October 19th, 2011 by Iltifat Husain, M.D. in News
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Researchers at Worcester Polytechnic Institute have developed a smartphone app that uses a camera to measure key vital signs. The type of technology used by the Worcester researchers is far and above more useful than a simple heart rate monitor, such as the Instant Heart Rate app.
Recently, the Instant Heart app makers received millions in funding – I hope it wasn’t based solely on the heart rate monitor app they have developed. Having a a patient’s heart rate alone isn’t that useful for a clinician, and it’s extremely easy to measure your heart rate on your own, just put your fingers to your wrist or neck.
But the work by Worcester researchers is completely different, exciting, and unlike the Instant Heart Rate app, Read more »
*This blog post was originally published at iMedicalApps*
September 27th, 2011 by Edwin Leap, M.D. in Health Policy, Opinion
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I recently saw a teenage boy with headaches. His father, wringing his hands, said that the headaches had been present for two years; but that the child had never been evaluated for them. No imaging, no neurologist. No insurance, of course.
A family friend, another child, had been diagnosed with a brain tumor. The family of my patient was terrified. Where to turn? They were, reasonably, concerned about cost.
Contrast that with the woman I saw on state assistance. Read more »
*This blog post was originally published at edwinleap.com*
September 12th, 2011 by Edwin Leap, M.D. in Health Policy, Opinion
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Nostalgia for the house-call
Not too long ago, I made a house call. As a physician accustomed to working in the emergency department of a hospital, this was quite a change of pace. But it involved dear friends and their sick child, and it was a joy. We had spoken on the phone and I had some concerns about their infant, who was stricken with a high fever. When I went to their home I took only my stethoscope. That and my experience as a physician and parent of four.
When I walked through the door on Friday evening there were candles burning as dinner was prepared. There were no florescent lights. There was none of the chaos of a waiting room. No ambulances idled outside. No bloody, angry drunk screamed profanities. No one was stood by their exam room door, arms crossed in annoyance with waiting. It was a quiet place to be; and the child, on his worried mother’s hip, was quiet as well. He was in a place where he felt safe and was thus able to tolerate my poking and prodding.
I examined him and decided that he was not seriously ill. Because his mother had described him as lethargic when we spoke, I had been concerned that he might have meningitis. This was not actually the case. His parents and I were obviously relieved.
After he was dosed with ibuprofen and put to bed, I chatted a while with his mom and dad, then left for home. As I drove home I realized that Read more »
*This blog post was originally published at edwinleap.com*
September 8th, 2011 by Edwin Leap, M.D. in Opinion
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I think a lot about the slow, certain dissolution of medicine as we know it. Mental health issues crowd emergency departments, as few mental health clinics are available. Psychiatrists are in short supply. Drug abuse overwhelms the medical system, with either patients seeking pills or patients families hoping to get them off of pills.
Persons with little interest in their own health continue to smoke and drink, use Meth and eat poorly. Disability claims are skyrocketing as younger and younger individuals confabulate their misery in hopes of attaining a check, paid for by someone else.
The poor, with genuine medical problems, have increasing difficulty finding care as jobs, and insurance, fade away. Politicians, eager to be re-elected, eager to be loved, promise Read more »
*This blog post was originally published at edwinleap.com*
August 30th, 2011 by RyanDuBosar in News, Research
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Although nearly 70% of medical specialties saw increases in compensation in 2010, increases were marginal, reports the American Medical Group Association’s 2011 Medical Group Compensation and Financial Survey.
Primary care specialties saw about a 2.6% increase in 2010, while other medical specialties averaged an increase of 2.4% and surgical specialties averaged around 3.8%. Specialties with the largest increases in compensation were allergy (6.38%), emergency medicine (6.37%), and hospitalist-internal medicine (6.29%).
In comparison, in 2009, primary care and surgical specialties saw about a Read more »
*This blog post was originally published at ACP Hospitalist*
