December 10th, 2010 by DavidHarlow in Better Health Network, Health Policy, News, Opinion
Tags: Accountable Care Organizations, ACO, AOL News, Care Coordination, David Harlow, Doctors and Social Media, Dr. Kamal Thapar, EHR, Emergency Medicine, Facebook, General Medicine, Health 2.0, Health IT, Health Outcomes, HealthBlawg, Healthcare and Social Media, Healthcare Cost Containment, Healthcare reform, HIT, Internal Medicine, mHealth, Mobile Health, Newt Gingrich, Patient Engagement, Patient-Centered Medical Home, Patients and Social Media, PCMH, PHR, Primary Care, Social Media, Social Media and Medicine
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I’ve seen at least half a dozen links to the op-ed coauthored by Newt Gingrich and neurosurgeon Kamal Thapar about how the doctor used information on Facebook to save a woman’s life. (It was published by AOL News. Really.)
In brief, a woman who had been to see a number of different health care providers without getting a clear diagnosis showed up in an emergency room, went into a coma and nearly died. She was saved by a doctor’s review of the detailed notes she kept about her symptoms, etc., which she posted on Facebook. The story is vague on the details, but apparently her son facilitated getting the doc access to her Facebook page, and the details posted there allowed him to diagnose and treat her condition. She recovered fully.
Newt and Dr. Thapar wax rhapsodic about how Facebook saved a life, and sing the praises of social media’s role in modern medicine. (I’m not sure how this really fits in with Newt’s stance on health reform, within his 12-step program to achieve the total replacement of the Left…but, hey, nobody has the patience these days for so many details anyway.)
Regular readers of HealthBlawg know that I would perhaps be the last to challenge the proposition that social media has a role to play in health care. However, I think Newt got it wrong here. Read more »
*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*
December 10th, 2010 by John Di Saia, M.D. in Better Health Network, Health Tips, Opinion
Tags: Anesthesiology, Breast Implants, Breast Reconstruction, Dr. John Di Saia, General Anesthesia, Local Anesthesia, Pectoral Muscles, Plastic and Reconstructive Surgery, Safe Surgical Practices, Surgical Patient Alertness, Truth in Cosmetic Surgery, Twilight Anesthetic, Twilight Sleep
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Reader question:
A surgeon I’m thinking about seeing said on his website that breast implants were able to be done under local + intravenous anesthetic (like twilight). Can this really be done? I always thought it was too invasive for just twilight, especially if it is under the muscle. Is there an advantage to using twilight? After looking it up, there are lots of differing opinions out there, but I think that this may just be a way for the surgeon to cut costs. What is the cosmetic surgery truth here, Dr. D?
I am not a fan of local anesthesia or twilight sleep for breast implant surgery except in rare cases (simple redos and such). The reasons are patient comfort and practicality. I place most of my breast implants under the pectoral muscles, and these muscles need to be relaxed for this to work out. That relaxation is suboptimal under less than a general anesthetic. Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
December 10th, 2010 by DrRob in Better Health Network, Health Policy, Opinion, True Stories
Tags: American Healthcare System, Big-Ticket Healthcare Items, Dr. Rob Lamberts, Drive Down The Cost of Healthcare, Fighting For Patients, Fixing American Healthcare, General Medicine, Healthcare Crisis, Healthcare Economics, Musings of a Distractible Mind, Patient Care, Paying For Unnecessary Care, Primary Care, Unnecessary Medical Care, Wasteful Healthcare
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I case you didn’t hear the news, the American healthcare system is in financial crisis. One of the biggest culprits indicted in this crises is “unnecessary care,” with estimates ranging from $500 to $650 billion (total spending estimate is $2.6 trillion) going toward things labeled “unnecessary.” Personally I think this is an underestimate, as it doesn’t take into account the some big-ticket items:
- Brand name drugs given when generics would do.
- Antibiotics given for viral infections (and the additional cost due to reactions and resistance).
- Unproven costly care considered “standard of care” (PSA testing, robotic surgery, coronary stents).
- The unnecessarily high price of drugs.
One of the main reasons I am an advocate of EMR is to measure and analyze care, eliminating that which is wasteful, futile, or even harmful. The biggest burden on our system is not the fact that we have a hyper-complex payment system that hides the true cost of care. The biggest burden is the wasteful care that this system agrees to pay for. In fact, I suspect that the main reason our system has become hyper-complex and covert in its spending is to hide this waste from prying eyes.
It sounds easy: Just eliminate costly unnecessary care and save the system. While you are at it, why not bring world peace, eliminate poverty, and make a detergent that cleans, softens, and deodorizes all at once? Read more »
*This blog post was originally published at Musings of a Distractible Mind*
December 9th, 2010 by DrRich in Better Health Network, News, Opinion, Research
Tags: Biosensors, Cardiac Electrophysiology, Covert Rationing Blog, Dr. Joseph Smith, Dr. Rich Fogoros, General Medicine, HealthLeaders 20 for 2010, HealthLeaders Media, Lowering the Cost of Healthcare, Medical Technology at Home, Technology and Healthcare, Technology and Medicine, West Wireless Health Institute, Wireless Communication in Medicine, Wireless Healthcare, Wireless Technologies to the Patient
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DrRich is delighted to note that a very good and longtime friend and former colleague has been named as one of the HealthLeaders 20 for 2010 — that is, as one of 20 people, chosen by HealthLeaders Media, who are changing healthcare for the better.
DrRich has known this man for nearly two decades, and from the very beginning he has insisted his real name is Joe Smith. So let’s go with that.
Joe’s recognition by HealthLeaders is very well deserved. Joe is chief medical and science officer of the West Wireless Health Institute in San Diego, a non-profit institution whose mission is to bring wireless technologies to the patient, technologies to diagnose, monitor and treat health conditions in the patient’s own home. Joe is uniquely qualified for this role, having earned a PhD in medical engineering and medical physics, an MD from Harvard (a place DrRich has never even been allowed to see), and having spent years practicing medicine as a (particularly well-known) cardiac electrophysiologist. (Electrophysiology, as regular readers will know, is widely recognized as the geekiest of medical specialties.)
For what it’s worth, DrRich considers Joe to be one of the most honest, most ethical physicians he has ever known, one who will always place the welfare of patients ahead of his own treasure and his own career. DrRich has seen him do it. Read more »
*This blog post was originally published at The Covert Rationing Blog*
December 9th, 2010 by Mark Crislip, M.D. in Better Health Network, Humor, Opinion, Research, True Stories
Tags: 510 (k), Aculife, Acupoints, Acupressure Device, Acupuncture, Acupuncture Points, CAM, Complementary And Alternative Medicine, DeviceWatch.org, Dr. Mark Crislip, FDA, Food and Drug Administration, Mummy Medical Tattoos, Otzi, Pseudomedicine, Pseudoscience, Qi, Science and Medicine, Science Based Medicine, SkyMall, Woo
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The worst part of flying is the takeoff and landing. Not that I am nervous about those parts of the trip, it is that I am all electronic. Once I have to turn off my electronic devices, all I am left with is my own thoughts or what is in the seat pocket in front of me.
Since there is nothing to be gained from quiet introspection, I am stuck with either the in-flight magazine or SkyMall. I usually choose the latter. SkyMall, for those of you who do not fly, is a collection of catalogs bound in one volume. I have occasionally purchased products found in SkyMall and thumb through it with mild interest.
This time one product caught my eye, the Aculife home acupuncture/acupressure device. I had never noticed the “health”-related products in SkyMall before, usually looking for electronic gadgets that I really do not need. I was curious. How many other products besides Aculife are in the catalogue? According to the interwebs, about 100,000,000 Americans fly every year and well over half a billion people world wide. A lot of people can potentially look at SkyMall, including the occasional skeptic.
I have written about the many styles of acupuncture in the past: Hand and foot and tongue and ear and head and Chinese and Japanese. So many meridians and acupuncture points, how does the body find room for it all? Aculife makes it all simple. It’s all gauche, er, I mean in the left hand.
According to makers of Aculife, you can now “help strengthen your health with the latest ancient technology.” Of course I can, and for $199.95 I had better be able to. Read more »
*This blog post was originally published at Science-Based Medicine*
