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Latest Posts

Why Health Care Costs So Much: Is The Public Partially To Blame?

It is my job at EverythingHealth to steer the reader to great information.  For this reason I am providing you with a Link to The New England Journal of Medicine article titled “The $650 Billion Dollar question – why does cost effective care diffuse so slowly?”  I have retitled it “Why Health Care Costs So Much”.

The United States spends much more on health care than other industrialized nations with no improvement in outcomes or health status of it’s citizens.  If we enacted some of the policies that other nations use, we would have $650 Billion to spend on education, infrastructure, social security and other societal needs.  Why can’t we get there?

Read here to understand the barriers.  It isn’t simple.  Resistance to change and instituting cost effective care has many stakeholders including legislators, doctors, hospitals, drug and equipment manufacturers, academic training centers, insurance companies and even the media.  We, the public, are also to blame for not understanding that reform which lowers costs would benefit all of us.  There is no free lunch.  When the cost of care goes up for employers, that keeps our wages stagnant.  When millions are uninsured, the cost of their care is born by everyone and it is inefficient care.

The article authors tell us: Read more »

*This blog post was originally published at EverythingHealth*

Sensory Nerves Recover Surprisingly Well After Facial Transplantation

Have you ever lost your sense of smell or taste?  Recall how it feels when your face/mouth don’t work properly until the nerve blocks wear off after a dental procedure.

Those are all things (and more) a facial transplant patient has to deal with.  The article discussing recovery of sensation after facial transplantation in the May issue of Plastic and Reconstructive Surgery discusses this topic (first reference below).

In addition to reviewing their own face transplant patients (n=4), Dr. Maria Siemionow and colleagues did a literature review (English literature for peer-reviewed articles published between 1940 and 2010) of sensory recovery after various standard nerve repair techniques.

These other nerve repair techniques included repair of the peripheral branches of the trigeminal nerve; sensory return after free tissue transfer (ie noninnervated flaps, including radial forearm, lateral thigh, anterolateral thigh, latissimus dorsi, trapezius, et al and innervated free flaps, including radial forearm, anterolateral thigh, and rectus abdominis musculocutaneous flaps); and sensory recovery following replantation of scalp and forehead. Read more »

*This blog post was originally published at Suture for a Living*

An Honest Hospital Pin

I’ve discovered the perfect tool to improve doctor-nurse communication skills.  Let’s see.  Hundreds of nurses.  Dozens of floors.  Day shifts.  Night shifts. This pin pretty much sums it up. Any questions?

*This blog post was originally published at The Happy Hospitalist*

The Top Ranked Health Blogs – By Wikio.com

Even if you’re not into blog rankings, Wikio.com’s ranked list includes links to many solid sites. This blog rose a bit in the rankings in the past month. We’re pleased to be included in a list of so many quality blogs.

1 Well
2 Kevin, M.D. – Medical Weblog
3 Respectful Insolence
4 Science-Based Medicine
5 The Health Care Blog
6 Pharmalot
7 John Goodman’s Health Policy Blog
8 In the Pipeline
9 Age of Autism
10 Better Health
11 Health Beat
12 Dr. Wes
13 Healthcare Economist
14 The Covert Rationing Blog
15 Gary Schwitzer’s HealthNewsReview Blog
16 Movin’ Meat
17 Health Business Blog
18 Running a hospital
19 Diabetes Mine
20 Shrink Rap
21 Brain Blogger
22 The Last Psychiatrist
23 The Carlat Psychiatry Blog
24 Health Care Renewal
25 The Medical Quack
26 The Happy Hospitalist
27 InsureBlog
28 StevePavlina.com
29 Doctor Anonymous
30 ScienceRoll

Ranking made by Wikio

Wikio’s fine print on how ratings are compiled: Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

CPR: Mouth-to-Mouth Breathing May Have Some Advantages Over Mask-Assisted Breathing

typical CPR pocket mask || CPR pocket mask, photo courtesy of Rama, CeCILLWhen a person performs cardiopulmonary (heart and lung) resuscitation (CPR), it is sometimes recommended to provide rescue breathing. This is certainly the case when the primary cause of the victim’s difficulty relates to failure to breathe adequately, such as with a drowning episode. When CPR first arrived on the landscape, laypersons were trained to perform mouth-to-mouth breathing (for adults) or mouth-to-mouth and nose breathing (for infants and small children).

Following growing concern about transmission of diseases from blood and body fluids, laypersons were introduced to using masks or something similar to allow them to provide breathing assistance (“artificial respiration,” “artificial ventilation,” “rescue breathing,” etc.) to non-breathing persons. Masks have been used for decades by professional rescuers for ventilating patients, often in conjunction with the use of bags in a “bag-valve-mask” configuration. The valve between the mask and bag provides for one-way flow and prevents the backwash of vomitus, blood, liquid from the lungs, or other fluids that might diminish the effectiveness of the technique.

A number of excellent masks and face shields are available on the market for rescuers to be able to (relatively) safely blow air into a victim’s lungs. One example is Read more »

This post, CPR: Mouth-to-Mouth Breathing May Have Some Advantages Over Mask-Assisted Breathing, was originally published on Healthine.com by Paul Auerbach, M.D..

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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