Sat.Jun 10, 2023 - Fri.Jun 16, 2023

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How Do I Deal When an Angry Patient Threatens to Sue?

Scrubs

Some people are naturally combative. As hard as you may try, you can’t always get away from these folks. The Internet is a veritable breeding ground for these people. Unfortunately, you may encounter a hostile patient from time to time. As physically incapacitated as some of these hostile people might be, there is one weapon in their arsenal that doesn’t rely on physical prowess: the threat of litigation.

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Culture Shock

Emerging RN Leader

By Rose O. Sherman, EdD, RN, NEA-BC, FAAN I spent last week at the Gallup Work Summit. Researchers at Gallup have been studying workforce and workplace issues for more than 50 years. They are well-positioned to look at data across time and advise leaders on the future of the work. So when they report that […] The post Culture Shock appeared first on Emerging Nurse Leader.

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Is Robert F. Kennedy, Jr. antivaccine? Judge him by his own words!

Science Based Medicine

Last week, an antivaxxer on Substack—where else?—tried to argue that Robert F. Kennedy, Jr. is not antivaccine by encouraging you to judge him by his own words. I agree. You should judge RFK Jr. by his own words, as they show definitively that he has been antivaccine since at least 2005. The post Is Robert F. Kennedy, Jr. antivaccine? Judge him by his own words!

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LGBTQIA+ Community Nursing Representation Is Essential

Minority Nurse

As LGBTQIA+ nurses celebrate June’s Pride Month, they continue to advocate for accessible and safe care for the LGBTQIA+ community and for a nursing workforce that represents the populations they serve. Jeff Day, DNP, AGPCNP-BC, CNEcl, who is chair of the nursing section of GLMA and a medical provider at Callen-Lorde a New York City-based community health center and a global leader in LGBTQIA+ healthcare, says a diverse nursing workforce is essential to good patient care, but it also make

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How Do I Deal with Suspected Abuse?

Scrubs

As nurses, we have a duty to report all cases of suspected abuse. Your healthcare facility should have clear procedures in place outlining the exact steps you should take. Consider this a refresher course. These situations can easily catch us off guard and you might not have a chance to refer to your employee manual or speak with a more senior nurse when caring for victims of abuse.

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A “Great Re-Set” for Telehealth and Remote Monitoring? Panda Health Says That’s a “Yes”

Health Populi

The fast-growing adoption of telemedicine and remote patient monitoring from the emergence of the COVID-19 pandemic led to hospitals and health systems launching new or expanding existing virtual care programs to accommodate a new reality for work-flow and patient care. Now that the worst of the coronavirus acute impact is in our rear-view mirror, it appears medical care providers are reassessing these implementations and may “rip [out] and replace” those systems, according to The G

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Does the Shingles Vaccine Stop Dementia. in women. and even more than it stops shingles?

Sensible Medicine

Over 5000 people have retweeted and over 4 million have seen a new preprint that claims that the shingles’ vaccines reduces the risk of dementia. The vaccine purportedly lowers the risk of shingles by 1 percentage point over 7 years; Apparently, it also lowers the absolute risk of dementia by 5.6% in women (Bigger effect!) and essentially nothing in men, according to this paper.

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Man Goes to the Hospital for Toothache Only to Die Hours Later

Scrubs

Diego Soto went to Public hospital Villa Regina in Argentina on June 6 complaining of a toothache, but he never made it out alive. The doctors treated him with an injection and Soto later returned to his home only to be found dead early the next morning. A preliminary autopsy classified the cause of death as “acute pulmonary edema,” a condition in which abnormal fluid builds up in the lungs.

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Carrying Our Patients’ Stories

Minority Nurse

Nurses’ hearts and minds are like living libraries of patients’ stories. In the intimate container of trust created in the nurse-patient relationship, a tapestry of memories, confessions, and reflections are woven, and the nurse is privileged to be privy to such soulful sharing. As nurses, what are we to do when we’re the repositories of so much of the richness of our patient’s lives, including the tragic, the comedic, and the mundane?

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A Letter to My Critics: To Refute Me, Stand Up For Your Own Words

Science Based Medicine

Calling me a "lockerdowner" generates likes and retweets from "free-thinkers", but it doesn't refute anything I wrote. Since you obviously need help, I'd like to give you a clear roadmap to refute my ideas. All you have to do is stand up for your own words and make the affirmative case that the purposeful infection of unvaccinated children and young adults was wise and a net positive.

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Learning From Failure

Emerging RN Leader

By Rose O. Sherman, EdD, RN, NEA-BC, FAAN I recently did a workshop and a young leader in the workshop reached out to me after the session. She was looking for advice on how to bounce back from a leadership failure. Her story is one that I have heard before from leaders beginning their leadership […] The post Learning From Failure appeared first on Emerging Nurse Leader.

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Woman Declared Dead Knocks on Coffin Door During Her Own Wake

Scrubs

Something unexpected happened during a funeral in Ecuador over the weekend. The ceremony was held in honor of Bella Montoya, a retired nurse, who was pronounced dead at the age of 76. The only problem was that she wasn’t dead. The family halted the funeral when they heard strange sounds from inside the coffin where they found Montoya alive and breathing.

Hospital 190
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Part 2 - The ELAN Trial Forces Doctors to Be Mature About Using Medical Evidence

Sensible Medicine

If you have not read part 1 of this series, do that now. It is short. We will wait. NEJM published the ELAN trial in May of this year. Early vs late initiation of oral anticoagulation after an ischemic stroke due to atrial fibrillation. The primary outcome was a composite of lots of bad things—stroke, systemic embolism, intracranial bleeding, extracranial bleeding, and death due to cardiovascular causes.

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Dubious Autonomic Nervous System Claims

Science Based Medicine

Beware overblown claims that autonomic testing can help almost anything. The post Dubious Autonomic Nervous System Claims first appeared on Science-Based Medicine.

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Uber Health: A Good Example of “Connective Tissue” in the Health Care Ecosystem

Health Populi

We often talk about “the last mile” as the difficulty in getting broadband to cover folks in rural areas or bringing a product to fruition for delivery in a market. Uber Health is trying to solve another riff on the “last mile” challenge, which is expanding delivery of groceries and over-the-counter medicines to people who may be cut-off from transportation options, compelled to stay home due to physical limitations, or otherwise simply demanding the convenience of home d

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Nurses Give Advice to Parents with an Infant in the NICU

Scrubs

Giving birth can be one of the most beautiful experiences in a person’s life, but it can also be one of the most traumatic. According to NPR , every year more than 300,000 U.S. families have infants who require specialized care in the NICU. This can be a stressful time for the parents who usually want nothing more than to take their child home.

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A Controlled Trial of Arthroscopic Surgery for Osteoarthritis of the Knee

Sensible Medicine

I can’t believe I am at number six in this series and have not discussed a good case of medical reversal ! Well, here we go. Going back to 2002 with this one. At the time, when medications, weight loss, and steroid injections [1] had failed to improve the symptoms of knee osteoarthritis, arthroscopic lavage or debridement was often recommended.

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CNA Week Recognizes Certified Nursing Assistants

Minority Nurse

Each year, the third week of June is a time to recognize and honor the work of certified nursing assistants with CNA Week. Celebrated this year from June 15 to 23, the National Association of Health Care Assistants (NAHCA) sponsors the week and helps draw attention to the vital work certified nursing assistants do. According to the NAHCA, nearly one million CNAs are in the workforce.

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It Will Be a “Meh” Year for Consumers Buying Connected Health Devices, Based on CTA’s 2023 Forecast

Health Populi

In 2023, U.S. consumers’ purchases of technology in their households will contract this year. Consumer-facing health-tech categories won’t be spared, we learn in the 2023 U.S. Consumer Technology Ownership & Market Potential Study , an annual update from the Consumer Technology Association (CTA). On the upside, smartwatch market penetration held steady in 2023, as this favorite form of wearable technology is “providing consumers a personalized digital health and fitness das

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Arlington’s First Black Nurse Honored During Juneteenth Celebration

Scrubs

Margaret Taylor made history when she became the first black nurse to practice in the city of Arlington, Texas, where she has worked for nearly 50 years. She started her career waking up at 5:30 a.m. to catch the bus, so she could travel 13 miles to the segregated I.M. Terrell High School in Fort Worth to finish her education. She continued her morning routine when she eventually became a nurse at Arlington Memorial hospital, now known as Texas Health Arlington Memorial Hospital.

Hospital 190
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Friday Reflection 23: The Ghost Patient Panel

Sensible Medicine

When I last saw RP, he was an 87-year-old man. He suffered from an impressive list of medical problems: diabetes, obstructive sleep apnea, hypertension, atrial fibrillation, and restless leg syndrome. His most troublesome problem, however, was adjustment disorder, really a broken heart. His wife, also a long-term patient of mine, had succumbed to pancreatic cancer that had capped years of debilitating illnesses.

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19Labs and EchoNous Partner to offer AI-enhanced Point-of-Care Telemedicine Platform

19 Labs

Partnership creates advanced telemedicine solution incorporating high-performance POCUS, Zoom-Based Telemedicine and over thirty additional diagnostic devices REDWOOD CITY, Calif. – June 14, 2023 –EchoNous, the point-of-care ultrasound company that is redefining the handheld ultrasound category, today announced a partnership with 19Labs to provide enhanced telehealth capabilities to rural communities and medical educators by adding the Kosmos ultrasound system to the 19Labs GALE eClinics platfor

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Remote Therapeutic Monitoring (RTM) by Physitrack

DrChrono

Remote therapeutic monitoring (RTM) has recently become a widely discussed topic in the American health care system. These newly adopted CPT codes now allow practitioners to bill for services many were already providing as part of a typical plan of care. Let’s explore the background of what RTM is and if it is something you should be considering in your practice Let’s get started.

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New York Hospitals Will Now Assign Two Nurses to Every Critical Care Patient

Scrubs

Nurses across the state of New York are breathing a sigh of relief now that the “Safe Staffing Act” is finally going into effect. The law passed the state legislature during the COVID-19 pandemic as a way of strengthening the healthcare system and easing the burden placed on NY nurses after years of systemic staff shortages. “There shall be a minimum of one registered professional nurse assigned to care for every two patients that an attending practitioner determines to require intensive or crit

Hospital 190
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Medical Conservatism, the ELAN Trial, and Residents Striking

Sensible Medicine

Links The Case for Being a Medical Conservative [link] ELAN Trial [link] Mandrola on NYC Residents’ Strike [link]

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LGBTQ+ Pride Month Spotlight: Benjamin Silverberg, MD

Doximity

Happy Pride Month! As we celebrate, we want to emphasize the rich contributions of LGBTQ+ physicians within our community. Their influence reaches far beyond clinical care - they are enriching education, influencing research, and shaping policy for greater inclusivity. This month, we're elevating their voices and their invaluable work, amplifying the diversity they bring to our healthcare system.

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What Is Revenue Cycle Management - A Comprehensive Guide

DrChrono

Although healthcare practices serve an invaluable purpose, at the end of the day, they’re still a business. And that means that they have to bring in revenue to continue helping patients. To ensure providers get paid for their services and that practices can continue to run, they must master a process called revenue cycle management. In this article, we’ll dig into what revenue cycle management entails and why it matters.

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Nursing as a First or Second Career: What to Consider

Scrubs

Whether you’re just out of high school or it’s been decades since you sat in a classroom, you might be considering a career in nursing. It’s common to turn to nursing after years as a stay-at-home parent or in another job that they did not find fulfilling. It has several advantages for both young and older adults alike, including a healthy job market and good compensation.

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Montana Clinics Chip Away at Refugees’ Obstacles to Dental Care

Scrubs

Yu Yu Htwe had never had dental problems, so she was surprised when a dentist told her she had three cavities at her first appointment in this small city in western Montana. Htwe, 38, is from Myanmar and worked as an OB-GYN there until a military coup overthrew the government in February 2021. Alongside other medical workers, she participated in a civil disobedience movement against the military, and, fearing reprisal, fled the country with her husband and young daughter.

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Hundreds of Patients Wrongly Diagnosed with Cancer Due to Software Mix-up

Scrubs

The biotech firm known as Grail made headlines earlier this year thanks to its signature Galleri blood tests, which can detect up to 50 different kinds of cancer early on to improve patient outcomes. The tests were hailed as the “first of its kind” when it hit the market in 2023. It is only available with a prescription and currently costs $949 per test.

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What One Hospital’s Slow Recovery From a Cyberattack Means for Patients

Scrubs

In fall 2021, staffers at Johnson Memorial Health were hoping they could finally catch their breath. They were just coming out of a weeks-long surge of COVID-19 hospitalizations and deaths, fueled by the delta variant. But on Oct. 1 at 3 a.m., a Friday, the hospital CEO’s phone rang with an urgent call. “My chief of nursing said, ‘Well, it looks like we got hacked,’” said David Dunkle , CEO of the health system based in Franklin, Indiana.

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