Saturday, November 7, 2009

Senator John Cornyn collecting info on Sermo


Senator John Cornyn (R) from Texas is collecting info on Sermo about Comparative Effectiveness. Here are the questions he's asking Sermo physicians:
  • What impact would one-size-fits-all coverage decisions from Washington have on your ability to make health care decisions with your individual patients?
  • In your opinion, how effective would one-size-fits-all coverage decisions from Washington be in reducing “unnecessary” tests and treatments?
If you're a physician, what do you think about these questions? If you'd like to have some input, then vote on Sermo.

An artificial hand that can "feel"

This is very cool: An artificial hand that can "feel."
According to CNN, the SmartHand project is funded by the European Union and is a collaboration between researchers from across the continent. It has produced a prototype motorized prosthetic hand that researchers say gives unprecedented sensory feedback.

Friday, November 6, 2009

Doctors and mistakes: big and small


Doctors are humans and we all make. Some are really big and others are small. Over the past week, we've seen two dramatic examples of physicians who appear to have done some terrible things. I don't write this to judge them, but to say that physicians are vulnerable to stress, mental health problems, greed, and other conditions.
It's a sad reality, but doctors can fall and make some really big mistakes. I don't know if we'll ever fully understand why these individuals did the things they did. Some may think that it's a simple matter of greed, anger, or hatred. Perhaps they suffered serious mental trauma. I personally think that it probably involves a combination of many different psychological factors to cause physicians to make such poor decisions. After all, the brain is very complex and we really don't understand what makes certain people do crazy things that are irrational and bizarre.

EyeSmart EyeCommitted

Diabetes can lead to blindness. Help prevent unnecessary vision loss from diabetes. Show your support for the importance of an annual diabetic eye exam. Get EyeCommitted today! Take a look at this widget:

The EyeSmart™ public awareness campaign empowers Americans to take charge of their eye health. EyeSmart emphasizes the need for Americans to know their risk factors for eye diseases, infections and injuries, and how ophthalmologists can help prevent, diagnose and treat eye conditions.

The campaign is sponsored by the American Academy of Ophthalmology, the world's largest association of eye physicians and surgeons - Eye M.D.s. A key partner is EyeCare America, a public service program of the Foundation of the American Academy of Ophthalmology. In addition, more than 80 state, local and specialty ophthalmology societies are lending their support.
Visit: http://www.geteyesmart.org

FDA and FSIS to improve food safety

FDA NEWS RELEASE:

For Immediate Release: Nov. 5, 2009

Media Inquiries:
Michael Herndon, 301-796-4673, michael.herndon@fda.hhs.gov
Neil Gaffney, 202-720-9113, neil.gaffney@fsis.usda.gov
Consumer Inquiries: 888-INFO-FDA

FDA and FSIS Collaborate To Improve Tracing of Unsafe Food Products
The Goal is to Prevent or Mitigate Foodborne Illness

A joint public meeting focused on improving the system for tracing of food products and ingredients that are causing illness outbreaks or presenting other risks to the health of consumers was announced today by the Food and Drug Administration (FDA) of the U.S. Department of Health and Human Services and the Food Safety and Inspection Service (FSIS) of the U.S. Department of Agriculture (USDA).

Recognizing the need to increase the speed and accuracy of traceback investigations and traceforward operations, both agencies are building on existing efforts by seeking public input that would help identify elements of effective food product tracing systems, identify current gaps in food product tracing, and suggest specific mechanisms for improvements.

The meeting is also intended to improve the ability of FDA and FSIS to use the information in such systems to respond to outbreaks more quickly by rapidly identifying the source of contamination during outbreaks of foodborne illness, and improving the ability of all persons in the supply chain to more quickly identify food that is (or potentially is) contaminated and remove it from the market during traceforward operations.

“This public meeting provides an opportunity for FDA to collaborate more closely with FSIS as well as with members of the food industry, many of whom have been making important innovations in food safety practices and technology, and all of whom bear primary responsibility for producing and marketing safe food,” said Michael R. Taylor, senior advisor to FDA’s Commissioner Margaret Hamburg, M.D.

“The Food Safety and Inspection Service is eager to work with FDA, public health officials, consumer advocates, and the food industry to improve our ability to trace products that may cause illness outbreaks,” said Jerold R. Mande, USDA’s Deputy Under Secretary for Food Safety. “The public can provide valuable input to strengthen our prevention, surveillance and response and recovery efforts, as outlined by the Administration’s Food Safety Working Group (http://www.foodsafetyworkinggroup.gov/).” In March 2009, President Obama announced the formation of the Food Safety Working Group, and in July, President Obama released Key Findings, which highlight steps that FSIS, FDA, and other Federal Agencies are taking to improve food safety.

Food can become contaminated at many different steps in the supply chain. Experience in conducting foodborne disease outbreak investigations suggests that improved product tracing abilities could help identify products associated with disease more quickly, get risky products off the market faster, and reduce the number of sicknesses associated with foodborne illness outbreaks.

The FDA and FSIS share authority for helping to ensure the safety of the nation’s food supply. Each agency investigates foodborne illness outbreaks and other foodborne risks associated with the products they regulate. These investigations, conducted in close cooperation with the U.S. Centers of Disease Control and Prevention and state and local health and agriculture departments, often involve tracing backward or forward in the supply chain the distribution of food products and ingredients associated with risk to consumer health.

A traceback investigation is an investigation to determine and document the distribution and production chain, and the source(s), of contaminated (and potentially contaminated) food, often in the context of an outbreak of foodborne illness. A traceforward operation is an operation to determine the distribution of contaminated (and potentially contaminated) food.

The meeting will be held Dec. 9 and 10 in Washington at the U.S. Department of Agriculture’s South Building in the Jefferson Auditorium, 1400 Independence Avenue, SW, Washington, D.C., 20250.

Those interested in attending the public meeting can pre-register online at: http://www.fsis.usda.gov/News_&_Events/Meetings_&_Events/index.asp. Online pre-registration is preferred, but pre-registration can also be done by faxing registration information (including name, title, firm name, address, telephone number, e-mail address and fax number) to 1-877-366-3322 by Dec. 2. Pre-registration is strongly encouraged for all persons who wish to attend the meeting, regardless of whether they also wish to request an opportunity to make oral comments at the meeting on issues and questions described in the Federal Register notice.

For more information on food safety visit: www.foodsafety.gov

Thursday, November 5, 2009

Military stress and tragedy at Fort Hood


My heart goes out to all the families recently affected by this tragic event at Fort Hood Texas. CNN is reporting that the suspect in this shooting case is a military psychiatrist (Maj. Nidal Malik Hasan) who was practicing at Darnall Army Medical Center at Fort Hood. Previously, he worked at Walter Reed Army Medical Center.

It's hard to imagine the level of stress some people must go through. According to this story, Hasan was to get deployed to Iraq. What caused this type of erratic behavior? Was it stress? The human mind is so complex that it's hard to imagine what Hasan must have been experiencing as a military psychiatrist.

FDA: Dangerous sexual enhancement booster

FDA NEWS RELEASE

For Immediate Release: Nov. 5, 2009

Media Inquiries: Christopher Kelly, 301-796-4676, christopher.kelly@fda.hhs.gov
Consumer Inquiries: 888-INFO-FDA

FDA Warns Consumers on Sexual Enhancement Products
Another dietary supplement is found to be contaminated with potentially dangerous ingredient

The U.S. Food and Drug Administration is warning consumers that Stiff Nights, a product marketed as a dietary supplement for sexual enhancement, contains an ingredient that can dangerously lower blood pressure and is illegal.

Over the past several years, the FDA has found many products marketed as "dietary supplements" for sexual enhancement that contain undeclared active ingredients of FDA-approved drugs, analogs of approved drugs and other compounds that do not qualify as “dietary ingredients.” The FDA has issued multiple alerts about these contaminated dietary supplements.

Consumers and health care professionals should be aware of this problem and the health hazard it presents. Sexual enhancement products that claim to work as well as prescription products are likely to contain a contaminant. Use of such products exposes consumers to unpredictable risk and the potential for injury or even death.

In the case of Stiff Nights, following a consumer complaint, the FDA determined that the product contains sulfoaildenafil. This is a chemical similar to sildenafil, the active ingredient in Viagra. Sulfoaildenafil may interact with prescription drugs known as nitrates, including nitroglycerin, and cause dangerously low blood pressure.

The product is distributed on Internet sites and at retail stores by Impulsaria LLC of Grand Rapids, Mich. It is sold in bottles containing 6, 12, or 30 red capsules or in blister packs containing one or two capsules.

"Because this product is labeled as an ‘all natural dietary supplement,’ consumers may assume it is harmless and poses no health risk," said Deborah M. Autor, director of FDA’s Center for Drug Evaluation and Research Office of Compliance. "In fact, this product is illegally marketed and can cause serious complications.”

The FDA advises consumers who have experienced any adverse events from sexual enhancement products to consult a health care professional. Consumers and health care professionals should report adverse events to the FDA's MedWatch program at 800-FDA-1088 or online at www.fda.gov/medwatch/report.htm

The FDA remains committed to stopping the illegal marketing of unapproved drugs and will continue to protect the public with vigorous law enforcement and criminal prosecution of violators.

The risks of daily aspirin may outweigh the benefits


According to this story on CNN (which is a summary of a report published in Drug and Therapeutics Bulletin), the risks associated with taking a daily aspirin for primary cardiovascular prevention may outweigh the benefits. The major risks include gastrointestinal bleeding (bleeding in the gut) or hemorrhagic stroke (bleeding around the brain).

I'm very curious to see how the American Diabetes Association (ADA and the American Heart Association (AHA) respond to this new study.

What if we're not using the proper methods to risk stratify patients? Those who have diabetes are considered to be at "high risk" automatically because they're considered to have a coronary heart disease "risk equivalent" based on the ATP III or Third Report of the Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III).

Before you make any changes to your medications, discuss this issue with your health care provider.

Access the HIMSS Virtual Conference content on-demand


You can now access the HIMSS Healthcare Information and Management Systems Society) Virtual Conference content on-demand. Time to go and view those lectures that I missed so that I can blog about the ones that were interesting.

Did you catch the closing keynote titled, "Understanding the Landscape of EMR Usability: Implications for ARRA and Beyond." This presentation by Jeff Belden MD seemed like it was going to be very interesting. I plan to listen to that one first, and then catch up on the other ones that I missed.

FDA to regulate social media? Ask Sermo physicians.


Here's a letter I got from the founder or Sermo:

On November 12th & 13th the FDA will hold public hearings to assess the role of social media relative to the FDA's charter. Sermo has been asked to provide the FDA with insight on this question. This is an important opportunity for this community to help define what its role should be relative to the FDA and what role the FDA should play in this medium. Key issues that the FDA wants to address are:

  1. For what online communications are manufacturers, packers, or distributors accountable?
  2. How can manufacturers, packers, or distributors fulfill regulatory requirements (e.g., fair balance, disclosure of indication and risk information, postmarketing submission requirements) in their Internet and social media promotion, particularly when using tools that are associated with space limitations and tools that allow for real-time communications (e.g. microblogs, mobile technology)?
  3. Questions specific to Internet adverse event reporting.

How many people at the FDA really understand social media? I still meet people on a regular basis who don't know about Twitter. What's Twitter? They hear the name on the radio or television, but they have no concept of microblogging.

Mark your calendars for November 12 and 13 and stay tuned...

November is American Diabetes Month


We probably all know someone who has diabetes. Sometimes it hits home. My dad had diabetes. His sister had diabetes and went blind and had both her legs amputated.

Let's join the American Diabetes Association (ADA) in a national movement to Stop Diabetes. Here are some things to consider (taken from the ADA website):
November is American Diabetes Month®—a time to shine a spotlight on a serious disease that leads to potentially life-threatening complications such as heart disease, stroke, kidney disease, blindness, and amputation.

This year, we need to take a bolder, more audacious approach to American Diabetes Month.

Consider that:

•24 million children and adults in the United States live with diabetes
•57 million Americans are at risk for type 2 diabetes
•1 out of every 3 children born today will face a future with diabetes if current trends continue
So, what can you do?
  • Share. Inspire others to join the movement by sharing your personal story. Visit stopdiabetes.com and join us on Facebook and Twitter to learn about all the exciting ways to be a part of the Stop Diabetes movement. Invite your family, friends, and co-workers to join this effort as well.
  • Act. Whether you want to walk*, bike* or simply tell a friend, there will be many ways to help us build momentum for the Stop Diabetes movement.
  • Learn. The American Diabetes Association has many resources throughout the country to help Stop Diabetes. If you, or a loved one, already have diabetes* or are at risk* for developing it, we can provide medical, lifestyle and motivational information to prevent this disease from taking control of your life and the lives of those around you.
  • Give. Sign up with your local American Diabetes Association office to help raise money for diabetes research, federal and state advocacy and public education.
To learn more about the Stop Diabetes initiative, visit the ADA.

Another study looking at cell phones and brain cancer


I don't think we'll ever see the end of this debate. Do cell phones emit enough radiation to contribute to brain tumors and cancer? Specifically, people are concerned about glioblastoma. Mobile phone companies and carriers will probably do everything to convince the world that the answer is "no." Activist groups and cancer patients will do everything to convince the world the answer is "yes." Meanwhile, we as health care professionals will probably shrug our shoulders and say, "we really don't know."

The Interphone study overseen by the World Health Organization may be one of the largest studies evaluating the association between cell phone use and brain tumors. Here's a quote from The Daily Telegraph :
A preliminary breakdown of the results found a “significantly increased risk” of some brain tumours “related to use of mobile phones for a period of 10 years or more” in some studies.
Now, keep in mind that phones have evolved dramatically and that older analog phones emitted higher levels of compared to modern digital phones (although smartphones and high bandwidth data plans are a different story).

To get a preview of some of the results from this study, click here.

FDA Safe Use Initiative

FDA NEWS RELEASE

For Immediate Release: Nov. 4, 2009

Media Inquiries: Karen Riley, 301-796-4674, karen.riley@fda.hhs.gov
Consumer Inquiries: 888-INFO-FDA

FDA Unveils Safe Use Initiative that Targets Preventable Harm from Medication Use
Agency also releases drug dosage guidance for measuring devices included with OTC medications

The U.S. Food and Drug Administration today announced the Safe Use Initiative, a program aimed at reducing the likelihood of preventable harm from medication use.

“Too many people suffer unnecessary injuries from avoidable medication misuse, errors and other problems. The FDA is launching the Safe Use Initiative to develop targeted solutions for reducing these injuries,” said FDA Commissioner Margaret A. Hamburg, M.D.

Millions of people are harmed every year from inappropriate medication use. Many injuries occur as a result of incomplete access to information about a drug, a patient, or the patient’s condition.

Other preventable sources of harm include unintentional misuse of medications, medication abuse, and attempts at self harm. Unintended exposure to prescription medications such as opioid drugs can cause harm, even death, in a single dose, if taken by someone other than the patient who was prescribed the medication.

“Only through coordinated interventions across all sectors of the health care system can we substantially reduce preventable injuries from using medications,” said Janet Woodcock, M.D., director of the FDA’s Center for Drug Evaluation and Research. "All participants in the health care community have a role to play in reducing the risks and preventing injuries from medication use.”

More detailed information on the new program was contained in a report, titled, “FDA’s Safe Use Initiative – Collaborating to Reduce Preventable Harm from Medicines.” The report was released by Drs. Hamburg and Woodcock at FDA’s annual Science Writers Symposium at the agency’s White Oak Campus in Silver Spring, Md.

As outlined in the report, the FDA intends to collaborate with health care professionals and other stakeholders to identify drugs and drug classes that are linked to preventable harm. A list of specific problems, cross-sector interventions for reducing harm from these problems, and the metrics for success will be developed.

The report highlights several risk-reduction projects that may benefit from Safe Use collaborations, including evaluating consumer medication information, communicating about the risk of inadvertent overexposure to acetaminophen, implementing safeguards against surgery fires caused by alcohol-based surgical preps, and avoiding contamination of multiple use medication vials.

To further advance the Safe Use Initiative, the FDA intends to hold a series of public meetings to gather feedback as the candidate list is being developed and will open a public docket to receive comments on the report and proposed candidate cases.

The agency also today made public new FDA guidance for companies that manufacture, market, or distribute over-the-counter liquid medications packaged with dosage delivery devices such as calibrated cups, droppers, syringes and spoons.

The guidance document, titled “Dosage Delivery Devices for OTC Liquid Drug Products,” was posted for advanced viewing in the Federal Register today.

Accidental overdoses can be caused by dosage delivery devices that are unclear or are inconsistent with the labeled dosing instructions.

"This new drug dosage guidance document is an example of steps that can be taken to ensure safer medication use,” said Woodcock. “Many accidental overdoses result from confusion about exactly how much of a drug to take. Better measuring devices will help patients, parents, and other caregivers use the right amount of these medications – the safest and most effective dose – especially for children.”

For more information: http://www.fda.gov/Drugs/DrugSafety/ucm187806.htm

Wednesday, November 4, 2009

HIMSS Virtual Conference & Expo Day #2


Today is the second and final day of the HIMSS Virtual Conference & Expo. This short virtual conference ends today and the educational sessions will be available as on-demand webcasts starting tomorrow (Thursday 11/5).

FTC Identity Theft Red Flags Rule


Well, November 1 has passed. Are you now in compliance with the FTC (Federal Trade Commission) Identity Theft Red Flags Rule? If you're a health care provider and you accept credit cards for payment, then you are technically a "creditor" or "financial institution." You must be prepared to safeguard patient information. Any breach of patient privacy or patient data is now a "red flag" and health care professionals (especially those who accept credit cards) have a responsibility to protect their patients from identity theft. Don't start getting any strange ideas of suing your physician if you become a victim of identity theft.

What's interesting is that fewer medical practices are accepting credit cards these days. You may think that more physicians are embracing plastic, but the reality is that these are difficult economic times even for doctors. As a result, many are having trouble paying for all the fees associated with accepting credit card payments. According to SK&A, roughly 33% do not accept credit cards. Does your physician accept credit cards? If not, then maybe you should be grateful because you may have less risk of identity theft if your medical record gets stolen from your physician's office.

ARRA HITECH and Health Information Exchange


At the HIMSS virtual conference, the opening keynote was presented by:
John Kansky, MS, MBA
VP -- Business Development, Indiana Health Information Exchange
Indianapolis, IN
His presentation was titled, "ARRA HITECH and Health Information Exchange: Opportunities and Pitfalls"

It was interesting to hear how Indiana built its system to exchange health information. How are other states exchanging health information? We all know that the Nationwide Health Information Network (NHIN) is being developed to provide a secure, nationwide, interoperable health information infrastructure that will connect providers, consumers, and others involved in supporting health and healthcare. However, the NHIN is really a large network consisting of smaller networks. Here's a snippet from the HHS:
To promote a more effective marketplace, greater competition, and increased choice through accessibility to accurate information on healthcare costs, quality, and outcomes, the Office of the National Coordinator (ONC) is advancing the NHIN as a “network of networks” which will connect diverse entities that need to exchange health information, such as state and regional health information exchanges (HIEs), integrated delivery systems, health plans that provide care, personally controlled health records, Federal agencies, and other networks as well as the systems to which they, in turn, connect.
Not familiar with all the acronyms?

ARRA: American Recovery and Reinvestment Act
HITECH: Health Information Technology
HIMSS: Healthcare Information and Management Systems Society
NHIN: Nationwide Health Information Network
HIE: Health Information Exchange
HIO: Health Information Organization
ONC: Office of the National Coordinator

Mr. Kansky is Vice President for Business Development for the Indiana Health Information Exchange. He has worked in the healthcare technology field for 22 years with experience in healthcare information technology, health information exchange, and biomedical technology. He has served organizations in the role of Chief Information Officer, Director of Information Systems, and Director of Clinical Engineering and has spoken nationally on healthcare IT, health information exchange, and HIPAA compliance. Mr. Kansky has a BS in Electrical Engineering, an MS in Biomedical Engineering and an MBA. He currently serves on the Health Information and Management System Society (HIMSS) Healthcare Information Exchange Steering Committee and the board of the Indiana Chapter of HIMSS.

Tuesday, November 3, 2009

Grand Rounds is at NonClinicalJobs.com

This week, I'm hosting Grand Rounds at my other blog (NonClinicalJobs.com). I hope you'll enjoy this Grand Rounds that highlights various non-clinical areas in the world of health care.

Day 1 of the #HIMSSvirtual conference


Today is Day #1 of the HIMSS (Healthcare Information and Management Systems Society) Virtual Conference (November 3-4).

I've downloaded all my totebag contents. I'm looking forward to listening to the keynotes, visiting the exhibits (don't forget the 2nd floor), networking in the lounge, and using Twitter (hash tag #himssvirtual). I'll also attend a few of the industry solutions sessions.

Hope to see you there!

Approaching 23,000 followers on Twitter


I admit that I've been less active on Twitter these past few months. Over the summer, I had a ton of energy and I was sending Tweets all the time. Now, my Tweets are primarily my blog posts. I run 4 different blogs, so I end up sending a handful of Tweets each day.

As I approach 23,000 followers on Twitter, I feel compelled to reflect back on my Twitter experience this year. Twitter has been a great resource and I think it's been a unique way to meet people online and share pertinent information with others who share similar interests.

It's hard to believe that we only have 2 months left in 2009. I wonder how many people will follow me on Twitter as we enter the new year. I hope that my blogs and my Tweets are providing a useful service to the health care community. Let's hope to see more health care professionals embrace social media in 2010.

Do you Twitter? Follow @DrJosephKim

Pregnancy and H1N1


This flu season is going to be a very difficult one for patients and health care providers. There's a story on CNN about how a pregnant mother and her pregnant daughter are both battling H1N1. Nancy Brizendine, 42, and her daughter Kayla Yost, 22, are both pregnant and had H1N1. It's no surprise since Brizendine works as a medical assistant. Health care professionals are getting exposed every day to the possible risk of swine flu infection. It's a scary reality, but as this virus permeates society and spreads throughout the world, a significant percentage of clinicians will get sick.

The most important point to this story is prevention. We must exercise the highest level of vigilance to protect ourselves and others from infection. If you're not in the habit of routinely washing your hands, get into the habit. If you don't have easy access to soap and water, then get some anti-microbial gel. Healthy people are dying because of H1N1 and we must do our part to protect ourselves and the public.

Monday, November 2, 2009

FDA Transparency Task Force 2nd Public Meeting


For Immediate Release: Nov. 2, 2009

Media Inquiries: Raymond Formanek Jr., 301-796-4677; raymond.formanek@fda.hhs.gov
Other Inquiries: Afia Asamoah, 301-796-4625; afia.asamoah@fda.hhs.gov

FDA Transparency Task Force to Hold 2nd Public Meeting on Ensuring That Agency Information is Useful, Understandable, Accessible

The U.S. Food and Drug Administration will seek comments on three specific issues related to transparency at the agency during a daylong public meeting on Tuesday, Nov. 3, 2009.

The meeting is scheduled for 9 a.m. to 3 p.m. at the National Transportation Safety Board Conference Center, 429 L’Enfant Plaza, S.W., Washington, D.C., 20594. Directions to the NTSB Conference Center are at http://www.ntsb.gov/events/newlocation.htm

The purpose of the meeting is to receive detailed comments on the following three specific issues related to transparency at the FDA:

  • Early communication about emerging safety issues concerning FDA-regulated products
  • Disclosure of information about product applications that are abandoned, i.e., no work is being done or will be undertaken to have the application approved, or withdrawn by the applicant before approval
  • Communication of agency decisions about pending product applications.

The FDA formed an internal Transparency Task Force in response to the Obama Administration’s commitment to achieve “an unprecedented level of openness in Government.” The Task Force is developing recommendations for making useful and understandable information about FDA activities and decision-making more readily available in a timely manner and in a user-friendly format, while appropriately protecting confidential information.

The task force held its first daylong meeting in June 2009.

Those interested can submit electronic or written comments by Nov. 6, 2009. Submit electronic comments to http://www.regulations.gov. Submit written comments to the Division of Dockets Management (HFA-305), Food and Drug Administration, 5630 Fishers Lane, Room 1061, Rockville, MD 20852.

There is no fee to register for the public meeting. Registration on the day of the meeting will be permitted on a space-available basis, beginning at 7:30 a.m. Those who cannot attend the meeting can view it via live Webcast at http://www.capitolconnection.net/capcon/fda/110309/FDAlive.htm

The Webcast will be archived on the FDA Transparency Task Force page
http://www.fda.gov/AboutFDA/WhatWeDo/FDATransparencyTaskForce/default.htm

A media room with dial-up Internet access will be provided. Please note there is no wireless service within the NTSB Conference Center.

For more information

Hypothetical Case Studies for November 3 Public Meeting on Transparency
http://www.fda.gov/AboutFDA/WhatWeDo/FDATransparencyTaskForce/ucm187750.htm

November 3 Public Meeting on Transparency
http://www.fda.gov/AboutFDA/WhatWeDo/FDATransparencyTaskForce/ucm188633.htm

Microsoft HealthVault in Thailand


Microsoft's personal health record (PHR) service HealthVault is going to Bumrungrad International Hospital in Bangkok, Thailand. I've never been to Thailand but I know some people who moved to live there a few years ago. Here's a snippet from InformationWeek about HealthVault in Thailand:
With HealthVault, international patients who receive treatment at Bumrungrad will be able to access and share their medical records via the Web once they're back home, promoting continuity of care. The records are available free to Bumrungrad's approximately 420,000 international patients as well as to those living locally.

Bumrungrad has 1.5 million patients, and about 45,000 of those annually are Americans who travel to Thailand for healthcare services that are too expensive in the U.S., or aren't readily available to them if they're living outside the U.S. as expatriates.
Sounds like some exciting developments in the international PHR space. Since we're all connected by the Internet, it should be relatively easy to access health records from anywhere in the world. I'm sure we'll be hearing some interesting things about Google Health in the near future as they make inroads in the PHR space.

Sunday, November 1, 2009

Did you get sore after receiving the flu vaccine?


I get the flu vaccine every year. I generally don't mind shots, but this year, my arm was sore for several days! I know that many patients and parents are concerned about things such as Guillain-Barre Syndrome, but this winter, I think it would be absolutely insane not to receive the flu vaccine. This is going to be a very rough winter and many people will get ill from the seasonal flu and from H1N1. Vaccines are known to save lives. Why put yourself at risk?

Hope to see you at the HIMSS Virtual Conference & Expo

I'll be attending. Will you? Let's trade vcards and meet in the virtual lounge.
I look forward to networking with you there. I'll be using Twitter, so make sure to follow me on Twitter: http://twitter.com/DrJosephKim