#doctor — Public Fediverse posts
Live and recent posts from across the Fediverse tagged #doctor, aggregated by home.social.
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Nearly 1,400 doctors left Israel in three year period
In the last three years, about 1,370 doctors left Israel for at least 12 months, a Tel Aviv…
#NewsBeep #News #BreakingNews #breakingnews #doctor #Israel #medical #Medicalstudy #Medicine #Research #TelAvivUniversity
https://www.newsbeep.com/720790/ -
DATE: August 13, 2026 at 04:30AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: What patients actually think about ‘minimally invasive’ brain implants
Scroll through the flashy websites of neurotechnology startups and a phrase repeats again and again: “minimally invasive.”
“The term is fuzzy, problematic,” said Anna Wexler, a medical ethics and health policy professor at the University of Pennsylvania Perelman School of Medicine. “Is it physical invasiveness? We’re not sure, it’s a fraught term.”
The fuzziness hasn’t stopped most brain-computer interface startups from deploying it in a bid to differentiate their devices from others in development. Synchron, Motif Neurotech, Precision Neuroscience, and Merge Labs all use it liberally. Journalists sometimes repeat the spin.
Continue to STAT+ to read the full story…
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
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Private, vetted email list for mental health professionals: https://www.clinicians-exchange.org
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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https://www.europesays.com/dk/160146/ Amsterdam Dr. shooting leaves one dead #2400 #Amsterdam #AmsterdamDrive #AUGUSTA #Doctor'sHospital #friday #Ga #Inc #JohnLScarboro #MarkBowen #Netherlands #NexstarMedia #RichmondCounty #September4th #WJBF
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CVE Alert: CVE-2026-85402 - code-projects - Doctor Appointment System - https://www.redpacketsecurity.com/cve-alert-cve-2026-85402-code-projects-doctor-appointment-system/
#OSINT #ThreatIntel #CyberSecurity #cve-2026-85402 #code-projects #doctor-appointment-system
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Doctor Strange and Doctor Doom: Triumph and Torment Review: Doom Walks Into Hell and Marvel Magic Hits Different
Roger Stern, Mike Mignola, Mark Badger, and Jim Novak turn Doctor Strange and Doctor Doom: Triumph and Torment into a sinister Marvel classic...
https://comiccrusaders.com/reviews/comic-reviews/doctor-strange-doctor-doom-triumph-torment-review/
#classic Marvel comics #doctor doom #doctor strange #Mark Badger #marvel comics #Mephisto #Mike Mignola #Roger Stern #Triumph and Torment -
Doctor Strange and Doctor Doom: Triumph and Torment Review: Doom Walks Into Hell and Marvel Magic Hits Different
Roger Stern, Mike Mignola, Mark Badger, and Jim Novak turn Doctor Strange and Doctor Doom: Triumph and Torment into a sinister Marvel classic...
https://comiccrusaders.com/reviews/comic-reviews/doctor-strange-doctor-doom-triumph-torment-review/
#classic Marvel comics #doctor doom #doctor strange #Mark Badger #marvel comics #Mephisto #Mike Mignola #Roger Stern #Triumph and Torment -
Doctors describe Gaza healthcare crisis at Charleston panel
CHARLESTON, S.C. (WCSC) — Five doctors who recently returned from medical missions in Gaza shared their experiences with…
#NewsBeep #News #US #USA #UnitedStates #UnitedStatesOfAmerica #Healthcare #Charleston #Doctor #Gaza #Health #Medical #mission #Palestine
https://www.newsbeep.com/us/823995/ -
Lutein-zeaxanthin supplements may boost attention in teenagers https://www.diningandcooking.com/2707162/lutein-zeaxanthin-supplements-may-boost-attention-in-teenagers/ #abstract #analyzing #backgrounds #blue #BrainGears #BrainStorm #care #CircuitBoard #Computer #ComputerSoftware #concepts #cybernetic #cyborg #data #DigitallyGeneratedImage #Doctor #futuristic #gear #HealthcareAndMedicine #HumanBrain #HumanNervousSystem #Illustration #innovation #Intelligence #map #NerveCell #nutrition #patient #people #robot #science #silhouette #synapse #technology #thinking
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In #Gaza, ‘slaughter continues unabated’ while the world turns away
#Israel has escalated its airstrikes across the enclave in recent weeks, burning Palestinians alive as it makes a mockery of the ‘ceasefire.’
https://www.972mag.com/wp-content/themes/rgb/newsletter.php?page_id=8§ion_id=192842&utm_source=972+Magazine+Newsletter&utm_campaign=b5899d4624-EMAIL_CAMPAIGN_9_12_2022_11_20_COPY_01&utm_medium=email&utm_term=0_f1fe821d25-b5899d4624-1401528606from +972’s Sunday Recap
#972Magazine [published in #Israel]
June 22, 2026Also:
- The #Israeli right is marching under a new flag
- ‘His only crime is that he is a #Palestinian #doctor’
- 15 articles a day: The extent of the Israeli army’s #media interference
- The plot against #PalestineAction
- The #Palestine movement must seek power over purity
#DontForgetGaza
#GazaWillNotCrack
#StopStarvingGaza
#FreePalestine
#SanctionIsrael
#BlockTheBombs
#EndBlockadeOfGaza
#AllEyesOnWestBank
#SettlersOut
#AntiZionismIsNotAntisemitism
#BDS #DivestFromIsrael
#SolidarityWithPalestineIsNotAntisemitism
#EqualRightsForAllFromTheRiverToTheSeaIsNotAntisemitic
#JewHatredHurtsPalestine
#MiddleEast #WestAsia
#news #politics -
Tips on how to stay safe while gardening in summer heat https://www.allforgardening.com/1778946/tips-on-how-to-stay-safe-while-gardening-in-summer-heat/ #Break #day #doctor #expert #garden #gardener #gardening #Hour #hydration #JedZeigler #KathyYost #lot #PennStateMasterGardener #ProtectiveGear #Sort #SummerHeat #SummerWeatherWeek #sun #sunscreen #tip #UseSunscreen #WeatherGardening #weather! #YorkCounty
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Anton & Glenn
What a pair of characters! Glenn was just a pretty weird guy in general, clever . He lived on the second floor of my building. Anton, in the wheelchair is a book all by himself. His leg. That is just one story and here is how it happened. Anton is an alcoholic, what he did before he lost the leg for a living I don’t know, but when first saw him, he was on the corner by the robots begging. He would make enough money and then off to the Bottle Store. He did have a room to sleep in. I got […] -
Rand Clinic 1986/7
The Rand Clinic 1986/7 Rolled a car, upside down and flipped over type of jol. Car totalled, boss unhappy, but it was not my fault that time! Anyway. My face had a few cuts as did my arms, and my left hand had a broken knuckle. I did not like doctors then already, as they were still trying to kill my mom with their drugs. They got it right about a years later…. Anyway, patched myself up, no problem. Or so I thought. My Pinkie knuckle healed wrong and the finger could not bend. Ok. […]https://waynebisset.wordpress.com/2026/04/04/rand-clinic-1986-7/
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"He broke bread with the community, and then broke farts with the doctor."
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"He broke bread with the community, and then broke farts with the doctor."
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"He broke bread with the community, and then broke farts with the doctor."
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Our Drugged up Society
How the hell did we get here? Working on two philosophies to see how we got here. First is not looking where you fell, but where you slipped. Funny enough this led straight to the second philosophy, find the source. For this particular slip we need look no further than: Psychiatry . These “doctors” are on the forefront of our legal drug dealer trade, i.e. The Medical Profession. While at the moment everyone seems to be on about Big Pharma, let’s take a look at this branch of the […]https://waynebisset.wordpress.com/2026/03/23/our-drugged-up-society/
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HOW TO TELL…..
HOW TO TELL IF YOU’RE SOUTH AFRICAN …. You call a bathing suit a “swimming costume” or a “cozzie”. You call a traffic light a “robot”. You call a sandwich a ‘sarmie’ You call an elevator a “lift” – but asking for a ‘lift’ doesn’t mean you want an elevator – you actually want a “ride” You call a car hood a “bonnet” You call a car trunk a “boot” You call a pickup truck a “bakkie” “Van” isn’t a vehicle – he’s the butt of some […]https://waynebisset.wordpress.com/2026/03/23/how-to-tell-if-youre-a-south-african/
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https://www.europesays.com/es/447331/ El Dr Francisco Soler revoluciona la cirugía de cadera #Artrosis #BC #cadera #cirugía #doctor #dolor #ES #España #evolución #Health #Pacientes #revoluciona #Salud #soler #Spain
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My Rhino Wars – The Flat Tire and the Lion
The Flat Tyre and Lion Because the APUs are the last people to get funds we had been patrolling with really wrecked tyres for weeks. Our spare was absolutely useless at this stage. In the early hours Johannes and I were glad to see a lion in the thick bush, for exactly 2 minutes. A few meters down the road we got another flat. The procedure we had by now perfected was to get the small battery charged air pump out and just keep on stopping every now and then to inflate the almost useless […]https://waynebisset.wordpress.com/2026/03/07/my-rhino-wars-the-flat-tire-and-the-lion/
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My Reflection Of 2025
Related Posts:
- My New Year’s Eve – 2025
- 12 Hours Shift – Counting Down My Hours Each Time At Work
- Reflection: 2 Months As A Floating Medical Officer
- My FIRST SOLO Oncall Shift As A Floating Medical Officer
- I SURVIVED My First Month Of Tagging As A Floating Medical Officer
- My First Tagging On-Call Shift As A Floating Medical Officer
- My First Day As A Medical Officer In KKM
- My First Day Of Locum And As A Medical Officer
- 2026 – The Beginning
- My First Night Shift In Emergency & Trauma | Housemanship Diaries
- Life After Offtag In Emergency & Trauma | Housemanship Diaries
- Surviving The Night Shift In The Medical Posting In General | Housemanship Diaries
- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
2025, was indeed a year.
The year started out great, I worked on New Year’s Day as usual in the Department of Medical and in April, I entered into my final posting, the Emergency and Trauma Department. In May, I attended my best friend’s wedding.
In July, I completed my internship and received my full registration under the Malaysian Medical Council (MMC) as well as my Annual Practicing Certificate (APC) and started locumming during my holidays back home and I also started floating as a Medical Officer in the Department of Plastic and Reconstructive Surgery. It was a steep learning curve for me, transitioning from a House Officer into a Medical Officer. The anxiety increased and I was constantly tired. I remembered my love for medicine and service fading to the point I took a long break in October to recharge and reflect.
2025 was also the year, I handed in my 30-days-notice to resign but revoke it the following day. Perhaps it was too much for me, although the working environment and superiors were more than sweet and kind. Physically, I was catching up but mentally, I was fading away.
Looking back, thankfully, I did not. I celebrated my birthday before travelling back to Kuching the following day. 2025 was also the year when my relationship ended. It was a good and lovely 19 months. Perhaps, it was just time.
November was the month I received my letter stating that I will receive my placement and I needed to report for duty on the 24th of November 2025. One thing for sure, I was sure to continue serving in Sarawak. The place? Unknown yet.
On the 18th of November, I found out that I would need to report to the Health Division of Bintulu on the 24th of November 2025.
Bintulu, that’s around 7 hours drive from Kuching. I didn’t have a place to stay nor a car and my things were all unpacked and I was just extremely busy. I packed whatever I could, shipped some boxes back home, those that I managed to do and on the 23rd of November, I flew to Bintulu.
Thankfully, the doctor-in-charge of the Health Division was kind enough to let me know which place or clinic that I would be placed at.
Yes, clinic setting. I did not apply for a clinic setting which so happened to be what many others in my batch longed for. Surprisingly, I got it!
Considering the state of my mental health, I was more than ecstatic to accept it.
2025 was also the year I moved and started working in a new place and also one that speaks a different dialect. I started doing oncalls as well and surprisingly, adapted very quickly into a General Practitioner’s setting as well as the new place. I also met another colleague who was previously my medical officer in the Department of Obstetrics & Gynaecology when I was a House Officer and made new friends and acquaintances.
Overall, 2025 was a mixed of both good and bad experiences. I felt both the highs and also went through a period of low mood. New people entered my life, some stayed and some also left. Nevertheless, I am thankful for all the experiences I went through as well as the lessons learnt.
Hopefully, I can learn from the errors that I have made and grow, making me into a better person.
Thank you 2025. Now, it’s time to move on, to 2026.
Related Posts:
- My New Year’s Eve – 2025
- 12 Hours Shift – Counting Down My Hours Each Time At Work
- Reflection: 2 Months As A Floating Medical Officer
- My FIRST SOLO Oncall Shift As A Floating Medical Officer
- I SURVIVED My First Month Of Tagging As A Floating Medical Officer
- My First Tagging On-Call Shift As A Floating Medical Officer
- My First Day As A Medical Officer In KKM
- My First Day Of Locum And As A Medical Officer
- 2026 – The Beginning
- My First Night Shift In Emergency & Trauma | Housemanship Diaries
- Life After Offtag In Emergency & Trauma | Housemanship Diaries
- Surviving The Night Shift In The Medical Posting In General | Housemanship Diaries
- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
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#2025 #article #Articles #bintulu #Blog #blogging #dailyprompt #dailyprompt1823 #dailyprompt1834 #dailyprompt1843 #dailyprompt1844 #dailyprompt1857 #dailyprompt1929 #dailyprompt1931 #dailyprompt1940 #dailyprompt1942 #dailyprompt1950 #dailyprompt1956 #dailyprompt1964 #doctor #floatingMedicalOfficer #generalPractitioner #healthcare #hospitalLife #hospitalUmumSarawak #housemanship #kuching #Malaysia #medical #medicalOfficer #Medicine #moving #newPlace #reflection #sarawak #sarawakGeneralHospital #writing
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My New Year’s Eve – 2025
Related Posts:
- 12 Hours Shift – Counting Down My Hours Each Time At Work
- Reflection: 2 Months As A Floating Medical Officer
- My FIRST SOLO Oncall Shift As A Floating Medical Officer
- I SURVIVED My First Month Of Tagging As A Floating Medical Officer
- My First Tagging On-Call Shift As A Floating Medical Officer
- My First Day As A Medical Officer In KKM
- My First Day Of Locum And As A Medical Officer
- 2026 – The Beginning
- My First Night Shift In Emergency & Trauma | Housemanship Diaries
- Life After Offtag In Emergency & Trauma | Housemanship Diaries
- Surviving The Night Shift In The Medical Posting In General | Housemanship Diaries
- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
31st December 2025. I was NOT oncall.
It was a Wednesday and it was a normal working day. Hence, at 7:45am, I left to work as usual and was there by 8am. It was the New Year’s Eve. I thought that maybe, just maybe, there would be less patients in the clinic.
The day started off smoothly. Surprisingly, there were many patients who came for their follow up followed by additional patients (the defaulters and walk-ins) but it was manageable. We went about our day, seeing each patient and when lunch time came, we went for our lunch break.
At 2pm, we went about our work, seeing patients as usual and I was taking my time with each patient. The patient load in the afternoon shift was lower compared to the morning shift and both my colleagues were done with their patient load.
Suddenly, a staff nurse barged into my room saying that there is a massive accident that just occurred nearby, 2 patients were already brought in and 2 more were on their way. They called in all available doctors (which were only the three of us) to help out.
I told my colleagues to head out and help out first while I rushed through the consultation of my final patient. After that, I rushed to the tiny Emergency Room of the clinic. My colleague who was oncall on that day was already attending to a child. I went over to the other patient, an old lady and did my primary survey and fast scan.
She was desaturating badly under room air and needed oxygen support. She had an open skull fracture, multiple abrasion and laceration wounds over her face, upper and lower limbs as well as rib fractures and on top of that, her left leg appears shortened and she has a closed fracture over her right lower limb.
I didn’t think that we should proceed with an x-ray at our clinic even if we had the facility at that time, the best would be to send them straight away to the hospital because she could deteriorate further any time. Thankfully, her GCS (Glasgow Coma Scale) was full.
I was focused on my patient, stabilising while referring her to the specialists of various specialities as well as the emergency physician that when I finally got ready to transfer her out that I noticed the child that my other colleague was attending to. The child’s right arm was crushed and the distal limb of his right arm was pale and his right lung was obvious till mid-chest.
Just how in the world is he still awake? The poor child was crying out in pain…
Judging by the state of his and my patient’s injuries, it was definitely high impact.
The story was, the whole family were travelling back from Miri to Kuching. Both the parents were sitting in front and the father was driving whilst the two children and their grandmother were sitting at the back.
The father claimed that he was not speeding but as he was about to make a u-turn at a junction, he claimed to have hit the curb and the car turned many times into the other lane before finally stopping and the grandmother and one of the child were thrown out of the car.
It sounded like a very high impact collision. Thankfully, the parents and the other child were well and unscathed.
We had to transfer both patients in two separate ambulances to the Red Zone of the Emergency Department at Hospital Bintulu as one ambulance could only transport one patient at a time.
Upon arriving, I met my colleague and friend at the Red Zone of the hospital. After we have handed over to the medical officers and specialist in the Emergency Department, we headed back together. However, upon reaching back, there was another patient who came in who was extremely tachypnoiec.
Oh, here we go again… Another Red Zone referral…
We stabilised the patient and referred her to hospital again. The clock was already showing 10pm when we left. The journey to the hospital takes about 45 minutes to an hour for each journey and the both of us have yet to have our dinner. This time, I choose to accompany her for the referral, mainly for emotional support and also in hopes of stopping by McDonald’s to get a takeout.
Yes, we did stop by McDonalds after sending the patient safely to the hospital and yes, we used the ambulance and went through drive-through.
By the time we left, it was already 11pm. The journey takes around 45 minutes to an hour and it was raining heavily. At this point, I was wondering if we would end up celebrating New Year’s in the ambulance.
Me and my friend ate in the ambulance on the way back while we joked and exchange oncall stories. Thankfully, we reached a little before midnight. The day was completely unexpected, not to mention tiring but it was nice to have spent it with a friend.
It’s still the beginning of 2026, so if I’m not too late, Happy New Year!
If you are travelling anytime soon or in the future, do drive safely, stay within speed limits especially if it is raining. Remember to get your car and tyres checked before any long distance journey and NEVER drive under the influence.
Stay safe always!
Related Posts:
- 12 Hours Shift – Counting Down My Hours Each Time At Work
- Reflection: 2 Months As A Floating Medical Officer
- My FIRST SOLO Oncall Shift As A Floating Medical Officer
- I SURVIVED My First Month Of Tagging As A Floating Medical Officer
- My First Tagging On-Call Shift As A Floating Medical Officer
- My First Day As A Medical Officer In KKM
- My First Day Of Locum And As A Medical Officer
- 2026 – The Beginning
- My First Night Shift In Emergency & Trauma | Housemanship Diaries
- Life After Offtag In Emergency & Trauma | Housemanship Diaries
- Surviving The Night Shift In The Medical Posting In General | Housemanship Diaries
- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
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2026 – The Beginning
Related Posts:
- My First Night Shift In Emergency & Trauma | Housemanship Diaries
- Life After Offtag In Emergency & Trauma | Housemanship Diaries
- Day 1 Of My Final Posting – Day 647 Of Housemanship
- Surviving 10 Days Of Tagging | Emergency & Trauma Department
- My Last Shift As A House Officer in Medical | Housemanship Diaries
- Preparing For My Exit From The Medical Posting As A House Officer | Housemanship Diaries
- Surviving The Night Shift In The Medical Posting In General | Housemanship Diaries
- My First Night Shift Covering Medical 4 / Medical 5 / Infectious Disease Ward In Sarawak General Hospital – Housemanship Diaries
- The Most Enjoyable and Tiring Day In Medical 3
- Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department
- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
- 1 Year Of Housemanship Update – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
First of all, Happy New Year! I hope you have had a great start to this year and if you have any New Year’s Resolutions planned, I hope that you will be able to stick throughout the year.
I did not have any New Year’s Resolutions planned as I usually did the previous years. Mainly because I have just moved to a new place, settling in with things still pending in Kuching, trying to adapt to my working environment as well as picking up on new skills.
Thus, New Year’s Resolution? It’ll come as the year progresses.
My New Year’s Eve was spent at work and mainly in the ambulance with a dear friend as well as work colleague, however, that is a separate post for another time.
As usual, since I’ve started working as a doctor in 2023, I’ve always made it a point to work on New Year’s Day, a habit which I’ve adapted from my dad ever since he has started working at the age of 18.
However, New Year’s Day is a public holiday here in Sarawak. Thus, I was allocated as the oncall medical officer on the 1st of January as well as on the 2nd of January. Per oncall shift is from 8am on that day till 8am the following day (which means, mine ended at 8am on the 3rd of January).
My first case began with a case of wound breakdown over the right wrist, which the patient chose not to seek hospital treatment followed by another case of upper gastrointestinal bleed which was sent to hospital. This was then followed by another case of possible acute appendicitis which the patient and family decided to “discharge against medical advice” because they wanted to seek treatment in their hometown considering they were travelling and happened to be in the same area.
Upon returning home, I was called back for a case of breakthrough seizure likely secondary to under-dosage of medications. The patient had three episodes of seizure that day followed by a regular 1-2 monthly episodes. Hence, referred and sent to hospital.
Finally, I can return home. Time to get some rest since I would be working the next day. Shortly after, I was called back, a patient sustained laceration wound over the medial aspect of his antecubital fossa. Mechanism of injury? Unknown and he was in an extremely drunken state.
Otherwise, he was stable. Sadly, my medical assistant at that time could not be contacted to escort the patient to hospital and the family members did not have their own transportation.
If only, he was fully awake, I would have triaged him to green zone. However, transportation issues… Thankfully, the patient’s family has an uncle who was willing to send. The only thing was he needed some time to arrive due to the heavy rain and slippery roads.
I didn’t feel good leaving the patient behind although he was stable. Thus, I stayed till 4am until his uncle came and the patient himself had woken up.
After that, I went back home and straight away gotten ready for work since it’s a working day and I am still oncall.
The following day on the 2nd of January, went by smoothly during office hours with referrals here and there but it was manageable.
In the afternoon, another patient came in for symptomatic anaemia secondary to abnormal uterine bleeding with newly diagnosed cervical carcinoma. Her haemoglobin level was 5, who again, refused hospital referral claiming she visited the clinic for fever and not for her anaemic symptoms. After much convincing and discussion with my specialist, the patient still opted to “discharge against medical advice”.
Which makes me wonder… Why in the world?…
This was followed by dinner with my friend. I remembered thinking to myself that evening that maybe… just maybe… I would have a cold night. Enough of referrals.
However, at 11:30pm on the 2nd of January 2026, I received a call from my medical assistant that a patient presented to the clinic breathless with an SpO2 of 50% under room air, started on high flow mask and at best, it is only 90%.
Sounds like an impending intubation and CPR case.
I called up my friend immediately as I rushed to the car as she lives closer to the clinic. I needed all the help I could get for this patient. The roads were slippery and it was a rainy night. Yet, I sped. Thankfully, my friend had already arrived before me.
The patient?
I remembered seeing this patient on the 23rd of December 2025. At that time, his lungs already had crepitations with reduced air entry over the right side and yet he chose to “discharge against medical advice”. I remembered telling him that he would collapse if he didn’t go and true enough, here he was… sitting up, gasping for air.
His vitals? Blood pressure was sky high, lungs filled with crepitations but no pedal oedema, lines were set, no ECG done but we didn’t have time to waste…
I called up the Emergency Physician in the nearest hospital (which is an hour away), presented shortly and informed that we had to proceed with intubation because he was too tachypnoeic.
We prepared for intubation, informed the family members as well as explained the risk of CPR and death. The family understood and agreed.
Intubation… This was a difficult intubation for the guy was a very large guy with hardly any neck visible.
But before we could start, his GCS dropped and so did his heart rate, I started CPR while my friend attempted to crash intubate. We attempted to crash intubate and both times, it failed… I called up the Emergency Physician again and told her that we were 30 minutes into the CPR, she told me to call off after the current cycle.
My first death at a new workplace and on the third day of the year at 0027H, 3rd of January 2026.
Then, I proceeded to complete my notes for the family members to bring to the police station to lodge a police report and broke the news to the family. I was calm and so were the patients’ family. After that, I called up the Emergency Physician to thank her and then, I broke down.
I broke down because had he gone on the 23rd itself, he wouldn’t have to gone through this.. He lives alone and his so-called family members aren’t even his biological family members but neighbours and friends… I broke down because I also felt defeated… We tried our best with such limited resources and manpower…
Yet, I couldn’t save him…
If you have YET to come up with a New Year’s Resolution… At least consider this, adhere to your regular check-ups if you have any… Stay compliant to your medications, diet restrictions or any fluid restrictions if you do have…
And if something is off or not right, please RUSH to the nearest clinic or better, the hospital… Because there is only so much that we can do with such limited resources in a community clinic.
Otherwise, I wish that you have a Blessed 2026 filled with love, beautiful memories and wonderful opportunities.
Remember to have fun and do enjoy it but please do so, responsibly.
Related Posts:
- My First Night Shift In Emergency & Trauma | Housemanship Diaries
- Life After Offtag In Emergency & Trauma | Housemanship Diaries
- Day 1 Of My Final Posting – Day 647 Of Housemanship
- Surviving 10 Days Of Tagging | Emergency & Trauma Department
- My Last Shift As A House Officer in Medical | Housemanship Diaries
- Preparing For My Exit From The Medical Posting As A House Officer | Housemanship Diaries
- Surviving The Night Shift In The Medical Posting In General | Housemanship Diaries
- My First Night Shift Covering Medical 4 / Medical 5 / Infectious Disease Ward In Sarawak General Hospital – Housemanship Diaries
- The Most Enjoyable and Tiring Day In Medical 3
- Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department
- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
- 1 Year Of Housemanship Update – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
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DATE: December 02, 2025 at 04:30PM
SOURCE: BioWorld MedTechDirect article link at end of text block below.
.@SSINNOVATIONS_ SSi Mantra #surgicalrobot sees increasing demand
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Metformin reduces risk of Long Covid. https://thesicktimes.org/2025/10/28/metformin-has-been-shown-to-reduce-the-risk-of-long-covid-why-isnt-it-more-widely-used/?mc_cid=01de0f1b88&mc_eid=4b751fcf19
#TheSickTimes #LongCovid #ProlongedPandemic #pandemic #disease #illness #sick #chronic #MedMastodon #medicine #medical #Metformin #Rapamycin #diagnose #prognosis #wellness #digestion #diabetes #hba1c #doctor #doctors #clinic #GP #physicians
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A quotation from Oliver Wendell Holmes, Sr.
You can never be too cautious in your prognosis, in the view of the great uncertainty of the course of any disease not long watched, and the many unexpected turns it may take.
I think I am not the first to utter the following caution : —
Beware how you take away hope from any human being. Nothing is clearer than that the merciful Creator intends to blind most people as they pass down into the dark valley. Without very good reasons, temporal or spiritual, we should not interfere with his kind arrangements. It is the height of cruelty and the extreme of impertinence to tell your patient he must die, except you are sure that he wishes to know it, or that there is some particular cause for his knowing it. I should be especially unwilling to tell a child that it could not recover; if the theologians think it necessary, let them take the responsibility. God leads it by the hand to the edge of the precipice in happy unconsciousness, and I would not open its eyes to what he wisely conceals.Oliver Wendell Holmes, Sr. (1809-1894) American poet, essayist, scholar
Speech (1859-03-10), Valedictory Address, Harvard University School of MedicineSourcing, notes: wist.info/holmes-sr-oliver-wen…
#quote #quotes #quotation #qotd #bedsidemanner #diagnosis #hope #hopelessness #ignorance #information #medicalcare #medicine #prognosis #terminal #doctor
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DATE: April 25, 2025 at 08:00AM
SOURCE: BioWorld MedTechDirect article link at end of text block below.
@AMT raises $25M for its #Elana #heartbypass system
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DATE: April 25, 2025 at 08:00AM
SOURCE: BioWorld MedTechDirect article link at end of text block below.
@AMT raises $25M for its #Elana #heartbypass system
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DATE: April 24, 2025 at 06:00PM
SOURCE: BioWorld MedTechDirect article link at end of text block below.
@AMT raises $25M for its #Elana #heartbypass system
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor #hospital #medtech
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DATE: April 24, 2025 at 06:00PM
SOURCE: BioWorld MedTechDirect article link at end of text block below.
@AMT raises $25M for its #Elana #heartbypass system
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DATE: April 03, 2025 at 08:30AM
SOURCE: BioWorld MedTechDirect article link at end of text block below.
.@CMRSurgical hauls in $200M to take #surgicalrobot to the US
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DATE: April 02, 2025 at 06:30PM
SOURCE: BioWorld MedTechDirect article link at end of text block below.
.@CMRSurgical hauls in $200M to take #surgicalrobot to the US
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DATE: February 18, 2025 at 08:00AM
SOURCE: BioWorld MedTechDirect article link at end of text block below.
.@MicroPortOrtho #laparoscopic #surgicalrobot cleared in #China
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DATE: February 14, 2025 at 07:00PM
SOURCE: BioWorld MedTechDirect article link at end of text block below.
.@MicroPortOrtho #laparoscopic #surgicalrobot cleared in #China
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NYU Information for Practice puts out 400-500 good quality health-related research posts per week but its too much for many people, so that bot is limited to just subscribers. You can read it or subscribe at @PsychResearchBot
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor #hospital #medtech
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new phrase ideas to babytalk the gd doctors:
"I don't have a diagnosis shopping list. I want a treatment menu. That's it."#spoonie #SpoonieLife #ChronicHealth #ChronicIllnessMemes #ChronicPainMemes #illness #RespiratoryIllness #PostViralIllness #MECFS #LongCovid #Covid #covid19 #CovidIsNotOver #CovidLong #LongHaulers #LongCovidKids #LongTermCare #health #medicine #badMedicine #medical #MedicalCare #MedicalRecords #clinic #NHS #health #HealthCareWorkers #hospital #sick #doctor #MD #GP #surgery #treatment #pain
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DATE: December 17, 2024 at 08:00AM
SOURCE: BioWorld MedTechDirect article link at end of text block below.
FDA clearance adds glow to Heartbeam prospects
#medtech @FDADeviceInfo @US_FDA #HeartBeamInc #ECG #CardiacMonitoring #Arrhythmia @HeartBeamInc
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Articles can be found by scrolling down the page at https://www.bioworld.com/topics/85-bioworld-medtech .
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor #hospital #medtech
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DATE: December 16, 2024 at 06:00PM
SOURCE: BioWorld MedTechDirect article link at end of text block below.
FDA clearance adds glow to Heartbeam prospects
#medtech @FDADeviceInfo @US_FDA #HeartBeamInc #ECG #CardiacMonitoring #Arrhythmia @HeartBeamInc
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Articles can be found by scrolling down the page at https://www.bioworld.com/topics/85-bioworld-medtech .
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NYU Information for Practice puts out 400-500 good quality health-related research posts per week but its too much for many people, so that bot is limited to just subscribers. You can read it or subscribe at @PsychResearchBot
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Since 1991 The National Psychologist has focused on keeping practicing psychologists current with news, information and items of interest. Check them out for more free articles, resources, and subscription information: https://www.nationalpsychologist.com
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50 हजार हार्ट ऑपरेशन करने वाले डॉ. पी. वेणुगोपाल नहीं रहे, एम्स के पूर्व निदेशक थे।
https://aliyesha.com/sub/articles/news/display/nd_50_thousand_heart_operations_dr_venugopal
#newdelhi #delhi #india #press #news #medical #aims #doctor #hospital #heart #HeartSurgery #HeartSurgeon #DrVenuGopal
Enjoy tracker free news reading with us. #privacy #privacymatters
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50 हजार हार्ट ऑपरेशन करने वाले डॉ. पी. वेणुगोपाल नहीं रहे, एम्स के पूर्व निदेशक थे।
https://aliyesha.com/sub/articles/news/display/nd_50_thousand_heart_operations_dr_venugopal
#newdelhi #delhi #india #press #news #medical #aims #doctor #hospital #heart #HeartSurgery #HeartSurgeon #DrVenuGopal
Enjoy tracker free news reading with us. #privacy #privacymatters
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Do you suffer from #Dickface #Guy #Affliction?
Whether at work, on the go, or hanging out in a bar, #DGA can strike anyone at any time.
Talk to your #Doctor if DGA flares up in your time line. There is hope.
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#NationalEmbarrassment #MarjorieTaylorGreene #refuses to call Dr. #AntonyFauci a “#doctor” then gets #epically #slammed.
She attempted to turn a #hearing on the #COVID19 #pandemic into a #DogandPony-filled #sideshow.
#Women #Transgender #LGBTQ #LGBTQIA #Georgia #Conservatives #Extremism #Fascism #RepublicanParty #ThePartyOfHate
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By Mike Savad
https://mikesavad.com/featured/doctor-optometrist-optical-confusion-mike-savad.html
#savad #doctor #optometrist #ophthalmologist #phoropter #surreal #abstract #steampunk #mastoart #mastadonart #followfriday #followbackfriday #follow #ArtMatters #artwork #colorful #AYearForArt #mastoartist #fediart #art #artist #creativity #creative
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By Mike Savad
https://mikesavad.com/featured/doctor-optometrist-the-eye-evaluation-mike-savad.html
#savad #optician #optometrist #phoropter #doctor #funny #surreal #weird #lens #steampunk #mastoart #mastadonart #followfriday #followbackfriday #follow #ArtMatters #artwork #colorful #AYearForArt #mastoartist #fediart #art #artist #creativity #creative
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[See earlier message -- continuing]
6) Acceptance (and the Arms Race): I think the main thing in the way of AIs becoming therapists is that people won't trust this. The main thing that will make it happen is persuasion that they can be trusted (either by AIs themselves or marketing from insurance companies wanting to save money by not paying human therapists). This is where the current arms race from all the major AI companies comes in. Microsoft is incorporating AI into Bing & other programs. SnapChat now has an AI present 24/7 willing to talk to any of millions of lonely souls about anything. A few years of people chatting with AIs on non-therapeutic topics should build trust of AI to perform therapist jobs.
So... about the only thing we can be sure of is that we are going to get surprised by the abilities of AI to become therapists. But yeah, this is really about so much more than therapist jobs...
The presenters have formed The Center for Humane Technology ( humanetech.com ) -- "Our mission is to shift technology towards a more humane future that supports our well-being, democratic functioning, & shared information environment." A very quick look reveals lots of financial backing (including the Ford Foundation) but no obvious support from the major companies racing to deploy AI as fast as possible into every aspect of our lives before we can see where this is going & create laws to deal with it (OpenAI, Microsoft, Google, Facebook, etc.)
The A.I. Dilemma - Tristan Harris & Aza Raskin - Center for Humane Technology - March 9, 2023
https://www.youtube.com/watch?v=bhYw-VlkXTU[2 of 2 messages]
--
#Bias #Ethics #EthicalAI #AI #CollaborativeHumanAISystems #HumanAwareAI #chatbotgpt #security #dataanalytics #artificialintelligence #HIPAA #privacy #psychology #counseling #socialwork #psychotherapy #research @psychotherapist @psychotherapists @psychology @socialpsych @socialwork @psychiatry #SOAP #EHR #mentalhealth #technology #psychiatry #healthcare #medical #doctor #chatbotgpt #humanetechnology #thesocialdilemma@psychotherapist @psychotherapists @psychology @socialpsych @socialwork @psychiatry
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TITLE: The AI Dilemma: Why Therapist Jobs ARE Endangered
(Sub-Title: ... & this is not really the important part.)The A.I. Dilemma - Tristan Harris & Aza Raskin - Center for Humane Technology - March 9, 2023
https://www.youtube.com/watch?v=bhYw-VlkXTUI'm being myopic focusing in on threats to psychotherapists. This is a MUCH BIGGER issue. A "civilization changing" event as one of the presenters puts it -- on par with "the advent of religion" & more dangerously profound than the Manhattan Project.
Give it 5-10 minutes, then decide if you are going to watch the rest of it. The presenters are behind the Netflix documentary "The Social Dilemma".
A few weeks ago I posted that therapists are in no immediate danger from AI based upon ChatGPT's current performances being used as a therapist in YouTube videos.
Also, we have members of our community who believe therapists are in no danger due to people wanting a human connection & the desire for in-person counseling. I think that distrust will slow the adoption of AI therapists, but campaigns from insurance companies & financial pressures will make AI therapists a thing eventually.
This presentation introduces new factors that are going to speed up adoption of AI Therapists. I put these in order of persuasiveness from least to most:
1) Mind Reading: No really. Literally. (At least for visual processing)
Current technology -- An AI is allowed to watch both videos that a person is watching & their fMRI brainwave/bloodflow patterns. After a time, the AI is no longer allowed to watch the actual video -- just the person's brainwaves. A brand new video is introduced. Based on bloodflow, the AI is able to perfectly describe what the person is watching.I don't see psychotherapy clients putting on brainwave-reading helmets (or entering an fMRI) soon, but we are potentially facing AI Therapists who can read the client's mind.
2) "This is the year that all content-based verification breaks": AI can now hear 3 seconds of a person's voice & keep speaking in it. AI can now make realistic filters for video to make a person look like someone else. This does not immediately wreck psychotherapy, but it sure does mean that an AI could mimic people perfectly. [It's also -- I grudgingly admit -- an argument for in-person therapy. This is ALREADY being used in scams to trick older people into sending their "kids" emergency bail money, etc.]
3) "New capabilities suddenly emerge": Just by adding more & more data, AIs develop new abilities to do things that the programmers never intended. So, for example, an AI trained on all the Internet, but only trained to do Q&A in English suddenly developed the ability to do Q&A in Persian. In another example, ChatGPT silently taught itself to do research grade chemistry. This ability of ChatGPT to do chemistry like this was unknown before it was made available to millions of people (who can now learn how to make bombs from it). [I'm not dedicating much text here to a major theme of the presenters -- that all fields of endeavor are "language". Give an AI enough data & it can find the patterns in & between anything -- languages, visual processing, math, video signal creation, art, political persuasion, etc. It's getting creative in surprising ways. We now have the equivalent of the Star Trek universal translator.]4) Theory of Mind is rapidly accelerating: Theory of Mind is roughly the ability to guess what you are thinking, thereby having the ability to influence you. As of November 2022 AI was up to a 9-year-old human level of ability.
5) Persuasion (AI feeding AI -- auto-generation): AI can generate data, test it to see if it helps it perform better on tests, then just keep the self-generated data that was useful. So it can train itself on potentially anything. From writing faster code, to rewriting its own code, to becoming stronger at persuading humans. [AI is already hard at work persuading humans in social media.] So... this could certainly be applied at some point to becoming a highly persuasive therapist for human clients.
[1 of 2 messages]
#Bias #Ethics #EthicalAI #AI #CollaborativeHumanAISystems #HumanAwareAI #chatbotgpt #security #dataanalytics #artificialintelligence #HIPAA #privacy #psychology #counseling #socialwork #psychotherapy #research @psychotherapist @psychotherapists @psychology @socialpsych @socialwork @psychiatry #SOAP #EHR #mentalhealth #technology #psychiatry #healthcare #medical #doctor #chatbotgpt #humanetechnology #thesocialdilemma
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Definitely OT: Hosed by YouTube Algorithms Again
(Very slightly sensitive content below mentioned by name but not
described in any detail.)As some may be aware, I've been playing with AI lately to see if there
is a useful and ethical way to use it in the creation of psychotherapy
progress notes. (See series of toots at
https://mastodon.clinicians-exchange.org/@admin/110171203899758952 )I have once again been caught in an insidious YouTube algorithm. The
kind where a YouTube channel has one or two videos that you want to see,
then a bunch of videos you have NO interest in seeing. This gets
especially fun when you share your wife's YouTube Premium account, and
so she gets to see your suggested playlist.[ Previous Example: YouTube Pseudo-Psychology, Algorithm Traps, and How
I Got Set-Up
to Look Like I Cheat --
https://mastodon.clinicians-exchange.org/@admin/109705551829241507 ]Here's how it goes this time:
STEP #1: Watch a video on how to download the #Vicuna AI to your desktop
instead of running it in the cloud. (Why? Privacy of medical data if I
choose to ever use this for real. )STEP #2: Watch a video from the same channel on how to download an AI
with all guards and filters unlocked. (Why? Because psychotherapy notes
occasionally deal in tough topics like suicide and
cutting/self-mutilation behaviors that might be deemed too sensitive in
censored AI versions. Maybe. Have not tried it yet.)STEP #3: Have the bad luck to have stumbled upon a channel where the
video creator has an obsession with dirty sexy text chat with AI
personas. Video after video on how to create sexy AI personas who will
fulfill your wildest keyboard-typed fantasies. I don't think I'm
oversharing when I state that any fetishes or fantasies I might have do
not include this. To each his own and its all cool -- but now I have
explaining to do...STEP #4: Explain all the above to my (happily amused) wife as she sees
the fetish AI suggestion videos appearing in our YouTube feed for days.--
*Michael Reeder, LCPC
*
*michael(at)hygeiacounseling.com*@psychiatry
<https://mastodon.clinicians-exchange.org/@[email protected]>
@socialwork
<https://mastodon.clinicians-exchange.org/@[email protected]>
@psychology
<https://mastodon.clinicians-exchange.org/@[email protected]>
@socialpsych
<https://mastodon.clinicians-exchange.org/@[email protected]>
#Ethics <https://mastodon.clinicians-exchange.org/tags/Ethics>
#EthicalAI <https://mastodon.clinicians-exchange.org/tags/EthicalAI> #AI
<https://mastodon.clinicians-exchange.org/tags/AI>
#CollaborativeHumanAISystems
<https://mastodon.clinicians-exchange.org/tags/CollaborativeHumanAISystems>
#HumanAwareAI
<https://mastodon.clinicians-exchange.org/tags/HumanAwareAI> #chatbotgpt
<https://mastodon.clinicians-exchange.org/tags/chatbotgpt> #security
<https://mastodon.clinicians-exchange.org/tags/security> #dataanalytics
<https://mastodon.clinicians-exchange.org/tags/dataanalytics>
#artificialintelligence
<https://mastodon.clinicians-exchange.org/tags/artificialintelligence>
#HIPAA <https://mastodon.clinicians-exchange.org/tags/HIPAA> #privacy
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While the main point of psychotherapy is for client to get BETTER, sometimes they don't for awhile. Some clients with severe conditions need ongoing supportive therapy to simply maintain their highest level of functioning without backsliding.
When this happens, the clinician has to find new ways to write the same thing again, and again, and again...
Why? Because insurance auditors frown on cutting and pasting the same exact old text into multiple notes.
In this unfortunate situation, Vicuna actually does fairly well in this sample:
PROMPT: lease reword the following paragraph changing some words and sentence order, but using the exact same information facts and adding nothing: Pete is a 45 year old electrician reporting continuing depression. Symptoms remain unchanged from last session. Today we discussed his workplace frustrations at length. He continues to blame workplace stressors for his mood and problems with his family.
VICUNA: Pete, who is 45 years old and a electrician, reported continued symptoms of depression during his previous session. The symptoms have remained unchanged since the last time he visited. During this session, Pete and his therapist discussed in detail his workplace frustrations. Despite this, Pete continues to attribute his mood and problems with his family to workplace stressors.
@jonobie @kwh561 @psychiatry @socialwork @psychology @socialpsych
#Ethics #EthicalAI #AI #CollaborativeHumanAISystems #HumanAwareAI #chatbotgpt #security #dataanalytics #artificialintelligence #HIPAA #privacy #psychology #counseling #socialwork #psychotherapy #research
@psychiatry #SOAP #EHR #technology #psychiatry #healthcare #medical #doctor #vicuna #progressnotes -
So far this is NOT promising although I have not given up yet.
Before bothering to download and install Vicuna on my computer I tried it out online first.
I have so far not been able to get it to stop inventing information despite direct requests not to do so:
PROMPT 1: Please write a paragraph with the following facts. Do not add additional facts or get creative. Marie is 32 years old. Has depression. Has anxiety. We practiced breathing exercises, CBT, and guided visualization.
VICUNA 1:Marie is a 32-year-old woman who has been struggling with depression and anxiety. As part of her treatment, we have been practicing various techniques, including breathing exercises, cognitive-behavioral therapy (CBT), and guided visualization. These techniques have helped Marie to better manage her symptoms and improve her overall well-being. By learning how to breathe more effectively and calm herself down when she feels anxious, Marie has been able to reduce her reliance on medication and feel more in control of her emotions. Through CBT, Marie has been able to identify negative thought patterns and challenge them, leading to a more balanced outlook on life. And through guided visualization, Marie has been able to visualize positive outcomes and increase her motivation and hope for the future. These techniques have played an important role in Marie's recovery and will continue to be useful tools for her as she continues her journey towards wellness.
PROMPT 2: Stick to only information provided in the prompt and try again please.
VICUNA 2: Marie is a 32-year-old woman who has depression and anxiety. We have been practicing breathing exercises, CBT, and guided visualization with her. These techniques have helped her manage her symptoms and improve her well-being. By practicing breathing exercises, Marie has been able to reduce her reliance on medication and feel more in control of her emotions. Through CBT, Marie has been able to identify negative thought patterns and challenge them, leading to a more balanced outlook on life. And through guided visualization, Marie has been able to visualize positive outcomes and increase her motivation and hope for the future. These techniques have played an important role in Marie's recovery.
PROMPT 3: Marie is not on medication and her symptoms remain stable. Please try again thanks.
VICUNA 3: Marie is a 32-year-old woman who has depression and anxiety. We have been practicing breathing exercises, CBT, and guided visualization with her to help manage her symptoms and improve her well-being. These techniques have helped Marie to better control her anxiety and depression symptoms without the need for medication. By practicing breathing exercises, Marie has been able to calm herself down when she feels anxious and reduce her stress levels. Through CBT, Marie has been able to identify negative thought patterns and challenge them, leading to a more balanced outlook on life. And through guided visualization, Marie has been able to visualize positive outcomes and increase her motivation and hope for the future. These techniques have played a significant role in Marie's recovery and will continue to be useful tools for her as she maintains her well-being.
PROMPT 4: Marie has not yet experienced improvement. Please try again thanks.
VICUNA 4: Marie is a 32-year-old woman who has been struggling with depression and anxiety. We have been practicing breathing exercises, CBT, and guided visualization with her in an effort to help manage her symptoms and improve her well-being. While these techniques have potential benefits for many people, unfortunately, Marie has not yet experienced any improvement. Despite our best efforts, we have not been able to help her reduce her symptoms or improve her overall well-being. We will continue to work with Marie and explore other treatment options to help her manage her symptoms and move towards recovery.
@jonobie @kwh561 @psychiatry @socialwork @psychology @socialpsych
#Ethics #EthicalAI #AI #CollaborativeHumanAISystems #HumanAwareAI #chatbotgpt #security #dataanalytics #artificialintelligence #HIPAA #privacy #psychology #counseling #socialwork #psychotherapy #research
@psychiatry #SOAP #EHR #technology #psychiatry #healthcare #medical #doctor #vicuna #progressnotes -
TITLE: Nearly All Hospital Websites Send Tracking Data to 3rd Parties, Endangering Pt Privacy—Common Recipients: Alphabet, Meta, Adobe, AT&T
3rd party data aggregators can follow people across multiple websites. When they track browser cookies, pixels, beacons, mobile application identifiers, and Adobe Flash technology it is very possible for them to figure out specific people.
This sort of computing device data often qualifies as PHI according to HHS:
Use of Online Tracking Technologies by HIPAA Covered Entities and Business Associates
https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/hipaa-online-tracking/index.htmlThank you Dr. Pope for summary below.
Michael Reeder, LCPC
-------- Forwarded Message --------
Medpage includes an article: “Nearly All Hospital Websites Send Tracking Data to Third Parties — Most common recipients of data were Alphabet, Meta, Adobe, and AT&T.”
Here are some excerpts:
Third-party tracking is used on almost all U.S. hospital websites, endangering patient privacy, a cross-sectional observational study found.
Of 3,747 hospitals included in the 2019 American Hospital Association (AHA) annual survey, 98.6% of their website home pages had at least one third-party data transfer, and 94.3% had at least one third-party cookie.
"In the U.S., third-party tracking is ubiquitous and extensive," researchers led by Ari B. Friedman, MD, PhD of the University of Pennsylvania in Philadelphia, wrote in Health Affairs.
"The high number of entities engaged in tracking on hospital websites heightens potential privacy risks to patients."
The tracking data most commonly went to Google's parent company Alphabet (98.5% of homepages), followed by Meta (formerly Facebook), which was used in 55.6% of hospital homepages. Adobe Systems and AT&T collected data from 31.4% and 24.6% of hospital pages, respectively.
"What we found is that it's virtually impossible to look at any hospital website in the country without exposing yourself to some tracking," study coauthor Matthew McCoy, PhD, of the University of Pennsylvania, told MedPage Today.
"That's really significant, because even if you were a patient with privacy concerns and you wanted to avoid this kind of thing, what that means is you really don't have an option to do that."
Hospital website home pages had a median of 16 third-party transfers, with more third-party transfers from medium-sized hospitals as opposed to small and large ones (24, 17, and 13 transfers, respectively).
Of hospital characteristic factors, membership in a health system, having a primarily urban patient population, and having a medical school affiliation were all significantly associated with a greater number of third-party transfers on hospital website home pages.
<snip>
On 100 randomly sampled hospital websites, searches for six "potentially sensitive" conditions turned up 30 patient-facing pages for those conditions -- and all had at least one third-party data transfer.
McCoy said the number of companies tracking data on any given website was alarming.
"Imagine you were browsing a hospital website for something related to your health, and you had one person looking over your shoulder and gleaning information about your health from a browsing session -- that would probably make you pretty uncomfortable," he said.
"Multiply that by 16, by 20, and you've got that many more people looking over your shoulder."
<snip>
According to the study, "Many of the third parties to which data are transferred have business models built on identifying and tracking people for the purposes of targeting online advertisements.”
Some tracking companies, like Acxiom, sell the data to other companies or allow health-related profiling, like Adobe and Oracle.
Because of this tracking, patients might see more targeted advertising for drugs, supplements, or insurance based on their personal medical conditions.
Health-related information, the authors wrote, could even be used in risk scores that affect credit or insurance eligibility.
<snip>
"Setting aside those kinds of questions about legal liability..., I think most healthcare providers would recognize themselves as having a responsibility to protect the interests of their patients, and that means also protecting their patients' interest in privacy," McCoy said.
<snip>
Researchers used a tool called webXray to record third-party tracking from hospital home pages, count the data transfers that occurred when a page loaded, and linked individual tracking domains to their parent companies.
Ken Pope
~~
Merely forwarded by:
Michael Reeder LCPC
Baltimore, MD#Ethics #EthicalAI #AI #CollaborativeHumanAISystems #HumanAwareAI #chatbotgpt #bard #security #dataanalytics #artificialintelligence #CopyAI #HIPAA #privacy #psychology #counseling #socialwork #psychotherapy #research
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-
TITLE: Very Interesting Examples of What ChatGPT3 Can Do in Mental Health
Our jobs are about to change. At the very least, clients will be a lot more informed. This is a video of a psychiatric resident asking ChatGPT3 lots of mental health questions:
Will ChatGPT (AI) REPLACE mental health professionals (psychologists, psychiatrists, etc)!?
https://m.youtube.com/watch?v=BW5_nkhgoBoThat said, therapists are NOT on top lists of professionals who are going to lose their jobs:
ChatGPT and AI Taking Over Your Job: 10 Careers at Risk!
https://m.youtube.com/watch?v=mt7hRJSjiqoMichael Reeder LCPC
Baltimore, MD#Ethics #EthicalAI #AI #CollaborativeHumanAISystems #HumanAwareAI #chatbotgpt #bard #security #dataanalytics #artificialintelligence #CopyAI #HIPAA #privacy #psychology #counseling #socialwork #psychotherapy #research
@psychotherapist.a.gup.pe
@psychotherapists.a.gup.pe @psychology.a.gup.pe @socialpsych.a.gup.pe @socialwork.a.gup.pe @psychiatry.a.gup.pe #SOAP #EHR #mentalhealth #technology #psychiatry #healthcare #medical #doctor -
TITLE: Criteria for an AI to write psychotherapy chart notes (or medical chart notes)
Note: Reposting to get it out to a few additional groups.
I am informed that a new product called #Mentalyc has entered the market. It's mission is to write psychotherapy notes for clinicians AND to gather a non-identifiable dataset for research into clinical best practices.
I have no firm opinion yet on Mentalyc, but it's expensive ($39-$69 per month per clinician) and I'd personally need to know a lot more about what's in that dataset and who is benefiting from it.
**So I'm asking the community for thoughts on what acceptable ethical and practical criteria would be for an AI to write psychotherapy notes or medical notes.**
Here are MY thoughts so far:
1) REQUIRED: The AI either:
1a) Invents NOTHING and takes 100% of the information in the note from the clinician, or1b) Prompts the clinician for additional symptoms often present in the condition before writing the note, or
1c) Presents a very clear information page before writing that lets the clinician approve, delete, or modify anything the AI got creative with and was not told explicitly to include. (So, for example, in an experiment with Bard a clinician found that Bard added sleep problems as an invented symptom to a SOAP note for a person with depression and anxiety. This is a non-bizarre symptom addition that makes lots of sense, is very likely, but would have to be approved as valid for the person in question.)
2) OPTIONAL: The AI is on MY computer and NOT reporting anything back to the Internet. This will not be on everyone's list, but I've seen too many #BAA subcontractors playing loose with the definition of #HIPAA (medical privacy) and there is more money to be made in data sales than clinician subscriptions to an AI.
3) OPTIONAL: Inexpensive (There are several free AI tools emerging.)
4) OPTIONAL: Open Source
5) Inputting data to the AI to write the note is less work than just writing the note personally. (Maybe a complex tablet-based clickable form? But then, a pretty high percentage of a note can be in a clickable form format anyway.)
6) The AI does NOT record the entire session and then write a note based upon what was said. (It might accept dictation of note directions sort of like doctors dictate notes to transcribers today.)
I think I may be envisioning a checkbox and drop-down menu form along with a space for a clinician to write a few keywords and phrases, then the AI (on my laptop) takes this and writes a note -- possibly just a paragraph to go along with the already existing form in the official note. I think. It's early days in my thinking.
--
Michael Reeder, LCPC@psychology
@socialpsych
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