICU). These infants were born severely preterm. Six babies died and 5 developed severe intraventricular hemorrhage or bronchopulmonary dysplasia. The researchers extrapolated their data to the entire country of Canada and said that a universal single-embryo transfer policy would have prevented 840 NICU admissions, 40 deaths and 42,488 days in the NICU. The cost was $40 million annually. Read more »
*This blog post was originally published at EverythingHealth*
April 27th, 2011 by Michael Kirsch, M.D. in Health Policy, News, Opinion
Tags: Accident, Alabama, Bacteria, CMS, Death, Error, Hospital, Never Events, Nutrition, Sepsis, Total Parenteral Nutrition, TPN
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Recently, nine patients died in Alabama when they received intravenous nutrition that was contaminated with deadly bacteria. This type of nutrition is called total parenteral nutrition, or TPN, and is used to nourish patients by vein when their digestive systems are not functioning properly. It is a milestone achievement in medicine and saves and maintains lives every day.
What went wrong? How did an instrument of healing become death by lethal injection? What is the lesson that can emerge from this unimaginable horror?
This tragedy represents that most feared ‘never event’ that can ever occur – death by friendly fire. No survivors. Contrast this with many other medical ‘never events’ as defined by the Centers for Medicare and Medicaid Services, such as post-operative infections, development of bed sores in the hospital or wrong-site surgery. Under the ‘never events’ program, hospitals will be financially penalized if a listed event occurs. Many physicians and hospitals are concerned that there will be a ‘never events’ mission creep with new outcomes added to the list that don’t belong there. Medical complications, which are unavoidable, may soon be defined as ‘never events’.
Do we need a new category of ‘never ever ever events’ to include those that lead to fatal outcomes? Read more »
*This blog post was originally published at MD Whistleblower*
Last month on match day, fourth year medical students from around the country — myself included — found out where we’ll be doing our residencies.
