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Category Archives: Medicine

20 for the 20th: Dan L. Duncan Cancer Center at Baylor College of Medicine – Video

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20 for the 20th: Dan L. Duncan Cancer Center at Baylor College of Medicine
Dr. Susan Hilsenbeck, the first biostatistician on the Scientific Advisory Board, passes the V to Dr. Trey Westbrook, V Scholar recipient, and Dr. Lisa Wang,...

By: The V Foundation for Cancer Research

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20 for the 20th: Dan L. Duncan Cancer Center at Baylor College of Medicine - Video

Regenerative Medicine: Mayo Clinic and Collaborators Develop New Tool for Transplanting Stem Cells – Video

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Regenerative Medicine: Mayo Clinic and Collaborators Develop New Tool for Transplanting Stem Cells
Mayo Clinic researchers and colleagues in Belgium have developed a specialized catheter for transplanting stem cells into the beating heart. The novel device...

By: Mayo Clinic

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Regenerative Medicine: Mayo Clinic and Collaborators Develop New Tool for Transplanting Stem Cells - Video

Laughter is the best medicine-Having Wonderful Ideas: Simon Link at TEDxAmanaAcademy – Video

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Laughter is the best medicine-Having Wonderful Ideas: Simon Link at TEDxAmanaAcademy
Simon Link is a 2nd grader at Amana Academy. He likes to make people laugh and will be talking about laughter He is inspired by comedians like Bill Cosby, (i...

By: TEDxYouth

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Laughter is the best medicine-Having Wonderful Ideas: Simon Link at TEDxAmanaAcademy - Video

Medicine – Wikipedia, the free encyclopedia

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Medicine (i//, i//) is the field of applied science related to the art of healing by diagnosis, treatment, and prevention of disease.[1] It encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness in human beings.

Contemporary medicine applies health science, biomedical research, genetics and medical technology to diagnose and treat and prevent injury and disease, typically through medication or surgery, but also through therapies as diverse as psychotherapy, external splints & traction, prostheses, biologics, pharmaceutials, ionizing radiation among others.[2]

The word medicine is derived from the Latin ars medicina, meaning the art of healing.[3][4]

In clinical practice, doctors personally assess patients in order to diagnose, treat, and prevent disease using clinical judgment. The doctor-patient relationship typically begins an interaction with an examination of the patient's medical history and medical record, followed by a medical interview[5] and a physical examination. Basic diagnostic medical devices (e.g. stethoscope, tongue depressor) are typically used. After examination for signs and interviewing for symptoms, the doctor may order medical tests (e.g. blood tests), take a biopsy, or prescribe pharmaceutical drugs or other therapies. Differential diagnosis methods help to rule out conditions based on the information provided. During the encounter, properly informing the patient of all relevant facts is an important part of the relationship and the development of trust. The medical encounter is then documented in the medical record, which is a legal document in many jurisdictions.[6] Follow-ups may be shorter but follow the same general procedure.

The components of the medical interview[5] and encounter are:

The physical examination is the examination of the patient looking for signs of disease ('Symptoms' are what the patient volunteers, 'Signs' are what the healthcare provider detects by examination). The healthcare provider uses the senses of sight, hearing, touch, and sometimes smell (e.g., in infection, uremia, diabetic ketoacidosis). Taste has been made redundant by the availability of modern lab tests. Four actions are taught as the basis of physical examination: inspection, palpation (feel), percussion (tap to determine resonance characteristics), and auscultation (listen). This order may be modified depending on the main focus of the examination (e.g., a joint may be examined by simply "look, feel, move". Having this set order is an educational tool that encourages practitioners to be systematic in their approach and refrain from using tools such as the stethoscope before they have fully evaluated the other modalities).

The clinical examination involves the study of:

It is to likely focus on areas of interest highlighted in the medical history and may not include everything listed above.

Laboratory and imaging studies results may be obtained, if necessary.

The medical decision-making (MDM) process involves analysis and synthesis of all the above data to come up with a list of possible diagnoses (the differential diagnoses), along with an idea of what needs to be done to obtain a definitive diagnosis that would explain the patient's problem.

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Medicine - Wikipedia, the free encyclopedia

E-Medicine

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This policy describes what information may be collected about you when you use the services made available through the WebMD Health Professional Network (as defined below), how this information may be used, how you can control how your information is used and what precautions are taken against unauthorized access or use of your information. The services made available through the WebMD Health Professional Network may be provided in a variety of mediums and devices now known or hereinafter developed including mobile applications, and include without limitation news, reference tools and applications, sponsored programming, personalized content, continuing medical education, communication tools and discussion boards (collectively, the "Services"). You should read the privacy policy of each website that you visit after you leave any of the WebMD Health Professional Network websites. We are not responsible for how other websites treat your privacy once you leave one of our websites.

The WebMD Health Professional Network is comprised of several websites: medscape.com, medscape.org and theheart.org (referred to collectively as the "Professional Sites"), including any mobile optimized versions of the Professional Sites and the Medscape Mobile Device Application ("Medscape Mobile"). These properties are owned and operated by our affiliated companies. For example, WebMD LLC owns and operates medscape.com and Medscape Mobile, and Medscape, LLC owns and operates medscape.org and theheart.org. References to "WebMD" in this Privacy Policy mean WebMD LLC, including any company that WebMD controls (for example a subsidiary that it owns) and references to "Medscape" mean Medscape, LLC, including any company that Medscape controls. We refer to the Professional Sites that WebMD operates as the "WebMD Sites" and the Professional Sites that Medscape operates as the "Medscape Sites." Reference to "we" or "our" means WebMD and Medscape. We may share information among the subsidiaries of WebMD Health Corp. (our parent company) and the respective Professional Sites that we each own or control, but it is always protected under the terms of this Privacy Policy.

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In this section of our Privacy Policy, we discuss the different types of information that we may collect about you, and the ways in which such information may be collected.

You must register to access all of the Services, however, you may be able to access certain limited areas of the Services without disclosing any personally identifiable information. We collect non-personally identifiable information (i.e., information that is not traced back to any individual and is not used on its own to identify an individual) about your use of the Services through the use of cookies, even if you have not registered, including the referring website, if applicable, the type of browser you use, and the time and date that you accessed the Services. The section of this Privacy Policy entitled "Cookies and Web Beacons," below, further describes how we use cookies and how you can limit our use of cookies.

When you register for the Services, you are asked to provide identifying information such as your name, e-mail address, zip code, and other professional information (e.g., specialty). You will also be given a choice about whether or not you want to receive newsletters and other information sent to registered users from time to time. If you are required to provide additional personally identifiable information to access a particular component of the Services, or if we would like to use personally identifiable information that you have previously provided in a manner not otherwise permitted under this Privacy Policy, we will explain how we intend to use such personally identifiable information at the time of collection and will require your consent at that time to any such collection and use.

When you participate in a Continuing Medical Education (CME) or a Continuing Education (CE) activity through the Services, you may be asked to provide personally identifiable information such as your name and mailing address. In addition to personally identifiable information, aggregated non-personally identifiable information about the activities undertaken by CME/CE participants is recorded. Information that you provide in connection with your participation in CME/CE activities, either when registering or requesting credit, may be used in several ways:

The Medscape editorial staff has access to files containing personally identifiable information, including evaluation forms and aggregated CME /CE participant information. These files can be accessed in order to respond to your questions or comments. Medscape may also use personally identifiable information, including registration information and evaluation data, in assessing educational needs and evaluating its education activities.

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E-Medicine

Concierge medicine on the rise in San Diego

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Dr. Pamila Brar examines patient Louise McCabe Friday in San Diego. Brar, a internal medicine specialist, is one of a growing number of local physicians practicing concierge medicine.

Paying extra for better access to a doctor, often called concierge medicine, is growing in San Diego County.

Experts say the reasons range from a long-standing dissatisfaction with traditional managed care to more immediate worries about a possible doctor shortage driven by federal health reform.

While local specialists have mixed opinions on what is driving the growth, many said they believe the practice of charging a yearly membership fee in exchange for direct access to primary care doctors is on the rise.

An online directory maintained by the American Academy of Private Physicians, which listed 17 concierge specialists in 2011, today lists more than 60.

Tom Blue, chief strategy officer for the academy, said the directory can give only an approximate number for concierge doctors in a given community because none are compelled to be listed. Still, he said, concierge medicine is becoming more popular.

We estimate that were seeing a 25 percent per year growth rate nationwide and, in terms of the concentration of private physicians around the country, it appears that California is the leading state, Blue said.

Growth has come not just from single physicians deciding to change the way they practice. Major players like UC San Diego Health System and Scripps Health are also big players in the local market.

Concierge medicine is, at its most basic, a return to the age when doctors made house calls and were paid directly by the patients they treated.

These days, with instant communications and health insurance companies in the mix, things are more complicated. But the main point is the same: Families pay a subscription fee, ranging from hundreds to thousands of dollars per year, for more direct access to their doctors.

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Concierge medicine on the rise in San Diego

Leading Minds in Medicine to Discuss State of Clinical Medical Ethics at the 25th Dorothy J. MacLean Fellows Conference

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MEDIA ADVISORY: Leading Minds in Medicine to Discuss State of Clinical Medical Ethics at the 25th Dorothy J. MacLean Fellows Conference

Dozens gathering to share research and examine key ethics issues facing patients and health care professionals

WHAT: More than 50 researchers, physicians and fellows from the MacLean Center for Clinical Medical Ethics from various parts of the world will gather Nov. 15 and 16, 2013, to lead discussions and debates on critical ethical issues facing patients, doctors, nurses, allied health workers and health care institutions. Celebrating its 25th year, the Dorothy J. MacLean Fellows Conference will focus on key themes and issues such as global health, patient decision-making, research ethics, end-of-life care, organ transplantation, and pediatric and surgical ethics, among other topics.

Interviews with MacLean Center Director Mark Siegler, MD, are available upon request. Media wishing to attend the two-day conference, contact Mike McHugh (michael.mchugh@uchospitals.edu, 773-702-3641).

WHERE: The University of Chicago Law School, 1111 E. 60th St. WHEN: Friday, Nov. 15, and Saturday, Nov. 16, 2013

Friday 7:45 a.m. Welcome 8 a.m. Keynote Social Entrepreneurship and Global Health 8:30 a.m. Panel 1: Global Health 10:15 a.m. Keynote The Invention of Primary Care 10:40 a.m. Panel 2: Contributions of Clinical Ethics to Patient Care 1:40 p.m. Keynote From Quinlan to Ashley X: A Retrospective on Disability, Health Care and the Role of Clinical Medical Ethics 2:10 p.m. Panel 3: Ethical Issues at the End of Life 3:50 p.m. Keynote Ethical Issues in Uterine Transplantation" 4:20 p.m. Panel 4: Ethical Issues in Organ Transplantation 6 p.m. Fellows, Faculty and Family Party

Saturday 8 a.m. Keynote Just Me and My Harp: Lessons from a Lifetime of Ethics and Palliative Care Consultation and Harmonica Playing 8:30 a.m. Keynote What We Talk About When We Talk About Ethics 8:50 a.m. Panel 5: What is Clinical Ethics? 10:35 a.m. Panel 6: Ethical Issues in Research 1:30 p.m. Panel 7: Emerging Topics in Clinical Ethical 3:55 p.m. Panel 8: Surgical Ethics 5:25 p.m. Conference Wrap-Up

WHO: Present and former MacLean fellows from Canada, Madrid, and Buenos Aires, as well as Arizona, Indiana, Oregon, Washington, Missouri, California, Virginia, North Carolina, Maryland, Oklahoma and Pennsylvania, will participate in keynote and panel discussions. Among the keynote speakers:

- Peter Singer, Grand Challenges Canada, Social Entrepreneurship and Global Health - Joel Howell, University of Michigan, The Invention of Primary Care - Mark Siegler, the University of Chicago, The Birth of Clinical Medical Ethics - Eric Kodish and Andreas Tzakis, Cleveland Clinic, Ethical Issues in Uterine Transplantation - David Schiedermayer, Medical College of Wisconsin, Just Me and My Harp: Lessons from a Lifetime of Ethics and Palliative Care Consultation and Harmonica Playing - John Lantos, University of Missouri, What We Talk about When We Talk about Ethics

OTHER DETAILS: There is no fee for this two-day conference. On Friday, parking will be available at the University of Chicago Medicine parking garage at 5840 S. Maryland Ave., which is a 10-minute walk to the Law School (1111 E. 60th St.). On Saturday, street parking will be plentiful along the Midway Plaisance near the conference site. The Law School is also within walking distance of the 57th and 59th Street Metra stops.

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Leading Minds in Medicine to Discuss State of Clinical Medical Ethics at the 25th Dorothy J. MacLean Fellows Conference

SLU family medicine program gets more space in south city clinic

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Family medicine residents at St. Louis University will soon have an expanded clinic to treat patients in south St. Louis. Family Care Health Centers expects to open nine exam rooms and meeting space in a 2,450-square-foot expansion to its Carondelet facility, where residents will see patients on an outpatient basis during their three years of training.

Residency programs are the three years of specialty training after a doctor graduates from medical school. Fewer medical students are choosing general practice residency programs, in part because of lower salaries compared to specialties like orthopedic surgery or neurology.

The partnership with Family Care started in 2011 and has grown to 12 residents who work primarily at the Carondelet clinic and also rotate through local hospitals. The residents attended medical schools at SLU, Washington University, University of Missouri-Columbia, Harvard, Tulane and others across the country. Two of the programs goals are to encourage the new doctors to stay in the state and in underserved communities, and the four first-year residents all attended medical schools in Missouri. The residents are employees of SLU, and the $1.3 million building expansion was funded through the health centers reserves.

Weve found that our current facility is just cramped with our current services, so the board voted earlier this year to add on with the main purpose of allowing residents to have their own space, said Dr. Robert Massie, CEO of Family Care Health Center. Weve been really impressed with the quality of the residents.

The 33,000-square-foot Carondelet clinic opened in 2003 and provides primary care, dental, vision, mental health, nutrition and lab services. There are 20 doctors, four nurse practitioners and three mental health professionals on the staff at Carondelet and a second location in the Grove neighborhood.

Family Care Health Centers are federally qualified, meaning they receive funding through government insurance programs and grants. The centers focus on primary care and refer many patients to ConnectCare, a specialty services and urgent care facility on Delmar Boulevard that is slated to close later this month. Staff at Family Care are scrambling to send patients to other specialists at local hospitals and said the waits to see a doctor will get longer.

The closure of ConnectCare, linked to federal budget cuts and the state Legislatures refusal to expand Medicaid under the Affordable Care Act, signals a crisis in health care funding, analysts have said. The budget at Family Care is stable but looking very flat at best, Massie said. Family Care does expect to hire one obstetrician/gynecologist in the next year to meet a higher demand for prenatal care in the region.

Missouri will need 687 more primary care physicians and Illinois will need 1,063 by 2030 to maintain the level of care currently available, according to a new report from the Robert Graham Center, a Washington-based think tank on primary care policy and research. The additional doctors are expected to be needed for population growth and aging as well as an increase in insured patients under the Affordable Care Act.

Dr. Christine Jacobs, director of the SLU family medicine residency program, said the expansion of the Carondelet clinic will be attractive to potential doctors-in-training.

It will be great when well have more space available, well be easily able to serve more clients, Jacobs said. Most new patients were accepting are through the residency program.

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SLU family medicine program gets more space in south city clinic


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