ACOG Thromboprophylaxis in Pregnancy Guidance

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ACOG published guide for VTE prevention in prevention (subscription needed).  Journal Watch has a summary here

the legal findings are in

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From: Johnny Chatterton - 38 Degrees [mailto:action@38degrees.org.uk]
Sent: 30 August 2011 11:28
To: lewis david (West Hertfordshire PCT)
Subject: NHS: the legal findings are in

Dear David, In just one week, your MP has to vote on massive changes to our NHS. But 38 Degrees members now have something our MPs don’t – thorough, independent legal advice about what these changes really mean. Our expert legal advice is sobering. Despite the “listening exercise”, the government’s changes to the NHS plans could still pave the way for a shift towards a US-style health system, where private companies profit at the expense of patient care. MPs are being told by the government that the NHS is safe. If they read our evidence they’ll know that the spin doesn’t stand up. We can put them under massive pressure to vote to save our NHS. So we need to work together to get the legal advice to our MPs right now! Email your MP now: https://secure.38degrees.org.uk/email-the-evidence Our independent lawyers identified two major problems in the new legislation: The Secretary of State’s legal duty to provide a health service will be scrapped. On top of that, a new “hands-off clause” removes the government's powers to oversee local consortia and guarantee the level of service wherever we live. We can expect increases in postcode lotteries – and less ways to hold the government to account if the service deteriorates. The NHS will almost certainly be subject to UK and EU competition law and the reach of procurement rules will extend across all NHS commissioners. Private health companies will be able to take new NHS commissioning groups to court if they don’t win contracts. Scarce public money could be tied up in legal wrangles instead of hospital beds. Meanwhile, the legislation lifts the cap on NHS hospitals filling beds with private patients. So who are MPs going to listen to when casting their vote – you, or lobbyists from private health companies? This is our NHS, and it’s up to us to defend it. Email your MP now: https://secure.38degrees.org.uk/email-the-evidence It’s pretty extraordinary what we’ve managed to achieve together already. Nearly half a million of us have signed the petition to save the NHS. And after Andrew Lansley announced the last round of changes, thousands of 38 Degrees members immediately chipped in to get top independent legal advice on the new plans. Barrister Rebecca Haynes found that the government's plans could pave the way for private healthcare companies and their lawyers to benefit most from changes, not patients. Another barrister, Stephen Cragg, found that we were right to be worried that Andrew Lansley was planning to remove his duty to provide our NHS. This is the conclusion of a top legal team paid to have no other interest at heart but yours. MPs vote in just seven days. Seven days to not only get the evidence, but be convinced there’s way too much public concern to ignore it. The good news is, with over 800,000 of us now armed with expert legal advice, we are just the people to speak up. Let’s give MPs from all parties the mandate they need to think again and vote against these changes to the NHS. https://secure.38degrees.org.uk/email-the-evidence Thanks, Johnny, David, Cian, Becky, Hannah, Marie and the 38 Degrees team. PS: Thousands of us chipped in to pay for lawyers to get a clear understanding of Lansley’s new proposals. This shows what we can all do together to make a difference. Right now, we can use this evidence to tell our MPs to face down NHS changes in Parliament next Tuesday. https://secure.38degrees.org.uk/email-the-evidence NOTES You can view the full report from the legal team here: https://secure.38degrees.org.uk/nhs-legal-advice

Unsubscribe: If you no longer wish to be part of our movement and receive our emails you can unsubscribe here. This email was sent to davidlewis1@nhs.net. 38 DEGREES Registered Company No. 6642193

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Fw: David's Primary Health Care Daily is out ! Edition of Wednesday, Aug. 31, 2011

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----- Forwarded Message ----
From: "noreply@paper.li" <noreply@paper.li>
To: maturinemail-gp@yahoo.co.uk
Sent: Wednesday, 31 August, 2011 11:31:18
Subject: David's Primary Health Care Daily is out ! Edition of Wednesday, Aug. 31, 2011

David’s Primary Health Care Daily   Wednesday, Aug. 31, 2011 HEADLINE Yale medical school switching to iPad curriculum, Harvard medical school creating custom apps by Iltifat Husain, MD 1 min ago Add Yale’s School of Medicine to the growing list of medical schools that are embracing the iPad as the primary source of medical teaching.This upcoming year Yale wi...   stevebartnik     FEATURED CONTRIBUTORS   stevebartnik andrewspong amcunningham k8ethics MedEdAMA   TABLE OF CONTENT 176 articles, 0 photos and 5 videos by 124 contributors Health 63 Education 40 Technology 16 Stories 12 Society 9 Business 8 #mdchat 41 #meded 27

OTHER HEADLINES OF INTEREST TODAY The Social Network Decision Tree of @guykawasaki is Both Ludicrous and Beautiful Published on The Molehill Daily tomwhitby moosh in indy. » “you are stronger than anything broken inside of you.” Published on The #hcsm Daily AureliaCotta

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Sacral Neuromodulation for Urinary Incontinence

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The success of sacral neuromodulation (SNM) for faecal incontinence (http://www.sciencedirect.com/science/article/pii/S0090429505005340; http://www.sciencedirect.com/science/article/pii/S0022534705677282) and recent FDA approval in April 2011 (http://wwwp.medtronic.com/Newsroom/NewsReleaseDetails.do?itemId=1301684726845&lang=en_US) as prompted interest in providing similar results for urinary incontinence, especially when all other treatment have been exhausted.

 

 

Early evidence suggests this novel technique may have a role (http://www.ncbi.nlm.nih.gov/pubmed/20186953): 10 patients were treated in this test of concept.  Another 34 patients were treated in a study published in 2005 (http://assoalhopel.dominiotemporario.com/doc/sacral_neuromodulation_I.pdf): sacral neuromodulation is a viable option for the treatment of refractory urinary urge incontinence that occurs after stress urinary incontinence surgery. Older women with no pelvic floor activity who are remote from their incontinence surgery may have a suboptimal response.

A London Clinic already offers SNM for urinary incontinency (http://goo.gl/mLmsp) so it may become another part of the arsenal for managing what can be for some women an awful emotionally challenging condition

 

Motorola Atrix Review

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http://www.coolsmartphone.com/2011/08/29/motorola-atrix-review/?utm_source=fe...

Dual core smartphone with oomph

Stranglehold on free speech in academia

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http://www.monbiot.com/2011/08/29/the-lairds-of-learning/

Good essay bemoaning the monopoly academic publishing has on information which is often publicly funded.

The new technology and impact on patient care - a personal view

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As a patient and doctor it is clear that there is a great difficulty for most people negotiating the new interactions evolving with the evolution of social media on the back of an expanding and speedier internet.

As a patient, it amazes me that GP – Hospital specialist interactions are mostly by mail and telephone. Email and texting is a rarity. That my scans and other investigation results are not easily available to anyone looking after me reflects how much more work needs to be done in health care IM&T systems.

As a General Practitioner/Family Physician, it troubles me that it remains so difficult to communicate with hospital colleagues about mutual (troublesome/complex) patients. When hospital consultants do give me mobile number, it is not exploited. However, when a situation for prompt care is needed, text message +/- telephone with voicemail has cut through red tape. Using mobile messaging with community nursing team has also improved communication and speeded up management decisions with less impact on my clinics.

We have recently installed DocMan, a document management system. It includes rudimentary OCR technology (Intellisense) but as this is mainly business oriented, it is proving an uphill struggle for receptionists to accurately scan the mail into our document server. And when the doctors do get the letters on their workstations there is too much delay loading up patient clinical codes to make the experience enjoyable. E.g. 87 letters coded yesterday by colleague took over 2.5 hours. For the doctor, it would have been quicker to do that manually!