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Can At-Home Telemonitoring Improve Care And Reimbursement?

Dr. John D. Halamka, Chief Information Officer of both Beth Israel Deaconess Medical Center and Harvard Medical School, has a review up on his “Life as a Healthcare CIO” blog of the Withings Wi-Fi Scale.

The device can now upload readings into Google Health, and Dr. Halamka thinks similar capabilities in other at-home medical devices can be used to evaluate alternative quality contracts that reimburse clinics based on improvement in preventive care.

*This blog post was originally published at Medgadget*

When Patient Consent Goes High-Tech

What would you rather know when undergoing a surgical procedure: What are your most likely complications during the proposed surgery based on your own personal characteristics, or all of the potential complications that could arise with your upcoming surgical procedure?

Several major medical centers are betting you’d like to know your tailored personal risks. Read more »

*This blog post was originally published at Dr. Wes*

The “Expensive, Overused” ER

I’m always fascinated by the complaints that the emergency department is so overused and expensive. I admit that it is used a lot, and that care can seem expensive. But I want to make it clear that the reasons are myriad.

Whenever we in the specialty say that we feel that patients abuse our services, someone in academia reminds us that only a small number of those patients do not actually have serious illnesses. Whether or not that’s true, one of the reasons we are overused is due to none other than other physicians.

I’ve been paying attention lately to the way physician referral patterns happen. I suspect it’s the same in other facilities. Read more »

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

The Power Of Comprehensive Healthcare

Today, in a bold and not too distant place, 300 individuals who are at high risk for multiple health problems predictive of high mortality rates, are participating in a visionary experimental project for telemedicine and health monitoring.

Every day these individuals are tracked through GPS location. Their movement patterns and whereabouts easily can be observed by trained technicians who ascertain that the individuals are getting up and going about their daily activities in a normal fashion. Deviations in movements for any expected individual can be the earliest indicator that something has gone seriously wrong and might warrant an investigatory call or visit to look into a developing heath problem.
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When Healers Need To Be Healed

In my office mail this morning I found my medical school classmate, Janet Cathey, looking back at me from the front of the lastest issue of the Journal of the Arkansas Medical Society. Her photo was linked to an article entitled “When Healers Need Healing: Physicians’ Experiences on the Receiving End of Medicine.”

I knew that Janet had been injured in a car accident last summer. I have tried reaching out to her with notes, etc. She had “closed” herself off from me and many others trying to reach out, so it was nice to see the report on her.

Janet had a busy gynecology practice prior to the accident. I heard that she had since retired due to the back injury sustained in the accident. Read more »

*This blog post was originally published at Suture for a Living*

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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