Telemedicine is expanding rapidly and there and every year there are additional proposals to further expand its use. Many of the opponents question whether the quality of care will suffer via telemedicine. Telemedicine has been shown to be of value in remotely assessing psychiatric patients, radiological studies, and dermatological conditions. Previously many opponents also… Read More
I always enjoy speaking to and reading Dr. William Sullivan’s work and opinions in the field of medical legal issues. I think that he is truly a thought leader in emergency medicine. His February 2016 article in Emergency Physicians Monthly is very thought provoking. In this article, he explores the use of the phrase “standard… Read More
A February 6, 2016 Mayo Clinic Proceedings article concludes that having a normal body-mass index (BMI) and a high waist circumference (WC) or high waist/hip ratio (WHR), representing “normal-weight central obesity,” can increase risk of mortality in patients with coronary artery disease. This study analyzed more than 7000 CAD patients from five cohort studies (US,… Read More
An article written by myself, Dr. Paul Kivela back in 2010. Like many of you, I grew up with football. I would cheer and applaud the big hits. In high school, college and especially the pros, people worried about broken bones and joint injuries. With helmets, we rarely worried about head injuries, but now, things have… Read More
December marks not just the beginning of the holiday season but also the beginning of the flu season. Although there are variances, December is typically when the first cases of influenza are seen. Often time the peak is in January through March. Source: Medically Sound: News about the flu… Read More
Queen of the Valley Medical Center emergency room physician Dr. Paul Kivela will play in the Speedgolf World Championships Saturday and Sunday at Bandon Dunes Golf Resort in Bandon, Ore. Source: Napa physician set for Speedgolf World Championships… Read More
We all expected influenza to hit and finally it is here. It coincides with the peak of February and March 2015. Most of the strains this year are supposedly covered by the flu vaccine however, many of the people we have seen with the flu report receiving this year’s vaccine. Certainly, no vaccine is 100%… Read More
Very cool and succinct article by Josh Farkas on lactate and recommendations for sepsis The article’s summary bullet points are Lactate production in septic shock is not due to anaerobic metabolism or low oxygen delivery. It is largely driven by endogenous epinephrine stimulating aerobic glycolysis via beta-2 adrenergic receptors. Lactate may have a protective effect,… Read More
This study compares prevalence and trends in marijuana use and marijuana use disorder from the National Epidemiologic Survey of Alcohol and Related Conditions with those from the National Survey on Drug Use and Health. Over the past decade with the easing of state laws, the use of marijuana has increased by almost 20%. However, based… Read More
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