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Sunday, November 22, 2015
What Patients need to know about EHR and HIT
Putting the I in Health IT
This video provides inspiring patient testimonials and informational interviews with representatives from the government on how health IT makes a difference in consumers' lives.
Ensuring the Security of Electronic Health Records Video:
It is vital to do as much as possible to protect sensitive health information in EHRs. Find out more about how providers are keeping individual health information safe and secure through cybersecurity.
Health IT Stories:
The best way to understand the value of health IT can be through personal testimonials from consumers and patients who have personal experiences using it to improve their health and health care. These videos are a small excerpt which represent many personal stories of consumers using e-Health and health IT tools to manage their care.
“I’ve Seen the Disaster Averted”
Dottie Bringle, R.N., is a hospital executive in Joplin, MO. Three weeks before Joplin's devastating tornado in May 2011, her hospital completed a switch to an EHR – so even though her hospital building was destroyed, doctors and nurses were able to provide care to Joplin residents in their time of need.
Lilianne Wright, upon hiking in the Grand Canyon, suffered from severe stages of diabetic ketoacidosis, which brought her to the brink of death. Ms. Wright recovered, but found that managing her disease was and still is complicated, because her doctors can't easily share her medical records. Today, her two children are reaping the benefits of EHRs.
A stage 4 kidney cancer survivor, Dave de Bronkart has learned first-hand that good health care depends on good information. Now he blogs as "e-patient Dave," writing about how health information technology and electronic health records can improve health care by empowering patients to access their health information and take an active role in their own care. This is his story.
Health IT, Advancing America's Health Care pdf download
Health InformationPrivacy and Security pdf download
Saturday, November 21, 2015
Are You Depressed ? Take a Motrin
Depression has been linked to many other illnesses, genetics, lack of certain vitamins, poor nutrition, lack of exercise and more.
About one third of people with depression have high levels of inflammation markers in their blood. New research indicates that persistent inflammation affects the brain in ways that are connected with stubborn symptoms of depression, such as anhedonia, the inability to experience pleasure.
The results were published online on Nov. 10 in Molecular Psychiatry.
Inflammation linked to weakened reward circuits in depression
About one third of people with depression have high levels of inflammation markers in their blood. New research indicates that persistent inflammation affects the brain in ways that are connected with stubborn symptoms of depression, such as anhedonia, the inability to experience pleasure.
The results were published online on Nov. 10 in Molecular Psychiatry.
The findings bolster the case that the high-inflammation form of depression is distinct, and are guiding researchers' plans to test treatments tailored for it.
Anhedonia is a core symptom of depression that is particularly difficult to treat, says lead author Jennifer Felger, PhD, assistant professor of psychiatry and behavioral sciences at Emory University School of Medicine and Winship Cancer Institute.
"Some patients taking antidepressants continue to suffer from anhedonia," Felger says. "Our data suggest that by blocking inflammation or its effects on the brain, we may be able to reverse anhedonia and help depressed individuals who fail to respond to antidepressants."
In a study of 48 patients with depression, high levels of the inflammatory marker CRP (C-reactive protein) were linked with a "failure to communicate", seen through brain imaging, between regions of the brain important for motivation and reward.
High CRP levels were also correlated with patients' reports of anhedonia: an inability to derive enjoyment from everyday activities, such as food or time with family and friends. Low connectivity between another region of the striatum and the ventromedial prefrontal cortex was linked to a different symptom: slow motor function, as measured by finger tapping speed.
As a next step, Felger is planning to test whether L-DOPA, a medicine that targets the brain chemical dopamine, can increase connectivity in reward-related brain regions in patients with high-inflammation depression. This upcoming study is being supported by the Dana Foundation.
Felger's previous research in non-human primates suggests that inflammation leads to reduced dopamine release. L-DOPA is a precursor for dopamine and often given to people with Parkinson's disease.
Inflammation linked to weakened reward circuits in depression
Thursday, November 19, 2015
In 5 Minutes, He Lets the Blind See - The New York Times
HETAUDA, Nepal — WATCHING the doctor perform is like observing miracles.
A day after he operates to remove cataracts, he pulls off the bandages — and, lo! They can see clearly. At first tentatively, then jubilantly, they gaze about. A few hours later, they walk home, radiating an ineffable bliss.
Dr. Sanduk Ruit, a Nepali ophthalmologist, may be the world champion in the war on blindness. Some 39 million people worldwide are blind — about half because of cataracts — and another 246 million have impaired vision, according to the World Health Organization.
Dr. Sanduk Ruit, a Nepali ophthalmologist, may be the world champion in the war on blindness. Some 39 million people worldwide are blind — about half because of cataracts — and another 246 million have impaired vision, according to the World Health Organization.
Monday, November 16, 2015
Rapper, Internist ZDoggMD on the 'Hard Doc's Life'
In this segment of Medscape One-on-One, Editor-in-Chief Eric J. Topol, MD, interviews Zubin Damania, MD, a practicing internist who uses musical parody as a clinical teaching tool and to bring attention to the concerns facing practicing clinicians. Performing under the name ZDoggMD, Dr Damania has used music to broach many topics from conveying the need for a more humane approach to end-of-life care to the frustrations of using a less-than-intuitive electronic health record (EHR) system.
After spending 10 years in the "Hard Doc's Life" working as a hospitalist in the Silicon Valley, he was lured to Las Vegas by Zappos CEO Tony Hsieh, a former classmate of Dr Damania's wife. There, Dr Damania founded Turntable Health as part of Mr Hsieh's $350 million investment to revitalize downtown Las Vegas.
Rapper, Internist ZDoggMD on the 'Hard Doc's Life'
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