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Planned Home Birth - Marty Makary’s Blind Spot

Sensible Medicine

Share In his recent book, " Blind Spots ," Dr. Marty Makary details several instances in which the medical establishment has clung to medical dogma, to the detriment of patients’ health. One chapter examines the medicalization of childbirth, including the overuse of C-sections. A 2019 study by Hutton et al.

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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?

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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. We discuss in Ending Medical Reversal why we should be suspicious of single center studies. It shows a benefit of close follow-up in a heart failure clinic. (It It also shows us how hard it is to up-titrate GDMT.

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What I Read Last Week

Sensible Medicine

I’ve got a pretty stable approach to reading the medical literature. I even have a talk, “keeping up on the literature.” People that tested negative were followed. The follow-up was 11.2 Many people compared this article to a classic 2019 NEJM article: Epidemiologic Signatures in Cancer.

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In Medicine, it's hard to challenge prevailing ideas

Sensible Medicine

IOW: did a patient require medical attention of an arrhythmia. 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. Here is what they found: Both ablation arms crushed AF drugs. This one hits home.

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Telehealth Use Among Older Americans: Growing Interest, Remaining Concerns

Health Populi

In the Fear of Going Out Era spawned by the COVID-19 pandemic, many patients were loath to go to the doctor’s office for medical care, and even less keen on entering a hospital clinic’s doors. In May 2019, 14% of older patients’ health care providers offered telehealth visits, growing to 62% in June 2020 during the pandemic.

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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.