Home / Healthcare Updates (page 30)

Healthcare Updates

Links and commentary to healthcare news around the internet

Healthcare Update — 11-13-2011

See more medical stories from around the web over at the Satellite Edition of this week’s update at ER Stories.net Remember how the Congressional Budget Office predicted that so many more people would have health care “insurance” after health care reform was enacted? A recent Gallup poll shows that the CBO is inept at making these predictions. Instead of a 6 million people gaining health insurance as the CBO predicted, more than 4.5 million people LOST their health insurance. And we already know that health care insurance doesn’t equate to health care access any more than automobile insurance means that you have access to a car. What was voted the most hazardous technology in hospitals this year? It’s not what you would think. Finally an agency looks into the unintended consequences of “safety” measures. Patients really gone wild. Bronx hood punk shoots up emergency department after rival gang member called to triage for treatment. Let’s legalize marijuana. After all, it’s [synthetic counterparts are] harmless … right? Right? (edited 11/15/2011) The good kind of payback. Man stops to help someone change a flat tire. A few miles down the road, the same man has a heart attack and is unconscious. People with formerly flat tire drive up, perform CPR, and, when help arrives, use AED to save his life.

Read More »

Healthcare Update — 11-07-2011

Also see the Satellite Edition of this week’s update at ER Stories.net (I hope) $9 million verdict against Wyoming hospital and emergency physician after patient with neck pain was discharged from emergency department after accident with no neck imaging. Later, he was diagnosed with multiple cervical fractures and has chronic pain. $2 million of the patient’s verdict goes to his wife for loss of consortium. $29 million judgment upheld against Northwestern Memorial Hospital after obstetricians fail to diagnose Group B Strep infection at birth. Want to know what some Michigan hospital CEOs earned in 2010? Here’s a list. Six patients in a south Chicago hospital last weekend waited 2 to 4 days in the emergency department before emergency department staff could find a psychiatric hospital to take them. Meanwhile, staff is making regular phone calls, faxing documents back and forth, filling out all the government-mandated paperwork, etc. And now Illinois’ governor wants to close more state-run psychiatric hospitals. Wonder why wait times in the emergency department are so high?

Read More »

Healthcare Update — 10-31-2011

Also see the Satellite Edition of this week’s update over at ER Stories.net. Many good Halloween safety recommendations from emergency department staff at UC San Diego Health System. Take a look before you go trick or treating. Interesting infographic regarding emergency department visits, including the most common reasons for visits to the emergency department (not what I guessed), percentage of patients less than 25 years old, and percentage of visits that were not urgent (again, not what I would have guessed). Nursing pays. Nurse in California earns $270,000, including overtime. Walter Olson of Overlawyered.com fame creates an interesting piece at Cato’s blog. Why is it that courts won’t let physicians and patients contract around medical malpractice issues? For example, “Could you set this broken arm? I promise not to sue you for more than a half million if something goes wrong, nor for anything short of gross negligence, and yes, I agree to arbitration.”

Read More »

Man Cuts Arm Off with Guillotine

“I tried to think of a witty comment to this story … but I was stumped.” So begins the comments section to the story about a Washington man who was rushed to the emergency department after cutting off his arm with a homemade guillotine. While the story is sad, many of the comments are amusing … in a morbid kind of way. A picture of the actual guillotine is here. Then there’s this article about whether the patient may have Body Integrity Identity Disorder. A related story describes a man who wanted to cut his arm off with a table saw but who lost his … nerve. Aaaaugh. Make it stop.

Read More »

Healthcare Update — 10-23-2011

Jury awards 15 year old patient $144 million judgment against William Beaumont Hospital in Michigan after she was born with cerebral palsy and hypoxic-ischemic encephalopathy — which her attorney described as “the worst [injuries] that have negligently been inflicted on an innocent child in the history of Michigan, perhaps the United States.” Tsk tsk tsk. A single phone call from a doctor’s office to a patient’s home to one of the “judicial hellholes” in Illinois isn’t sufficient enough for a medical malpractice attorney to get jurisdiction in the judicial hellhole. To rule otherwise, the appellate court held, would “ensure that no physician ever delivered instructions over the telephone.” But it was a nice try. The safety net gets strained even more. Visits to emergency departments increase by 10% in 2009 to 136 million.

Read More »

Got emphysema, asthma, arthritis, or inflammatory bowel disease? Eat broccoli.

I was forwarded an article that seems boring, but had an interesting catch to it. You  may not have known this, but denitrosylation of HDAC2 by targeting Nrf2 restores glucocorticosteroid sensitivity in macrophages from COPD patients. The study showed that in some forms of chronic inflammatory diseases, such as COPD/emphysema, acute respiratory distress syndrome, asthma, rheumatoid arthritis, and inflammatory bowel disease, a chemical reaction within a transcription factor called NRF2 within the cells causes them to be less sensitive to steroid therapy. When study patients with COPD were given either glutathione or sulforaphane, the chemical reaction was reversed and macrophages within the alveoli of the lungs became significantly more responsive to steroids. One food that is high in both glutathione and sulforaphane is … broccoli. Did a little extra research on the internet and found that glutathione is also contained in asparagus, potatoes and many green leafy vegetables and that sulforaphane is also contained in cabbage, cauliflower, bok choi, and those same green leafy vegetables. And … one of the things that depletes glutathione in the body is Tylenol. Also ran across a study in 2009 showing that the Nrf2 factor also plays a role in Helicobacter pylori infections and that ingestion of broccoli sprouts decreased byproducts of H. pylori infection by 40%. Makes me wonder whether these chronic inflammatory diseases may have some type of bacteriologic basis. Now they just have to do a study to find out many people would rather have COPD exacerbations than eat broccoli or green leafy vegetables every day.

Read More »