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A First Responder’s Top 4 Items Of Medical Equipment: Lessons From Haiti

Prior to departing for my assignment in Haiti for International Medical Corps, I didn’t have much time to pack, so wasn’t able to bring everything I might need. However, I was able to carry a few items that proved quite useful. First and foremost was a new EMS-type trauma shears. Scott Forman, MD of Adroit Innovation, LLC has created a very functional titanium shears in which one finger loop has been replaced by a carabiner, so the shears can easily hang from a belt or other loop. I used them all the time to cut tape, change dressings, slice through wire, and other assorted tasks. I just purchased one for each member of the Stanford team. Read more »

This post, A First Responder’s Top 4 Items Of Medical Equipment: Lessons From Haiti, was originally published on Healthine.com by Paul Auerbach, M.D..

How To Improve Access For The Poor: Allow Physicians To Deduct Uncompensated Care From Their Income Taxes?

As we wrestle with political factions and mull over assorted ideas for reforming health-care in America, one simple solution bears discussion.  Of course, we notoriously hate simple solutions.  The modern American solution to simple solutions is to develop layers of complexity and inefficiency.  I can only assume that in government, as in hospital administrations, this has to do with creating jobs.  To the extent that it keeps nefarious, clever individuals off the street and occupies them in what passes for gainful employment, I applaud the effort.  But it seldom solves problems, and typically creates them.

Nevertheless, I digress.   My painfully simple solution is this.  Allow every health-care provider to deduct, from their federal income tax, the care they provide for free to uninsured patients.  It can be the Medicare value of the care; possibly even the Medicaid value.  But in the end, a financially savvy doctor, dentist, therapist or any other health professional will end up paying no income tax. Read more »

*This blog post was originally published at edwinleap.com*

Why You Shouldn’t Mix Energy Drinks With Alcohol

What is it about our culture that encourages newer and riskier ways to challenge our health? Public health folks have become very concerned about the latest challenge – alcoholic energy drinks. These are prepackaged beverage with alcohol and caffeine, as well as other stimulants, that look like other energy drinks but carry a much more powerful, and dangerous, punch!

There were 500 new energy drink products introduced worldwide in 2006 with average sales topping $3.2 billion. These products are targeting youth by creating brand confusion with nonalcoholic versions; providing a cheap alternative to mixing energy drinks with alcohol; and using youth-friendly grassroots and viral marketing. The names of these products say it all – Rockstar, Sparks, and Tilt. Read more »

This post, Why You Shouldn’t Mix Energy Drinks With Alcohol, was originally published on Healthine.com by Nancy Brown, Ph.D..

When A Crazy Patient Is Actually Right

Sometimes in this job you just get lucky.  You have an elusive and/or dangerous diagnosis just dropped in your lap.  Something devastating that you would never have been able to tease out otherwise just gets handed to you by the patient.  There’s a catch, though: you have to be smart enough to know when to listen to the patient, when not to blow off their crazy talk as just crazy.

So it was recently when I saw a guy with back pain.  From the chart, it didn’t sound like anything complex: a middle-aged to older guy, maybe 60 or so, with a history of chronic back pain and multiple surgeries for the same.  He was on Oxycontin 80 mg three times daily (a very high dose, and a red flag for an ER doc naturally suspicious of drug-seeking behavior).  I went to see him, and it was clear in seconds that this dude was JPN: Just Plain Nuts. Read more »

*This blog post was originally published at Movin' Meat*

Why Sick Kids Are Fun To Take Care Of

Something is in the air.

Work has been uncharacteristically crazy, nuts, bananas busy since I returned from my influenza-induced hiatus. Scores of very sick people, no real pattern. And a ton of pediatrics.

Feverish, coughing, runny-nose, wheezing, stridorous, vomiting, diarrhea-having, screaming, combative, medicine-spitting small humans.

It’s not easy triaging these little folks. You have to get the history over the crying/screaming, try and obtain vitals while they kick off any and all probes, do a rectal temperature if they are under 2 years old (wrestling to keep them still), and weigh them for medication dosing. Read more »

*This blog post was originally published at Emergiblog*

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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