It’s the age of medical disconnect.
The disconnect describes the emotional and intellectual detachment that physicians feel from their patients and patients from their doctors. This disconnect is the result of a confluence of factors, some from within the profession itself, others are more broadly social and economic.
To understand the disconnect you need look no further than your neighbor or your parents. Dissatisfaction is evolving as the norm. Patients feel increasingly marginalized in their experiences with physicians. Shrinking length of visits, indifferent attitudes, poorly coordinated evaluations, difficulty obtaining test results, an institutional feel to the patient experience, and the overall sense of not feeling at all important.
The truth is that many of us are really not aware of the disconnect. Most of us have been born into a system of dysfunctional provider relationships and we know nothing else. As physicians we’ve been trained to be detached. As patients we’ve been conditioned to live happily detached.
Of course there are plenty of physicians who Read more »
*This blog post was originally published at 33 Charts*
Watching the negotiations over the debt ceiling legislation is like watching an impending train wreck.
You see a train hurtling down the track, you see an unobservant trucker about to cross, you know that the train engineer and the truck driver have only a few moments to avert disaster, you try to yell and scream to get them to pay attention before disaster strikes—but you have this sinking feeling that your voice won’t be heard until it is too late.
Well, that is how I feel watching the collapsing negotiations over raising the debt ceiling. Responsible persons in both political parties know that a failure by Congress to authorize an increase in the debt ceiling will create incalculable harm to our country, even though some politicians seem to think that default would be no big deal.
But it would be a big deal, and here is why. Read more »
*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*
The New York Times says “In Medicine, New Isn’t Always Improved.”
Who can argue with this?
“In Dining, New Restaurants Aren’t Always Better.”
Yes, that’s true, too. But does it mean anything?
The article is about a type of hip that is apparently going to be the focus of a lawsuit. The story goes that a lot of people wanted the new hip when it came out, because it was thought to be better than the older ones. Unfortunately, the hip seems to have hurt some people, some of whom may have been better off getting the older one in the first place.
A doctor quoted in the article suggests it’s part of a uniquely American tic. We want all of the latest and greatest things for ourselves, it seems. This story is supposed to be a cautionary tale of what can go wrong when we do.
On the other hand, the latest and greatest things don’t appear out of nowhere. In America, when people demand something, there will be someone who supplies it. Read more »
*This blog post was originally published at See First Blog*
According to Kendra Blackmon at FierceEMR.com and a new study published by the National Institute of Standards and Technology (NIST), the answer is maybe.
Earlier this year, NIST published a report – Human Factors Guidance to Prevent Health care Disparities with the Adoption of EHRs – which declares that “wide adoption and Meaningful Use of EHR systems” by providers and patients could impact health care disparities.
Making this happen, however, will require a different way of thinking about electronic health records (EHRs). While the report notes that EHRs primarily are used by health care workers, patients still interact with these systems both directly – such as through shared use of a display in an exam room – and indirectly. For patients to obtain the intended benefits of this technology, EHR systems should display or deliver information in a way that is suitable for their needs and preferences, the report says. Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
Ladies imagine planning your daily events based around the timing of you menstrual cycle.
Some women suffering from uterine fibroids have a menstrual flow so heavy that it can impede their life.
“Everything must be planned around their menstrual, and it can be very draining physically (from the anemia of blood loss), as well as, mentally from the resulting stress this creates,” says Dr. John Lipman, Director of Interventional Radiology & Center For Image-Guided Medicine, Emory-Adventist Hospital, Atlanta, Georgia. “This can imprison women such that their entire life is tied to the menstrual cycle. They may not work or even be able to leave the house for several days each month. Even if they can work, the frequent interruptions throughout the day often makes this time very unproductive,” he adds.
“Uterine fibroids are the most common non-cancerous tumors in women of childbearing age. Fibroids are made of muscle cells and other tissues that grow in and around the wall of the uterus, or womb. The cause of fibroids is unknown. Risk factors include being African-American or being overweight.”
According to The National Women’s Health Information Center – U.S. Department of Health and Human Services Office on Women’s Health, about 20 percent to 80 percent of women develop fibroids by the time they reach age 50.
Dr. Lipman writes: Read more »
*This blog post was originally published at Health in 30*