99 Matching Annotations
  1. Aug 2022
    1. In Michael Ondaatje’s novel, The English Patient, the word “thinkering” was coined, linking the way we create and understand concepts in our mind with “tinkering”.

      https://happiful.com/what-is-thinkering/

      thinkering<br /> a portmanteau of thinking and tinkering<br /> It describes the sort of mindful thinking and exploration one does when interacting with objects using one's hands.

      quoted here as first appearing in Michael Ondaatje's novel The English Patient

      link to: Barbara Oakley and ideas of diffuse thinking

  2. Apr 2022
  3. Mar 2022
    1. Kyle Sheldrick. (2022, February 21). This is probably the worst covid research I have read, and I helped expose a fraudulent study that was just the same patient copied-and pasted over and over again, and another which enrolled dead people. This is far more damaging to public health. 1/12 [Tweet]. @K_Sheldrick. https://twitter.com/K_Sheldrick/status/1495687486341017601

  4. Jan 2022
  5. Dec 2021
  6. Nov 2021
  7. Oct 2021
    1. Kenneth Baillie. (2021, October 27). When a healthcare system fails, increasing numbers of people suffer and die needlessly. That’s all. If you aren’t a patient or staff, you don’t see it. But this is happening, now, all over the UK. 2/n [Tweet]. @kennethbaillie. https://twitter.com/kennethbaillie/status/1453422360795680769

  8. Sep 2021
  9. Aug 2021
  10. Jul 2021
  11. Jun 2021
  12. May 2021
    1. Ashish K. Jha, MD, MPH. (2020, December 1). There is something funny happening with COVID hospitalizations Proportion of COVID pts getting hospitalized falling A lot Just recently My theory? As hospitals fill up, bar for admission rising A patient who might have been admitted 4 weeks ago may get sent home now Thread [Tweet]. @ashishkjha. https://twitter.com/ashishkjha/status/1333636841271078912

  13. Apr 2021
    1. Nissim Mannathukkaren നിസ്സിം മണ്ണത്തൂക്കാരൻ. (2021, April 8). ‘The hand of God’—Nurses trying to comfort isolated patients in a Brazilian Covid isolation ward. Two disposable gloves tied, full of hot water, simulating impossible human contact. Salute to the front liners and a stark reminder of the grim situation our world is in!@sadiquiz https://t.co/eldzkT4JHa [Tweet]. @nmannathukkaren. https://twitter.com/nmannathukkaren/status/1380129214259720202

  14. Mar 2021
  15. Feb 2021
  16. Jan 2021
    1. Despite some implementation challenges, patient portals have allowed millions of patients to access to their medical records, read physicians’ notes, message providers, and contribute valuable information and corrections.

      I wonder if patients have edit - or at least, flag - information in their record?

  17. Dec 2020
  18. Oct 2020
    1. Knight, S. R., Ho, A., Pius, R., Buchan, I., Carson, G., Drake, T. M., Dunning, J., Fairfield, C. J., Gamble, C., Green, C. A., Gupta, R., Halpin, S., Hardwick, H. E., Holden, K. A., Horby, P. W., Jackson, C., Mclean, K. A., Merson, L., Nguyen-Van-Tam, J. S., … Harrison, E. M. (2020). Risk stratification of patients admitted to hospital with covid-19 using the ISARIC WHO Clinical Characterisation Protocol: Development and validation of the 4C Mortality Score. BMJ, 370. https://doi.org/10.1136/bmj.m3339

  19. Sep 2020
  20. Aug 2020
    1. what might be learned from the case. The answer, in part, is that prudent psychiatrists and other therapists will want to be thoughtful about how they arrange follow-up care for patients whom they can no longer see.Sometimes a general suggestion that a patient seek follow-up care will be adequate. However, as the patient's condition warrants, clinicians might choose, in ascending order of time commitment, to provide the patient with the name of a particular practitioner or facility, to contact the facility to ascertain that a clinician is willing to see the patient, to help the patient make an appointment, or, with the patient's permission, to make an appointment on the patient's behalf. In some cases, it may be appropriate to ask for the patient's permission to contact his or her family to indicate a need for follow-up and to encourage the family to make sure that follow-up takes place. But of these approaches, no specific one will always be indicated, and the degree of assistance rendered the patient should be calibrated to his or her individual needs.

      What can be learned from this case?

      • Carefully plan follow up plans with patients (general suggestion about follow up can be enough)
      • Ask patient for family information to help them get involved in the follow up process and help increase compliance.

      Consider:

      • Giving the specific name of a provider to follow up with
      • How to contact the facility,
      • See if who you provided/recommended is avaliable to take the patient
      • Help patient make the appointment or make it on their behalf (with permission)
  21. Jul 2020
  22. Jun 2020
    1. Marshall, J. C., Murthy, S., Diaz, J., Adhikari, N., Angus, D. C., Arabi, Y. M., Baillie, K., Bauer, M., Berry, S., Blackwood, B., Bonten, M., Bozza, F., Brunkhorst, F., Cheng, A., Clarke, M., Dat, V. Q., de Jong, M., Denholm, J., Derde, L., … Zhang, J. (2020). A minimal common outcome measure set for COVID-19 clinical research. The Lancet Infectious Diseases, S1473309920304837. https://doi.org/10.1016/S1473-3099(20)30483-7

  23. May 2020
    1. Gobbi, S., Plomecka, M., Ashraf, Z., Radziński, P., Neckels, R., Lazzeri, S., Dedić, A., Bakalović, A., Hrustić, L., Skórko, B., Es haghi, S., Almazidou, K., Rodríguez-Pino, L., Alp, A. B., Jabeen, H., Waller, V., Shibli, D., AghiliBehnam, M., Strutt, A. M., … Jawaid, A. (2020). Worsening of pre-existing psychiatric conditions during the COVID-19 pandemic [Preprint]. PsyArXiv. https://doi.org/10.31234/osf.io/x6cyg

    1. Grifoni, A., Weiskopf, D., Ramirez, S. I., Mateus, J., Dan, J. M., Moderbacher, C. R., Rawlings, S. A., Sutherland, A., Premkumar, L., Jadi, R. S., Marrama, D., de Silva, A. M., Frazier, A., Carlin, A., Greenbaum, J. A., Peters, B., Krammer, F., Smith, D. M., Crotty, S., & Sette, A. (2020). Targets of T cell responses to SARS-CoV-2 coronavirus in humans with COVID-19 disease and unexposed individuals. Cell, S0092867420306103. https://doi.org/10.1016/j.cell.2020.05.015

  24. Apr 2020
    1. Richardson, S., Hirsch, J. S., Narasimhan, M., Crawford, J. M., McGinn, T., Davidson, K. W., Barnaby, D. P., Becker, L. B., Chelico, J. D., Cohen, S. L., Cookingham, J., Coppa, K., Diefenbach, M. A., Dominello, A. J., Duer-Hefele, J., Falzon, L., Gitlin, J., Hajizadeh, N., Harvin, T. G., … Zanos, T. P. (2020). Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area. JAMA. https://doi.org/10.1001/jama.2020.6775

    1. Steroids used after the first 3 to 4 days after injury do not affect wound healing as severely as when they are used in the immediate postoperative period.
    2. Mild to moderate normovolemic anemia does not appear to adversely affect wound oxygen tension and collagen synthesis. However, profound anemia with 15% less hematocrit can interfere with wound healing
  25. Jun 2019
  26. Jan 2019
    1. have the knowledge and skills to help navigate the hospital system, explain your diagnosis in detail, and explain potential outcomes.  We are also here to help decipher the information from doctor visits, set up meetings with care teams, and organize home care, and medications

      Using specialist in a field saves time, and ultimately saves lives.

  27. Nov 2018
    1. As with other forms of value-based health care, patient-centered care requires a shift in the way provider practices and health systems are designed, managed, and reimbursed. In keeping with the tenets of patient-centeredness, this shift neither happens in a vacuum, it driven by traditional hierarchies in which providers or clinicians are the lone authority. Everyone, from the parking valet and environmental services staff to c-suite members, are engaged in the process, which impacts hiring, training, leadership style, and organizational culture. Patient-centered care also represents a shift in the traditional roles of patients and their families from one of passive “order taker” to one of active “team member.” One of the country’s leading proponents of patient-centered care, Dr. James Rickert, has stated that one of the basic tenets of patient-centered care is that “patients know best how well their health providers are meeting their needs.” To that end, many providers are implementing patient satisfaction surveys, patient and family advisory councils, and focus groups, and using the resulting information to continuously improve the way health care facilities and provider practices are designed, managed, and maintained from both a physical and operational perspective so they become centered more on the individual person than on a checklist of services provided. As the popularity of patient- and family-centered health care increases, it is expected that patients will become more engaged and satisfied with the delivery of their care, and evidence of its clinical efficacy should continue to mount.

      Cultural shift to patient-centered care

    2. The concept of patient-centered care extends to the treatments and therapies clinicians provide. Not only are care plans customized, but medications are often customized as well. A patient’s individual genetics, metabolism, biomarkers, immune system, and other “signatures” can now be harnessed in many disease states — especially cancer — to create personalized medications and therapies, as well as companion diagnostics that help clinicians better predict the best drug for each patient.

      Patient-centered care via personalized medicine

    3. Strict visiting hours and visitor restrictions are a thing of the past in a patient-centered care model. Patients are given the authority to identify who can visit and when. Family members (as defined by the patient and not limited to blood relations) are invited to visit during rounding and shift changes so they can be part of the care team, participating in discussions and care decisions. When not in the room with the patient, they are kept informed of their loved one’s progress through direct and timely updates. A patient-centered care hospital’s infrastructure encourages family collaboration through a home-like environment that not only meets the needs of the patient, but also meets the needs of family members. For example, maternity wards are being redesigned with family-friendly postpartum rooms that can accommodate the mom, new baby, and family members, who are encouraged to spend up to 24 hours a day together in the room to foster family bonding.

      Patient-centered care in the hospital