Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Latest Posts

The iPhone As Hearing Aid

I’ve come across a great collection of 7 useful iPhone medical application on Mashable. But my favourite new app of the week is the SoundAMP which I found on Medgadget.

iphone hearin

A new application for the Apple iPhone has been designed to aid people with poor hearing, featuring abilities that not even a hearing aid can boast of. Essentially a volume booster, the app amplifies everything that is being heard by the microphone and allows the user to set which frequencies to boost and which to filter. Additionally, the application continuously keeps a recorded buffer of what it hears, allowing you to quickly replay the last five to thirty seconds of a misheard conversation.

*This blog post was originally published at ScienceRoll*

Unmasking Death In The ER

The patient with a loving family, a job, good insurance and an abnormal test.  Terrible.

When they come in, with their abnormal test (a sono in this case) from an outside place, from a doctor who sends them to your ED with ‘you need more tests’, it’s hard to keep the stiff upper lip.  The family, well dressed and pleasant, just make it worse.  I know what’s coming.  I’d encourage them to run for the door, if I thought it’d help.

The sono usually says “…blah blah blah mass in the blah blahfurther imaging is recommendedblah“.

While this usually isn’t a true emergency, let’s face it: the patient deserves an answer and their doctor has given up (or in) and has sent them to me.  (And it’s not like I don’t know how to order CT’s, I do).

While waiting for the CT you imagine it’s all going to be nothing, unlike the ones before.  Very very occasionally it’s good news, and relief all around.

The vast majority of the time that CT has been utterly horrible news for everyone involved.  There are tears, and referrals, and ‘…I don’t know for certain, you need a biopsy, because diagnosis leads to prognosis…’ and I feel rotten for about a week.  Unlike the family, for whom I’ve just unmasked Death, who get to have him as a constant companion.

I don’t know if it’s because they seem so normal, or I see myself in everyone in the room, or guilt.  Dunno.  But it’s horrible.

*This blog post was originally published at GruntDoc*

Continuing Medical Education (CME) Credits On Your iPhone

The Center for Biomedical Continuing Education (CBCE) recently launched a continuing medical education (CME) oncology application for the iPhone that lets a physician quickly access clinical news, treatment updates, and conference highlights. The free application pulls in accredited content from the CBCE and allows a medical provider to take quizzes and earn CME credits on the go. Unlike ReachMD, which has a similar application, the CBBE app supports more than just audio – it can handle text, slides, and video as well.

From the CBCE press release:

Through the leveraging of Apple mobile technology, the CBCE CME app allows for fully accredited treatment updates, conference highlights, and CME tests to be used by healthcare professionals in a convenient format. Content includes coverage of both solid tumors and hematologic malignancies.

This continually updated application draws from select CME content found on www.thecbce.com. CME programs will be available in a variety of media formats, including podcasts, Webcasts, slides, and text. This application takes advantage of the best functionality these devices have to offer and contains the following features:

  • Free content and application
  • Fully accredited CME programs and posttests
  • Available on demand, 24/7, wherever Wi-Fi or 3G networks are accessible
  • Easy-to-use, multimedia CME
  • Automatic program updates
  • Bookmarks to quickly return to designated programs
  • Keyword search for relevant, easy-to-find CME programs
  • Press release: CBCE Launches Oncology-Focused CME App for the iPhone and iPod Touch…

    Product page: The Center for Biomedical Continuing Education…

    *This blog post was originally published at Medgadget*

    Private Sector Solution Offered To Medicaid Patients In Arkansas

    Beginning July 1st, eDocAmerica began offering eDoc services to Medicaid recipients and their families in Arkansas. Since there are about 800,000 Arkansas Medicaid recipients, when added to our previously covered clients, this program takes us a long way towards offering the benefit to the majority of Arkansans.

    It is especially exciting to begin offering a cost effective health care benefit to this large, underserved population. eDoc services can help with so many of this patient population’s needs, including whether a child needs to be taken to see a doctor for acute care needs, to provide information that can help a patient determine if a second opinion needs to be sought for a given care situation, to provide information about medications that patients are on, to provide information to families of nursing home patients that they can use to ask intelligent questions about their family member’s care, and many others. For nursing home patients, we encourage family members to log on and ask our professionals questions about their family members anytime, for any reason.

    It is a daunting task to effectively communicate the availability of this benefit to this group of patients. We’ll be working diligently over the coming weeks and months with the Arkansas Minority Affairs Commission, the Arkansas State Health Department, the Community Health Centers of Arkansas, Area Health Education Centers and Arkansas State government agents to increase awareness of this program and encourage its use.

    One of the barriers to this program’s success is that many patients either won’t have a computer, or won’t have access to the internet. We have addressed this with a toll free number (877-581-3362) that Medicaid recipients can call to ask their question. Our call center is staffed by trained nursing personnel who will relay the message to the professional staff and then call the patient back after the answer has been posted.

    In addition, we are finalizing an iPhone application that should be ready to go within a short time. We hope to use this new initiative to begin to address some of the health care disparities that exist in the state.

    I hope that we will soon see the day that every single resident in our State, insured or not, will be able to log on ask one of our professionals a question that will, in some small way, improve their health!

    *This blog post was originally published at eDocAmerica*

    ABC News Covers Better Health’s “Putting Patients First” Event At The National Press Club

    I had the chance to discuss the event with local ABC anchor, Dave Lucas. We talked about the folly of rushing through a healthcare bill without reading it first… among other things.

    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…

    Read more »

    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…

    Read more »

    See all interviews »

    Latest Cartoon

    See all cartoons »

    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…

    Read more »

    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…

    Read more »

    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…

    Read more »

    See all book reviews »

    Commented - Most Popular Articles