MGH surgeon, who treated #bombing victims in Afghanistan and #Boston, brings #tourniquet campaign to area schools

How sad is it that teachers are learning how to use tourniquets?  Dr. David King, a Mass General surgeon tells the Globe that he thinks some of the students at Newtown might have survived if teachers had those skills.

After a stint in Afghanistan, where he responded to a truck bomb, and hours the Mass General OR working on the those injured in the marathon bombing,  King is familiar with lower limb injuries.

The lay people, the volunteers, the teachers: Those are the people who are truly the first who can respond to these kinds of incidents,” he said.

To prepare for such unforeseen events, King and other doctors are calling for greater access to commercially manufactured tourniquets and for training in their proper use.

In this story from Health Leaders Media, he explains why the marathon bombing made this clear.

His experiences here and overseas where 75 percent of all injuries were caused by explosions— have made King a huge promoter of the tourniquet. The bystanders at the finish line did their best with t-shirts, belts, and other makeshift tourniquets, he said. But, it takes a medical-quality device to stop arterial hemorrhaging and prevent blood loss that can make a leg wound fatal.

Here he talks about his own experience that day, when he was called in MGH after finishing the marathon himself.

Dr King’s Marathon from Tinker Ready on Vimeo.

In #Boston, young adults do battle with #cancer metaphors

The  Dana-Farber young adult cancer program dealt with an important issue at its recent conference — battle metaphors and cancer.

The language used to talk about cancer often focuses on battle words – those who are cured “won” or “survived,” while those who die from cancer “lost” their “fight.” But is cancer really something to be won or lost?

…Loved ones and those without cancer often consider cancer patients “heroes,” but, as one young adult put it, “I don’t feel very heroic when I’m going through treatment; I just take my medications and do what I’m told to do.” Another young woman added: “The intention is, ‘you inspire me; it inspires me to watch you survive,’ but they don’t do a good job at expressing that.” Being labeled as a hero may put undue pressure on patients or make them feel like they aren’t allowed to look sick or express negative emotions about their experience.

More here on the topic from the NYTimes

Below, keynote talk from Carolyn Ridge, who offered advice for young adults coping with cancer.

Are Facebook rankings of hospitals accurate? Two studies say yes

From Health Leaders Media:

childrens-facebookIn the era of the engaged patient, consumers shop around for healthcare services. When it comes to hospitals, they could consult several ratings programs for information on readmissions and hospital-acquired infection rates.

But data shows they don’t do so in big numbers.

One reason may be that quality measures familiar to providers may mean little to patients. Now, a study suggests that healthcare consumers may be able to find reliable data on hospitals quality in a familiar place – Facebook.

A Massachusetts General Hospital study has found that hospitals with lower 30-day readmissions rates have higher ratings on Facebook than hospitals with high readmission rates.

“The potential impact of social media ratings on healthcare consumer decision-making must not be underestimated in this changing healthcare environment,” say the authors of a study published online by the Journal of General Internal Medicine.

If you can’t join them, beat them: BIDMC in takes over Milton hospital

When the Harvard hospitals decided to join forces as Partners, they cut BIDMC out of the deal. So, this story from the Globe  – on Beth Israel Deaconess Hospital-Milton –is worth noting:

partnersdownloadConsolidation in the health care industry has been viewed with suspicion, leaving critics worried that the state’s biggest health care networks want to leverage increased market power into higher rates. Partners HealthCare, the largest health care system in Massachusetts, recently abandoned its bid to acquire South Shore Hospital in Weymouth in the face of such criticism and a ruling from a judge who said Partners’ growth would raise costs for consumers.

…The Milton case shows how consolidation — though it often increases costs to consumers — can also offer a lifeline to a struggling hospital. The brand alone of a big Boston health care network can be a powerful force, analysts said.

 

#BOSnow How hospitals and other provider are coping with six feet of snow

Here’s the Globe story on how the hospitals are coping. Usually a perennial but this yearBOSnow feb920150209_0094 is a little different — 72 inched and it’s snowing again.

With snow piled up to historic levels, and the region’s subways and commuter rail systems halted Tuesday, administrators labored to keep their hospital doors open, hobbled by a stranded workforce and patients unable to get home.

“This has put us in a capacity crisis situation,” said Dr. Paul Biddinger, Massachusetts General Hospital’s medical director for preparedness.

From Twitter:

Hospitals consolidation: Brill says yes, new Massachusetts AG says no

From Shirley Leung’s Monday column in the Globe:

partnersNo judge or jury delivered a verdict on the Partners HealthCare settlement Monday, but we didn’t need either after Attorney General Maura Healey’s three-page court filing.

She thinks the deal stinks, and if given the chance, she would bring an antitrust suit to block Partners’ efforts to expand. And just like that, the 43-year-old rising political star dared to rock the biggest boat in Massachusetts health care. In the wake of her threat, Healey left a list of winners and losers.

From Steven Syre’s column in today’s Globe:

Maura Healey has been on the job less than a week, but we don’t have to wonder where she stands on the biggest health care conflict in Massachusetts.

And, a Q. & A. from Steven Brill, author of “America’s Bitter Pill: Money, Politics, Backroom Deals and the Fight to Fix Our Broken Health System. That book looks at focuses on the debate over the Patient Protection and Affordable Care Act. But it also returns to Brill’s indictment of high hospitals costs that filled an entire issue Time magazine in 2013. His solution looks very much like a combination of the Kaiser Permanente insurer-plus-provider approach and the Partners’ plan.

HLM: Why will this consolidation approach work to curb costs where other reforms have failed?

Brill: The reason this idea may work is it is going to happen without my writing about it. It’s going to happen. The question is, do we seize that momentum, turn it around jujitsu- style and attach a whole bunch of regulations to it?

I really started thinking about this after my [heart] surgery. I decided: New York Presbyterian, it’s a damn good place and the guy who runs it is a good guy. [Later] I was watching a panel including Toby Cosgove [CEO of Cleveland Clinic] and someone said: You’re gobbling up Cleveland and your market share is way too high.

Cosgrove said, the FTC would never let us have too much of a market share. I’m thinking, this guy Cosgrove, he’s a celebrated surgeon, a war hero. He seems like a pretty good guy to me. The idea the he wants to control and provide healthcare all over Ohio, why is that such a bad thing?partners-logopartners-logo

Storify: Brigham and Women’s Hospital doctor Davidson fatally shot

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