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Which Generation Of Physicians Uses The Most Mobile Technology?

Smartphones and tablets have reached 80% of physicians across all practice types, locations and years in practice, and 25% of users are “Super Mobile” physicians who use both types of mobile devices. This is far beyond the general population’s 50% adoption of smartphones and 5% adoption of tablets.

QuantiaMd, a free, online learning collaborative, released survey results that showed 44% of physicians who do not yet have a mobile device intend to buy one this year.

While younger physicians have higher adoption rates than older ones, current use of mobile devices by physicians longest in practice is above 60%, the survey showed. Among physicians with 30 years or more of practice, almost 20% already use a tablet device for work, and another 25% say they are extremely likely to do so. Physicians in their second decade of practice use Read more »

*This blog post was originally published at ACP Internist*

Some Patients Just Won’t Take “No” For An Answer

62-year-old black man with a two inch (that’s inch; not centimeter) lump under his left arm. It is determined that he needs to have it biopsied in order to tell for sure what it is. The differential diagnosis includes a simple reactive lymph node, lymphoma, leukemia, granuloma, sarcoidosis, and several other more esoteric entities, all of which require tissue for definitive pathologic diagnosis.

The dialogue:

Patient Who Will Not be Reassured: What is it, Doctor Dino?

Me: We won’t know for sure until we get the report from the biopsy.

PWWNBR: But what do you think it is?

Me: I have no idea. We have to see what the pathologist says.

PWWNBR: Could it be cancer?

Me: It could be any one of several different things. Yes, cancer could be one of them, but there’s no way of knowing without the biopsy.

PWWNBR: Dr. Dino, do I have cancer? Read more »

*This blog post was originally published at Musings of a Dinosaur*

Fatigue: A Symptom With Many Possible Causes

woman-fatigue

Feeling tired? If so, it’s not surprising. Fatigue is one of the most common problems people report to their doctors. The Health and Retirement Study of more than 17 million older people ages 51 and up reported recently that 31% said they feel fatigued.

Fatigue is a symptom, not a disease. Different people experience it in different ways. The tiredness you feel at the end of a long day or after a time zone change might feel similar to that resulting from an illness. But fatigue from stress or lack of sleep usually subsides after a good night’s rest, while disease-related lethargy is more persistent and may be debilitating even after restful sleep.

Finding the cause. How do you know if your low-energy is caused by an underlying illness or is the result of stress, poor diet, or lack of sleep? For example, could you have chronic fatigue syndrome? That is an unusual illness and an uncommon cause of persistent fatigue, says Anthony Komaroff, M.D., professor of medicine at Harvard, world-renowned expert on chronic fatigue syndrome, and medical editor of a new Harvard Special Health Report, Boosting Your Energy. About 4 to 8 of every 1,000 adults in the United States suffer from chronic fatigue syndrome, which is about twice as common in women as in men. The causes of chronic fatigue syndrome are still unknown, and there is no accurate diagnostic test. However, scientists have found abnormalities in the brain and peripheral nervous system, in the immune system, and in energy metabolism in people with this syndrome. Read more »

*This blog post was originally published at Harvard Health Blog*

Medical Judgment Trumps Medical Innovation

The New York Times says “In Medicine, New Isn’t Always Improved.”

Who can argue with this?

“In Dining, New Restaurants Aren’t Always Better.”

Yes, that’s true, too.  But does it mean anything?

The article is about a type of hip that is apparently going to be the focus of a lawsuit.  The story goes that a lot of people wanted the new hip when it came out, because it was thought to be better than the older ones.  Unfortunately, the hip seems to have hurt some people, some of whom may have been better off getting the older one in the first place.

A doctor quoted in the article suggests it’s part of a uniquely American tic.  We want all of the latest and greatest things for ourselves, it seems.  This story is supposed to be a cautionary tale of what can go wrong when we do.

On the other hand, the latest and greatest things don’t appear out of nowhere.  In America, when people demand something, there will be someone who supplies it. Read more »

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

Camera Phone Clip-On Device Can Diagnose Cataracts

Researchers at MIT have developed a cheap and easy to use system, called Catra, that uses a cameraphone clip-on device to map out cataracts.

The technology functions by sweeping the eye with a beam of light and using the phone’s camera to detect fuzzy spots. It can provide both a map of the cataracts and maybe help make an overall assessment of whether surgery might be necessary.

From MIT News:

While the standard test for cataracts in an ophthalmologist’s office assigns a score on a scale of 1 to 4 — from no cataracts to completely blocked vision — the new, inexpensive test actually provides much more information. Media Lab graduate student Vitor Pamplona, a member of the team developing Catra, explains that it “scans the lens of the eye and creates a map showing position, size, shape and density of cataracts.” Read more »

*This blog post was originally published at Medgadget*

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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