Facebook Like Now Covered by the First Amendment – Applications for Healthcare | Hospital EMR and EHR

This is at the end of an article talking about something else, but it deserves it own highlight:

My favorite thing is when healthcare organizations try and control and restrict social media. As many institutions have learned, that’s impossible to do. Instead, it’s much more effective to educate and inform people on their use of social media. The best reason you should educate and inform as opposed to control and restrict is the message it sends to your employees. The former sends a message of trust and respect while the later does the opposite.

via Facebook Like Now Covered by the First Amendment – Applications for Healthcare | Hospital EMR and EHR.

Well said.

Jeffrey Singer: The Man Who Was Treated for $17,000 Less – WSJ.com

Medical sticker-shock, and one mans’ remedy.

By JEFFREY A. SINGEREvery so often I have an extraordinary and surprising experience with a patient—the kind that makes us both say, "Wow, we’ve learned something from this." One such moment occurred recently.

via Jeffrey Singer: The Man Who Was Treated for $17,000 Less – WSJ.com.

Rare Diseases Give Jenny McCarthy Life-Time Achievement Award | Medical Satire – GomerBlog

Gomerblog is killing it these days.

LOS ANGELES, CA – Thursday night the 197,788th annual rare-disease awards, formally known as the common disease awards, brought the house down at the Staples Center. 

via Rare Diseases Give Jenny McCarthy Life-Time Achievement Award | Medical Satire – GomerBlog.

What doctors should look for in job seekers’ social media presence – amednews.com

Don’t make yourself unhireable.

As the medical director of a health services group that serves racially diverse patients in some of Chicago’s poorest neighborhoods, Ravi Grivois-Shah, MD, always conducts a quick search of physicians he’s interested in hiring on various social media sites and blogs to see if anything worrisome surfaces before offering them a position.

via What doctors should look for in job seekers’ social media presence – amednews.com.

SoMe is entertaining, but here’s the equation we should all keep in mind: Job >>>>>> SoMe.

You’re welcome.

West Nile virus 2013 as of July 2nd

Last year was a big year for us in Texas with West Nile, an in conversation with colleagues the other day we noted we hadn’t seen any yet.

So, to the CDC Map of cases:
WNV722013map
Wow, Texas is dark green as are several other states! Must be an epidemic, right?

Not so much:
WNVactualcases722013
Two cases made Texas look like ground zero. (This isn’t to make light of the CDC, it’s to point out that maps by state aren’t necessarily as descriptive as they look).

And, I and mine got ambushed by mosquitoes today, so wear the right clothing/DEET, etc. Or the map you change might represent you!

Source: CDC West Nile virus

Is farting in the OR transmitting germs?

From the BMJ:

“It all started with an enquiry from a nurse,” Dr Karl Kruszelnicki told listeners to his science phone-in show on the Triple J radio station in Brisbane. “She wanted to know whether she was contaminating the operating theatre she worked in by quietly farting in the sterile environment during operations, and I realised that I didn’t know. But I was determined to find out.”

via Hot air?.

Yes, it’s a 2001 article, but I wasn’t blogging then, so missed it.

Brought to my attention by Glen in West Texas, thanks Glen!

What to Say to a Friend Who’s Ill – WSJ.com

Well done.

‘A closed mouth gathers no feet.” It’s a charming axiom, but silence isn’t always an option when we’re dealing with a friend who’s sick or in despair. The natural human reaction is to feel awkward and upset in the face of illness, but unless we control those feelings and come up with an appropriate response, there’s a good chance that we’ll blurt out some cringe-worthy cliché, craven remark or blunt question that, in retrospect, we’ll regret.
via What to Say to a Friend Who’s Ill – WSJ.com.

Physicians: Don’t take UAE jobs

Via @Skepticscalpel on Twitter:

JOHANNESBURG — For Dr. Cyril Karabus, it was a routine job, albeit in an exotic location. For six weeks in 2002, he filled in for another doctor in Abu Dhabi, lured like many other foreign professionals by the big paychecks that doctors, bankers, lawyers and architects can earn in the United Arab Emirates and other Persian Gulf nations.

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A decade later, while Dr. Karabus was passing through Dubai on his way home to South Africa after attending his son’s wedding in Canada, officials abruptly arrested him, calling him a murderer and hauling him away from his stunned wife.

via United Arab Emirates’ Laws Ensnare a Doctor – NYTimes.com.

Just say no. Australia and NZ are supposed to be nice, civilized places to practice.

How Doctors Die | The Saturday Evening Post

Well written, and I think correct.

It’s not a frequent topic of discussion, but doctors die, too. And they don’t die like the rest of us. What’s unusual about them is not how much treatment they get compared to most Americans, but how little. For all the time they spend fending off the deaths of others, they tend to be fairly serene when faced with death themselves. They know exactly what is going to happen, they know the choices, and they generally have access to any sort of medical care they could want. But they go gently.

via How Doctors Die | The Saturday Evening Post.

 

Some studies that I like to quote

Wow! Very nice.

BS Study*: Doctors Feel Patients’ Pain | Empathy | LiveScience

Been a while since I pulled out the BS flag, and this seems entirely appropriate:

Good doctors really do feel their patients’ pain.

Hmm. ‘Good’ doctors?

A study, published today (Jan. 29) in the journal Molecular Psychiatry, shows that when doctors see their patients experiencing pain, the pain centers in the physicians’ own brains light up. And when the doctors give treatment to relieve pain, it activates the physicians’ reward centers.

The doctors were then instructed either to use an electronic device that they believed would relieve the patients’ pain, or to withhold the pain relief. In response, the patient-actors either grimaced in pain or maintained a neutral expression to suggest their pain had subsided.

via Doctors Feel Patients’ Pain | Empathy | LiveScience.

Umm, what? These ‘good’ doctors were told that an electronic device would either relieve or not relieve pain, and then they reacted to their patients’ acting with activity in their own pain or reward centers by fMRI.

My first question: did these docs really buy into this magical electronic pain-relieving device, and if so, why? I have to wonder if it was their amusement areas lighting up and not their pleasure centers…

Second, at no time is ‘good’ established in this article. Were there a subset of docs whose fMRI’s didn’t change, and thus they’re ‘bad’?

Not buying it (would buy one of those magical electronic pain relievers, though).

 

*I say this is a BS study based on this writeup. If it’s something else entirely, okay, but this is just awful.

CDC – Seasonal Influenza (Flu) – Situation Update: Summary of Weekly FluView

Go get your flu shot, it looks like they hit it on the head (which is remarkable, at least to me). Picking the right antigens is always tricky.

From the CDC:

  • Since October 1, 2012, CDC has antigenically characterized 140 influenza viruses, including two 2009 influenza A (H1N1) viruses, 90 influenza A (H3N2) viruses and 48 influenza B viruses.
  • The 2009 influenza A (H1N1) viruses were characterized as A/California/7/2009-like. This is the influenza A (H1N1) component of the Northern Hemisphere vaccine for the 2012-2013 season.
  • All 90 of the influenza A (H3N2) viruses were characterized as A/Victoria/361/2011-like. This is the influenza A (H3N2) component of the Northern Hemisphere influenza vaccine for the 2012-2013 season.
  • Approximately 71% of the 48 influenza B viruses belonged to the B/Yamagata lineage of viruses, and were characterized as B/Wisconsin/1/2010-like, the influenza B component for the 2012-2013 Northern Hemisphere influenza vaccine.
  • The remaining 29% of the tested influenza B viruses belonged to the B/Victoria lineage of viruses.
  • Since October 1, 2012, CDC has tested two 2009 influenza A (H1N1), 122 influenza A (H3N2), and 81 influenza B virus isolates for resistance to neuraminidase inhibitors this season. Each of the viruses showed susceptibility to the antiviral drugs oseltamivir and zanamivir. High levels of resistance to the adamantanes (amantadine and rimantadine) persist among 2009 influenza A (H1N1) and A (H3N2) viruses. (Adamantanes are not effective against influenza B viruses.)

So, Tamiflu should help (some).

Dr Seuss Does Malaria « Contagions

Terrific!

This Malaria map was illustrated by Theodor Seuss Geisel, better known as Dr. Seuss, during World War II to educate young GIs. According to the Naval Department Library, this map was printed on the back of a Newsmap (two sided poster) that showed the five war fronts in 1943: Russia, Italy, “air offensive”, southwest Pacific and Burma.

via Dr Seuss Does Malaria « Contagions.

Excellent primer on Malaria (and Ann!).

via @doctorgrumpy @docgrumpy on Twitter

ACEP 12 tweeting: Bukata and Hoffman

Those who don’t follow me on Twitter probably have calm, productive lives. Those who do wonder why I twitter at all. Because it keeps me busy and engaged, that’s why.

Here’s an edited compilation of two of the American College of Emergency Physicians Scientific Assembly 2012 lectures in tweets by me from Denver. These encompass about 3.5 hours of lecture by the same two legends, Jerry Hoffman and Rick Bukata reviewing the medical literature as it applies to EM.

I used Storify to put these together (it couldn’t have been easier). I left out a lot of comments from others, not as they weren’t interesting but as I’m trying to tell the story of this lecture.

At the end there’re some pictures of the Twitterers and Bloggers who get together after ACEP. Nice how we’re birds of a feather. For a bonus, at the end are Joe Lex’s 4 Rules of Emergency Medicine, which deserves its own compilation.

An Elegantly Icky Solution

Entertaining and medical!

I’d love to shield the identify of the patient in this story. But I can’t, and you’ll understand why in a minute. It’s not that I’m worried about a HIPAA violation or a law suit. After all, the patient was my mother-in-law. She and my father-in-law – Pop Pop – have moved in with us . . . so they aren’t going to sue anybody. And while I hesitate to embarrass my soft-spoken “Mom Mom” with the details of this tale, I have to tell this story straight. Here goes.

via An Elegantly Icky Solution.

Sounds like something we need to try earlier.