April 9th, 2011 by KerriSparling in True Stories
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“Everything looks good. No progress is good, actually. Means your eyes haven’t deteriorated any further in the last five months.” Dr S, my eye doctor at the Joslin Clinic, ran her fingers across the keyboard, typing notes into my online file.
“So it’s the same as back in November? When I moved from mild to moderate retinopathy?”
“Right. Still non-proliferative, but the same. Not worse, by any stretch. We’re working with a few spots, a very small bit of leakage, but nothing I’d recommend treatment for, other than watching it closely.”
I let out the breath I didn’t realize I was holding. The fluorescent bulbs in the room were bright and ricocheting off the white walls, making me feel like I was in an avalanche of light. Read more »
*This blog post was originally published at Six Until Me.*
April 9th, 2011 by Iltifat Husain, M.D. in News
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One of the beauties of mobile medical education is how quickly you are able to distribute multimedia content, especially if it’s free. This is due to the ubiquitous nature of certain platforms, such as iTunes, on every iOS device — over 120 million of them. These mobile devices have significantly lowered the barrier of entry for medical professionals wishing to reach millions of individuals.
A University of Alberta professor and surgeon, Dr. Jonathan White, decided to make 10 to 30 minute iTunes podcasts of his lecture material in order to reach his students at a different level. His medical students feel the free Podcasts are more captivating, and enable them to consume a greater amount of content when they are short on time:
“When you’re short on time, you have the podcast to rely on in order to get the bulk of information that you need to learn,” said medical student Todd Penny……The podcasts are less dry than reading out of a textbook,” he said. “You have someone talking to you as if you are in a lecture. They try to make it a little more interesting. They add music.” Read more »
*This blog post was originally published at iMedicalApps*
April 9th, 2011 by RyanDuBosar in News, Research
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In preparation of Internal Medicine 2011 in San Diego this week, the unavoidable choice to make isn’t which sessions to attend, but even before arriving: Will you pass through the airport’s security scanners, or opt for the pat down?
Physicians themselves are split on the issue, with some physicians opting out of repeat scanning in favor of the pat down search.
“I do whatever I can to avoid the scanner,” one physician told CNN. Other physicians interviewed were split on the issue one way or another. But as a frequent flier, this doctor was concerned about the cumulative effect. “This is a total body scan–not a dental or chest X-ray. Total body radiation is not something I find very comforting based on my medical knowledge.” Read more »
*This blog post was originally published at ACP Internist*
April 9th, 2011 by Happy Hospitalist in Health Tips, Opinion
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After eight years of hospitalist medicine and seeing inaccurate urinalysis results day after day, year after year, I’ve come to the conclusion that the straight cath vs clean catch debate is not a debate. If the urine didn’t come from a straight cath, I have zero faith in the accuracy of the results.
I know, I know. It takes time and effort for a nurse to perform the straight cath. It’s not comfortable for the patient to have a catheter inserted into their urethra. Plus, with bad nursing technique, one could introduce bacteria into the bladder when performing a straight cath urinalysis.
All that aside, if I’m a physician trying to make medical decisions based on accurate data, then having bad urine results that don’t represent the true picture is worse than not having any data at all. For example, here’s a classic case of what I have to deal with day in and day out when trying to make medical decisions on my patients. Below is a snap shot of three UA results obtained from Happy’s ER over two visits. I’m sure it’s the same no matter where you get your care in this country. The first two urinalysis results came from a clean catch sample of a horribly weak 89 year old female who presented with family complaints of “fever and weakness”, both days. Read more »
*This blog post was originally published at The Happy Hospitalist*
April 8th, 2011 by GarySchwitzer in Opinion, Research
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There’s an important paper in PLoS Medicine, “Strategies and Practices in Off-Label Marketing of Pharmaceuticals: A Retrospective Analysis of Whistleblower Complaints.” The authors provide this background on off-label marketing:
“An important part of the (drug) approval process is the creation of the “drug label,” a detailed report that specifies the exact diseases and patient groups in which the drug can be used and the approved doses of the drug.
Physicians can, however, legally use FDA-approved drugs ‘off-label.’ That is, they can prescribe drugs for a different disease, in a different group of patients, or at a different dose to that specified in the drug’s label. However, because drugs’ manufacturers stand to benefit financially from off-label use through increased drugs sales, the FDA prohibits them from directly promoting unapproved uses. The fear is that such marketing would encourage the widespread use of drugs in settings where their efficacy and safety has not been rigorously tested, exposing patients to uncertain benefits and possible adverse effects.”
The authors conclude: Read more »
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
