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Uncategorized Published - 2 January, 2018    By - Dr Clemens
An Unconscious Patient with a DNR Tattoo

N Engl J Med 2017; 377:2192-2193 November 30, 2017 To the Editor: We present the case of a person whose presumed code-status preference led him to tattoo “Do Not Resuscitate” on his chest. Paramedics brought an unconscious 70-year-old man with a history of chronic obstructive pulmonary disease, diabetes mellitus, and atrial fibrillation to the emergency […]

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Uncategorized Published - 2 January, 2018    By - Dr Clemens
What Changes Can I Expect in MIPS 2018

Targeted Genotyping Identifies Susceptibility Locus in Brain-derived Neurotrophic Factor Gene for Chronic Postsurgical Pain Authors: Yuanyuan Tian, B.Med., M.Med., Ph.D. et al Anesthesiology published December, 2017. Background: The purpose of this study was to evaluate the association between single-nucleotide polymorphisms and chronic postsurgical pain. Methods: Using GoldenGate genotyping assays, we genotyped 638 polymorphisms within 54 pain-related genes in […]

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Uncategorized Published - 2 January, 2018    By - Dr Clemens
Dopamine D2-receptor Antagonist Droperidol Deepens Sevoflurane Anesthesia

Authors: Ryuhei Araki, M.D. et al Anesthesiology published December, 2017. Background: Although midbrain dopaminergic pathways are known to contribute to arousal and emergence from anesthesia, few reports exist regarding the anesthetic effects of dopamine D2 receptor antagonism in humans. This study examined the effect of the D2 receptor antagonist droperidol on sevoflurane anesthesia by examining α and […]

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Uncategorized Published - 2 January, 2018    By - Dr Clemens
What Changes Can I Expect in MIPS 2018?

The Centers for Medicare & Medicaid Services (CMS) released its “CY 2018 Updates to the Quality Payment Program Final Rule with Comment,” outlining several changes to the Merit-based Incentive Payment System (MIPS) for reporting year 2018. The Final Rule emphasizes burden reduction and other opportunities for short-term relief especially for small practices. Disclaimer: The changes […]

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Uncategorized Published - 2 January, 2018    By - Dr Clemens
CMS exempts MIPS-eligible clinicians in disaster areas

CMS recently issued an interim final rule with comment period that exempts MIPS-eligible clinicians in disaster areas from submitting data for the quality, improvement activities and advancing care information performance categories. The interim final rule includes the Extreme and Uncontrollable Circumstances policy, which applies to MIPS clinicians who have been affected by the Northern California wildfires and Hurricanes […]

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