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Sepsis Screening Decreases Mortality. Well, not really.

Sensible Medicine

If patient data tripped the alert, an EMR pop-up message would appear for nurses and physicians. These alerts were backed up with training and monitoring to encourage real action. Reading who uses these five hospitals in Saudi Arabia, it seems like a population that would be easy to follow. It looked like this: Ingenious, right?

Hospital 245
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Planned Home Birth - Marty Makary’s Blind Spot

Sensible Medicine

A 2014 follow-up study by de Jonge analyzed 743,070 low-risk planned home and hospital births and found no significant difference in perinatal or neonatal mortality. A 2019 study by Hutton et al. Unplanned home births will obviously have worse outcomes than either hospital births or planned home births.

Hospital 218
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What I Read This Week

Sensible Medicine

The researchers looked at every patient that had mammograms between 2004 and 2019 and developed breast cancer. Safety, tolerability and efficacy of up-titration of guideline-directed medical therapies for acute heart failure (STRONG-HF): a multinational, open-label, randomised, trial I’ve come out pretty strongly against GDMT.

Follow-Up 286
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What I Read Last Week

Sensible Medicine

I even have a talk, “keeping up on the literature.” People that tested negative were followed. The follow-up was 11.2 Gastric cancer developed least in those not infected, followed by those who received curative therapy, followed by those with untreated H. The results were striking.

Follow-Up 260
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Health/Care Goes Retail at CES 2019

Health Populi

who have health insurance must take on a deductible of some amount, which compels that insured individual to spend the first dollar on medical services up until they meet their financial commitment. Following up that discussion was my brainstorm with Patrick Freuhler, CEO of Audicus, and Dr. Shai Gozani, CEO of Neurometrix.

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Telehealth Use Among Older Americans: Growing Interest, Remaining Concerns

Health Populi

In the August 2020 National Poll on Heathy Aging , the University of Michigan research team found a 26% increase in telehealth visits from 2019 to 2020, March to June 2020 year-over-year. In May 2019, 14% of older patients’ health care providers offered telehealth visits, growing to 62% in June 2020 during the pandemic.

Follow-Up 171
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In Medicine, it's hard to challenge prevailing ideas

Sensible Medicine

During the follow-up period, 9 patients (8%) in the AVATAR arm had a redo procedure following a primary endpoint compared to 15 patients (15%) in the conventional ablation arm. The Struggle to Publish The authors presented this data at the European Heart Rhythm Association meeting in 2019.

Follow-Up 291