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Surgical Products Daily

Bariatric Surgery Changes Liver DNA

August 9, 2013 9:38 am | by Kristina Fiore | Comments

Bariatric surgery, known for its often striking metabolic effects including mitigation of nonalcoholic fatty liver disease (NAFLD), alters the expression of genes in the liver, researchers found. In a small study that looked at liver biopsies from NAFLD patients before and after bariatric surgery, methylation changes associated with the disease phenotype were partially reversible.

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Difficult, Unspoken Questions

August 9, 2013 9:25 am | by Bruce Campbell, M.D. Medical College of Wisconsin Otolaryngologist | Comments

Two men, Ted and Ron, were long-term professional colleagues. I do not believe that they were particularly close, but they had been acquainted during their working lives. Each had retired. In what was a remarkable coincidence, both men were diagnosed with nearly identical cancers. The tumors were of the same type, location and stage. They each came to see me, Ted first and then, several months later, Ron.  

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Burnout: The Perfect Storm Of Physician Stress

August 7, 2013 9:28 am | by Karen S. Sibert, M.D. | Comments

What defines physician burnout, and who exactly is suffering from it?  Is burnout an actual clinical syndrome, a slang term connoting fatigue and boredom, or a hazy combination of the two?  Which medical specialties have the highest rates of burnout, and are men or women physicians more susceptible?  The more you read, the more you realize how much pop psychology and sloppy language are clouding an important issue.

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The Ultimate Hospital Rating System

August 6, 2013 9:21 am | by Skeptical Scalpel | Comments

Finding out which hospitals are best is like "a riddle, wrapped in a mystery, inside an enigma." Are you tired of seeing conflicting ratings from such once respected sources as Leapfrog, Medicare Compare, HealthGrades and Yelp? Does it confuse you when a hospital is ranked in the top 10 by U.S. News and World Report, but is "god-awful" according to Consumer Reports?

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Whatever Happened To Robotic Thyroidectomy?

August 5, 2013 9:28 am | by Skepitcal Scalpel | Comments

In case you missed it, there was a brief romance between thyroid surgeons and robots. Thyroid surgeons, itching to join the crowds migrating to robot-assisted surgery, came up with the idea to use the robot to perform thyroidectomies. As is often the case, the initial results were favorable. Then reality set in.

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How The Government Has Spurred The Adoption Of Healthcare Technology

August 1, 2013 12:48 pm | by David Lee Scher, MD | Comments

Both World War II and the race to the moon were events which pushed commercial development of technologies.  I would submit that the ACA and HITECH have had the same effect on the development of many sectors of the digital health technology industry. I will cite five such areas.

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Three Data-Driven Health Technologies I’d Like To See

July 31, 2013 9:37 am | by Robin Friedlander, MD | Comments

We have entered a new era when it comes to the way individuals are able to collect, analyze, and share their health information. Yet we are still missing some basic data-driven technologies that I think would be very helpful both for me and for my patients, capabilities that I think could impact the ultimate driver of health – human behavior – for the better.

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Doing More To Prevent Hospital Readmissions

July 30, 2013 9:35 am | by Judith Graham | Comments

Hospitals like the University of Colorado have responded by studying why heart failure patients return to the hospital and what can be done to improve their transition back home. Hundreds of medical centers are testing strategies that revolve around several themes.

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Certain Medical Procedures May Be Useless

July 29, 2013 9:22 am | by Nicholas Baker | Comments

We usually assume that new medical procedures and drugs are adopted because they are better. But a new analysis has found that many new techniques and medicines are either no more effective than the old ones, or worse. Moreover, many doctors persist in using practices that have been shown to be useless or harmful.

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Cockpit Culture And Using The Two-Challenge Rule In The Operating Room

July 26, 2013 9:52 am | by Marjorie Stiegler, M.D. | Comments

With the crash of the Asiana 777, we’re hearing a lot about cockpit culture and how communication across a hierarchy sometimes fails, even when the very lives of the folks communicating (or failing to do so) are on the line.  This isn’t a new concept, and isn’t unique to aviation.  Many parallels have been drawn between aviation communication and healthcare team communications, especially when real or perceived hierarchies exist.

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At Too Many Hospitals, A Revolving Door

July 24, 2013 9:44 am | by Judith Graham | Comments

Given the inadequacies in care for discharged patients — a well-documented and common problem — is it any wonder that so many bounce back to hospitals after they’re sent home? Medicare, the government’s health care program for seniors, has trained its sights on the issue and is focused on trying to reduce the number of seniors readmitted to hospitals shortly after being sent home.

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Solving The Problem Of Degenerative Disc Disease

July 18, 2013 2:54 pm | by Anna Schenk, Editorial Intern, Surgical Products | Comments

The idea that printed human intervertebral discs might be used in the near future seems especially exciting, because this procedure could impact so many people with the condition who struggle to find a treatment that reduces their pain.

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In A Culture Of Disrespect, Patients Lose Out

July 18, 2013 1:34 pm | by Danielle Ofri, M.D. | Comments

When we tolerate a culture of disrespect, we aren’t just being insensitive, or obtuse, or lazy, or enabling. We’re in fact violating the first commandment of medicine. How can we stand idly by when our casual acceptance of disrespect is causing the same harm to our patients as medication errors, surgical mistakes, handoff lapses, and missed lab results?

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How Big Data Is Affecting Medical Judgment

July 18, 2013 10:44 am | by Wes Fisher, M.D. | Comments

Decisions in medicine are supposed to rest on concrete observations and hard evidence. Often, hard evidence does not exist or when it does, it isn’t used.  Why is this? Concrete observations, too, are increasingly missed as we stare at computer screens longer and patients less.  Yet we persist. Why? This is our reality now, our evolving medical world.

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Are Physicians Still Responsible For Mistakes In Healthcare?

July 17, 2013 9:30 am | by James C. Salwitz, MD | Comments

Who is responsible for mistakes in healthcare?  Who should take credit for success or blame for failure?  Most families, patients and obviously the courts, hold the doctor responsible.  It seems to me this is reasonable; it is the obligation physicians assume and which society returns with empowerment and respect.  However, is this changing because of the Internet and big data?

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