Lung Cancer
PodcastDX
Lung cancer is the third most common cancer in the U.S. It’s caused by harmful cells in your lungs growing unchecked. Treatments include surgery, chemotherapy, immunotherapy, radiation and targeted drugs. Screening is recommended if you’re at high risk. Advances in treatments have caused a significant decline in lung cancer deaths in recent years. Lung cancer is a disease caused by uncontrolled cell division in your . Your cells divide and make more copies of themselves as a part of their normal function. But sometimes, they get changes (mutations) that cause them to keep making...
info_outline
Home Eye Safety
PodcastDX
Did you know that about half of all eye injuries happen right at home? Home activities that can injure your eyes include: Cleaning. Chemicals like bleach in household cleaning products cause 125,000 eye injuries each year. Home Improvement. Screws, nails and hand tools can launch into the air—and into your eyes. Power tools can also send wood chips or other substances flying into the air. Yard Work. Lawn mowers, trimmers and even shovels can throw dirt and debris into the air. Branches, twigs and thorns can also be dangerous. Unfortunately, only about three out of 10 people wear...
info_outline
Change the Outcome with Nutrition & Exercise
PodcastDX
This week we discuss changing the outcome of your health with nutrition & exercise. Our guest today is Dr. James Thompson, the author of Fearless Wellness and a passionate advocate for transformational change. He completed medical training 35 years ago and has dedicated my career to empowering others to live healthier, more fulfilling lives. He experienced a life-changing event in 2012 and participated in a 2 with my church community. Though the three-week diet, equivalent to a whole food plant-based diet, was intended to emphasize prayer, the impact of the food intrigued...
info_outline
Dangers of Impaired Driving
PodcastDX
This week we discuss the dangers of impaired driving. Impaired driving poses significant dangers, leading to thousands of fatalities and injuries each year due to reduced coordination, judgment, and reaction times. Definition and Causes Statistics Effects of Impairment Preventive Measures Conclusion Impaired driving is a serious public safety issue that leads to numerous preventable deaths and injuries each year. By understanding the dangers and implementing effective preventive measures, we can work towards reducing the incidence of impaired driving and...
info_outline
Falls Prevention
PodcastDX
Falls are a threat to the health of older adults and can reduce their ability to remain independent. However, falls don't have to be inevitable as you age. You can reduce your chance of falling or help a loved one prevent falls. There are proven ways to reduce and prevent falls, even for older adults. We identify older adults as anyone 65 years and older. Physical changes and health conditions — and sometimes the medications used to treat those conditions — make falls more likely as you age. In fact, falls are a leading cause of injury among older adults. Still, fear of falling doesn't...
info_outline
BiPolar Revisited
PodcastDX
Due to a scheduling glitch we are doing a rerun today of an episode Paris Scobie did with us earlier this year. Paris is a Mental Health Speaker, Host of the top 1% globally ranked podcast, , & Best-Selling Author of her memoir, . Paris launched Live Well Bipolar to use her lived experience to help others overcome the shame, fear and isolation that can so often accompany living with bipolar. She shares how she went from being a patient struggling from inside the walls of a psychiatric hospital newly diagnosed with bipolar to returning to work at this same hospital years later....
info_outline
Working as an Autistic adult
PodcastDX
This week we discuss strategies autistic adults can use as employees. Temple Grandin PhD is our distinguished guest this week. Her website gives a great explanation of her theory on how best to prepare autistic children for a more independent life and active social integration through employment. She emphasizes that in earlier generations, (Temple grew up in the 1950s) activities such as newspaper delivery provided young people with formative work experiences. She suggests that, in the absence of such opportunities today, parents can help children build similar skills...
info_outline
Bartonella
PodcastDX
Bartonella is a genus of Gram-negative bacteria. It is the only genus in the family Bartonellaceae. Facultative intracellular parasites, Bartonella species can infect healthy people, but are considered especially important as opportunistic pathogens. Bartonella species are transmitted by vectors such as fleas, sand flies, and mosquitoes. At least eight Bartonella species or subspecies are known to infect humans. Bartonella henselae is the organism responsible for cat scratch disease. History Bartonella species have been infecting humans for thousands of years, as...
info_outline
Haemophilus influenzae H-Flu
PodcastDX
This week we are not featuring a guest, but will be discussing Haemophilus influenzae, or H. influenzae, a kind of bacteria. It can cause bacterial infections ranging from mild (such as bronchitis) to severe (such as septic arthritis). Treatment includes antibiotics but you may also require hospitalization depending on the severity of your condition. Haemophilus influenzae (H. influenzae) is a type of bacteria that can cause several different kinds of infections. These bacterial infections can range from mild, such as , to severe, such as . The infections typically affect children...
info_outline
Haemophilus influenzae H-Flu
PodcastDX
This week we are not featuring a guest, but will be discussing Haemophilus influenzae, or H. influenzae, a kind of bacteria. It can cause bacterial infections ranging from mild (such as bronchitis) to severe (such as septic arthritis). Treatment includes antibiotics but you may also require hospitalization depending on the severity of your condition. Haemophilus influenzae (H. influenzae) is a type of bacteria that can cause several different kinds of infections. These bacterial infections can range from mild, such as , to severe, such as . The infections typically affect children...
info_outline
This week we will discuss the topic of Diagnostic Radiology. The error rate of radiology is 4% world wide which comes out to be 40 million interpretive errors a year. Errors in diagnostic radiology occur for a variety of reasons related to human error, technical factors and system faults. It is important to recognize that various cognitive biases contribute to these errors.
Cognitive biases have a complex and significant impact on the perception of examinations within diagnostic radiology, with the clear and present danger of diagnostic errors. The following are some of the more common cognitive biases that can affect day-to-day decision making
Alliterative bias
Alliterative bias (sometimes called satisfaction of report) is the tendency for your diagnostic impression to be unduly influenced by the prior interpretation made by another radiologist or clinician. It is a type of confirmation bias and it can result in the same incorrect impression being propagated from one radiologist to the next. Formulating your own interpretation before reviewing any prior imaging reports may help reduce alliterative bias.
Anchoring bias
Anchoring bias is the tendency for your initial impression to unduly influence your evaluation of subsequently collected information. Careful assessment of all imaging findings prior to formulating a diagnosis and consideration of alternate diagnoses may help minimize anchoring bias.
Automation bias
Automation bias is the tendency for reporters using computer-aided decision support to over rely on the software for the diagnosis, and to ignore their own opinions 2. Making your own assessment prior to reviewing the computer-aided findings, and knowing the limitations of the automated software, can help reduce this bias.
Availability bias
Availability bias refers to the tendency for your diagnostic judgements to be unduly influenced by information or experiences that are readily recalled in your mind. Use of information sources beyond your own personal experience, such as publications or an opinion from colleagues, may help to minimize availability bias.
Bandwagon effect
The bandwagon effect (sometimes termed diagnosis momentum) refers to the tendency for you to do or think as others do, simply because that's what others are doing. Applying your own judgment and not dismissing your own opinion can help avoid this bias.
Confirmation bias
Having a predetermined diagnosis in mind, then looking for evidence that supports this predetermined idea. Alliterative errors 3, sometimes referred to as satisfaction of report errors, are caused by the tendency to overvalue previous reports, and can be conceptualised as a type of confirmation bias.
Framing bias
Framing bias refers to the tendency to be unduly influenced by how a clinical question is asked or how the problem is presented. For example, a request form that presents a succinct history that perfectly matches a particular pathology, may influence your interpretation of the imaging. Reviewing the images prior to reading the clinical indication can help avoid any influence. Obtaining more detailed clinical information via the electronic medical record may help provide you with a more balanced assessment of the clinical situation.
Hindsight bias
Hindsight bias is the tendency to overestimate the prior predictability of an event (eg. a diagnosis) after the event is known. In other words, the difficulty of making the correct diagnostic decision initially is retrospectively de-emphasized, after the diagnosis has been proven. It is also informally termed as the “I knew it all along” or "retrospectoscope" bias 5. It is important to be conscious of this bias so that you are not overly critical of yourself or others when quite reasonable errors are made.
Outcome bias
A tendency to favor a less severe diagnosis based on empathy for a patient.
Representativeness bias
Making a judgment on an aspect of an image that is based on one's own perception of what that represents. Representativeness bias as the description suggest can also be heuristic in nature.
Search satisfaction
Search satisfaction is the tendency to prematurely stop searching after early findings satisfy the reader that the diagnosis or symptoms can be explained. Satisfaction of search (SOS) errors have been reported to account for 22% of diagnostic errors 4. A systematic approach to image interpretation and review of check areas and not-to-miss diagnoses can help to reduce this bias.
Zebra retreat bias
A reader will not make a rare diagnosis, which is otherwise supported by the available evidence due to a lack of confidence.
There are businesses that do "second opinion" reads, here are links for two such companies for your use: www.ndximaging.com www.xmri.com
