Exclusive: Why did Dr. Nissen resort to secret tapes?

February 23, 2010– By Steven E. Greer, MD

Many in the cardiology community are a bit confused as to why Dr. Steven Nissen Read more »

The CardioMEMS’ heart failure pressure measurement system

By Steven Greer, MD

The CardioMEMS’ heart failure pressure measurement system will be evaluated by Read more »

A proposal to make the Social History more robust and proactive

October 2, 2014 Interviewed by Steven E. Greer, MD

Joseph Rhatigan, MD of Harvard Medical School published a paper in the NEJM proposing was to enhance the current social history section of the H&P. He explains how factors currently ignored by doctors, such as income and living conditions, are important to the compliance of the patient. The new ACA law might also make it financially rewarding for doctors to pay more attention to these issues.

The Weekly Summary

Image: Mitch McConnell, Elaine Chao, Rand PaulNovember 3rd – November 9th

In the general news, The U.S. doubled the troops on the ground in Iraq, sending another 1,500 Read more »

Quarantining Ebola caregivers arriving from Africa is the right thing to do

Update November 6, 2014- Despite more than 80% of responders in various polls feeling that the Obama administration’s handling of Ebola was wrong, on Face the Nation, President Obama said this (see video).
Read more »

Is cath lab fluoroscopy radiation exposure dangerous?

Interviewed by Steven E. Greer, MD

With former President George W. Bush receiving a coronary stent and cardiac chest CT-scan, the topic of cath lab radiation, and whether it is dangerous, has been discussed within small circles, but not not widely in the mainstream press. Coincidentally, Emory cardiologist Reza Fazel published the first analysis of cath lab fluoroscopy time distributions from a  database of more than 1,000 hospitals. We interviewed Dr. Fazel to learn the factors associated with unnecessarily long fluoroscopy times, and the associated dangers.

Comparing radiation leaks from major nuclear events

Prepare for Comparative Effectiveness Research

February 8, 2014- By Steven E. Greer, MD

The HCC hosted a healthcare reform summit in 2009, after the ACA law was first announced by Read more »

Senator Angus King discusses the slowdown in healthcare costs

July 9, 2014- Interviewed by Steven E. Greer, MD

Senator Angus King from Maine discusses the various forces that are working to keep healthcare cost growth the slowest in decades.

Atul Gawande’s surgical checklist fails in real world study

March 15, 2014- By Steven E. Greer, MD

In 2009, Atul Gawande, MD, MPH and his large international team published in the New England Journal of Medicine (NEJM) an observational study that showed a significant reduction of death and “complications” after non-cardiac surgery. The World Health Organization (WHO) created the checklist used in the NEJM paper. After this non-randomized, non-controlled, observational study was published, entire nations adopted the surgical checklist system.

Now, in 2014, a population study drawing from Ontario surgical patient data, published in the NEJM, showed no significant benefit from the widespread adoption of the same WHO surgical safety checklist that Dr. Gawande popularized. This study was also observational, but it was stronger than the 2009 Gawande study in that it included the entire population within a region.

What went wrong? Read more »

NEJM letter casts doubt on original Gawande checklist paper

June 11, 2014- By Steven E. Greer, MD

When the recent Canadian studied published in the NEJM failed to show any benefit from the WHO surgical checklist championed by Atul Gawande, The Healthcare Channel pointed out that the original Gawande paper was possibly the problem. It was designed poorly, and collected data from non-U.S. countries with little oversight.

Now, in the current online NEJM, letters to the editor are coming in. One writer echoes our concerns about the original Gawande paper. Read more »

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