Tag Archives: technology

Lessons Learned from Mississippi’s Telehealth Approach to Health Disparities

Many people see telemedicine as a solution to the nation’s health disparities and in Mississippi as a solution to our last place in health. More than 13 years ago, the University of Mississippi Medical Center developed a successful TelEmergency program that saved rural Critical Access Hospitals and now provides telehealth services throughout the state. This […]

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doctor on laptop medical graphics floating in the air

Best Practice Advisories Should Not Replace Good Clinical Acumen

Electronic medical records (EMR) have revolutionized clinical practice. They facilitate documentation, improve communication and coordination of care among medical providers, and afford a manner of communication for patients, as well as provide a platform for the storage of large quantities of clinical data. Several of these qualities, in addition to federal incentives for their use, […]

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Joseph S. Alpert

Digital Medicine: “O Brave New World”

Recently, I participated in an international meeting in Nanjing, China on digital medicine. The meeting was sponsored by the Chinese Society of Digital Medicine and the newly formed International Society of Digital Medicine, both under the leadership of the remarkably energetic and effective professor, Shaoxiang Zhang from Chongqing, China. For my part of the meeting, […]

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Cardiac Examination: Stethoscope or Pocket Echo—Why Not Both?

Portable echocardiographic devices were first introduced in 1978.1 As technology has evolved, they have become smaller and more comprehensive. At present, pocket echos (pocket-sized, hand-held cardiac ultrasounds), which cost less than $1000 can, in 5 to 10 minutes, produce data very similar to that obtained by a standard echo examination of the heart. At present (United […]

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Crowd-Sourcing Syncope Diagnosis: Mobile Smartphone ECG Apps

A 76-year-old gentleman with a history of hypertension, on low-dose lisinopril, had a witnessed syncopal episode. He fainted from a standing position with no prodrome. He was unresponsive for 15 seconds without epileptiform activity or loss of sphincter control. He quickly regained consciousness with mild disorientation, without additional symptoms or focal deficits. A cardiologist at […]

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