December 18th, 2011 by Dinah Miller, M.D. in Opinion, Research
Tags: Attitudes, Communication, EHR, Electronic Health Records, EMR, Health, Information, Medications, Mental Illness, Psychiatric Illness, Psychiatry, Psychology, Psychotropic, Research, Shrink, Stigma, Survey, Therapy
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For a while now we’ve been talking about issues related to psychiatry and electronic medical records. Roy is very interested in the evolution of EHR’s.
I don’t like them. I think they have too many problems still, both in terms of issues of efficiency and time, and how they divert the physician’s attention away from the patient, and they focus medical appointments on the collection of data– data that is used in a checkbox form: patient is not suicidal and I asked, whether it was clinically relevant or not– and will therefore serve as protection in a lawsuit, or demographic information used by insurers, the government, who knows.
From a privacy standpoint, I think they are appalling. If you are a patient in the hospital where I work, you get Read more »
*This blog post was originally published at Shrink Rap*
December 17th, 2011 by BarbaraFederOstrov in News, Research
Tags: ADHD, AP, Associated Press, British Heath, Cell Phones, Driving, Drug Safety, Forbes.com, Heart Attacks, JAMA, News, NHS, Nurse Strike, Phone Calls, Reporting on Health, Stroke, Texting
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*This blog post was originally published at Reporting on Health - The Reporting on Health Daily Briefing*
December 17th, 2011 by John Di Saia, M.D. in Opinion, Research
Tags: Breast Cancer, Breast Reconstruction, Columbia University Medical Center, Cosmetic Surgery, Dr. Dawn Hershman, Insurance, Mastectomy, Outcomes, Plastic Surgery, Research, Study
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Despite the benefits of immediate post-mastectomy breast reconstruction, only a small minority of women, regardless of age, choose this option, a new study indicates. Research has shown that compared with a delayed procedure, immediate post-mastectomy reconstruction improves psychological well-being and quality of life. The new study, headed by Dawn Hershman, M.D., associate professor of medicine and epidemiology at Columbia University Medical Center, indicates that only about one-third of women opt for the procedure, according to the American Association for Cancer Research.
Source: cosmeticsurgerytimes.modernmedicine.com/
cosmeticsurgerytimes/article/articleDetail.jsp?id=751765
Immediate breast reconstruction does lead to better results in patients with early stage breast cancer. That is a pretty much well known fact. This statistic of less than a third of women seeking this type of reconstruction in this light seems kinda sad, but keep reading: Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
December 17th, 2011 by RamonaBatesMD in Opinion, Research
Tags: deep venous thrombosis prevention, DVT, Plastic and Reconstructive Surgery Journal, Plastic Surgeons, Plastic Surgery, Prevention, Survey
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There were two articles regarding deep venous thrombosis prevention in the November 2011 issue of the Plastic and Reconstructive Surgery Journal. Both are worth reading. I have supplied the full references below with links.
From the second article:
Between 1 and 7 percent of surgeons have personally experienced a venous thromboembolism–related patient death after high-risk plastic surgery. Plastic surgeons’ self-reported practice patterns indicate a disparity between clinical understanding and clinical practice. The majority of surgeons can identify patients at high risk for postoperative venous thromboembolism. However, examination of their self-reported practice patterns indicates that a substantial proportion of surgeons (>50 percent) provide inadequate levels of venous thromboembolism prophylaxis for high-risk patients. In addition, surgeons recognize modifiable venous thromboembolism risk factors (such as oral contraceptive use) but may fail to modify those factors before surgery.
“Never event” is a poor descriptor for venous thromboembolism, as it implies that Read more »
*This blog post was originally published at Suture for a Living*
December 16th, 2011 by GruntDoc in Opinion, Research
Tags: Bleeding, Brain, CT Scan, Detection, FDA, Food and Drug Administration, Intracranial Hematoma, Medical, Medicine, near-infrared spectroscopy, Research, Skull, Study
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I read this headline and said, “Wow!, finally I won’t need to CT all those patients’ heads!”
FDA permits marketing of the first hand-held device to aid in the detection of bleeding in the skull
Helps to determine if immediate CT scan is needed
The U.S. Food and Drug Administration today allowed marketing of the first hand-held device intended to aid in the detection of life-threatening bleeding in the skull called intracranial hematomas, using near-infrared spectroscopy.
via Press Announcements > FDA permits marketing of the first hand-held device to aid in the detection of bleeding in the skull.
But then, wait, said I, is it any good? Read more »
*This blog post was originally published at GruntDoc*
For a while now we’ve been talking about issues related to psychiatry and electronic medical records. Roy is very interested in the evolution of EHR’s.
Distracted Driving: Studies of 
