November 21st, 2011 by Shadowfax in Opinion
Tags: Beeper, Cell Phones, Code Blue, Communication, Computers, Device, Future, health care, Internet, iPad, iPhone, On-Call, Pager, Smartphones, Technology, Time
1 Comment »
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*
November 21st, 2011 by DeborahSchwarzRPA in Opinion, Research
Tags: 6-month rule, Brown, Center for Liver Disease And Transplantation, Donors, Dr. Robert S. Brown, Health News, Hepatitis, Liver, New England Journal of Medicine, Organ, Research, Study, Supply and Demand, Transplant
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Robert S. Brown, Jr., MD, MPH
The November 10, 2011 issue of the New England Journal of Medicine features an editorial by Robert S. Brown, Jr., MD, MPH, Director of the Center for Liver Disease and Transplantation, titled Transplantation for Alcoholic Hepatitis — Time to Rethink the 6-Month “Rule.”
In this editorial, Dr. Brown addresses the difficult questions surrounding how to fairly allocate donor organs, which are in far shorter supply than their demand. In the case of patients with alcoholic hepatitis, current guidelines exclude such patients from the liver transplant waiting list unless they have successfully abstained from alcohol for at least six months. Yet as Dr. Brown points out, many die before this required, albeit arbitrary, window elapses. And a new study indicates that Read more »
*This blog post was originally published at Columbia University Department of Surgery Blog*
November 21st, 2011 by John Mandrola, M.D. in Opinion, Research
Tags: Academia, AFib, Atrial Fibrillation, Clinical Research, Differences, Effectiveness, Foundation, Funding, Gender, Knowledge, Large Institutions, Research, Scientific Growth, Study
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I learned a lot from putting together an abstract for a national heart meeting.
- More than just learning how to e-submit, e-upload and e-print a large poster;
- More than what t-tests and chi-squares measure;
- More than learning that females respond differently to AF ablation;
- And surely more than which coffee shop offers the best work place.
Putting this thing together showed me stuff: the process of discovery, it’s role in helping us be better doctors and the difficulties inherent in doing this kind of valuable research in our current system.
So of course…bloggers blog.
First: Many have asked why we bothered doing research? What’s the motivation? Money? Fame? A greater purpose?
It was none of these. Read more »
*This blog post was originally published at Dr John M*
November 20th, 2011 by Emergiblog in Health Policy, Opinion
Tags: Attacked, Blame, Health Leaders Media, Meal Service, Nurse, Nurse-patient relationship, Patient evaluations, Patient Experience, Rank and File Caregivers, Top 5 Challenges Facing Nursing in 2012
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Looks like Mr. Administrator has some ‘splainin’ to do!
And I suggest he be straight with my colleagues, because a nurse can sense BS before it is even spoken.
I am not in management, and I never will be.
No, I am one of the “rank and file.” And right now, this member of the “rank and file” is hotter than hell.
**********
What set me off?
A comment in a post on the Health Leaders Media website, entitled Top 5 Challenges Facing Nursing in 2012. The article, written for nursing management, refers to nurses as “rank and file caregivers” and disparages their understanding of the importance of the “patient experience” to reimbursement: Read more »
*This blog post was originally published at Emergiblog*
November 20th, 2011 by Dinah Miller, M.D. in Opinion
Tags: All About Me, Complaining, ego, Judgmental, Narcissism, Problems, Psychiatry, Psychology, Psychotherapy, Self-importance, selfishness, Talk Therapy, vanity
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Psychotherapy is, by it’s nature, a narcissistic endeavor. That’s not to say that the patient is a narcissist, but the journey itself is meant to focus on patient’s interior life, and it’s not always about the greater good. In my last post, several commenters said they feel uncomfortable talking about themselves or worry that their therapist will mistakenly think they are narcissistic because they talk about themselves in therapy.
It’s not at all unusual for people to express some discomfort about talking about themselves in therapy, or to comment, “all I do in here is complain,” or “You must get tired of hearing people complain/talk about their problems, etc….”
I won’t talk for other psychotherapists because I only know how I feel. It seems to me that the mandate of therapy is for the patient to talk about the things they have been thinking about. The truth is that most people think about themselves, and issues of the world are interpreted by individuals as they impact them. Some people Read more »
*This blog post was originally published at Shrink Rap*
