February 8th, 2010 by RyanDuBosar in Better Health Network, Health Policy, News
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The federal government may be stalled on health care reform legislation, but the executive branch has been expanding its stake in paying for care.
Yesterday, QD reported that federal and state governments will pay for more than half of the health care purchased in the U.S. by 2012, and likely even sooner. Today, Medicare’s actuaries announced that growth in national health expenditures (NHE) outpaced growth in the Gross Domestic Product (GDP) last year. The recession, H1N1 programs and federal subsidies for COBRA benefits all contributed to the largest one-year increase in history, from 16.2% of GDP in 2008 to 17.3% of GDP last year.
In 2010, NHE growth will decelerate to 3.9% while GDP is anticipated to rebound to 4% growth. But, and this is a big caveat, much of the projected slowdown in NHE growth is attributed to the 21.3% slashing of Medicare physician payment rates called for under current law’s Sustainable Growth Rate provisions. Read more »
*This blog post was originally published at ACP Internist*
February 8th, 2010 by DrDavisLiu in Better Health Network, Health Tips
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Some patients love their vitamins, spending hundreds to thousands of dollars annually. At times, they will even forgo proven medical therapy. As more Americans go without health insurance coverage while others face higher office visits and copays, increasing numbers of patients are seeking alternative, natural therapies instead of medical care. Are vitamins really the scientific breakthrough and secret that doctors refuse to recommend or are they simply marketing hype? As any medical school student will tell you, the correct answer to any question is: it depends.
For certain groups, pregnant women, patients with macular degeneration, and vegetarians, vitamins and minerals may be recommended as research finds them helpful. Prenatal vitamins have more folic acid which has been found to decrease the risk of neural tube defects in the fetus. Vegetarians may need to supplement their diet with vitamin B12, iron, and vitamin D, which are absent in their food choices. Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
February 8th, 2010 by DrCharles in Better Health Network, True Stories
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On the way to the funeral you wonder how you’ll be received by the grieving. Although you are confident that your care for the deceased was sincere, professional, and adept, you still question if others will so assume. There is silence in the car. This is a trip you make alone.
You manage a bitter smile as you recall stories the patient shared in unguarded moments, behind the door of a small examining room. How he beamed with content at the thought of his grandchildren; how her eyes glowed as she remembered the view from the Eiffel Tower; how the tears and sobs and memories of a lost child wracked his otherwise impenetrable façade. Sometimes you knew his spirit as well as you knew his medical illnesses, and often he hoped you would tend more to the former. Read more »
*This blog post was originally published at The Examining Room of Dr. Charles*
February 8th, 2010 by Debra Gordon in Better Health Network, Health Policy
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A couple of recent news stories reminded me of the dirty little secret about healthcare that no one wants to talk about, the proverbial elephant in the room. All those pills, surgeries, x-rays, medical care? It costs money!
Yes, Virginia, quality medical is not a right, not guaranteed in the Constitution, not something good-hearted corporations and companies, whether for-profit or not, are obliged to hand out like candy corn at Halloween. It costs money. Billions of dollars a day.
This appears to be something we all forgot in the warm fuzzy moments of watching military transport planes fly critically ill people out of Haiti to Florida hospitals. Who was going to pay for all this medical care? For the months of hospitalizations and rehabilitation these people were going to require? When the state of Florida, rightly so, asked the same question, prompting the halting of those military convoys, it ended up on the receiving end of a world-wide outpouring of boos and hisses. Read more »
*This blog post was originally published at Debra Gordon's Musings on Medicine and Health Care*
February 8th, 2010 by DrWes in Better Health Network, News
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The NBC Today Show aired a segment on the Stereotaxis robotic system for performing catheter ablation of atrial fibrillation using magnetically-steered ablation catheters yesterday (video here). It sure generated a lot of buzz around our hospital. While I share the reporters enthusiasm for all the gadgets and gizmos (what doctor-engineer wouldn’t like such neat toys?) the enthusiasm should be tempered with a strong dose of reality regarding this technology and any atrial fibrillation procedure.
First is the claim that the patient will be cured with “85-90%” certainty. While these success rates have been reported using this technology for the much simpler atrial flutter ablation, this level of success has not been substantiated in meta analyses of atrial fibrillation ablation studies to date: Read more »
*This blog post was originally published at Dr. Wes*
February 7th, 2010 by DrPeggyPolaneczky in Better Health Network, Health Tips, News, Research
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Thanks to Toni Brayer for pointing out this new study on ovarian cancer symptoms published in the Journal of the National Cancer Institute.
This study confirms previous studies which found that ovarian cancer, long thought to be a silent disease in its early stages, does indeed have symptoms. The problem is that those symptoms - bloating, urinary frequency, pelvic pain, early satiety - are common, non-specific and, according to this new study, 99% of the time not due to an underlying ovarian cancer.
That’s good news, of course, for women with these symptoms. But bad news for those hoping for a means of early detection for ovarian cancer, since early symptom recognition is neither sensitive nor specific enough to be useful as a screening test on a population basis. Read more »
*This blog post was originally published at The Blog that Ate Manhattan*
February 7th, 2010 by DrJonathanFoulds in Better Health Network, Research
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The journal Tobacco Control has on its website a list of the top 10 most read articles each month. One paper that has been near the top ever since it was published in 2005, was written by Dr Kjell Bjartveit and his colleague Dr Tverdal, on “Health consequences of smoking 1-4 cigrettes per day.”
The study included 23,521 men and 19,201 women, aged 35–49 years when they were initially screened for cardiovascular disease risk factors in the mid 1970s and followed them up to 2002. The researchers calculated the total risks of death and relative risks adjusted for confounding variables, of dying from ischaemic heart disease, all cancer, lung cancer, and from all causes, and examined the effects of regular smoking of only a few cigarettes per day. Read more »
This post, Classic Study: There’s No Safe Threshold For Cigarette Smoking, was originally published on
Healthine.com by Jonathan Foulds M.A., M.App.Sci., Ph.D..
February 7th, 2010 by GruntDoc in Better Health Network, Opinion
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Emergency Medicine News:
February 2010 – Volume 32 – Issue 2 – p 5, 24, 25, 26
Residents training in large urban centers typically see more than 200 patients a day. They have access to all subspecialty care, typically available 24 hours a day. Residents have around-the-clock access to angioplasty, interventional radiology, hand surgeons, neurosurgeons, and plastic surgeons. Most practice emergency medicine with cardiologists and neurologists in the building or a short phone call away. Decision-making is shared, and occurs with a relative surplus of information and opinions and in a milieu of shared risk.
In reality, though, these very large and highly-specialized EDs with Level I trauma comprise less than five percent of U.S. EDs, according to the American College of Surgeons. Read more »
*This blog post was originally published at GruntDoc*
February 7th, 2010 by Berci in Better Health Network, News
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The number of health-related Twitter users or discussions is still growing and while it’s easy to find Twitter messages focusing on a medical condition or specialty (search.twitter.com), visualizing these tiny bits of information is incredibly hard. Health Tweeder, managed by Pixels&Pills, aims to fill this gap.
Using the laboratory that is social media and Twitter, we’re visually and metaphorically using petri dishes to culture cells of dialogue on specific disease states. Each cell in a Petri dish represents a distinct tweet that has been gathered using relevant disease search terms, hashtags, and people we’ve identified. Read more »
*This blog post was originally published at ScienceRoll*
February 7th, 2010 by DrMichaelSevilla in Better Health Network, True Stories
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“Hey doc,” the patients says, “I think I got wax in my ear.” I reply, “Well, that makes it hard to hear me, then, huh?” “WHAT?” - the patient yells. Oh yeah, I say to myself. “I’ve been having this ever since I was a kid. Every few months, I need my ears cleaned out.” So, I look in there, and it’s the most amount of wax I’ve seen in a long time.
“Sir, do you use q-tips to clean our your ears?” I ask the patient. “Well, yeah, I think I’ve been doing a good job at keeping things clean, don’t you think?” “Well, I wouldn’t recommend that because it looks like you’ve been pushing the wax further in there.” “WHAT?”
So, we’re able to get some of the wax out of there only to find a lot of redness and irritation in the ear canal. “Doc, I still can’t hear. Are you sure that you got all the wax out of there?” “Well, sir, there is no more wax in there now. It looks like there is an infection underneath, and that’s what causing the problem now.” “WHAT?” Read more »
*This blog post was originally published at Doctor Anonymous*
