November 19th, 2011 by Bryan Vartabedian, M.D. in Opinion, True Stories
Tags: 1990s, Beeper, Cell Phone, Medical Student, On-Call, PDA, Smart Phones, Technology, Vibrating
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It’s funny what we remember. As a 3rd year medical student rotating in surgery I remember quite clearly sitting in my attending’s office at Worcester Memorial Hospital. He was a vascular surgeon. I don’t remember his name. On this particular day I had followed him to his office after rounds. He had just received his new pager and placed a call to whomever had sent him the device.
It seemed there was a problem. The device lacked the latest pager feature: vibration. His current pager only beeped. The dialog centered around his on-call demands as a vascular surgeon and his love for the symphony. With a buzzing pager he Read more »
*This blog post was originally published at 33 Charts*
November 19th, 2011 by KennyLinMD in Opinion
Tags: Adverse Effects, Battle of Little Bighorn, Biopsy, Cancer Detection, George Armstrong Custer, Overdiagnosis, Prostate Cancer, PSA, Screening, Sioux, Stephen Ambrose, Tests, USPSTF
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In the face of accumulating evidence and a U.S. Preventive Services Task Force finding that PSA screening for prostate cancer does more harm than good, the most frequent response I hear from physicians who continue to defend the test is that PSA is all we have, and that until a better test is developed, it would be “unethical” to not offer men some way to detect prostate cancer at an asymptomatic stage. (However, these physicians for the most part don’t question the ethics of not offering women screening for ovarian cancer, which a recent randomized trial concluded provides no mortality benefit but causes considerable harms from diagnosis and treatment.)
I’m currently reading historian Stephen Ambrose’s dual biography of Oglala Sioux leader Crazy Horse and Civil War cavalry general George Armstrong Custer, whose troops were routed by the Sioux at the famous Battle of Little Bighorn in 1876. One premise of the book is that the same aggressive instincts that served Custer so well during the Civil War Read more »
*This blog post was originally published at Common Sense Family Doctor*
November 18th, 2011 by StevenWilkinsMPH in Opinion, Research
Tags: Contact, Doctor Patient Relationship, Doctor-Patient Communication, Dr. Abraham Verghese, Hospital Visit, Lung Cancer, Med2.0 Conference, Oncologist, Patient Satisfaction, Stanford, Stress, Touch, Trust
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Abraham Verghese, MD, Standford University
My wife has two world-class oncologists who help her manage her Stage 4 Lung Cancer. Both are excellent clinicians. Yet their skills differ in one very important way. Her radiation oncologist physically touches her a lot (in a good way of course!). There are the touches on her arm, a hand on the shoulder, hugs, and of course a thorough hands-on physician exam. Her medical oncologist not so much.
We all recognize the therapeutic value of touch. Dr. Abraham Verghese, a Stanford Physician and Professor, at the 2011 Med2.0 Conference, described the power of touch associated with the physical exam. In the following scenario he describes an interaction with a chronic fatigue patient who came to him after being seen by many other physicians: Read more »
*This blog post was originally published at Mind The Gap*
November 17th, 2011 by GarySchwitzer in News, Opinion
Tags: BBC, Breakthrough, Cardiology, Cardiovascular, CBS, Cure, Early, Heart Health, Heart Muscle Damage, Hype, Journalist, Los Angeles Times, media, NBC, News, Stem Cell Research, Too soon
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Journalist Larry Husten, on his Cardiobrief blog, writes, “Hype Aside, Hope for Stem Cell Therapy May Be Emerging From Hibernation.”
It was one of the only notes of caution we saw in our limited sampling of news stories about an analysis of an experimental stem cell intervention in 14 people – only 8 of whom were followed for a year. Husten wrote:
“Two small studies of cardiac stem cells for the treatment of heart failure have shown promise, but ABC News, CBS News and other media outlets are throwing around words like “medical breakthrough” and “heart failure cure.” ABC News correspondent Richard Besser was so enthusiastic that anchor Diane Sawyer commented that she had never seen him “so excited.” The first author of one of the studies, Roberto Bolli, said the work could represent “the biggest advance in cardiology in my lifetime.”
The reality may be somewhat more prosaic.” Read more »
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
November 17th, 2011 by MotherJonesRN in Opinion
Tags: 20th century, ANA, Angels of Mercy, Challenges, D.C., District of Columbia, Income, Nurses, Nursing Prayer, Nursing Shortage, Pay, Wage, World War II
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I love old nursing photographs. Some of them are works of art. This photo from 1933 is an excellent example. The ladies posing in this photo are graduates of the Providence Hospital School of Nursing, Oakland, California. This striking photo chronicles the history of the nursing profession. These women were the original Angels of Mercy of the 20th Century.
It was a time of innocents, but even then, you had to be tough to make it as a nurse. It was a dismal time for nurses, and the beginning of the nursing shortage. According to a letter written by the ANA, through its Executive Committee and sent to hospital directors around the country back in 1933, nurses faced many challenges. There was an over abundance of nurses in the early 1930s. That meant that Read more »
*This blog post was originally published at Nurse Ratched's Place*
It’s funny what we remember. As a 3rd year medical student rotating in surgery I remember quite clearly sitting in my attending’s office at Worcester Memorial Hospital. He was a vascular surgeon. I don’t remember his name. On this particular day I had followed him to his office after rounds. He had just received his new pager and placed a call to whomever had sent him the device.
