To Inject, or Not to Inject: Using the Pneumococcal Vaccinations Effectively

Posted on 19. Sep, 2014 by in Class Act, ID

By Luke O’Donnell, MD

Peer reviewed

Once formidable diseases, pneumonia, bacteremia, and meningitis are all now considered “bread-and-butter” internal medicine. Streptococcus pneumoniae is one of the major pathogens in these processes, causing 500,000 cases of pneumonia, 50,000 cases of bacteremia, and 3,000 cases of bacterial meningitis in the United States annually, with case fatality rates of 5-7%, 20%, and 30%, respectively [1].

Efforts to vaccinate against this gram-positive diplococcus started in mining sites near Johannesburg, South Africa around the turn of the last century…

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Top medicine articles for September 2014

Posted on 19. Sep, 2014 by in Health News of the Day

A collection of some interesting medical articles published recently:Doctors Are Talking: EHRs Destroy the Patient Encounter – Medscape – It depends on the EMR and how you use itGluten May Cause Depression in Subjects With Non-Ce…

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Value Extractors, "Super-Managers," Vampires and the Decline of the US and US Health Care

Posted on 18. Sep, 2014 by in boards of directors, executive compensation, financialization, generic managers, Pfizer, regulatory capture, Renaissance Technologies

Appearing during the last few weeks were a series of articles that tied the decline of the US economy to huge systemic problems with leadership and governance of large organizations.  While the articles were not focused on health care, they includ…

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From the Bellevue Wards: Wellens’ Syndrome Revisited

Posted on 18. Sep, 2014 by in Cardiology, Class Act

By Matthew Shou Lun Lee, MD

Peer Reviewed

Clinical Questions

-How common are elevated cardiac enzymes during Wellens’ syndrome?

-Can the EKG changes in Wellens’ syndrome be found with other causes?


This post represents a follow-up to the 2009 article in Clinical Correlations by Dr. Erin Ducharme [1].

Wellens’ syndrome refers to a distinctive combination of clinical and EKG findings in unstable angina associated with high-grade lesions of the left anterior descending artery (LAD) [2]. Initially described in 1982, the criteria has undergone…

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Pendulum Wave Demonstration (video)

Posted on 17. Sep, 2014 by in Uncategorized

This is a large-scale demonstration of the interaction between period and pendulum length, using 16 bowling balls hung from a wooden frame.Here are answers to some common questions: What am I seeing? How does this work?The length of time it takes a bal…

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You Say You Want Some Revolutions? – Famed Academic Physician Dr Milton Packer’s Endless Alternating Turns as Drug Company Spokesperson and FDA Advisor

Posted on 16. Sep, 2014 by in Avandia, Bristol-Myers-Squibb, conflicts of interest, FDA, GlaxoSmithKline, Milton Packer, Novartis, Pfizer, revolving doors, sacubitril

Last week, we noted  we again discussed the web of conflicts of interest that is draped over medicine and health care, and seems responsible for much of our current health care dysfunction.  We have discussed examples of conflicts of intere…

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Primecuts – This Week In The Journals

Posted on 16. Sep, 2014 by in PrimeCuts

By Caroline Srisarajivakul, MD

Peer Reviewed

The invisible silhouettes of the Twin Towers loomed large in the minds of many New Yorkers last week as we marked the 13th anniversary of September 11th, 2001, while President Obama rallied the United States’ allies in the Middle East to unite against the Islamic State in Iraq and Syria prior to the terror group’s third videotaped beheading, this time of Briton David Haines. Meanwhile, in Western Africa, Ebola Virus Disease continues to ravage populations that are ill-equipped to…

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Care of the Homeless – 2014 review from Am Fam Physician

Posted on 16. Sep, 2014 by in Uncategorized

The impact of the problemOn any given night, more than 610,000 persons in the United States are homeless; a little more than one-third of these are families. Homeless persons are more likely to become ill, have greater hospitalization rates, and are mo…

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How playing an instrument benefits your brain – TED-Ed video

Posted on 15. Sep, 2014 by in Neurology, Psychology, Ted Talks

When you listen to music, multiple areas of your brain become engaged and active. But when you actually play an instrument, that activity becomes more like a full-body brain workout. What’s going on? Anita Collins explains the fireworks that go off in …

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Why Is Residency So Harmful? (And What Can We Do About It?)

Posted on 15. Sep, 2014 by in genmedmom; residency; training; depression; suicide

Genmedmom here. I’d like to thank “J the intern” for her post on physician depression and suicide on 9/9/14, as it prompted me to read Pranay Sinha’s excellent New York Times Op-Ed piece “Why Do Doctors Commit Suicide?” He discusses what may have contr…

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Should You Trust Your Doctor’s Advice?

Posted on 14. Sep, 2014 by in Physician Quality

Is your doctor a hammer and you’re a nail?  Here’s some insider’s advice coaxing patients to be more wary and skeptical of medical advice.  Should you trust your doctor?  Absolutely.  But you need to serve as a spirited advocate for…

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The Foreruners of Intel’s Wearable Technology Movement

Posted on 13. Sep, 2014 by in future, medicine, technology, wearable, Wearables

Intel launched a global year-long initiative under the name Make It Wearable to support the evolution of wearable devices. Students, designers, engineers, and makers got involved in the VISIONARY…

Visit my blog to read the whole article and other n…

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Non-surgical management of appendicitis?

Posted on 13. Sep, 2014 by in Gastroenterology, Infectious disease

From a recent study:


During this 4-year study, we enrolled 26 elderly patients who initially received antibiotic therapy. Of these, 3 were suspected to have complicated appendicitis. Antibiotic therapy consisted of second-generation cephalospo…

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Update on cryoglobulinemic vasculitis

Posted on 12. Sep, 2014 by in Rheumatology

Here is a free full text review.

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Blue Silk Wisp Scarf

Posted on 12. Sep, 2014 by in knitting, lace, scarf

I think the wisp scarf pattern (Wisp by Cheryl Niamat) has become a fall back pattern for me.  I’ve knit it with many different yarns now and it has never let me down.  This one is knit using leftover yarn from a previous scarf.  The yar…

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The magic of vitrifying IVF embryos

Posted on 11. Sep, 2014 by in Cell biology, Cryopreservation, Embryo, Endometrium, In vitro fertilisation, Infertility, Pregnancy rate, Vitrification

Can you make out which blastocyst is fresh ? and which one was vitrified and then thawed ?Since I am an IVF specialist, I am a  scientist , and scientists don’t usually use words like magic lightly. However, the fact of the matter is that vitrific…

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Higher Authorities? – Pharmaceutical Companies, Addiction Experts, and Marijuana Policy

Posted on 11. Sep, 2014 by in conflicts of interest, narcotics, patient advocacy groups, stealth health policy advocacy

We have often discussed the web of conflicts of interest that is draped over medicine and health care, and seems responsible for much of our current health care dysfunction.  We have discussed examples of conflicts of interest affecting clinical r…

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QuantuMDx Announces Prototype Handheld DNA Analyzer

Posted on 11. Sep, 2014 by in Diagnostics, DNA, future, Genetics, technology

At the TEDMED 2014 conference, medical device developers QuantuMDx Group announced the successful production of their first fully-integrated sample-to-result working prototype of Q-POC™, a handheld…

Visit my blog to read the whole article and othe…

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Five Expectations For Patients About The Future of Medicine

Posted on 11. Sep, 2014 by in book, e-patient, future, Health, Health 2.0, medicine, Medicine 2.0, patient, technology, wearable, Wearables, Web 2.0

The waves of technological changes coming towards us will generate new possibilities as well as serious threats to medicine and healthcare. Every stakeholder must prepare for these changes in order…

Visit my blog to read the whole article and other …

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Does Cranberry Juice Prevent Urinary Tract Infections?

Posted on 11. Sep, 2014 by in From the Archives

Please enjoy this post from the archives dated November 9, 2011

By Jessie Yu

Faculty Peer Reviewed

A healthy 21-year-old female college student presents to clinic after one day of dysuria and increased frequency. You diagnose her with a recurrent urinary tract infection (UTI), and as you hand her a prescription for empiric antibiotic treatment, she asks you if drinking cranberry juice will prevent these in the future…

Drinking cranberry juice to prevent urinary tract infections (UTIs) has been a traditional folk remedy for…

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Unity Farm Journal – Second Week of September 2014

Posted on 11. Sep, 2014 by in Uncategorized

As readers of my blog may have noticed from my infrequent posts, the past two weeks have been truly chaotic, filled with harvest and Fall planting activities during the transition from the dog days of Summer to the traffic filled first days of school. …

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The Guide to the Future of Medicine: Technology AND The Human Touch

Posted on 11. Sep, 2014 by in Amazon, book, future, guide, Health, medicine, technology

I see enormous technological changes heading our way. If they hit us unprepared, which we are now, they will wash away the medical system we know and leave it a purely technology–based service…

Visit my blog to read the whole article and other new…

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Open Access Social Media Guide for Pharma: Let’s Crowdsource the New Version!

Posted on 11. Sep, 2014 by in FDA, guide, Pharma, Web 2.0

In 2011, we published a crowdsourced open access guide for pharmaceutical companies containing practical pieces of advice about how to use and how not to use social media. As there was no guide from the FDA that time, we thought we would assist the FDA and the EMA in creating one that would make it […]

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Balancing parts of me

Posted on 10. Sep, 2014 by in Jess

It’s time to buy a new car.  Would seem a straightforward decision, but true to my planning nature, I’m trying to fulfil a number of requirements.  My eldest, HG, will apply for his learners permit in 4 more years, which falls within the life…

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The September HIT Standards Committee

Posted on 10. Sep, 2014 by in Uncategorized

The September HIT Standards Committee was one of the most important meetings in the history of the group.   We heard pivotal reports from the NWIN Power Team about Query/Response standards as well as from the JASON Task Force.   Together they…

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Why has our IVF success rate increased so dramatically ?

Posted on 10. Sep, 2014 by in Clinic, Embryo, Embryo transfer, Growth medium, Health, In vitro fertilisation, patient, Pregnancy rate

We have noticed that a much larger proportion of our patients has been getting pregnant these last few months. This is obviously an occasion for celebration, and our patients are very happy, but this also raises the question – why has our success rat…

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The Future of Health and Medicine Book Giveaway Contest

Posted on 10. Sep, 2014 by in medicine

You can win two books, a signed copy of ePatient 2015 (hardcover) and my new book, The Guide to the Future of Medicine, by answering a very simple question.  Enter the contest here! Only 3 days left!

Visit my blog to read the whole article and othe…

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3 great questions every patient needs to ask ! Why ? What else ? So what ?

Posted on 10. Sep, 2014 by in Uncategorized

Always ask “why?” This seems obvious, but even in this modern era, many patients take it as an article of faith that a doctor’s recommendation is thoughtful and well informed. It may well be; but on any given occasion, it could also be a knee jer…

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Medicine X | Ed – A New Conversation in Medical Education

Posted on 10. Sep, 2014 by in medical education, Medicine X, medX

I’ve been fortunate enough to attend Stanford Medicine X over the past 4 years.  Each year I’m surrounded by the most remarkable people and ideas.  And each year I think: What are we doing to bring these ideas to medical students? I think we’re closer. A natural evolution into medical education This weekend marked the […]

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The Science of Depression – moving from neurotransmitters to neurogenesis and synaptogenesis

Posted on 10. Sep, 2014 by in depression, Psychiatry

From ASAP Science: What’s going on inside the brain of a depressed person?Recent thinking suggests that rather than a shortage of serotonin, a lack of synaptogenesis (the growth of new synapses, or nerve contacts) and neurogenesis (the generation and m…

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