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Surgical Products Daily

The Initial Cut Of The Surgeon Is A Leap Of Faith

August 26, 2013 5:37 am | by Sid Schwab, MD | Comments

Going through the skin, the initial cut — that’s the cataclysm, the breaking of the barrier, the crossing of the line. It’s the leap of her faith, the breaching of the wall, the stepping into space. Within moments, it’s routine, nearly generic: his insides look like mine, yours. Been there. But the primal cut, the slice through that first and last line of protection, his skin, her freckles, the fine little hairs, the vulnerable innocence.

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The Man Who Was Treated For $17,000 Less

August 23, 2013 9:06 am | by Jeffrey Singer | Comments

Every 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. When one gentleman arrived at the hospital for surgery, the admitting clerk asked him to pay roughly $20,000 upfront to cover the estimated balance of a simple outpatient surgical procedure.

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Five Ways Google Glass Can Be Used In A Hospital

August 21, 2013 9:53 am | by John Halamka | Comments

There have been parodies of the user experience, but I believe that clinicians can successfully use Google Glass to improve quality, safety, and efficiency in a manner that is less bothersome to the patients than a clinician staring at a keyboard.

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Seven Golden Rules To Optimize EHR Implementation

August 20, 2013 10:23 am | by Rosemarie Nelson | Comments

Workflows and operational processes must be modified to optimize a new tool like electronic health records. Technology changes what is feasible, and to adapt, we need to change what we do every day. To get the most out of your EHR, adopt these seven golden rules.

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Many Hospitals Approach Safety Improvement The Wrong Way

August 19, 2013 9:30 am | by Paul Levy | Comments

It is not the personal risks faced by doctors compared to pilots that kill and harm patients.  It is the fact that the kinds of solutions needed in healthcare are just at the gestational stage. Facile comments that doctors don’t care as much as pilots are just plain wrong and divert attention from the steps that can and should be taken to learn from the airline industry.

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The Blueprint For Decreasing The Cost Of Healthcare

August 15, 2013 1:35 pm | by Manoj Jain, MD, MPH | Comments

We have done it. We have decreased the increase in the cost of healthcare. Let us explain. For three decades (1980-2009), the cost of healthcare has been increasing each year at an average rate of 7.4 percent — double the rate of inflation.  However, over the past three years, the increase in healthcare expenditure has remained at a low 3.1 percent.

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After A Medical Mistake, An Apology Is Both Simple And Difficult

August 14, 2013 9:49 am | by Jim Demaine, M.D. | Comments

Elton John had it so, so right: “It’s sad, so sad.  Why can’t we talk it over. Oh, it seems to me that sorry seems to be the hardest word.” Mistakes are all to common in medicine, but can we say the “hardest word” when we’re involved in the mistake?

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How An iPhone Improved Patient Care In The ICU

August 13, 2013 9:31 am | by Iltifat Husain, M.D. | Comments

At iMedicalApps we have traditionally expounded on how smart phones can help us with patient care in regards to providing Physician centric tools at bedside.  These range from drug reference tools to various clinical algorithm medical apps. But there are also non-traditional methods where smartphones enable us to improve patient care at the bedside.  These are subtle, but can be equally or more powerful.

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Boston Hospitals Go Epic: Hear From A Holdout

August 12, 2013 9:56 am | by John Halamka, M.D. | Comments

In the Boston marketplace, Partners Healthcare is is replacing 30 years of self developed software with Epic. Boston Medical Center is replacing Eclipsys (Allscripts) with Epic. Lahey Clinic is replacing Meditech/Allscripts with Epic. Cambridge Health Alliance and Atrius already run Epic. Rumors abound that others are in Eastern Massachusetts are considering Epic. Why has Epic gained such momentum over the past few years?

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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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