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Excellent, Quality Phlebotomy? Kudos To A Lab In Manhattan

Last week I had some blood tests taken before a doctor’s appointment. I went to a commercial lab facility, one of several dozen centers for collecting specimens have opened up in otherwise-unrented Manhattan office spaces lately.

I have to say I really like getting my blood work done at this place, if and when I need blood tests. And it’s gotten better over the past few years.

First, pretty much all they do in the lab center is draw blood and collect other samples based on a doctor’s orders. So the people who work there are practiced at phlebotomy, because it’s what they do most of the time. The guy who drew my blood last week did the same a year or two ago, and he was good at it back then. He used a butterfly needle and I didn’t feel a thing.

Second, they seem organized and careful about matching specimens to patients. The man who drew my blood didn’t just confirm my name and date of birth, but he had me sign a form, upon my inspecting the labels that he immediately applied to the tubes of blood he drew from my right arm, that those were indeed my samples and that I was the patient named Elaine Schattner with that date of birth and other particulars. Read more »

*This blog post was originally published at Medical Lessons*

Test Results Delivered To Your Cellphone Via A Disposable Test Strip

GENTAG, Inc. has announced a new diagnostic platform which uses near field communication (NFC) technology to transmit test results from a disposable test strip to a patient’s cellphone. Once results have been sent to a phone, they can then be uploaded to internet-connected EMR systems. The company claims their platform can test for pregnancy, HIV/AIDS, pathogens, and a number of different cancers, and monitor glucose, fever, as well as deliver drugs.

From the press release:

GENTAG started with well-established immunoassay technology and made it wireless and compatible with Near Field Communication (NFC) technology, which enables consumers to use their cell phones as diagnostic tools to instantly test for pathogens, allergens or common medical conditions at any time, no matter where they are.

NFC is currently being integrated into all major cell phone brands, and GENTAG is working with major OEMs [original equipment manufacturers] worldwide to promote the uses of its disposable wireless sensor platform for consumer markets.

Press release: Cell Phones Are Now Personal Diagnostic Tools That Can Monitor Fertility, Pathogens, AIDS, Drugs, and Allergens…

GENTAG products page…

*This blog post was originally published at Medgadget*

Talk To Patients Before Running Tests

The Associated Press ran a provocatively-titled piece recently, “Family health history: ‘best kept secret’ in care”, which noted how a geneticist at the Cleveland Clinic discovered that asking about family members and their history of breast, colon, or prostate cancer was better than simply doing genetic blood testing.

Surprising? Hardly. This is what all medical students are taught. Talk to the patient. Get a detailed history and physical. Lab work and imaging studies are merely tools that can help support or refute a diagnosis. They provide a piece of the puzzle, but always must be considered in the full context of a patient. They alone do not provide the truth. Read more »

*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*

Cancer Pathology: Are Lab Tests Always Right?

The Wall Street Journal’s Health Blog says that cancer lab tests “aren’t always right.” They report on reports issued by two professional societies that point out that as many as 20% of a certain kind of test are inaccurate. According to the Health Blog the problem is the tests “aren’t black and white, and rely on a pathologist’s judgment.”

Now, judgment is a critical factor in most everything in medicine, but perhaps nowhere else are the consequences of incorrect judgment so serious as in pathology. As Dr. William Osler famously observed: “As is your pathology, so goes your clinical practice.” But how widespread is this problem? Read more »

*This blog post was originally published at See First Blog*

Pro-Test: Human Lives Improved By Responsible Animal Research

[On April 8th] at the University of California at Los Angeles, a rally [was] planned to raise awareness about the value of responsible animal research and to denounce acts of terrorism toward animal researchers and their families. The highlight of the “Pro-Test” rally [was] the presentation to legislators and the media a petition with nearly 12,000 signatures of scientists who support the use of animals in research.

The rally and the petition drive [was] a joint effort of Americans for Medical Progress, Pro-Test for Science, and Speaking of Research.

I stand together with my colleagues who conduct animal research in honor of their application of knowledge to advance biology and relieve human suffering, all while a growing movement of animal rights activists up the ante from protests to attacks on researchers, destruction of homes by arson, and even the vandalism of graves of researchers’ loved ones. Read more »

*This blog post was originally published at Terra Sigillata*

Latest Interviews

The Surprising Economic Burden Of ADHD (Attention-Deficit Hyperactivity Disorder)

If you can read this you need to download a more recent browser It is estimated that as many as million U.S. adults have ADHD Attention-Deficit Hyperactivity Disorder A recent research study publication-pending suggests that the economic burden of ADHD on America could be as high as billion annually. I…

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Is The Adderall Shortage A Harbinger Of Future Drug Supply Problems?

If you can read this you need to download a more recent browser Today most- if not all- Doctor’s offices are strained by the shortage of some prescription medication or vaccine. A month ago President Obama signed his executive order directing the FDA to take steps to reduce drug shortages…

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Latest Book Reviews

Book Review: The First Step To Improve Health Care Is A Close Examination Of How It’s Delivered

My friend and former Chair of the CFAH Board of Trustees Doug Kamerow has written a book that I think you will like. Besides being a mensch and witty as heck Doug is a family doctor and a preventive medicine specialist. In his new book Dissecting American Health Care Commentaries…

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“Your Medical Mind” Explores Factors That Influence A Patient’s Medical Decisions

Recently I had a conversation with Shannon Brownlee the widely respected science journalist and acting director of the Health Policy Program at the New America Foundation about whether men should continue to have access to the PSA test for prostate cancer screening despite the overwhelming evidence that it extends few…

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Book Review: Food Truths, Food Lies

Food Truths Food Lies written by family physician Eric Marcotte M.D. may be the most refreshingly evidence-based diet book of the decade. You will not find a single mention of super-foods magical berries or supplement must-haves in the entire book. What you will find is the cold hard truth about…

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