April 4th, 2011 by PhilBaumannRN in Opinion
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Kevin Kelly wants us to undertand what he calls the “technium” and outlines his life’s work in What Technology Wants. I’d like to riff on the way Kelly uses the word “want” with respect to Social Media, and ask: “What does social media want?”
Social Media wants…
- Your time
- Your attention
- Your friends
- Your brand
- Your business
- Your data
- Your privacy
- Your publicity
- Your location
- Your behaviors
- Your wants
- Your life
There’s nothing wrong with “want” in itself – maybe it’s OK that Social Media wants all these things – and more.
The more critical question, rather, is: What do you want?
As the power of technology increases the number of choices we can make, we will have to intensify our awareness of who we are and where we’re headed.
Whatever Social Media wants, what you want determines how much it gets.
@PhilBaumann
*This blog post was originally published at Phil Baumann*
April 4th, 2011 by GruntDoc in Humor
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*This blog post was originally published at GruntDoc*
April 4th, 2011 by M. Brian Fennerty, M.D. in Health Tips, Opinion
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H. pylori dominated the GI news in the 1990s, and despite it disappearing from the front pages, it remains a common and important clinical problem. The dominant recommended initial treatment strategy has been a clarithromycin-based PPI triple therapy, with either amoxicillin or metronidazole as the third drug. This approach was based on clinical studies, ease of use, and tolerability factors. Bismuth-based quadruple therapy (a bismuth agent, metronidazole, tetracycline, and a PPI), despite demonstrating excellent activity, was usually relegated to second-line therapy because of the complexity of the dosing as well as compliance and tolerability issues.
However, duringthe last decade, the widespread use of macrolides in the general population has led to rising resistance to clarithromycin (by 30% or more of H. pylori strains in some areas), and when clarithromycin resistance is present, the efficacy of clarithromycin-containing triple therapy falls from about 80% to 50% or even lower. However, clarithromycin resistance does not affect the efficacy of bismuth-based quadruple therapy, and that efficacy of those regimens remains at about 90% when patients are compliant with the treatment.
So the questions for you to consider are:
1) Do you know what the clarithromycin resistance rate in H. pylori is in your community?
2) What first-line H. pylori treatment regimen do you use?
3) Are you planning to change your H. pylori treatment strategy now that clarithromycin resistance rates are rising?
Let us know what you think.
*This blog post was originally published at Gut Check on Gastroenterology*
April 4th, 2011 by Michael Sevilla, M.D. in Medblogger Shout Outs, Opinion
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Shout out to @DanaMLewis for pointing out this post from Mashable entitled, “Why Curation Is Just As Important As Creation.” When people are starting out in social media creation, whether it be blogging, or podcasting, or whatever – the phrase always comes up – “Content Is King.” But is content really king anymore?
Now, I certainly wasn’t the first physician blogger, but I would probably consider myself “in those early days.” I mean, starting in 2006 was a few years ago. Back then, writing every single day was imperative. And, the way that you were judged were the amount of comments that you received. I mean, this was in the days before facebook and twitter, when the comment section of the blog was the only way to give feedback publically.
Back then, the way to make a name for yourself was to have the home base of the blog, and that’s how people knew you. Now, with so much content out there, people are overwhelmed and just cannot read everything that they want to read. I definitely can relate to this.
Now, many people are becoming “internet famous” by just sharing through their twitter or facebook stream – the items which they think are important. Maybe, sometimes, not even creating a bit of content on their own. Does this make them a second class citizen in the social media world – not anymore.
I agree with the assertion that being the “information maven” – meaning evaluating social media information – meaning being a curator – instead of a social media creator – this will be very important in the days ahead. Am I wrong, let me know in the comments below – or on twitter, or on facebook, or other social media way…
*This blog post was originally published at Family Medicine Rocks Blog - Mike Sevilla, MD*
April 4th, 2011 by RyanDuBosar in News, Research
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Improving handoffs from the emergency room back to the primary care physician will require changing how electronic health records are used, better reimbursement to both the hospital and ambulatory doctors, and malpractice reform, according to a study. The rising use of hospitalists and larger primary care practice sizes has contributed to the difficulties faced when an ER doctors tries to reach a physician who best knows the patient.
Haphazard communication and poor coordination can undermine effective care, according to a new research conducted by the Center for Studying Health System Change. Researchers conducted 42 telephone interviews between April and October 2010 with 21 pairs of emergency department and primary care physicians, who were case-matched to hospitals so the perspective of both specialties working with the same hospital could be represented.
Among the findings in the report, telephone communication was essential in some cases, but particularly time-consuming. Both emergency and primary care physicians reported successful completion of each telephone call often required multiple pages and lengthy waits for callbacks. While placing and receiving telephone calls might seem straightforward and quick, providers said each small action multiplied across dozens of patients can become a daunting burden, with little immediate reward or reimbursement. Read more »
*This blog post was originally published at ACP Hospitalist*
