Doctor, did you eat your fruits and veggies today? Two servings of fruit and three servings of vegetables each and every day? If you did not, how can you expect your patients, for whom you are supposed to set an example, to do so? The Healthy People 2010 program of the Department of Health and Human Services set as a goal that 75% of Americans would consume two or more servings a day ...

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The official ESC journal Europace publishes an online case report by Dr. Martin Hudec about the extremely rare and spectacular failure of a recently implanted Biotronik 340 VR-T ICD in a 46-year-old man. The battery of the device apparently overheated, causing the device to malfunction and leading to severe internal burning. On Wednesday, October 6, US electrophysiologist Westby Fisher summarizes the Europace article on his blog and reprints several extremely gruesome pictures ...

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by Rosemarie Nelson, MS Everyone is trying to "do more with less" and concerns about the economy add fuel to that fire! But, when done with purpose and thoughtfulness, you can manage vendor relationships so that you'll deliver successful negotiations that will get the most bang for the buck for any medical practice, small or large, multispecialty or single specialty. Preparation and setting objectives well before contract ...

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I’m not sure about the validity of this study: Free Access to U.S. Research Papers Could Yield $1 Billion in Benefits. Quantifying how much money will be saved by increased efficiency due to open access seems like fuzzy math at best.  However, we do need better access to medical journal articles.  As a researcher, I’ve constantly fought the battle against firewalled journals.  I am fortunate to be part of a university ...

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Everyone one knows ER docs work shifts.  Many places though have each doc doing a set schedule.  Such as 1 day, 1 evening, 1 overnight or one week with days, one with evenings, and one with nights. Others, like my hospital, it is a mass jumble. We work all sorts of random shifts at random times, so long as it evens out at the end of the 6 week block that ...

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No shows.  It seems that no matter what we do, we always have them. Despite the fact that we call every single person on the schedule to remind them of their appointment the day before (the staff personally makes the call. We don’t use an automated system) we found that in 2009, we had 389 no-shows. Slicing the data Is 389 a high number of no-shows? I guess it depends on the size ...

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Health care is changing at lighting speed. If you don’t know this, or worse, don’t accept it you’re doomed. No. Really. It’s change or close shop. Whether you like it or not, health care reform is going to change the way we practice from now on. Many physicians are choosing to work for large group practices to buffer themselves from directly dealing with change. Mental health providers could do the same, ...

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The life of a general surgeon is one fraught with contingency, soul-crushing doubt, unexpected disaster, and overwhelming stress. I wouldn't wish it upon my worst enemy. Fortunately, I was brainwashed to a sufficient degree during residency such that I actually don't mind my job. One of the reasons general surgery is so tough is that it is nearly impossible to map out your week according to a strict schedule. Maybe at ...

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As I have written before, the Teaching Health Center is seen as a way to move education into the community (using Community Health Centers as a training resource) and out of the Academic Health Center. Currently, 20 million Americans receive care in a CHC. They serve Americans who are unable to obtain access through more traditional means, either because of location (the community will not support traditional healthcare) or socioeconomic ...

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by Shawn Vuong Some time in the years 2002-2005, cardiothoracic surgery hit the wall. The specialty's big time claim to fame, the CABG (coronary artery bypass graft), surgery was on a huge decline.  The field of cardiothoracic surgery became super saturated with over trained surgeons who were no longer in demand. The interventional cardiologist had come along and started stenting coronary arteries, saving patients from the chest opening ...

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