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Banning Kids From Hospitals To Reduce Spread Of H1N1 Flu: Where’s The Evidence?

I learned recently that Happy’s hospital was one of a growing number of hospitals nationwide banning children from entry during the pandemic H1N1 flu to protect their patients.  But where is the science that says it works?

Hospitals nationwide are making up their policies as they go along.

The result? Huge variation. The large Stanford University Hospital in California on Monday barred anyone under 16 from visiting, while the small Central Vermont Hospital turned away the under-12 crowd. Other hospitals have settled on 14 or 18.

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

Amy Wallace On The Anti-Vaccination Movement: Superb, Engaging Science Journalism

amywallace200px.jpgOne of the most engaging and clearly-written pieces of science journalism over the last year or so was published in Wired magazine last week. Amy Wallace’s, “An Epidemic of Fear: How Panicked Parents Skipping Shots Endangers Us All,” is part interview with rotavirus vaccine developer, pediatric infectious disease physician, Dr Paul Offit, and description of the anti-vaccination movement in the United States.

Wallace’s work is the centerpiece a collection of smaller articles providing science-based information about vaccination that also refutes common anti-vaccination myths including “How To Win An Argument About Vaccines” and “The Misinformants: Prominent Voices in the Anti-Vaccine Crusade”.

Wired’s follow-up discussion of the issue includes, “A Short History of Vaccine Panic,” for those of us who “have a day job” and not enough time to read Paul Offit’s 2008 book, “Autism’s False Prophets.”
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*This blog post was originally published at Terra Sigillata - PostRank (PostRank: All)*

ABC News: The ePatient Revolution

I recently spoke at the first annual ePatient Connections conference in Philadelphia. I’ll be discussing the ePatient revolution (patients participating in their healthcare decision-making using Internet tools) at ABC news channel 8 live this morning with Dave Lucas. During the segment I’ll be referring to several websites that people will want to check out. For those of you who saw the segment, welcome to my website!  Here are the links:

1. Doctors answer questions for free at MedHelp.org Did you know that 9 of the top 11 hospital centers in the country offer access to their physicians for free at MedHelp.org? As part of a PR effort, hospitals are volunteering their doctors’ time to make sure that ePatients can get their questions answered by a reputable source.

2. Identify those mystery pills. Thanks to David Hale at the NIH, a new pill identifier tool is now available online. It’s called “PillBox” and it will soon allow you to search its large pill database by describing the color, shape, and letter/number codes printed on the tablet. Eventually, you may even be able to take a photo of the mysterious pill and have PillBox automatically identify it for you! Today, unfortunately, photo resolution on most cell phones and cameras is not sufficient for this feature to work. Read more »

The Battle Begins Between States And Feds Over Control Of Health Insurance

The battle between the states and federal government begins.

Yesterday, Illinois Insurance Director Michael McRaith told an audience that state insurance regulation is “under attack,” but that the states will prevail because they “do it better.”

Following a line of reasoning I highlighted last week, McRaith suggested adding federal regulation onto the existing state system would be duplicative, burdensome and fraught with the potential for conflict.  McRaith said that insurance was such a uniquely local business that the states were best suited to regulate it. Read more »

*This blog post was originally published at See First Blog*

Using ICD-9 Codes To Describe Your Morning

PLACE OF OCCURRENCE, HOME ICD-E849.0

6:00 AM

Alarm goes off.  Hit snooze button. CIRCADIAN RHYTHM SLEEP D/O IRREG SLEEPWAKE TYPE ICD-327.33

6:30

  • Alarm goes off for third time.  Ready to hit snooze button, but knee in ribs from wife prevents more snooze button procrastination.  CONTUSION OF CHEST WALL ICD-922.1, ADULT MALTREATMENT UNSPECIFIED NEC ICD-995.8
  • Feeling tired, go to make a pot of coffee. CAFFEINE ADDICTION ICD-304.40
  • Fill bowl with Lucky Charms and start eating. UNSPECIFIED NUTRITIONAL DEFICIENCY ICD-269.9, HYPERGLYCEMIA ICD-790.29

6:45

  • Realize that coffee pot needs to be turned on for it to make coffee. ATTENTION DEFICIT DISORDER, ADULT ICD-314.00, LISTLESSNESS ICD-780.79
  • Read more »

*This blog post was originally published at Musings of a Distractible Mind*

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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