"The mind is its own place, and in itself can make a Heaven of Hell, a Hell of Heaven."
- John Milton
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"The mind is its own place, and in itself can make a Heaven of Hell, a Hell of Heaven."
- John Milton
jayparkinsonmd:
It is now illegal for pediatricians in Florida to ask a parent if they have guns in the home:
In June, Gov. Rick Scott signed a law barring Florida doctors from routinely asking patients if they own a gun. The law also authorizes patients to report doctors for “unnecessarily harassing” them about gun ownership and makes it illegal to routinely document firearm ownership information in a patient’s medical record. Other state legislatures have considered similar proposals, but Florida is the first to enact such a law.
These kinds of questions, and other questions getting at the situation at home, are absolutely vital to understand a person’s health. I always asked this question. And because I was their pediatrician with whom they trusted their child’s life, the answers I got amazed me. But, now, not in Florida.
This is what happens when we let legislators dictate the practice of medicine.
Unfortunately, Medicaid has a stipulation that you must be a woman to receive coverage for breast cancer.
It seems like somebody in government wasn't thinking very clearly when they were writing up this policy as more than 2,000 men per year are diagnosed with breast cancer.
Gizmodo Praises drchrono
Never before, at least that I know of or can imagine, has someone been paid tens of thousands of dollars to use such a sleek, professional, and just plain cool product such as the iPad 2. However, that's just the situation that drchrono's iPad EHR has set up for its users. Gizmodo covers the story here.
The government will pay $44,000 to people who show meaningful use of the drchrono EHR technology. That's pretty amazing for a product that is FREE.
Tylenol's Maximum Daily Dose Lowered
Every year, acetaminophen overdoses send 56,000 people to the emergency room, cause 26,000 hospitalizations, and take more than 450 lives from liver damage, according to the FDA.
This news has prompted Johnson & Johnson, the makers of Tylenol, to decrease the maximum daily dosage of products containing acetaminophen to 3000 mg/day. This move was made because too many people are not following the recommendations, which in part is due to so many products containing acetaminophen including cold and flu medicine, prescription medicine such as percocet, and others.
Advocates of this industry decision are hopeful that other companies will follow in Johnson & Johnson's footsteps, and is overall a good public health effort to reduce the amount of overdoses on acetaminophen.
Putting the Future in Doctors' Hands, Now
The first ever native iPad EHR app, drchrono, has raised $675,000 in their last round of funding to bring the world into the space of mobile health in a major way. Our team could not be happier as we set forth to revolutionize the health care industry like never before.
Of course what I'm excited about is not the industry itself, but what the meaning translates into for patients. Better health care.
New iPad "HD" Will Make Doctors Say Wow
A new iPad HD is rumored to be in the works for a fall release, according to the editors of thisismynext. It will boast a 2048 x 1536 pixels resolution display, almost double the current pixel display.
Viewing radiology images on the iPad will be drastically improved, and allow for seamless interpretation. Medical image viewers are going mobile in an exciting way, and I for one am glad to be around for it.
Synthetic Trachea Implant Saves a Life
Incredibly, a team of doctors in Stockholm have implanted a trachea derived from stem cells into a patient with tracheal cancer diagnosed in 2008.
This is history in the making, a never before done surgery that so far has been remarkably successful. The patient is currently one month postoperative and still in the hospital feeling weak reportedly, but is looking forward to his studies in the future.
InfoGard Certifies drchrono as Complete EHR for Meaningful Use
Congratulations are in order for the entire drchrono EHR team for their listing as a certified Complete Ambulatory EHR on the Certified Health IT Product List.
This means that drchrono is approved to meet the standards of the Office of the National Coordinator for Health Information Technology for Meaningful Use criteria, thus allowing their eligible professional users to qualify for government incentives totaling $44,000 through Medicare, or $63,750 through Medicaid.
Great work!
Why did Google Health suffer a heart attack?
There has been a lot of internet talk about why Google Health failed. Numerous of this conversations dwell on Google. What did Google do wrong? This is a gigantic behemoth of a company, right? Google owns information, so why couldn't they control health information? Why couldn't they engage users to record their personal health information?
Unlike the magnitude of information on the internet that is accessible, searchable, and just simply already there, personal health information is not. The whole premise of Google Health relies upon people being interested in their health, and investing time in recording their health. With matters at hand consisting of the uncontrollable obesity epidemic, lung cancer due to uninhibited smoking, and the general lack of exercise found throughout American culture, it's no surprise that Google Health did not succeed.
Recording your own health information online is a radical idea to the majority of Americans. If it is to succeed, it has to be innovative. We need to make the experience of entering personal health data FUN and EXCITING. Make it into a game. Make it social. Ask you friends to go on a bike ride with you, and then record in your social network for others to be jealous of you. So jealous that they go out and join their own bike ride with their friends, too.
Innovation, with a new way of thinking, is key here. This is why Google Health failed.
"The Digitization of Medicine"
Check out this great article written by drchrono's COO, Daniel Kivatinos.
Award Presentation for Outstanding Teaching in Psychiatry at Brown University
The privilege to present the 2011 General Psychiatry Residency Award for Outstanding Teacher was bestowed upon me recently, and I was honored to say the following words about the winner Dr. Colin Harrington:
"Good evening, everyone. I'd like to share with you the writings of W. Fred Miser, M.D. He is a professor of Family Medicine at Ohio State University. He invests much of his time in the art of teaching, and has written a very brief paper entitled 'What It Takes to Be an Outstanding Teacher'.
In it he describes the 'Four Characteristics Most Descriptive of the Worst Clinical Teachers':
1. 'The worst teachers have a negative attitude toward learners. They are arrogant, insensitive, and dogmatic. They ask questions in an intimidating manner and belittle students and residents. I recall in my own training a professor who was a brilliant and skilled physician who even had a disease named after him. However, he was so intimidating that students and residents would literally run down another hallway when they saw him approaching to avoid his pandering and chastisement. Although brilliant, he was unable to be an effective teacher because learners would avoid him.'
The recipient of this award is inviting, friendly, warm, sensitive to others' needs, has a bright and engaging affect, and has such a positive attitude it's contagious.
2. 'The worst teachers lack good teaching skills. They have limited knowledge and lack self-confidence. Their presentations are unorganized and boring. It is obvious that they just do not like to teach. I remember one nephrologist who, because of his research accomplishments, was given the task of teaching his specialty to second-year medical students. He made it quite clear that he would rather be in his research lab than in the lecture hall, and his teaching reflected this. His presentations were so boring that by the end of the series, the only student attending his lecture was the official note taker. The sad part is that this teacher did not even care!'
The recipient of this award has a vast grasp of the knowledge base and the confidence to teach it with ease. Learning is an interactive experience, is exciting, and leaves you wanting more. It's self-evident through the joy in this educator's face that it is just as exciting to them to teach.
3. 'The worst teachers lack skills in providing feedback. They readily correct errors in front of others in a belittling manner while failing to recognize extra effort. They use feedback not for improvement, but as a form of judgment. Even worse, they give no feedback at all to the learner.'
This teacher provides feedback for the sole purpose of improvement, and is never judgmental. It is always sincere, helpful, and genuine.
4. 'The worst teachers are inaccessible. They are always too busy for the learner. They rarely make an appearance to the learner, and then rush through presentations and the teaching sessions. When needed, they are never around.'
The winner of this educational award not only is always accessible, but goes so far as to seek you out for no other reason than to teach you. If you are fortunate enough to have this teacher, you become excited to hear the next fascinating, inspiring, or positive thing they have to say.
The winner of the 2011 General Psychiatry Award for Outstanding Teacher is Dr. Colin Harrington..."
New Cigarette Pack Graphic Warnings Deter Smokers
New graphic warnings on cigarette packs are unappealing, disgusting, and deathly. They're perfect.
Nine graphic images were released today that if not placed on packages on or by October 22, 2012, will result in that company no longer being able to sell cigarettes in the United States. With an average of 5.4 million deaths per year directly attributable to smoking, something must be done to prevent our future children from taking up this horrible, unnecessary habit.