The patient returned to my clinic several years after her original thyroid cancer surgery. “The cancer blood test never went completely back to zero,” she told me. “We knew there was cancer in there somewhere. Finally, the new ultrasound machine found it! I guess it is time for more surgery!” I guess.
Lahey Clinic Medical Center, located in Massachusetts, consists of a 328-bed academic medical center and ambulatory surgery center. Picis CareSuite high-acuity solutions have been used at these locations beginning with OR Manager in 2003, Extelligence and SmarTrack in 2004 and 2007, and Picis Perioperative Dashboard in 2008.
"Hm. Where's all that blood coming from?" You especially don't want that to be your first thought when your patient is intubated and ventilated and Dipped and generally not terribly responsive. Moreover, you don't want that to be your first thought, because your second thought will invariably be, "Gosh.
By: Todd Neale, MedPage Today I recently got back from the annual meeting of the American Society of Hypertension, where I witnessed a prime example of "getting ahead of yourself." In a press conference Monday discussing the next morning's late-breaking clinical trials session to close out the meeting, we heard preliminary results from a pivotal trial of the Rheos Baroreflex Activation Therapy system, which is being developed by CVRx for treating resistant hypertension.
Thoughts of my first job rushed back into me as I pulled open the front door of the veterinary clinic. My son carried his sick cat past me and headed to the receptionist’s desk. I took a breath. “Oh my goodness,” I thought. “This place smells just like the animal hospital back home.
Health care in the United States costs too much, and it doesn’t look like that’s going to change. Recent health care reform legislation doesn’t take any meaningful steps towards reducing or controlling costs. In fact, it explicitly forbids states from trying to curtail the costs of malpractice litigation in any way that would reduce lawyers’ fees.
At a recent social gathering, a doctor friend who has been in private practice for almost 15 years revealed something that caused one physician to nearly choke on her drink, another to gasp in disbelief and the rest of us to stop what we were doing and gawk as if he had committed some grave social faux pas.
Hospital rankings matter. Specifically, those published in the US News & World Report carry additional weight. Hospitals use these numbers in advertising campaigns, and patients often choose hospitals based on these rankings. But does a high place really mean you’re getting better care? Not necessarily.
One afternoon several years ago, I found myself faced with an unexpected challenge while seeing patients in clinic. The hospital had just put in effect an electronic medical records system, or EMR, and along with the dozens of shiny new computer terminals installed in nursing stations on every ward came the promise of fewer missing charts, streamlined information and efficient work-flow patterns for all.
Algorithms manage sleeping patterns of astronauts, shift worker schedules. April 27, 2010 Shifting work schedules can wreak havoc on a person's ability to get enough sleep, resulting in poor performance on the job. Researchers funded by the National Space Biomedical Research Institute (NSBRI) have developed software that uses mathematical models to help astronauts and ground support personnel better adjust to shifting work and sleep schedules.
“ There’s a consult downstairs, Campbell. Go check it out and I’ll catch up with you later.” “Sure, OK.” I was a third-year medical student fumbling through my first clinical rotations. The resident headed off to whatever he needed to accomplish and I trotted down the back stairwell.
1. Understand the technology available. Technological advancement has created a lot of opportunities for customers to achieve some great results ultimately improving the surgeon’s work environment and increased patient safety. Often times the definition of Hi Def technology associated with cameras and video systems can be very confusing for customers and can tarnish the industry if a sound purchase decision is not achieved.
The surgical case is delayed and I am getting restless. I anticipate a very difficult dissection. The cancer has returned after extensive prior treatment with surgery, chemotherapy and radiation. Now we wait as the final preparations take place. Time passes very slowly. For the rest of this blog, click here .
Surgical simulation and training is crucial in helping surgeons develop and refine surgical skill. Now a variety of offerings allow for honing these skills before stepping into the OR. April 20, 2010 When James “Butch” Rosser, MD, FACS, professor of surgery at Morehouse School of Medicine, prepares for a case, he warms up with one of his favorite video games—Silent Scope or Super Monkey Ball.
Having a basic understanding of the different surgical implants and grafts available—both biologic and synthetic—is the first step to help a surgeon decide which material is right for the patient and procedure. April 23, 2010 With an array of materials and structures to consider, the options for surgical implants and grafts for surgeons can be “dizzying” at times, says Alfredo M.