Monday, February 16, 2015

Defensive backs at greatest risk for serious head and neck injuries from football.

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This article from AANS regarding traumatic brain injury (TBI) data from 2012 discusses sports related concussions and the more serious bra...
Friday, January 30, 2015

As the destroy fee for service movement ramps up just remember there is no perfect compensation mechanism

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 The Obama administration is ramping  up the campaign against medical  fee for service and claiming they want to pay for quality not quant...
Monday, January 26, 2015

Are patients pawns on the chess board of population medicine?

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They would seem to  be at least so it appears to be in the presentation of the "population medicine approach" of by Dr. Harold Sox...
1 comment:
Friday, January 23, 2015

Maybe the health care supply curve slopes upwards and more ACA bait and switch

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See here for a review of a recent NEJM article that supplied data indicating that the temporary increase in Medicaid fees which was part of...
Thursday, January 15, 2015

Is Maintenance of Certification (MOC) part of ACA and who put it there?

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The short answer is : Yes, MOC  has been implanted into the legislative structure of ACA and for many (most?) practicing physicians this i...
3 comments:
Monday, December 22, 2014

If you wondered what the American Board of Internal Medicine Foundation was all about...

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I have asked more than once on this blog why does the American Board of Internal Medicine (ABIM) have a foundation ( the ABIMF).Why did one ...
Friday, December 12, 2014

Fewer hospital readmissions,the seen and the unseen and Goodhart's Law

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One of the multiple provisions of the Affordable Care Act (ACA) is something called the Medicare Hospital Readmission Program.This provision...
Friday, December 05, 2014

Does a JAMA viewpoint essay by Dr. Harold Sox reveal what population health really means?

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Dr. Harold C. Sox writing in the November 13,2013 issue of JAMA in an article entitled  "Resolving the tension between Population Healt...
Thursday, December 04, 2014

The coruption of medical practice

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Drs Hartzband and Groopman hit another major home run..See here . This husband and wife physician team  from Harvard Medical School have...
Friday, November 28, 2014

Does exercising efficiency decrease in cycists and walkers with aging but not runners?

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The following will likely  only be of interest to older runners,walkers, cyclists and folks who like to talk about mitochondria.see here fo...
Friday, November 14, 2014

Eight high school football deaths from head or neck injury in 2014 equaling the number in 2013.

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The Annual Survey of Football Injuries 1931-2013 (first author Kristen Kucera) was published in March 2014.See here for the full report. ...
Monday, November 10, 2014

The Great Health Information Technology Flim-Flam explained in plain english

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Margalit Gur-Arie has hit another out of the park on her blog "Health Care Technology". Everyone should read her recent entry enti...
Friday, October 24, 2014

Does much of the blame for sarcopenia rest on the satellite cells of the fast twitch muscle fibers?

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Well, at least some of the blame anyway. Dr. LB Verdijk and coworkers at the Masstricht University in The Netherlands have published sever...
Tuesday, September 30, 2014

Can long standing endurance exercise training mitigate the of age related loss of compliance of left ventricle?

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With more evidence available to generate legitimate concern about an increased risk of atrial fibrillation with  many years of endurance exe...
1 comment:
Friday, September 26, 2014

Another chapter in "were you wrong then doctor, or are you wrong now?" this time regarding stenting of non culprit lesions.

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The American College of Cardiology recently retracted one of its magic five "Choosing Wisely" recommendations.In 2012 ACC had ad...
Friday, September 19, 2014

Are pediatric football concussions different from high school and college head trauma?

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It would be nice to think so and a 2012 study by Maugans et al provides some data ( see here for full text) which suggests it may be the ca...
Thursday, September 18, 2014

Is the "triple aim of health care" analogous to the dual mandate of the Federal Reserve

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Well, it can be argued that they are both unachievable and the execution of their aims and goals will require wise men such as the "Men...
Friday, September 05, 2014

Is there convincing evidence that some high school football players develop traumatic brain injury without sustaining a concussion?

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Traumatic brain injury (TBI) is classified as mild,moderate and severe based on mental status change and duration of loss of consciousness (...
Sunday, August 31, 2014

The effects of multiple sub-concussion head blows in football

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Two research  groups have demonstrated brain imaging findings in collegiate football players over the course of a season.Importantly these a...
Wednesday, August 13, 2014

What would happen if Choosing Wisely became the medical "law of the land"?

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Choosing Wisely (CW) is an initiative or campaign lead by the American Board of Internal Medicine Foundation (ABIMF) to change the thinking ...