Robin Williams – Coroner’s Report: What the Media Missed – Video


Robin Williams - Coroner #39;s Report: What the Media Missed
The coroner #39;s report for Robin Williams has just been released. There are some really crucial facts in there which are important to clearly understand the full context in which his death occurred.

By: One Minute Medical School

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Robin Williams - Coroner's Report: What the Media Missed - Video

One medical schools ultimate test carries all the chaos of the battlefield

Running away from the sound of gunfire and IED blasts toward a shelter door, 2nd Lt. Rowan Sheldon of the U.S. Army suddenly stopped dead and gasped out an expletive: It wasnt an escape, it was a solid wall.

Behind him, all the medics and others in his platoon were carrying badly wounded soldiers, looking to him to lead them to a safe spot where they could triage, put on tourniquets, get patients on litters and move them away from the battlefield for treatment.

There are tough final exams. There are grueling final exams. And then there is the test at the nations medical school for the military, in which students must navigate a simulated overseas deployment culminating in a staged mass-casualty incident with deafening explosions, screaming, smoke, gunfire and fake blood everywhere.

In the intense stress of that moment, sweating fourth-years have to pull up the lessons learned in class to bring order to chaos. Enough order, at least, to get people somewhere safe enough to start healing.

Its the most important week of medical school, said Arthur Kellermann, dean of the F. Edward Hbert School of Medicine at the Uniformed Services University of the Health Sciences. Its the week when students camped at a National Guard base take on every challenge instructors can think to throw at them. Suicide bombers. Unraveling diplomatic relations. An influx of refugees. A sexual assault. And hundreds of wounded soldiers.

We had a great plan going in, Sheldon said. But they say no plan passes first contact with the enemy, right? We quickly realized there was no way this plan was going to work.

Learning medicine, combat

The countrys only medical school for the military began in an unlikely spot: on the third floor of a corner lot in Bethesda, above a drugstore and a bank.

That was in 1972, not long after President Richard M. Nixon called for an end to the draft. Now the school sits on the grounds of Naval Support Activity Bethesda, next to the Walter Reed National Military Medical Center, across from the National Institutes of Health.

The school serves 1,200 students, including 700 medical students among nursing candidates and those studying public health and other disciplines. Medical students pay no tuition in exchange for a commitment to serve across the armed forces; some are already active-duty members of the military while others have no military experience. They receive a commission when they enroll.

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One medical schools ultimate test carries all the chaos of the battlefield

Military medical school pushes would-be combat doctors to their limits

(c) 2014, The Washington Post.

WASHINGTON Running away from the sound of gunfire and IED blasts toward a shelter door, 2nd Lt. Rowan Sheldon of the U.S. Army suddenly stopped dead and gasped out an expletive: It wasn't an escape, it was a solid wall.

Behind him, all the medics and others in his platoon were carrying badly wounded soldiers, looking to him to lead them to a safe spot where they could triage, put on tourniquets, get patients on litters and move them away from the battlefield for treatment.

There are tough final exams. There are grueling final exams. And then there is the test at the nation's medical school for the military, in which students must navigate a simulated overseas deployment culminating in a staged mass-casualty incident with deafening explosions, screaming, smoke, gunfire and fake blood everywhere.

In the intense stress of that moment, sweating fourth-years have to pull up the lessons learned in class to bring order to chaos. Enough order, at least, to get people somewhere safe enough to start healing.

"It's the most important week of medical school," said Arthur Kellermann, dean of the F. Edward Hebert School of Medicine at the Uniformed Services University of the Health Sciences. It's the week when students camped at a National Guard base take on every challenge instructors can think to throw at them. Suicide bombers. Unraveling diplomatic relations. An influx of refugees. A sexual assault. And hundreds of wounded soldiers.

"We had a great plan going in," Sheldon said. "But they say no plan passes first contact with the enemy, right? We quickly realized there was no way this plan was going to work."

- - -

The country's only medical school for the military began in an unlikely spot: on the third floor of a corner lot in Bethesda, above a drugstore and a bank.

That was in 1972, not long after President Richard Nixon called for an end to the draft. Now the school sits on the grounds of Naval Support Activity Bethesda, next to the Walter Reed National Military Medical Center, across from the National Institutes of Health in Bethesda, Maryland.

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Military medical school pushes would-be combat doctors to their limits

BIDMC's Bruce Furie, MD, honored as Distinguished Scientist by American Heart Association

PUBLIC RELEASE DATE:

7-Nov-2014

Contact: Bonnie Prescott bprescot@bidmc.harvard.edu 617-667-7306 Beth Israel Deaconess Medical Center @BIDMChealth

BOSTON --- Bruce Furie, MD, Chief of the Division of Hemostasis and Thrombosis at Beth Israel Deaconess Medical Center (BIDMC) and Professor of Medicine at Harvard Medical School, has been named a 2014 Distinguished Scientist by the American Heart Association (AHA).

The Distinguished Scientist Award was created 10 years ago to recognize AHA members for significant, original and sustained scientific contributions that have advanced the association's mission of "building healthier lives, free of cardiovascular diseases and stroke." Furie is one of six recipients of this year's prestigious award and will be honored during the Opening Session at the American Heart Association Scientific Sessions on November 15.

A world leader in hemostasis and thrombosis research, Furie's work spans more than 40 years and has led to pioneering discoveries in understanding the mechanisms that underlie the formation of blood clots. A leading cause of heart attack and stroke, blood clots (thrombi) account for more than half of all morbidity and mortality in the United States.

Work by the Furie laboratory has led to the discovery of P-selectin, an adhesion molecule that serves as "molecular Velcro" to capture critical white blood cells at the site of inflammation. His group also developed a novel imaging technology for witnessing thrombus formation in a living animal.

"Bruce Furie's work has provided the medical community with critically important insights into exactly how blood clots form," says BIDMC Chair of Medicine Mark Zeidel, MD. "His one-of-a-kind widefield and confocal imaging system has shown that a critical series of enzymes known for their participation in protein synthesis are also required for thrombus formation."

BIDMC Chief Academic Officer Vikas Sukhatme, MD, PhD, adds, "Dr. Furie is the quintessential translational scientist. His lab's discovery that protein disulfide isomerase [PDI] plays a critical role in blood clot formation is a prime example of how basic research can reach the patient. He and members of his group have now embarked on clinical trials to test whether PDI can serve as an improved target for a novel class of antithrombotics."

Furie received his AB from Princeton University and his MD from the University of Pennsylvania. After residency at the Hospital of the University of Pennsylvania, he was a postdoctoral fellow at the National Institutes of Health (NIH). He joined the faculty of BIDMC in 1997 after 22 years on the faculty of New England Medical Center (now Tufts Medical Center) and Tufts University School of Medicine where he served as Chief of the Division of Hematology-Oncology.

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BIDMC's Bruce Furie, MD, honored as Distinguished Scientist by American Heart Association

Ground broken for UIW Medical School

NEWS

Renovation to soon begin on new campus at Brooks City Base

Posted YESTERDAY, 6:21 PM Updated YESTERDAY, 7:04 PM

SAN ANTONIO - University of the Incarnate Word leaders helped break ground Friday at the future site of the university's medical school at Brooks City Base.

The walls of several buildings at Brooks City Base will soon be covered with UIW Cardinal red and black.

"It's just a dream come true," said Dr. Robyn Madson, who will be the dean of the UIW School of Osteopathic Medicine.

"As an osteopathic medical school, we're interested in holistic care of patients and we will be focused predominantly on training and educating physicians in primary care fields who will serve the underserved in Texas," Madson said.

The project is split into two phases.

Phase 1 will renovate four to five buildings into medical school facilities and is estimated to be done by 2017. Phase 2 will renovate three other buildings that should be done by 2020.

Phase One will cost $50 million, but Madson said the cost will be more than worth it. She said the facility is needed now more than ever.

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Ground broken for UIW Medical School

UofL Trover Campus Wins National Academic Medicine Award

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Newswise LOUISVILLE, Ky. The Trover Campus at Baptist Health Madisonville of the University of Louisville School of Medicine will receive the 2014 Shining Star of Community Achievement award from the Group on Regional Medical Campuses of the Association of American Medical Colleges (AAMC). The award will be presented today (Friday, Nov. 7) during the AAMC Annual Meeting at the Hyatt Regency in Chicago.

The award is presented to a regional academic medical program that has a positive impact on the community it serves and shows success in achieving a part of the medical schools social mission.

Begun in 1998 by UofL and the Trover Health System (now Baptist Health Madisonville) under the leadership of William J. Crump, M.D., the Trover Rural Track has several components, all with the same goal: to address the shortage of physicians in medically underserved rural areas.

More than two-thirds of Kentuckys counties 81 out of 120, and nearly all of them rural are officially designated health professional shortage areas (HPSAs) for primary care by the Health Resources and Services Administration. Nationally, only about one-fourth of the United States 3,082 counties are wholly designated as primary care HPSAs.

Baptist Health hosts the Trover Campus in Madisonville, Ky., serving a population of 300,000 in 12 counties with a group practice of more than 75 physicians in more than 25 specialties; a 410-bed hospital with 100 physicians on staff; up-to-date diagnostic and treatment technologies; a comprehensive cancer treatment facility and more.

The idea is simple, said Crump, who is associate dean for the Trover Campus and co-directs the campus with Steve Fricker, director of rural health/student affairs. The best way to get doctors to small towns is to get medical students from small towns. Our program strives to provide first-class, individualized clinical training in an environment that allows students to experience the benefits of small-town life.

The Trover Campus sponsors High School Rural Scholar and College Rural Scholar programs that help students from the region gain admission to medical school. Summer programs in Madisonville held after students first year of medical school in Louisville help them stay connected to the region. A student-led free clinic at the campus provides primary care services to the areas low-income and uninsured population while giving students valuable training as part of their medical school curriculum.

The Trover Campus newest component reached an important milestone in May when Ashley Jessup of Benton, Ky., became the first graduate of its Rural Medical Accelerated Track. This track enables students to finish medical school in three years, reducing both the cost and length of their education and training.

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UofL Trover Campus Wins National Academic Medicine Award

International Academy of Cardiology: Hanumanth K. Reddy, M.D.: ATYPICAL AND UNUSUAL – Video


International Academy of Cardiology: Hanumanth K. Reddy, M.D.: ATYPICAL AND UNUSUAL
ATYPICAL AND UNUSUAL CLINICAL PRESENTATIONS OF PATIENTS WITH ISCHEMIC HEART DISEASE (Invited Lecture) Hanumanth K. Reddy, M.D. St. Louis University Medical School, St. Louis, ...

By: Cardiology Online

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International Academy of Cardiology: Hanumanth K. Reddy, M.D.: ATYPICAL AND UNUSUAL - Video

Medical Errors Drop When Docs Communicate Better at Shift Changes

By Steven Reinberg HealthDay Reporter

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- Changing how doctors communicate during shift changes in hospitals reduced the risk of adverse events in patients by 30 percent, a new study found.

In the study of nearly 11,000 patients, researchers also found that a better method of communication could reduce the rate of medical errors by almost 25 percent.

"We were trying to improve the way doctors were passing on patient information," said lead researcher Dr. Amy Starmer, a lecturer on pediatrics at Harvard Medical School in Boston.

To improve communication between doctors caring for patients, Starmer's team instituted a "handoff" program at nine hospitals. The study authors measured how effective the program was in reducing medical errors and adverse events to patients. They also looked to see if the program interfered with workflow.

Specifically, they developed a method of communication dubbed the "I-PASS Handoff Bundle." For each patient in the doctor's charge, both oral and written data are required to describe:

Doctors were trained to use the system, as well as how to use it in conjunction with the electronic medical record system, Starmer said.

In addition to reducing medical errors, such as prescribing the wrong medications or procedures, the program didn't take a toll on the doctors' workflow, she said.

"We are really excited about the study," Starmer said. "Not only do we see a dramatic reduction in medical errors, but we found that this method is adaptable to other hospitals and to other health care workers, such as nurses and surgeons," she said.

The report was published in the Nov. 6 issue of the New England Journal of Medicine.

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Medical Errors Drop When Docs Communicate Better at Shift Changes

Some Schools Want Less Healthy Lunches (And Why We Need to Stop This)

Did you know that some schools actually want to make their lunches less healthy?

It's true. Some colleagues of mine, Jennifer Woo Baidal and Elsie Taveras, wrote about it in a terrific article in the New England Journal of Medicine that is a must-read.

Since 2012, public schools have been using updated nutrition standards. The changes, which came from the Healthy, Hunger-Free Kids Act of 2010 (HHFKA), are simple and sensible: more fruits, vegetables and whole grains, less trans fats and sodium, healthy calorie guidelines. And as an incentive, HHFKA gave the schools more money.

Sounds perfect, huh? Healthier foods for the kids, more money for the schools.

But now, just two years later, many schools want out. Some school officials, food-industry advocates, and the School Nutrition Association have raised concerns--so much so that the House of Representatives included a way for schools to get a waiver and opt out in the 2015 Agriculture Appropriations Bill.

Why would any school want to go back to unhealthy school lunches? The answer is what it almost always is in these kind of situations: Money.

The problem, they say, is that fewer kids are buying the lunches since the changes. Now, it's not clear that this is all because of the changes--while it's true that fewer kids are buying school lunches (even though more qualify for free school meals), this started before 2012. Prices have gone up, and, well, school lunches hardly have a great reputation, if you know what I mean.

But it is true that the healthy lunches don't go over big with all children. Hey, we see this at our own dinner tables. While there are certainly children out there who love broccoli, many more of them love french fries.

However, at our own dinner table, we don't say: Oh, no problem, you don't have to eat your broccoli. Or any vegetables or fruits, today or ever. Just eat french fries. Because we know that this would be bad for our children, and we want them to be healthy. Shouldn't schools want the same thing?

And here's the other thing we need to remember: The more kids are exposed to a new food, the more likely they are to eventually like it and eat it. Not only does seeing healthy foods in school help set kids up for better eating habits, the simple truth is that it may take more than two years for this new way of eating to become normal and accepted--and for kids to start eating more of those apples and salads and stop throwing them out.

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Some Schools Want Less Healthy Lunches (And Why We Need to Stop This)

Yale Forms Gender Task Force Amid Scrutiny at Medical School

Yale Universitys medical school has formed a task force on gender equity amid scrutiny of the handling of a researchers accusation of sexual harassment.

Yale suspended Michael Simons for 18 months as the medical schools cardiology chief last year and mandated he take sexual harassment training after complaints from a postdoctoral associate and her boyfriend, according to the New York Times. The penalty was lighter than recommended by a university committee, drawing criticism from faculty and raising questions about Yales handling of such complaints, the newspaper said.

Clearly there are concerns in the medical school about the work environment, Yale President Peter Salovey said in a Nov. 2 statement. We must -- and will -- deal with inappropriate behavior consistently, no matter what position a person holds.

Yale is among dozens of colleges across the country where students have filed complaints with the U.S. Education Department alleging their schools failed to comply with federal laws to prevent and appropriately respond to campus sexual misconduct. In a resolution reached with the department in 2012, New Haven, Connecticut-based Yale agreed to take a number of steps across the university to improve how it handles and reports allegations of sexual assault.

The latest case involves Annarita Di Lorenzo, a former researcher at the medical school, who received a love letter from Simons, according to the Times. Di Lorenzo lodged a sexual harassment complaint last year, and Frank Giordano, a medical school cardiology professor who was her boyfriend at the time and is now her husband, filed a separate complaint saying Simons retaliated against him professionally, the Times reported.

Yales University-Wide Committee on Sexual Misconduct recommended in a report last year that Simons be removed as cardiology chief and be ineligible for any other top administrative role for five years, according to the Times. Instead Provost Benjamin Polak, who is the final decision maker, lowered the penalty to the 18-month suspension and harassment training, the newspaper said.

Several years ago I briefly pursued by e-mail a colleague who was in a junior but not a subordinate position, Simons wrote in an e-mail, saying he apologized and regrets his action. In no way did I abuse my position at Yale to punish or retaliate against any faculty member.

The committee determined the allegations of retaliation to be unfounded, Simons said.

Yale formed the gender equity task force on Oct. 3 and announced on Oct. 27 that Simons wouldnt be returning as cardiology chief, according to Tom Conroy, a spokesman. Conroy yesterday declined to comment further on the case citing confidentially of the proceedings.

The task force will consider the advancement of women faculty, opportunities for leadership, and aspects of the work environment, Yale said in a Nov. 2 statement.

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Yale Forms Gender Task Force Amid Scrutiny at Medical School