January 2010 Pulse Newsletter
 

Epocrates' commitment to provide fast and easy access to continually updated, always clinically relevant content will continue to guide us to many innovations this year.

We are charging into the new year with a new chief medical officer (CMO) and a new app for the iPhone and iPod touch, and an updated look for the Pulse!

 
Talking with Dr. Rutledge
Poisons in the Kitchen Cabinet?
Autoappendicectomy in the Antarctic
FDA MedWatch Safety Alerts
New App for the iPhone® and iPod touch®!
Drug and Disease Updates
What's This Disease?

 


What do all these additions mean for you
Our new CMO, Geoffrey Rutledge, MD, PhD, oversees Epocrates' award-winning clinical content and will guide Epocrates to new point-of-care solutions. You'll hear more from Dr. Rutledge and the Epocrates medical team in his new column in the Pulse.
Our new app for the iPhone and iPod touch, Epocrates® Essentials Deluxe, puts the versatility of the iPhone OS and the power of Epocrates' comprehensive drug, disease, and diagnostic suite at your fingertips.
 
 

Talking with Dr. Rutledge

We're excited to introduce a new section to the Pulse brought to you by Dr. Rutledge. Our new CMO brings a wealth of experience to Epocrates as a practicing physician, medical executive and information technology leader. What can you expect from our new CMO? Read on to learn more about him, what you can expect from Epocrates in the coming months, and how to share your thoughts with him directly.

Hello

As an enthusiastic user of Epocrates' advanced mobile medical technologies for many years, I'm now excited to be overseeing product development at Epocrates. I'm honored to guide the team that created the most popular and award-winning mobile medical applications for clinicians, and to support the pharmacists and physicians who create and maintain Epocrates' best-in-class clinical content.

I look forward to helping Epocrates deliver an array of mobile medical applications, including new and improved applications that help you with your clinical information needs, and new applications that will help you with the day-to-day management of your patients.

Over the coming months, we will release applications on new platforms such as the Android and Palm Pre and offer extensions and refinements for the current platforms, including iPhone, Palm, Windows Mobile, and BlackBerry. We also are working on new applications that support your clinical workflow — these applications will leverage the power of network-enabled mobile devices, such as the iPhone. As always, you can count on Epocrates' team of developers and expert clinicians to deliver state of the art, cost-effective mobile solutions that save you time and help you provide the highest quality care for your patients.

You are a vital part of Epocrates' network of over 900,000 healthcare professionals, and I would like to hear from you! I'm particularly interested in learning how we can help you with new products and services. Please feel free to send me an email with your needs, your ideas, and any suggestions you may have to talktogeoff@epocrates.com.

Sincerely,

Geoffrey Rutledge, MD, PhD
CMO, EVP of Product Development, Epocrates

 

Bio

Dr. Rutledge has been in clinical practice for over 20 years as a physician, board certified in internal and emergency medicine. While practicing at San Mateo Medical Center, he was responsible for the strategy and implementation of highly successful outpatient and emergency department clinical information systems. As a medical executive at WebMD and Wellsphere, he developed two of the most popular online consumer health information services. Previously, he taught and practiced clinical medicine at Stanford University and Harvard Medical Schools, where he was principal investigator on NIH-supported research in clinical applications of medical information systems. He graduated from McGill medical school, completed a residency in internal medicine at UCSD Medical Center, and earned a doctorate in Medical Information Sciences from Stanford University.


Drug and Disease

Drugs


Drugs
 
  • Ventura County Health Care Plan California

 
 

DocAlert Messages

The Poison Post®
Surprises... and Cautions... in the Kitchen
Read the free full-text Poison Post® article online

Is it true that... Enough vanilla extract can make you drunk?
Poppy seeds contain opium?
A lot of nutmeg is like a little PCP?
Oil of wintergreen can cause an aspirin overdose?

All of these statements are true, though none of these ingredients is dangerous when used as recommended. As the holiday season winds down, read more about which items in the kitchen cabinet may pose poisoning hazards when used in excess.

Vanilla extract contains ethanol, the same type of alcohol found in beer, wine, and hard liquor (and other types of flavoring extract, perfume, cologne, aftershave, and mouthwash, too). The amount of extract called for in recipes would not be dangerous. But a child who swallowed the contents of a bottle might be at risk of alcohol poisoning. Keep flavoring extracts out of reach, along with other alcohol-containing liquids.

The poppy seeds we bake with or eat on bagels could, in fact, cause a positive drug screen for opiates. When people eat poppy seeds, a drug test could be positive for morphine or codeine, which are metabolites (break-down products) of heroin. BUT - this generally happens only if people eat a lot of poppy seeds - more than one poppy seed bagel, for example, a short time before the test. Drinking poppy seed tea has actually caused poisoning and is NOT recommended!

Nutmeg tastes great in cookies and eggnog, but too much can cause hallucinations. Children who get into the container, and people who deliberately swallow a lot of nutmeg trying to get high, can become miserably sick. Nausea, vomiting, agitation, prolonged drowsiness, and coma are all possible. Keep the nutmeg, and its relative, mace, out of the reach of children.

Oil of wintergreen is another name for methyl salicylate, a relative of aspirin (acetylsalicylic acid). Small amounts are safe to use as flavoring agents, but the bottle MUST be locked up, where children can't get to it. Small amounts of oil of wintergreen, like small amounts of aspirin, can poison children. Because oil of wintergreen is rapidly absorbed, children can become dangerously ill very quickly.

It's important to keep safety in mind even when using ordinary kitchen ingredients. Use only recommended amounts in recipes. Lock up ingredients that might be harmful if children swallow too much. And, as always, call the Poison Center right away if you suspect that someone has swallowed too much of anything. Even though you're baking or partying, the experts at the Poison Center are there to answer your phone call and help you through any poison emergency.
Call 1-800-222-1222 - 24 hours a day, every day of the year.

The Poison Post, National Capital Poison Center eNewsletter – www.poison.org
Copyright 2010, National Capital Poison Center. All Rights Reserved. Reprinted with permission.

Subscribe to the free eNewsletter, The Poison Post®

 

One Surgeon's Tough Winter

Autoappendectomy in the Antarctic

Russian surgeon Leonid Rogozov's self-operation, undertaken without any other medical professional around, was a testament to determination and the will to live. In 1961, after 36 days at sea, a Soviet Antarctic expedition decanted onto the ice shelf on the Princess Astrid Coast to build a new polar base. Winter descended, bringing months of darkness, snowstorms, and extreme frosts. Contact with the outside world was no longer possible. The surgeon fell ill with weakness, malaise, nausea, and pain in the upper abdomen, which shifted to the right lower quadrant. His body temperature rose. He had no difficulty diagnosing acute appendicitis. As the only physician on the polar base, he led his co-workers to support him as he performed a self-appendectomy.

Read the British Medical Journal case report.

FDA Medwatch Safety Alerts

FDA Drug Alerts: Meridia (sibutramine), valproate drugs, Norpramin (desipramine), Lexiva (fosamprenavir), Voltaren Gel.

Injectable Drugs: H1N1 Vaccine Safety, Heparin, Ketorolac, Local Anesthetics, Iron, Propofol and Liposyn, Genzyme Products.

Medical Devices: CT Brain Perfusion Scans, ViperSheath and CROSSOVER sheath Introducers; CardioVations EndoClamp Aortic Catheter; External Biphasic Defibrillators; Medtronic Intrathecal Catheter, Negative Pressure Wound system; Stryker Surgical Navigation; Premie Pack and Meconium Pack; Accusure Insulin Syringes.

OTC Products: Vicks Sinex Spray, Neocate Specialized Formula, IDS Sports Supplements, Pai You Guo, Bodybuilding.com Brand.


New App for the iPhone and iPod touch!

Our brand new, all-inclusive, clinical suite, Epocrates Essentials Deluxe includes our reliable drug and disease reference and adds exclusive access to over 100,000 medical terms and a complete medical billing guide of over 20,000 ICD-9 and CPT® codes.

Buy Now


Test your knowledge!
Can you identify the
disease in this image?

Answer

Find this image and many others in Epocrates Essentials for iPhone, BlackBerry® and Epocrates Essentials Deluxe for iPhone.


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