As an early Google Glass explorer, I see many ways this and other wearable technologies will soon enhance patient care. Google Glass is “smart” eyewear that offers features similar to a “smart” phone: It can take photographs, video, make phone calls, display Internet-based information. The data is transposed onto the glass lens in the wearer’s field of vision. The device is activated by voice command or a touch to the tiny ...

Read more...

I recently got back from a brief trip to Florida. I went down there to celebrate my mother’s 85th birthday. As you might expect, her social circle has shrunk in recent years, but she did get a number of cards and calls from friends and family members. The cards were on display in her kitchen, and a few calls came in while I was there. One in particular pointed out some ...

Read more...

The patient was a 78-year-old businessman who acted and looked about half his age. He was very pleasant and talked freely about his lower back pain and the pain down the side of his left leg, which had been a problem for about six months. It was consistently more severe when he stood or walked on it, and it immediately disappeared when he sat down. His MRI scan revealed that ...

Read more...

From MedPage Today:

  1. The 5 Big Surprises in Code Denials. An April 30th post on the Physicians Practice website, "5 Common Medical Practice Denials and Remedies: March 2014" has a nifty info-graphic which synthesizes Centers for Medicare and Medicaid Services (CMS) data from the month of March in 2014.
  2. Treat Car Crash Pain Early On, Lest It Linger. Widespread pain that persists a year ...

    Read more...

My husband suffered with hip and low back pain for about four months. It started right about the same time he was prescribed a new blood pressure medication. He didn’t think much of the pain at first because he was recovering from a groin injury, the result of a close encounter with a hockey puck while playing the game. But the pain grew in intensity over the following weeks. He’s a ...

Read more...

In a voice confident and ringing with anticipation, Mr. A explained with meticulous detail how he determined which approach shot to hit to the second green on the Black Course at Bethpage State Park. Only ten minutes earlier, when we first met, Mr. A had been weary, his face drawn, and his speech so quiet that the sound of the aortic balloon pump keeping him alive made it nearly impossible to ...

Read more...

As I look back, I remember teachers.  One taught to be compulsive and complete.  Another, calm and humor in the face of chaos.  Another believed in me and thereby taught me to believe in myself.  One made me write and rewrite.  Above all, there was a mentor who opened my heart and eyes to the need for compassion.  That special teacher was Dr. Black. Tuesday afternoon, 8:30am, July 12, 1966:  Dr. ...

Read more...

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 76-year-old woman is evaluated for a 3-month history of left knee pain of moderate intensity that worsens with ambulation. She reports minimal pain at rest and no nocturnal pain. There are no clicking or locking symptoms. She has tried naproxen and ibuprofen but developed dyspepsia; acetaminophen provides mild to moderate relief. ...

Read more...

A new study asks orthopedic surgeons to guess the price of the devices they implant: “the amount your institution currently pays the vendor for the implant.” Despite a lenient grading system, in which the researchers counted as correct any guess within 20% of the actual price, surgeons estimated costs correctly only 1 in 5 times. When I first glanced at this study, I wasn’t sure of its importance. But then I learned ...

Read more...

It’s okay that you don’t remember me. My name is Shara, and I’m part of the surgical team. I’m checking to see how you’re doing after your surgery. Do you know where you are right now? Actually, you’re in the hospital. You had surgery a few hours ago, for a broken hip. You used to be able to walk before you broke it, so it was important to fix it as soon ...

Read more...

6 Pages