Tag Archives: Medicine

Medical Podcasts: The Time Physicians Spend On Patient’s Electronic Health Records (NEJM)

New England Journal of Medicine Podcast logoListen to a chat with Julia Adler-Milstein, the author of an editorial that comments on a recent Annals of Internal Medicine study detailing the amount of time clinicians typically spend hunched over their EHRs during a patient visit.

Why aren’t you able to navigate your electronic health record (EHR) as easily as you can find a recipe on, say, Google?

And, what about those requirements for documenting everything?

Links:

Annals of Internal Medicine editorial

Annals paper on the time clinicians spend

Running time: 17 minutes

Medical Procedures: Inside Look At “Total Hip Replacement” Surgery

Head “Inside the OR” with Michael D. Stover, MD, and see what it takes to tackle a total hip replacement. Sound on for this one!

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Medical Case Studies: Identifying Metastatic Colorectal Cancer (Johns Hopkins Video)

A Chinese patient initially diagnosed with lung cancer traveled to Johns Hopkins for a second opinion. Noticing inconsistencies in the scans, experts at #JohnsHopkins brought her case to the gastrointestinal tumor board. Working as a team, these experts deduced her condition is actually metastatic colorectal cancer and recommended a new, more targeted treatment plan.

Physician Profiles: Best-Selling Author Abraham Verghese MD (JAMA Video)

My Own Country A Doctor's Storey Abraham Verghese MD bookIn this video, best-selling author Abraham Verghese, MD, discusses the origins of the study he coauthored identifying 5 practices that foster meaningful connections between physicians and patients.

 

Health: New Stanford Hospital Features “Patient-Centric” Design (Video)

Precision Health puts the patient at the center of the health care paradigm, and at the newly-opened Stanford Hospital, the patient was the focus throughout the design process.

Learn more about how the building’s design combines with the latest medical and communications technology to put patient wellness first: http://stanmed.stanford.edu/2019fall/…

Medical Care: 43% Of Older Adults Review Doctor Ratings Online

From a National Poll on Aging (Univ. of Michigan) online release:

National Poll on Healthy Aging University of Michigan January 6 2020 statisticsAmong older adults age 50–80, 43% had ever reviewed doctor ratings; 14% had reviewed ratings more than once in the past year, 19% had done so once in the past year, and 10% had reviewed ratings more than one year ago.

 

Among older adults who had looked up doctor ratings within the past year, 65% read reviews of a doctor they were considering, 34% read reviews to find a new doctor, and 31% read reviews for a doctor they had already seen.

National Poll on Healthy Aging University of Michigan January 6 2020Ratings and reviews for nearly everything can be found online these days, including doctors. How are older adults using these ratings in their decisions about choosing doctors? In May 2019, the University of Michigan National Poll on Healthy Aging asked a
national sample of adults age 50–80 about their use and perceptions of online doctor ratings.

 

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Medicine: “Is It An Art Or Science?” (The Lancet)

From a The Lancet online article:

Effective physicians interrogate their patients’ choice of words as well as their body language; they attend to what they leave out of their stories as well as what they put in. More than 2000 years after Hippocrates, there remains as much poetry in medicine as there is science.

The Lancet LogoWHO’s definition of health is famously “a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity”. One of the oldest medical texts we know of, The Science of Medicine attributed to Hippocrates, sets out the goal of medicine in comparable terms: “the complete removal of the distress of the sick”.

In my working life as a physician, I’ve never found the distinction between arts and sciences a particularly useful one. In the earliest ancient Greek texts, medicine is described as a techne—a word better translated as “know-how”. It conveys elements of science, art, and skill, but also of artisanal craft. The precise functions of medicine may have subtly shifted over the ages, but our need as human beings for doctors remains the same; we go to them because we wish to invoke some change in our lives, either to cure or prevent an illness or influence some unwelcome mental or bodily process. The goal of medicine is, and always has been, the relief of human suffering—the word patient, from the Latin patientem, means sufferer. And the word physician is from the Greek phusis, or nature: to be engaged in clinical work is to engage oneself with the nature of illness, the nature of recovery, the nature of humanity.

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Studies: New Protein Therapy Improves Cardiac Function, Scar Formation After Heart Attack

From a New Atlas online article (Jan 1, 2020):

Science Translational Medicine January 1 2020 cover“This is an entirely new approach with no current treatments able to change scar in this way,” says Associate Professor James Chong who led the research. “By improving cardiac function and scar formation following heart attack, treatment with rhPDGF-AB led to an overall increase in survival rate in our study.”

The research centers on a protein therapy called recombinant human platelet-derived growth factor-AB (rhPDGF-AB), which had previously been shown to improve heart function in mice that had suffered a heart attack. In a new study aimed at bringing the treatment closer to human trials, a team set out to discover if it produced similar results in large animals, namely pigs.

The researchers from the Westmead Institute for Medical Research (WIMR) and the University of Sydney found that when pigs that had suffered a heart attack received an infusion of rhPDGF, it did indeed prompt the formation of new blood vessels in the heart and led to a reduction of potentially fatal heart arrhythmia.

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Read article in New Atlas

Medical Research Video: “Synthesizing Speech From Brain Signals” (JAMA)

Imagine you’re paralyzed and can’t move or speak. How would you communicate with the world? This video describes the principles of early brain-computer interfaces (BCIs) designed to read electrical brain signals, analyze how brain activity patterns contribute to vocal tract movements, and reproduce the sound patterns as speech. The model is a first step toward one day restoring paralyzed individuals’ natural rate of communication and quality of life.

For more information see https://ja.ma/37dfVSx and https://www.nature.com/articles/s4158….