Healthcare Ads-Thinking about Advertising on Facebook-Think Again as Healthcare Ads are Least Successful At the Bottom of the Barrel

I thought this was interesting and it kind of tells where everyone’s head is at on Facebook with Healthcare ads having the lowest ratings.  Right behind the last place spot are ads for Internet and Software products.  Does everyone want to play games?  This might be a big indication here on why California has a big Consumer Digital Literacy push and we can share it too  I’m sure.  You heard in the President’s State of the Union address that we need to get educated and this some what tells some kind of a tale here, you think?  image

Digital Literacy California CIO Series -Michael Peevey, President Cal Public Utilities Commission-We Need to Get Up to Par

Tabloids and and Blogs are up at the top and I’m not sure how big of a representation Health Blogs get in here and might think it could be blogs that offer more of the tabloid type chatter?  BD 

image

Here’s a short video from the California CIO Digital Literacy Series featuring the President of the California Public Utilities Commission. 

Digital Literacy

Still everyone in healthcare is still marketing with viral expenditure rates and sometimes we are almost too overwhelmed at times.  BD

Why Is Almost Everyone In Healthcare Marketing Their “Ass” Off

This chart from a recent Web trends survey of more than 11,000 Facebook advertisements measures click through rates (red) and cost per click (blue) for different categories of ads. There's a huge jump in click through rates for the last two categories -- Media & Entertainment and Tabloids & Blogs. In other words, stuff that's fun to discuss with friends.

Health care ads are the least successful, followed -- somewhat surprisingly -- by ads for Internet and software products.

CHART OF THE DAY: The Most Successful Facebook Ads

Florida Judge Rules Against Health Law– Need Some Judicial “Algo Men” to Influence Decisions on Costs With Methodology Entailment and IT Systems Functionality

This is one of the favorite topics here at the Medical Quack if you read here often enough with decisions made and the unintended consequences and more so importantly the cost that nobody can or wants to afford.  Of course this is complicated so when one makes a ruling today, I think it’s a good idea to have some “Judicial Business Intelligence” incorporated somewhere along this line.  You can make all the interpretations you want, but how do you put things into effect without a meltdown?  A meltdown is what can and will happen as every law to day needs an IT system to enforce and make it workThe insurers have to be loving this dog and pony show as they have their formulas and algorithms to work with what ever means of business intelligence they need to shift and keep the profits coming in.  image

More Congressional Testimonies About Health IT–Members of Congress Could Entertain Getting an “Algo Man” on Staff As Wall Street and Health Insurers Have Them–Don’t Leave Home Without One

We still have so many living in the dark ages of technology but more importantly when such a decision is made, all I can say is “be ready” as the technology side and cost will be right there staring everyone in the face. Here’s a link to the actual document if you want to check it out. 

In addition, the Wall Street Journal also put out a video on the topic with a bit of discussion and some details.  Again, you can make rulings but how this all plays out depends on the ability of IT systems to carry out such decisions. 

Perhaps some of the Judges already have some Algo Men advising them, I don’t know but from what is in the news it doesn’t appear to be that way.  Besides we really do need digital laws to make this process easier to work with as old paper methodologies are making it worse for everyone, even the non participants too.  Actually I did say back in December that some Judicial Ago Men would be helpful and again we need to find out too where there are any potential conflicts of interest as many who own stock don’t get the fact that the companies in which they invest in today don’t operate the same as they did years ago, and thus due to this change in the way business is done, today there could be conflicts where it didn’t exist just a couple years ago.  Some Algo Men can help advise there too with some simple “subsidiary watch” observations and this is yet another area where many find difficulties getting their heads wrapped around. 

Judge In Health Care Lawsuit, Has Financial Ties To GOP Marketing Firm-Judges Need Some “Algo Men” on Board As Advisers to Sort Out Their Connected Interests

Health insurance is not like car insurance in the fact that we can chose to own a car and with health we all have body like it or not that is full of issues today as technology is zeroed in so well now with genomics and other healthcare studies that you can’t help but avoid being diagnosed with something today.  I have not seen anyone who has been able to function yet without a body, but I do know and see people who function quite well without a car <grin>.   The President though hired an Algo Man to be chief of staff a few weeks ago.

President Obama Names a New “Hybrid” Chief of Staff That Can Bring Some “Algo Men” to the White House and Washington

Here’s a good book to read about mathematical formulas and those algorithms that might help explain some of this. 

“Proofiness–The Dark Side of Mathematical Deception”–Created by Those Algorithms–New Book Coming Out Soon

When this all washes out we will see how much study and knowledge of current systems that run laws was maybe rolled into this decision.  If insurers were “non profits” we may not be having this battle today and if a “public” option would have been created the same deal, as it’s hard to force individuals to purchase insurance from companies on the stock exchange with little or no regulation available or action taken from the SEC as they are still working to get their IT Shop set up in order to make a few strides in this direction.  It is what it is. In the meantime, those same types of methodologies and algorithms used for High Frequency Trading are making their way into the processing and handling of medical claims and we are all losing our human liquidity sad to say.  I have had quite a few readers write in and tell me that this helped them understand a bit more about what happens behind the scenes that they were not aware of.  BD

High Frequency Electronic Trading Methodologies And Algorithms Work Their Way Into Healthcare With Human Bodies Losing Liquidity With the “Data Game”

A Florida federal judge on Monday ruled that a key plank of the health overhaul passed last March violates the Constitution, in a decision that could threaten the Obama administration's ability to implement the law. Janet Adamy has details.

Video - Florida Judge Rules Against Health Law - News Hub - WSJ.com

Replacing And Growing Body Parts– Scaffolds Revealed With Regenerative Medicine(Video)

PBS really did a nice job with this video going through how body parts are being imagegrown and where we are today.  I have several posts on the blog about regenerative medicine and there are a few links at the bottom of the article. 

We are a lot closer than many may think as there are people walking around with bladders that were grown for them.  What is needed is the “scaffold”, in other words where the cells need to be implanted.  This video does a real good job on showing how the process works by taking an organ, stripping it down to ground zero and then injecting stem cells from the transpantee. 

One scientist states one day we may have storage facilities of jars of organs and imagethere’s no more rejection and identical replacements are built.  Mentioned here is the woman who had the trachea grown and replaced that was done in 2008.  Two cancer patients in 2010 have also had the same procedure. Be sure and watch to see how a converted printer can kick out organs too.  This is wild.  The image to the right is a heart scaffold.  After 8 days the first lab grown heart can beat on it’s own. 

Wake Forest has been one of the areas to where a lot of the research has been done as well as in Massachusetts General Hospital.   Teeth are also the next frontier and that one I can’t wait for.  BD 

Dental Implants Using Body’s Own Stem Cells To Grow Them – Regenerative Dentistry In the Works

Regenerative Medicine–Reprogramming Stem Cells Grow Heart Muscle Tissue Bypassing IPS Cell Creation–New Standard Set for Stem Cell Research

Scientists At Wake Forest Grow a Mini Liver From Human Cells–Regenerative Medicine

Regenerative Medicine – A Visit to Wake Forest Where They Grow Body Parts With Stem Cells

Researchers At Wake Forest Invent Ink Jets That Can Print Skin

http://video.pbs.org/video/1754537562

Bill Gates Explains Vaccines on a White Board

This is a neat video about saving lives with vaccines.  Giving children a couple of imagedrops or a shot in the arm can save a child’s life.  Measles vaccines only cost 18 cents each. 

He addresses polio right now and how we are close to solving the problem.  Smallpox is the only disease that has been eradicated.  He uses India as an example on where vaccines are being distributed to children for polio.  He states we need to keep vaccinating otherwise the disease will slowly make its way back.   

Vaccines on a White Board

Vaccines were also the topic for Melinda and Bill Gates this year at the World Economic Convention and you can see more at the link below with an interview done at the convention talking about the commitment of the UK joining in.  BD

Bill and Melinda Gates At Davos- Polio Vaccines and Microsoft Kinect Entertains

YouTube - Bill Gates: Vaccines Save Lives | Bill & Melinda Gates Foundation

Obama Voices Support For Limiting Malpractice Medical Suits And Add Drugs and Devices-Need Better Safety Information and Recall Solutions First

As the article from the Los Angeles Times states, this took all by surprise.  We have it in California and it has been in place for years.  In addition new provisions suggested even going further with malpractice to include errors from drugs and medical devices.  In California the limit is $250,000 for a life time benefit for those winning a lawsuit.  There’s definitely both sides to this story too.  When you bring in drugs and medical devices we have a whole new picture. 

Not too long ago I was speaking with an MD friend in New Zealand and we were talking about malpractice and how it is done there.  He said that is one issue that Americans who travel to New Zealand for procedures would need to adjust to, in other words if something goes wrong with a surgical procedure as an example, it is considered a “mistake” and it is corrected and at that point the patient doesn’t pay again but there is no fee for any additional surgical procedures done.  He said their malpractice is minimal in the country compared to the US.

Now in order for something like this to get closer to a reality in the US, I don’t think you can just do a blanket law by any means.  Drugs and devices are a different situation and gee we don’t even have a program from the FDA to promptly advise consumers when items have been recalled for an example, so what if damages occur as a result of an item that was perhaps recalled and missed from being removed from the hospital imageinventory?  This happens and devices fail and people die, and yet they are discussing limitations in this area without any consumer education and instant information?  You can read more on the recall side of this at my year long project suggesting using bar codes for recalls and patient information.  Right now we are doing pretty much nothing for the consumer and I would think if some corrective actions were take in this area, then we could move on to further discussions with drugs and devices.

Microsoft Tags – Microsoft MSDN Posts Ideas from the Medical Quack About Use in Healthcare!

Scan that stent before use….

FDA Publishes Information on How to Identify Recalls – Why Not Scan That Stent With A Cell Phone and Make It Easy for the Public and Manufacturers To Keep Up, Notify And Automate Compliance

For that matter the White House could make themselves a pilot program themselves for keeping unwanted guests from getting through security to see how this would work.

White House Security Breach – Next Time Send Out Invitations Imprinted with Microsoft Tags and Scan with 2D Bar Codes on Arrival

We see shows on television with people playing with the technology and yet nobody makes a move to use it to provide safety information and enhance consumer knowledge. 

Microsoft Tags on CBS Early Show – Wake Up FDA, Pharma and Medical Device Companies –Scan Those Drugs, Medical Devices and Synchronize with an FDA Tag Data Base – Recalls, Theft Tracking and More….

Granted we need to find solutions for the cost in healthcare but we also have to look at the other side, the documentation and loss of production that can occur and the life and death decisions doctors have to make, and of late there’s been little or no concern for the consumer either.  We have no role models, just many so called experts that have never used any of the consumer products they tout, and thus we have a society of non trust.   Here’s an example of what I call the “non participants” needing reports on many items they could answer for themselves if they engaged in general consumer literacy.

AHRQ Needs Ideas Asking for Input from Experts As to How to Improve and Increase PHR Use by Consumers - Duh! Start By Becoming Role Models No Experts Required

I really do get tired of the items in the press that keep belittling the consumer and when you have those at the top that have no clue and don’t use what they are professing for “those guys over there” well, we have no trust. 

In summary, until we get all players on the same ball field and team, I think that the lifetime malpractice with adding on devices and drugs is going to be a tough road and I also predict we may have more angry consumers until both the government and businesses come out of the closet and start using some consumer health IT products themselves, and until then, we keep getting the duh effect here.

President Obama took both Republicans and normally supportive patients' rights advocates by surprise this week when he voiced support for a national limit on medical malpractice lawsuits.
"I'm willing to look at other ideas to bring down costs" besides repealing his healthcare overhaul, Obama said in his State of the Union address, including "medical malpractice reform to rein in frivolous lawsuits."
The president's words breathed new life into the often discussed but never enacted Republican initiative. Last week, House Republicans held a hearing to decry the cost of medical malpractice lawsuits, which they blame for rising healthcare costs. They introduced a bill to set a $250,000 limit on damages for pain and suffering caused by "any healthcare goods or services or any medical product."

Medical malpractice: Obama surprises both sides in medical malpractice debate - latimes.com

Orange County Conference Markets Medical Marijuana To Seniors at Laguna Woods

Speakers talked about micro molecular components of cannabis during the Medical Cannabis Convention.  One woman showed off her glycerite she uses for her imagemultiple sclerosis pain in which she puts a few drops under her tongue for pain relief.  The seniors were here to learn about medical marijuana and not to get high. 

This was a first of it’s kind meeting with the focus being on seniors and Laguna Woods is just that, a senior community for the most part in southern Orange County and a very nice area at that.  BD 

Laguna Woods – Wearing a powder-blue cardigan and orthopedic shoes, 86-year-old Dorothy Davidson learned how to make a marijuana smoothie as well as the difference between consuming baked weed and the raw plant at a Saturday conference aiming to teach seniors about medical cannabis.

"You hear so many negative things about it," said Davidson. "Now I know how it works."

Laguna Woods allows dispensaries, but does not have one. However, some groups run nonprofit collectives in the retirement community located in town.

Letitia Pepper, a 56-year-old suffering from multiple sclerosis, a disease involving the central nervous system, said she concentrates marijuana extract with vegetable glycerin to make a liquid. When in pain, she squeezes a few drops under her tongue.

"People come up to me and say 'Oh, you look great,' " said Pepper of Riverside, wearing a T-shirt that said "Pills Kill." She said friends are surprised when she credits medical marijuana for the change.

O.C. conference markets medical marijuana to seniors | marijuana, medical, pain - News - The Orange County Register

Johnson and Johnson Generics to License AIDS Drug Before Regulatory Approval to Increase Access To Underserved Countries

This is a good deal for developing nations getting drugs at an affordable price.  This makes Johnson and Johnson the first pharma company to license generic copies imagebefore approval is even given.  J and J licensed the drug for use in 48 countries listed as least developed countries to include India and South Africa.  Latin America, outside of Haiti is excluded from the list so good news for Haiti.  Tibotec is the generic drug company owned by Johnson and Johnson. 

The AIDS drug, named TMC278 is still waiting regulatory approval in the US from the FDA and in Europe.  The plan here is to get the drug to the countries in need as fast as possible.  The generic companies who manufacture the drug will pay Tibotec royalties of 2 to 5 percent.  A Mylan pharma subsidiary in Pennsylvania will be one of the licenses granted as well as Aspen Pharmacare Holdings in South Africa.

This will be interesting to see how this all works out and eventually see how it might maybe roll over into access for drugs in the US with this type of process someday.  BD

From the website:

“Non-nucleoside reverse transcriptase inhibitors (NNRTIs) have become important components of HAART due to their high potency and convenience. Given the relatively small number of approved NNRTIs and their clinical benefits, novel NNRTIs with improved tolerability, convenience and binding to HIV-1 reverse transcriptase are needed.
Multi-disciplinary discovery research has yielded TMC278, a new NNRTI (a diarylpyrimidine (DAPY) derivative), which shows high intrinsic activity against both wild-type HIV-1 in vitro and against HIV strains harboring resistance inducing mutations. It is well tolerated, has a long half-life and allows once-daily dosing.”

Jan. 28 (Bloomberg) -- Johnson & Johnson struck the first deal to license an experimental AIDS drug before regulatory approval, reigniting debate over how much companies should do to speed access to HIV treatments in poor countries.

J&J’s Tibotec Pharmaceuticals unit has agreed to let three generic drugmakers provide copies of TMC278 in sub-Saharan Africa, India and parts of Asia if it’s approved by regulators, the company said yesterday in a statement. If past AIDS drugs are a guide, that could make the pill available for a hundredth of the price that customers pay in the United States, said Mitchell Warren, executive director of the New York-based AIDS Vaccine Advocacy Coalition.

“It is important and significant news,” he said. “This could indeed facilitate these products making it into the developing world at lower prices than could be offered just by the developers of the drugs themselves.”

Warren said Truvada, the AIDS drug made by Foster City, California-based Gilead Sciences Inc., sells for $35 to $40 a pill in the United States while generic versions may cost 40 cents in Africa, offering a guide for the potential savings.

J&J Generics Deal May Speed AIDS Drug Access in Africa, India - Businessweek

Amazing Charts EHR Now Has An IPad/Iphone Mobile Application

Amazing Charts has been around for a number of years and the Owner/President wrote the original version with his goal of keeping it simple and affordable.  A few imageyears ago I briefly met Jonathon at one of the medical conventions I attended and occasionally when I have time, slip over into their user groups and say hello. 

The software is called AC OnCall and you can use with either the iPhone or the Ipad.  One item that has remained the same for years is that you can download a trial version of the entire program for your PC and use it for 3 months prior to purchasing.  I had not looked at their website in a while and I can see now they have added quite a few practice management connections for the EHR system to include EZ Claim for one who is an advertiser on the Medical Quack and back in my days of writing code I also integrated with EZ Claim for billing to avoid duplicate data entry.  Back in 2003-2005 hardly anybody was doing that and now everybody is.  It was also less complicated back then too.

image

To use the program you need to be an Amazing Charts client and have purchased the licenses to use, and again over the years everything has remained very affordable too.  One service Amazing Charts has offered as long as I can remember is the back up service, and think about that one in times of disaster as it’s sure handy and will keep you up and running, and again this has been around since day one back in 2003 I think, but don’t quote me for the exact year.  Amazing Charts has been on of the longest established players in the medical records area and Version 6,  is 2011/2012 compliant and was certified as a Complete EHR by the Certification Commission for Health Information Technology (CCHIT®), an ONC-ATCB, so stimulus money is available with showing meaningful use.  BD 

image

AmazingCharts Inc., today announced a new software App that gives medical practitioners mobile access to their Amazing Charts EHR records from an iPhone, iTouch, and iPad. The new App, AC OnCall, is available at the iPhone App Store for a one-time charge of $24.99.

Amazing Charts introduces new iPhone / iPad app for mobile access to their EHR

Joe Biden Talks About His Use of the iPad-Who Did Not Snooze During the State of the Union, But Found a Video of Some Who Did

Sometime last year I made mention that we didn’t have any role models around using imagemuch technology and Joe Biden has jumped in there with the Ipad and he uses it to download his speeches and his major use is all the access to the major news outlets.  He has all the major and local papers loaded that he reads.  He states he’s on his Ipad 6 to 7 times a day. 

He’s not a game person with his Ipad, even though he loves to play Solitaire on his computer at home but felt it would be too much of a distraction to have it on the Ipad.  He says he can’t spell and that’s why we have dictating machines and he likes Twitter and he says the fact that you don’t know how to spell makes no difference there and I can attest to that fact too. 

You can watch the whole series of short interviews at the Yahoo website.

Speaking of the State of the Union, he could have used his Ipad there and someone made a video of his distractions, which is cute and in one of the interviews he laughs at himself with what appears on the web.   He could have used his Ipad here to have some technology devices sitting around. <grin>.

State of the Union–Biden

But I do have to say he didn’t fall asleep like some members of Congress as well as imagea Supreme Court Justice.  It makes me wonder when you think this is a news broadcast across the world, can’t folks stay awake for 90 minutes without snoozing? 

Below are the Jimmy Kimmel “Snoozie” awards and Supreme Court Justice Ruth Bader Ginsburg.  BD 

Sleeping during State of the Union

What game does Vice President Joe Biden play on his iPad?

Arteriocyte Gets FDA Approval To Begin Clinical Trials-Stem Cell Treatment For Critical Limb Ischemia, A Severe Form of PAD-Regenerative Medicine

It was just last week I spent some time with Dr. Lawrence from the UCLA Gonda imageVascular Center and the link below will tell you about what they have going on there with treating PAD, lots of new technologies with non-invasive diagnosing too. 

The UCLA Gonda Vascular Center Treats PAD (Peripheral Arterial Disease)-Interview with Dr. Peter Lawrence Chief of Vascular Surgery

The FDA has given the OK to begin clinical trials on using stem cells for bone marrow injections.  PAD (peripheral arterial disease) is kind of a silent disease that we may not be aware of until we get checked out.  PAD is not new but the therapies to diagnose and treat certainly are.  Back in June of 2009 I also spoke with Cook imageMedical about PAD and actually was my first real exposure to a full education on what it is and you can use the link below to read up there as well.  Be sure and catch the part about the man walking around with a golf ball in his shoe for gosh knows how long and being the patient has lost feeling, he no idea it was in his shoe!

Cook Medical Interview Discussing PAD Leg Therapies– Rob Lyles, VP Peripheral Intervention Division

Ohio State University has been chosen as the first location for patient enrollment under the Assistant Professor of Surgery in the Vascular Diseases and Surgical Center.  CLI (Critical Limb Ischemia) is a blockage in the arteries that restricts blood flow to the extremities and around  150,000 people a year lose a limb.  Arteriocyte Medical Systems works with partner and owner Medtronic with blood component therapies. 

In short this is a device that can be used at the patient bedside and offers treatment for those who are not eligible for surgery and we are talking patients with diabetes here as well with wounds that will not heal.  The article states it takes 15 minutes for the process to run.  The website has a patient story here for additional information on how it worked for him as he has diabetes 2.  Going back to my interview at UCLA we also touched on wound care too as it all comes under the same circulation areas.  Below are a couple images of before and after. 

This is great news and looks to be limb saving if not life saving when you see the wounds healing and circulation coming back.  Hopefully more sites will get underway soon with the trials.   BD 

CLEVELAND, Jan. 28, 2011 /PRNewswire-USNewswire/ -- Arteriocyte®, a leading clinical stage biotechnology company with offices in Cleveland, Ohio and Hopkinton, Massachusetts that develops proprietary stem cell and tissue engineering based therapies, imageannounced today approval from the Food and Drug Administration (FDA) to initiate a Phase I clinical trial using its Magellan MAR01™ technology in the treatment of Critical Limb Ischemia (CLI). The FDA Investigational Device Exemption (IDE 14522) allows Arteriocyte and its clinical partners to initiate evaluation of concentrated marrow injections (using the Magellan MAR01™ technology) in improving perfusion in ischemic tissue in affected limbs of patients with CLI who are not eligible for revascularization surgery. image

The Magellan technology combines a rapid bedside tissue concentration device and sterile surgical disposables that produce platelet rich plasma from blood and bone marrow aspirations in approximately 15 minutes and was FDA approved through the 510(k) process for use as deemed appropriate by surgeons. The Magellan MAR01™ technology enables the rapid "closed system" concentration of aspirated bone marrow, yielding an injectable tissue rich in platelets, hematopoietic stem cells and mesenchymal stem cells, commonly viewed as key components in tissue repair. The company is developing MAR01™ for use as a clinical treatment for Critical Limb Ischemia, and plans to initiate additional clinical trials evaluating MAR01™ in cardiovascular disease, and the clinical setting of orthopedics and tissue repair during 2011.

Arteriocyte Receives FDA Approval to Move Forward with Critical Limb Ischemia Trial -- CLEVELAND, Jan. 28, 2011 /PRNewswire-USNewswire/ --

Stent Royalties and Wars Continue with Jury Ruling Against Johnson and Johnson To Reward Researcher for Patent Violations

This is a game or situation that Johnson and Johnson seems to be good at with their multitude of legal cases with stents.  This time they are on the losing end of the stick with a jury ruling they violated a patent.  The same researcher also won a case imageagainst Boston Scientific on his design.  Basically speaking a a consumer, we just want to be able to afford those “patented stents” to save our lives when needed. 

Will the “Stent Wars” Ever End – We Want to Be Able to Afford them Boston Scientific Files Cross Appeal

This case is slated for an appeal by Johnson and Johnson but again where’s their entire focus, is it on lawsuits or good stents?

Where’s Some of the Focus for Johnson and Johnson Revenue Cycles – “Legally Patented Stent Wars”?

Will all these payments and legal cases keep pushing up the price of stents?  I see so much of this in the news and we all know how costly it becomes.  The companies fight among themselves too and back in April of 2010 we had this big 2 million dollar settlement where Johnson and Johnson won against Boston Scientific so this settlement here with the researcher and his claim looks like peanuts by comparison in dollar value.  image

Johnson and Johnson Revenue Increased – Helped Along with “Stent War” Settlements

There’s one more story here about a judge denying J and J a bid to revive a 5.5 billion dollar anti competition breach of contract lawsuit with Boston Scientific.  This is utterly ridiculous and the technology being disputed is highly technical.  What don't’ the 2 merge or do something else that’s more intelligent than this, like reach an agreement without years of court cases.  Is this the way of the future for financing research and development with stents?  '

It’s no wonder we can’t get any good Tylenol back on the shelves with this big dollar war continuing to probably draw a huge amount of corporate focus and the consumer loses again all the way around.  BD 

(Reuters) - A federal jury in Texas has rendered a $482 million verdict against Johnson & Johnson, finding its widely used Cypher stent infringes on the patent of an outside researcher, the company said on Friday.

Dr. Bruce Saffran filed the lawsuit, saying that his stent patent was valid and that the healthcare company infringed on it.

J&J said the company disagrees with the jury's decision, and will fight it.

"We will ask the judge to overturn this verdict and if unsuccessful, we plan to appeal the verdict," a J&J spokesperson said.

Saffran's law firm, Dickstein Shapiro LLP, in a release, said the jury deliberated for two hours before returning its verdict.

The law firm said another federal jury in the same Marshall, Texas, courthouse three years ago rendered a $431.9 million verdict against Boston Scientific Corp, finding that its Taxus stent also infringed Saffran's patent.

Jury awards plaintiff $482 mln in J&J stent battle | Reuters

Study Shows Women Who Experience Hot Flashes May Have as High as a 50% Reduced Chance of Developing Breast Cancer

Well for once I feel lucky if this is true. Those bothersome irritating sessions of hot flushes are contributing to something good!  Nobody likes to talk about this subject but for women it’s just a part of life and perhaps these flashes are burning up any potential cancer cells <grin>. 

Bring on the Hot flashes and I guess next time I should give it warm welcome!  Not too long ago I did an interview with Heidi Houston, the executive producer of a documentary about Hot Flashes and screened the movie myself and I recommend it as you will learn a lot from watching with a lot of history going back to the Women’s Health Initiative and how we have progressed.  As Heidi state the movie is good information for anyone who is a woman or who knows one, and that about encompasses all of us.  The movie has a great sound track too. 

Hot Flash Havoc–Menopause Exposed and Explained Documentary For Anyone Who Is A Woman or Knows a Woman–Interview With Heidi Houston, Executive Producer

Here’s the trailer below so you can see the format and there’s a bit humor in there as well to keep things light and again I recommend it for hospitals and other healthcare organizations to screen as a great source of education.  BD

Hot Flash Havoc

THURSDAY, Jan. 27 (HealthDay News) -- Here's some good news for women ever bothered by hot flashes and other menopausal symptoms: Your risk for breast cancer may be reduced as much as 50 percent, researchers from the Fred Hutchinson Cancer Research Center in Seattle report.

"We know that hormones are important to breast cancer risk, and we also know that menopausal symptoms occur primarily because of changes in hormones that women experience as they go through menopause," said lead author and breast cancer epidemiologist Dr. Christopher I. Li.

The researchers found that women who had the most hot flashes had a very low risk of developing breast cancer, the second leading cause of cancer death among U.S. women.

Study Ties Hot Flashes to Lower Breast Cancer Risk - Yahoo! News

FDA Audits Halted Duke University Clinical Trials Data Related to Genetic Cancer Predictors-A “Padded” Resume of Experience That Did Not Exist

The studies were carried out and then halted upon finding out that one of the biostatisticians lied about his background.  Much of the published information on the trials has now been retracted and now the FDA is looking into the situation to get imageadditional information.  Credentials and backgrounds on qualifications are certainly creeping into the news quite frequently today.  Not too long ago a pilot even had the AMA fooled on his false credentials of being a doctor.  How do these folks do this I wonder with all of us being so connected today?  It seems like such discrepancies should be showing up sooner, that is if anyone decided to check them out. 

Pilot At United Airlines Claimed to be an MD and Duped Many, Including the AMA With Phony MD Credentials

This is kind of important information as the study was to use genomic information to predict outcomes with tumor treatment on how the patients will fare.  I said at one point the FDA will become the most connected government agency and perhaps that evolution is moving a bit too slow?  BD 

The fallout continues from a decision to halt controversial cancer trials at Duke University last year: In an article today, The Cancer Letter is reporting that the U.S. Food and Drug Administration (FDA) is auditing data related to the trials. The Duke genomics center run by a prominent cancer researcher, Joseph Nevins, has been disbanded, although a Duke spokesperson says that decision was already in the works and is unrelated to the FDA audit.

It's a long and winding story that dates back several years to initial queries from two biostatisticians at MD Anderson Cancer Center. They expressed concerns about the science behind genetic cancer predictors developed by two Duke researchers, oncologist Anil Potti and Nevins. After the biostatisticians contacted the Duke scientists and the journals that published their work, Duke launched trials based on the technology, using it to assign patients to different treatments. In the summer of 2010, The Cancer Letter reported that Potti had padded his resumé and claimed he was a Rhodes scholar when he wasn't. He resigned, and the trials were halted. Several papers describing the technology have recently been retracted.

More Trouble for Duke as FDA Audits Center, The Cancer Letter Reports - ScienceInsider

Hospital Lawsuit over EHR Systems and Money-Meditech, Epic and “The Consultants”-“Meaningful Money” & “Health IT Literacy”

We have now moved beyond “meaningful use” and in this case are looking at “meaningful money” of sorts.  This is a type of decision that many healthcare companies look at today,do we keep adding on or do we rip out and start from scratch, and money is the top influencer in this case for sure.  image

The company already had an installation of Epic Medical records and looked at basically starting over with Medtech. Why would anyone want to rip out what is there and start over – money, what else.  Then we have the consultants enter the situation with their suggestions based on cost algorithms and no doubt the Meditech solution came in as being cheaper, money wise that is.  Sometimes things look this way on the big analysis sheets but when you dig in and actually start the project, things can kind of change along the way too, since technology is rapidly moving along today.  The hospital was in dire financial shape, so of course everyone starts looking around for alternatives to the current cost of upgrading and increasing the current capabilities of their Epic system. 

Now it gets real interesting here with the story stating that they could I believe save money on security and then the hospital became infected with a virus.  Not knowing all the details on this it’s hard to say much more on this account.  Sadly the Meditech system and the consultants were tossed out and they went back to charting on paper!  What bill of goods one asks was sold to the board of directors you ask at this point?  It’s one of those where you have to have been there to really know. 

Now the hospital wants the millions back from the consultants and $16 million in the damages caused.  When this all occurred, the hospital had already spent over $26 million on Epic.  So you thing Health IT systems are simple and that any old consultant can advise you, think again.  The Health IT Illiterate in so many areas, to include our Congress, thinks that all of this grows on trees and doesn’t understand what works in the background and the cost.  I sat in on a blogger panel yesterday and made reference to this exact point, and consumers need some general imageawareness here too. 

Do Some Think That Health IT Costs and Systems Grow On Trees-Certainly Starting To Give That Impression of Late

This is also a good case for non collaboration costing a lot of money, time and expense.  I think the consultants should have maybe thought out their recommendations a little more.  It didn’t seem there was much collaboration here sadly for the hospital. 

Innovation Without Collaboration Is Fouling Up The US Healthcare IT System–We Need Both As We Can’t Stand on Innovation Alone

The price of Health IT is high enough today without additional costs such as what occurred here.  It takes a lot of time and money to change out systems today now that we are all integrated via the internet and data is shared in so many places.  BD 

The Methodist Hospitals claims in a federal lawsuit that the company it hired in 2006 to help steer it out of a financial mess instead directed it to a new computer system that wasted $16.6 million.

The computer system opened up almost half of Methodist's computers to a virus attack and messed up patient information to the point that doctors and nurses had to abandon the system altogether, according to the lawsuit filed Wednesday in the U.S. District Court in Hammond.

The lawsuit names as defendants FTI Cambio, a Tennessee company, and HealthNET and Medical Information Technology Inc., both based in Massachusetts.

However, Methodist now says HealthNET and Cambio lied about the costs, saying it would cost another $25 million to finish installing Epic when it would really have cost $11 million.

Instead, the companies told Methodist part-way through the Meditech installation the hospital needed to lower its security and anti-virus protection. Methodist says in the lawsuit this left the company's computers open to attack and 40 percent of them got infected with the Conflicker virus because of it. The system also became too burdened to use without customization, according to the lawsuit.

Hospital wants its $16M back from failed computer system :: Local News :: Post-Tribune

Red Cross States National Blood Supply at Lowest Levels in 10 Years-Using Twitter and Social Networks To Find Donors

The extreme cold weather that has hit the east coast of the US is a big part of the imageproblem.  Blood supplies have been short for a while as back in June, pies were given away in Iowa in order to entice consumers to give. 

Red Cross In Iowa Giving Away Pies to Those Who Donate Blood

You can visit the website of the American Red Cross for additional information on how to give.  BD 

Red Cross Blood Drive

The American Red Cross says its national blood supply is at the lowest level for January in 10 years because winter storms and resulting travel disruptions caused cancellation of 14,000 donations.

"Winter weather is what has really caused this problem," said Debbie Estes, director of communications for the American Red Cross' southeast region.

The organization is using e-mail, Twitter and social media sites to spread the word, and phoning to ask past donors to give now, Estes said. In some areas, it is promoting T-shirt giveaways and drawings for donors; prizes include trips to Graceland or Las Vegas.

Winter weather draining blood supply - USATODAY.com

Gamers Are Not the Only Ones to Over Clock Processors-Turns Out It’s Done on Wall Street To Run Those Algorithms at Rocket Speed

Tech Talk:  With all this speed, the line and balance between investors and speculators is becoming increasingly volatile and unpredictable.This article suggests setting up a imagesimulated “Wall Street” trading market to understand more fully how it works and how the posting falls into place.  I can’t believe there are not even audit trails for the SEC to review and nobody knows for sure without an ability to track back. There's been many gamers who have fried their PCs with over clocking their processors in the name of the “need for speed”. 

It's very much algorithmic warfare, with no real thought given to collateral damage.

This kind of concerns me as we have some of the same types of technologies moving into the processing of medical claims.  In this article a version of software is listed called “Dow Jones Lexicon” that mines financial text in the news stories on the web and maps keywords to market conditions…ok mine medical claim information against what is being processed in a medical claim…the technology.

High Frequency Electronic Trading Methodologies And Algorithms Work Their Way Into Healthcare With Human Bodies Losing Liquidity With the “Data Game”

This type of software is evolving and and when you add it to the trade intelligence on the market and in medical claims, the whole picture can change.  If you think you don’t understand EOBs and claim imagedenials today, wait until they kick this in and find every drop of information about you on the web.  This could include public records, Facebook and anything out there.  Obviously a medical claim is not going to really need the speed of a stock transaction, but again it drips down to the data world in other industries and health insurance companies live off the algorithms.

“It is a technological arms race in financial markets and the regulators are a bit caught unaware of how quickly the technology has evolved”

When you have a newborn baby denied coverage due to pre-existing conditions, it’s the algorithm and then finding someone who can do the data entry to fix it is even becoming more challenging.  I don’t know how they set the parameters but there could be only so many additional dollar amounts allowed a day or a week or whatever time frame is designated.  To play an algorithmic game as such, it may be denied one day and then when the new cycle begins it goes through  This is just me speaking out loud and speculating.

 Sometimes, too much technology without the ability to manage it effectively can yield some unintended consequences.

Again I’m reading this information on the web like everyone else but if you kind of know how memory disambiguation on the processor works and about the cores and amount of data that can run through multi cores, it’s mind boggling.  Back when we had the flash crash, it just seemed to me that there was something stopping the data from posting and algorithms to run as sent through. 

Was a Server Fail Over Taking Place on Wall Street During a “Perfect Storm” of Heavy Transactions?

Occasionally servers corrupt an go down and last week it happened at a hospital and it took 4 hours to reset and get the systems back up. From what I read here there was something that didn’t post properly and the data base became a “read only” to where information could be viewed but no edits allowed.  I have had this happen on a small scale basis with data and until you pull a back up the data stays that way. 

Software Audit System Shuts Down Swedish Medical Center Medical Records for 4 Hours

Servers have fail overs that do this quickly and they mirror many copies in real time while running so to switch, is quick as long as the data on the other back up didn’t catch the glitch and corrupt too.  That happens too sometimes.  So back to the point here we have an SEC that better get some serious ALGO MEN on hand and get in to the 20th century here if their regulation methodologies are going to be effective.  Never mind the circuit breaker on the stock price look at the speed or someone will be spilling liquid nitrogen on these things to cool them down and good luck with recouping any data if it comes to that <grin>.  BD

The code too is designed for maximum speed, being constantly tweaked to squeeze the last ounce of performance from the underlying computer chips. Appro recently launched a server based on overclocked Intel "Westmere" CPUs, to give high frequency traders that extra speed boost. But all that digitally enhanced speed means it's that much harder for humans to control.

It should come as no surprise that occasionally such a system would run the financial markets into a ditch. That happened last May, with the so-called flash crash, when the Dow Jones Industrial Average plummeted 900 points in a matter of minutes -- before regaining most of its value. The cause was traced to a relatively obscure mutual fund company that decided to make a very large trade in a very short amount of time (about 20 minutes). The algorithms monitoring the market interpreted this as a panic and came to the same decision all at once: sell. The reason the mutual fund company decided to dump the shares in the first place was to hedge against the possibility of a future stock market drop. Talk about self-fulfilling prophesies.

In the wake of the flash crash, the Securities and Exchange Commission (SEC) announced some measures intended to prevent a reoccurrence. These include "circuit breakers" procedures, such as automatically halting trading when a stocks share price fluctuates by more than 10 percent in 5 minutes. The SEC is also considering other measures like limiting the size and speed of trades and requiring a complete audit trail of all transactions.

Meanwhile, other algorithms are simultaneously monitoring the activity to discern the larger patterns that the other codes are trying to hide. In some cases, even more devious codes will purposely initiate transactions with no intention of executing them in order to confuse their rival software. It's very much algorithmic warfare, with no real thought given to collateral damage.

HPCwire: Algorithms Engulf Wall Street

Bill and Melinda Gates At Davos- Polio Vaccines and Microsoft Kinect Entertains

This was an interview done from the World Economic Forum to where they are talking about their donations and grants and also how different governments are imagematching an contributing.  The UK is one of the countries working with the foundation.  There were a few questions asked here and tomorrow there will be a session with Bill Gates answering questions that have been sent in. Notice the “tweets” right across the screen here? 

Meanwhile while on the subject of Microsoft, Kinect was there and Mashable has a whole display of pictures.  You can hear both Bill and Melinda Gates talk about their game plans and their success with engaging governments worldwide.  BD

Although Bill Gates remains Microsoft chairman, his priorities may nowadays lie elsewhere. In 1994 he married Melinda (they have three children), and in the same year the couple established the Bill & Melinda Gates Foundation.image

The foundation is co-chaired by William H Gates Senior, Bill Gates's lawyer father, and former Microsoft Business Division president Jeff Raikes, originally recruited to the company by Steve Ballmer in 1981. It says its main focus is to tackle hunger and poverty among the world’s poorest people, to use science to save lives in developing countries, and to improve education, housing and access to information in the United States.

Bill Gates: capitalist to philanthropist • Stories • Who Knows Who