February 24th, 2010 by Happy Hospitalist in Better Health Network, Opinion, True Stories
Tags: Chronic Disease, Fear Of Death, Internal Medicine, Medications, Motivation, Non-compliance
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As a hospitalist I sometimes come across patients who, for what ever reason, refuse to take the medications prescribed by their in-patient doctors. Some patients refuse out of fear. Some doctor told them years ago that taking medication X would make them worse. Some patients refuse out of ignorance of their disease process. Most of the time however, they just don’t understand why the medication is necessary. Some patients just refuse out of stubbornness. And some patients refuse because they have a really good reason.
However, when you’re dealing with critical illness and the only thing that’s going to save your patient’s life is a treatment plan they are refusing, sometimes you have to be in their face with reality. So how do I handle situations with patients who have the capacity to make poor medical decisions but refuse life saving medications? How do I convince my hospitalized patients to take their medications I’ve prescribed? Read more »
*This blog post was originally published at Happy Hospitalist*
February 23rd, 2010 by DrWes in Better Health Network, Opinion
Tags: Hospitals, Law Suit, Legal, Live-Blogging, Live-Tweeting, Social Media, Surgery, Twitter
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Should hospitals send twitter “updates” on patients undergoing complicated catheter ablation procedures using “pre-approved” scripted story lines?
In a far corner of the operating room Thursday, a Web producer and a cardiac expert with St. Vincent’s huddled over a laptop. They chronicled the procedure largely from a script that Oza had signed off on a day earlier.
The procedure uses radio frequencies to scar parts of the heart. The scars block signals sent from a quartet of veins in the left atrium, signals that cause the heart to go haywire. The entire procedure is done using a catheter inserted into a patient’s groin while the patient is anesthetized. Read more »
*This blog post was originally published at Dr. Wes*
February 23rd, 2010 by David Kroll, Ph.D. in Better Health Network, News, Research
Tags: Date Rape Drug, Fibromyalgia, Jazz Pharmaceuticals, JZP-6, Xyrem
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Just a quick post on an article that caught my eye: Jazz Pharmaceuticals of Palo Alto, CA, has announced that the US FDA has accepted their new drug application (NDA) filing for JZP-6, or sodium oxybate, for the treatment of pain and fatigue associated with fibromyalgia.
The NDA was based on positive outcomes of two, Phase III clinical trials – those randomized, placebo-controlled double-blind trials that serve as the gold standard for drug efficacy. The company expects an approval decision from FDA by October 2010. Read more »
*This blog post was originally published at Terra Sigillata*
February 23rd, 2010 by StaceyButterfield in Better Health Network, News
Tags: Germs, Hand Washing, Hands, NYT, Plasma, Sanitizer
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Forget the debate over soap and water vs. alcohol sanitizers. Soon you may be cleaning your hands with plasma. The New York Times is reporting on research into plasma as a method of hand cleaning. Basically, you’ll stick your hand in a little box for a few seconds and then the plasma will zap all the germs, including MRSA. The technology is not ready for action yet, but sounds pretty cool. Except for one thing–if you look at the photos that accompany the article, you’ll notice that a normal-looking human hand is inserted in the box, but the hand that comes out the other side (in the next photo) looks creepy and synthetic. What else is that plasma doing?
*This blog post was originally published at ACP Hospitalist*
February 23rd, 2010 by Shadowfax in Better Health Network, Opinion, True Stories
Tags: Back Pain, Drug Seekers, ED, Emergency Medicine, ER, Migraine, Narcotics, Oxycontin, Pain Management
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The first seven patients I saw today were in the ED for:
- Dental Pain (ongoing for three years)
- Back Pain (third visit in one month, 18 in 2006)
- Migraine Headache (six visits in a month, and second ED visit in 18 hours)
- Back Pain (this one was legit)
- Chronic Recurrent Abdominal Pain (ran out of Oxycontin and doctor “out of town”)
- “Cyclic Vomiting Syndrome” (in which only narcotics stop the vomiting)
- Oxycontin withdrawal
Sometimes I wonder why I bother. I occasionally wish my job demanded something more than a valid DEA license, and decision-making skills beyond “yes narcs” and “no narcs.” It just drains the carpe right out of your diem to start the day off in a series of ugly little dogfights over drugs with people whom, to put it charitably, you have concerns about the validity of their reported pain. Read more »
*This blog post was originally published at Movin' Meat*
