The hottest Patient Care Substack posts right now

And their main takeaways
Category
Top Health & Wellness Topics

The Dirty Business of Clean Blood

BIG by Matt Stoller • 32315 implied HN points • 03 Feb 24
🏥 Health & Wellness Healthcare Policy Innovation Monopolies Patient Care
  1. Dialysis industry is controlled by two powerful corporations - DaVita and Fresenius - impacting over half a million lives. Non-compete agreements could potentially change this monopoly.
  2. Dialysis is a critical treatment provided under universal healthcare for end-stage renal disease patients, but monopolistic control has led to issues like patient coercion and quality concerns.
  3. The lack of competition and consolidation in the dialysis market has led to lower survival rates in the US compared to other countries. Eliminating non-compete agreements for healthcare professionals could foster innovation and improve patient care.

The darker side of being a doctor

DrEricLevi’s Substack • 499 HN points • 13 Apr 24
🏥 Health & Wellness Mental health Work-life balance Patient Care Medical Industry
  1. Loss of control over work schedule and healthcare system can lead to despair and burnout for doctors.
  2. Lack of support system due to demanding work hours and administrative pressure can exacerbate emotional and physical exhaustion for doctors.
  3. Diminished sense of meaning in medical practice, as administrative demands overshadow patient care, leading to frustration and disillusionment among doctors.

A Surprising Look at the Evidence for Beta-Blockers After MI

Sensible Medicine • 2948 implied HN points • 15 Jan 24
🏥 Health & Wellness Cardiology Medication Trials Heart Health Patient Care
  1. Beta-blockers after MI have been a common practice, but recent evidence shows they may not be as crucial as previously thought.
  2. The BHAT and ISIS 1 trials from the 1980s provided insights on the effectiveness of beta-blockers after MI.
  3. These trials highlight the need to reevaluate the use of beta-blockers after MI, as current MI treatment practices have evolved significantly.

What it Takes to Actually Achieve Shared Decision Making.

Sensible Medicine • 2437 implied HN points • 09 Jan 24
🏥 Health & Wellness Medicine Patient Care
  1. Shared decision-making in healthcare is essential and should focus on educating patients about the risks, benefits, and harms of treatments.
  2. Emphasizing important clinical outcomes over surrogate markers is crucial to help patients grasp their cardiovascular risk accurately.
  3. Providing contextual information, using visual aids, and discussing lifestyle changes alongside medications can help patients make informed decisions about their health.

Emergency rooms are not okay

Your Local Epidemiologist • 1265 implied HN points • 08 Feb 24
🏥 Health & Wellness Patient Care Public Health
  1. Emergency rooms are overwhelmed and at a crisis point, impacting patient care and outcomes.
  2. ER boarding, where patients are kept in the ER due to lack of available hospital beds, leads to dangerous medical errors and even deaths.
  3. Fixing the ER overload issue requires regulatory intervention, such as setting standards and creating better financial incentives.
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Nurse Sirotek: did she tell us that patients are dying in New York hospitals not from COVID but because of “medical mismanagement” and “gross negligence.” Did she say that minorities, blacks etc.

Alexander News Network -Dr. Paul Elias Alexander's substack • 1552 implied HN points • 08 Jan 24
🏥 Health Politics Health Policy Patient Care COVID-19
  1. Nurse Sirotek alleges patients are dying in New York hospitals due to medical mismanagement and negligence, not just COVID.
  2. She claims that minority patients, including blacks, are disproportionately affected by these deaths.
  3. Sirotek accuses hospital management and advocacy groups of not caring whether minority patients live or die.

No more letters from the hospital

Rory’s Always On Newsletter • 1434 implied HN points • 11 Jan 24
🏥 Health & Wellness Healthcare Digital Health Patient Care Medical Technology
  1. DrDoctor is transforming hospital appointments by making them digital through smartphones.
  2. Digitizing appointments reduces costs, inefficiencies, and improves the overall experience for patients.
  3. The shift towards digital appointments has the potential to lead to more innovative healthcare services and patient engagement.

FHIR Resources for Chill Days

healthviva • 19 implied HN points • 31 Jan 24
🏥 Health & Wellness Healthtech Patient Care Challenges
  1. FHIR is a web-based standard for exchanging healthcare data, offering opportunities for developers in the HealthTech industry.
  2. FHIR revolutionizes healthcare data exchange by utilizing patient-generated health data (PGHD) from wearable devices and trackers.
  3. FHIR benefits include interoperability, flexibility, security, ease of development, and cost savings, but challenges exist like transitioning from HL7, choosing the right standard, and ensuring privacy and security.

Should You Use AI to Diagnose Patients: Foresight and ChatGPT

AI for Healthcare • 78 implied HN points • 20 Mar 23
🏥 Health & Wellness AI Diagnosis Healthcare Models Patient Care
  1. Using AI for diagnosing patients is not recommended yet due to lack of real-world healthcare testing.
  2. Foresight and ChatGPT are two AI models explored for patient diagnosis, with Foresight showing slightly superior relevancy performance.
  3. AI models like Foresight can be valuable in healthcare for decision support, patient monitoring, digital twins, education, and matching patients to clinical trials.

From strangers to lovers in the emergency room: A (sort of) love story

Everything Is An Emergency • 3 HN points • 14 Feb 24
🏥 Health & Wellness Patient Care
  1. The emergency room can be a place where unexpected connections and love stories unfold, even in the midst of chaotic situations.
  2. Working in the emergency room requires a balance of empathy, efficiency, and quick decision-making to handle the constant flow of patients and unexpected incidents.
  3. The atmosphere of a city's summer nights can bring an additional layer of intensity to hospital shifts, impacting both patients and healthcare workers.

Axial Discovery - Voice in healthcare

Discovery by Axial • 3 implied HN points • 20 Feb 23
🏥 Health & Wellness Healthcare Technology Patient Care Virtual assistants
  1. Voice technology in healthcare can help patients and doctors by transcribing conversations and reducing errors.
  2. Companies like Abridge and Suki are developing voice products to enhance patient care and doctor efficiency.
  3. Building voice assistants for healthcare has potential for personalized patient and doctor interactions, but faces technical challenges and privacy concerns.

What happens when your healthcare data is used to train AI models?

Tom’s Substack • 2 HN points • 20 Apr 23
🏥 Health & Wellness Patient Care AI Models Model Training
  1. Increased diversity in healthcare data for AI training leads to better performance for all patient demographics.
  2. AI models may memorize training data for individual patients, potentially impacting future care.
  3. Development of AI models in healthcare requires careful consideration to avoid biases and ensure accurate performance.

Follow the Evidence

Are You Okay? • 0 implied HN points • 29 Jul 20
🏥 Health & Wellness Scientific research Patient Care
  1. Medical decisions should be based on science, clinical judgment, and the patient's unique situation.
  2. It's important to avoid making assumptions, relying on anecdotal evidence, or following trends when it comes to patient care.
  3. Physicians strive to make informed decisions by continually learning from patients, colleagues, research, and their own experiences.

Make the Most of What We’ve Got and Stay Hopeful for What’s to Come

Are You Okay? • 0 implied HN points • 14 May 20
🏥 Health & Wellness Patient Care Mental health
  1. COVID testing, while not perfect, is still essential for moving forward and interpreting results requires clinical judgment.
  2. The accuracy of COVID tests can vary between different types and brands, so it's important to understand their limitations and context.
  3. Positive antibody tests suggest immunity, but it's not a guarantee of total protection from the virus. Clinical judgment is key.

Dracula: September 7

Dracula Daily • 0 implied HN points • 07 Sep 23
📚 Literature Fiction Horror Patient Care Medicine
  1. Dr. Van Helsing emphasizes the importance of discretion when dealing with sensitive information and situations.
  2. Blood transfusion is urgently needed to save Lucy's life, highlighting the significant impact of immediate medical intervention.
  3. Arthur's deep love and willingness to sacrifice for Lucy's well-being showcase the power of selfless devotion.

Day One Biopharmaceuticals in the spotlight

Boutique Biotech • 0 implied HN points • 02 Mar 23
🏥 Health & Wellness Pharmaceuticals Drug Development Medical Research Patient Care
  1. Late-stage biotech companies have seen increasing value, while earlier stage companies have seen declines.
  2. Day One Pharma is developing a drug for pediatric low-grade gliomas, showing promising results.
  3. Important updates to look for include duration of response, safety profile, and NDA submission for Day One Pharma.

How AI Can Actually Help Physicians

Discharge Summary • 0 implied HN points • 03 Dec 23
🏥 Health & Wellness AI Physicians Patient Care
  1. AI integration in EMRs can provide concise patient summaries to help prioritize topics for physicians.
  2. Retrieval AI can assist physicians in accessing patient information quickly for tasks like patient sign-outs and deep dive questions.
  3. Challenges in AI adoption in healthcare include technical implementation, legal issues, and proving ROI in hospital settings.

Healthcare as a Service

Discharge Summary • 0 implied HN points • 05 May 23
🏥 Health & Wellness Digital Health Primary Care Healthcare system Subscription services Patient Care
  1. Unbundling primary care can improve user experience but may lead to fragmentation and cost increase.
  2. New healthcare companies are redesigning primary care to enhance user experience, similar to Apple's approach.
  3. Fixing healthcare systems may involve transitioning users from specialized services to comprehensive care through partnerships.