Negotiations over a bill to bolster the beleaguered Department of Veterans Affairs in response to a furor over long patient wait times and falsified records to cover up the delays have bogged down over costs and how much the VA should turn to outside doctors to address the backlog.
Doctors had a simple goal when they first saw how a football-size rock thrown from an interstate overpass had shattered Sharon Budd's skull — keep her alive. Screws, bolts and plates now hold together the face of the seventh-grade teacher from Uniontown, Ohio.
The fundamental aspects of enhanced recovery after surgery (ERAS) programs are guidelines that focus on education, fluid management, minimal incision length, decreased use of tubes and drains, opioid-sparing analgesia, early mobilization and eating after surgery.
A postoperative pneumonia prevention program for patients in the surgical ward at a California Veterans Affairs hospital lowered the case rate for the condition. Pneumonia is a common infection that accounts for about 15 percent of all hospital-acquired infections and as much as 3.4 percent of complications among surgical patients.
A new study is raising questions about a common hysterectomy procedure, power morcellation, that may spread cancer that has not yet been detected...
Whenever a medical emergency occurs, a Chinese traveling abroad only has to make one call to receive a medical evacuation and repatriation from a safe, fast and dedicated air ambulance jet ...
For critically ill patients arriving at the emergency department, the drug ketamine can safely provide analgesia, sedation and amnesia for rapid, life-saving intubation...
Through the agreement, KARL STORZ will make donations to Miracle Flights based on utilization of a feature in their latest operating room workflow solution called Essential NEO OR1. For each clinical use, the company will donate $1 to Miracle Flights. ORs generally can handle 4-6 procedures per day.
A newly published peer-reviewed paper states that Stretta therapy is a safe and effective treatment option for gastro esophageal reflux disease (GERD). The paper states that Stretta addresses a significant unmet need where patients receive inadequate control from PPI therapy, or find surgery an undesirable option.
"... extreme back pain due to spinal tumors degrades quality of life, and until now, limited minimally invasive procedural options ... have been available,” said Nam D. Tran, M.D., and Ph.D., neuro-oncology surgeon. “This multi-center study validates t-RFA as a treatment option that provides rapid, lasting pain relief without the need to interrupt the patient’s primary cancer therapy.”
The non-profit NoInjuries.com initiative is offering a free support kit to help prevent healthcare injuries to both caregivers and patients. The kit contains useful tools and tips for implementing and sustaining a facility-wide healthcare injuries prevention program...
Dr. Peter Ubel has been writing a bit lately on the need for healthcare providers to talk with their patients about healthcare costs, if for no other reason than to enable patients to determine whether they can afford to pay for the healthcare that their doctors are recommending them to receive...
Placement of a percutaneous endoscopic gastrostomy tube has become an essential technique for children and young people with a wide range of problems with feeding and nutrition...
Blood clots occur so rarely in children undergoing spine operations that most patients require nothing more than vigilant monitoring after surgery and should be spared risky and costly anti-clotting medications, according to a new Johns Hopkins Children's Center study...
A Canadian boy's lemonade stand and social media campaign has raised $24,000 for a friend's surgery related to cerebral palsey in the U.S.
Vasectomy was associated with a small increased risk of prostate cancer, and a stronger risk for advanced or lethal prostate cancer, according to a new study from Harvard School of Public Health (HSPH). The researchers found that the association remained even among men who received regular PSA screening, suggesting the increased risk of lethal cancer cannot be explained by diagnostic bias.
"... those patients who had an allograft, failed at a rate more than three times higher than those reconstructed with an autograft. This study was also of only one type of allograft (Tibialis Posterior). Therefore, we can make a strong statement about that type and not necessarily extrapolate to other types of allografts, most notably those with bone, i.e. BTB or Achilles."
According to the complaint, the Greek surgeon demanded $2,000 to perform bypass surgery, allegedly threatening to release the patient if the money was not paid. Police said a relative met with the doctor and handed him marked bills, after which plain-clothes police officers arrested the doctor.
The Department of Veterans Affairs has appointed a top health administrator to serve as interim director of its Office of Medical Inspector. The inspector's office came under scrutiny last month after an independent investigator issued a scathing report, saying the office downplayed whistleblower complaints outlining serious problems.
The funds followed a federal agreement in April for New York to reinvest $8 billion in Medicaid savings to support hospital overhauls and expand primary medical care over five years. The goal is to reduce avoidable hospital use by 25 percent while helping financially struggling institutions shift to more primary and outpatient care.
Nearly 95 percent of U.S. physicians accept gifts, meals, payments, travel and other services from companies that make drugs and medical products. Starting in September the federal government will make available an exhaustive online database of payments to U.S. physicians and hospitals, under a section of the health care overhaul known as the Sunshine Act.
The study documents the benefits within the context of more than a dozen formally tracked patient safety indicators that help monitor and prevent avoidable complications. These PSIs include wound infection, sepsis, hip fracture, accidental puncture or laceration, transfusion reaction and mortality among patients diagnosed as low-risk.
"Patients who had surgery 6-12 weeks after ACL injury had 1.45 greater odds of lateral meniscus injury, and those waiting 3+ months increased their risk 2.82 times. The risk for medial meniscal tears was 4.3 times greater when delaying surgery at least 6 weeks."
James Tuchschmidt, the No. 2 official at the Veterans Health Administration, apologized on behalf of the department. "I apologize to everyone whose voice has been stifled. That's not what I stand for. I'm very disillusioned and sickened by all of this."
The study examined the Hawthorne effect, also known as observation bias (the tendency of people to change their behavior when they are aware of an observer) using an electronic monitoring hand hygiene system in real-time. Ultrasound "tags" on soap dispensers transmitted a signal to a nearby receiver each time the levers were pushed, and a time-stamped hand hygiene wash was recorded.