Active Surveillance for the Management of Localized Prostate Cancer (Cancer Care Ontario Guideline): American Society of Clinical Oncology Clinical Practice Guideline Endorsement – ASCO Institute For Quality

Published online before print February 16, 2016, DOI: 10.1200/JCO.2015.65.7759 Ronald C. Chen, R. Bryan Rumble, D. Andrew Loblaw, Antonio Finelli, Behfar Ehdaie, Matthew R. Cooperberg, Scott C. Morgan, Scott Tyldesley, John J. Haluschak, Winston Tan, Stewart Justman, and Suneil Jain

Source: Active Surveillance for the Management of Localized Prostate Cancer (Cancer Care Ontario Guideline): American Society of Clinical Oncology Clinical Practice Guideline Endorsement | ASCO Institute For Quality

Opioid Abuse & Mortality Trends – Physician’s Weekly for Medical News, Journals & Articles

Physician’s Weekly provides news & information online and at the point-of-care to hospitals, oncology centers & physician group practices, including specialty editions for Surgery, Emergency Departments, Oncology & Primary Care.

Source: CME: Opioid Abuse & Mortality Trends | Physician’s Weekly for Medical News, Journals & Articles

Will someone please explain to me why as an industry we continue to test life insurance applicants for cocaine but choose to ignore other drugs of abuse?

The #1 Problem Among College Students Is Now Anxiety – Business Pundit

“They can’t tolerate discomfort or having to struggle,” Dan Jones, director of counseling and psychological services at Appalachian State University in Boone, North Carolina, told the New York Times. “A primary symptom is worrying, and they don’t have the ability to soothe themselves.” In 2010, a national study showed that nearly half of college students seeking counseling had serious mental illness. Those students outnumbered a 2000 study by 100%.

via The #1 Problem Among College Students Is Now Anxiety – Business Pundit.

Anxious Students Strain College Mental Health Centers – NYTimes.com.

More Venlafaxine please.

Lawyers Smell Blood in EMR – Computerworld

One recent lawsuit involved a patient who suffered permanent kidney damage when he was given an antibiotic to treat what was thought to be an infection resulting in elevated creatinine levels. The patient was also suffering a uric kidney stone, which precludes the use of the antibiotic. Because of the complexity of the EHR, none of the attending physicians noticed the kidney stone.

Detracting from the EMR’s validity was the fact that a date related to a previous intravenous drip was repeated over and over on all 3,000 pages of the record.

While his physicians claimed they’d documented his care properly, the EMR was so complex and filled with repetitive data, the judge found it in inadmissible. “When an electronic medical record is printed out, the amount of repetitive data in it is ridiculous,” Klein said. “Attorneys are having conferences on how to attack EMRs.

“All these cases were from top vendors. We’re talking about well-established ones used at Kaiser [Permanente], at the VA… and academic institutions,” Klein continued. “These are not rare cases. These are common things.”

“We’ve seen 92-year-old women getting diagnosed as crack addicts because of drop down menus.”

via Lawyers smell blood in electronic medical records | Computerworld.

In my daily work I see more f**k ups in electronic medical records than I’ve seen my entire career.  Et tu?