July 25th, 2009 by Emergiblog in Announcements, Better Health Network, Health Policy, Opinion
Tags: Better Health, Bloggers, Congressman Paul Ryan, Healthcare reform, Medbloggers, National Press Club, Paul Ryan, Putting Patients First
No Comments »
This is Congressman Paul Ryan of Wisconsin, speaking at the Better Health “Putting Patients First” event in D.C.
I should talk about how passionately he spoke about health care reform (he did), about why he does not believe government should be running health care (he doesn’t) or that he took the time to come and speak at 8 am even though he had been up until 2 am working on the health care bill (he did) or that he spoke right up until he – literally- had to run back to the House to vote (he did).
And I will talk about these things.
But first, let me state the obvious and get it out of the way so that I can go on to discuss the serious nature of the health care reform debate before us.
Whoa.
Seriously, is it just me or are politicians getting better looking?
There. Now I can move on to the meat of the matter.
(I had to say it because you all know I was thinking it!)
*****
This event marked my first time in Washington, and just being there is awe-inspiring. Seeing the White House from the car window took my breath away, literally. I felt like Ellie May Clampett marveling at the ce-ment pond. The National Press Club is a museum in and of itself. Mother Jones and I were hoping we’d catch a glimpse of Sanjay Gupta, but he must have been off doing neurosurgery or something.
*****
By now, you’ve probably read who was on the panel (Dr. Wes, DrRich, Dr.Rob, Dr.Kevin, me, and Better Health contributors Dr. Alan Dappen, Valerie Tinley, NP and “token” – his words, LOL – surgeon Dr. James Herndon).
I will tell you straight up that I learned much more than I contributed.
The panel shot from the hip and spoke from the heart. Some of us had notes, some of us illustrated our comments with anecdotes and one of us (*cough*) had no clue what was going to come out of her mouth until that moment.
I’ll give you a hint….it wasn’t Valerie…..
*****
For the record, those of us on the panel were not told what to say, how to say it or what to believe, nor were we chosen based on what we do believe. Some discussed concepts that should be taken into account no matter what plan we end up with, others were definitely against a single payer plan run by the government (*raising hand*).
The inefficiencies of national health plans of other countries were illustrated/discussed. This hit me later: we should look at what works in those plans, not just what is wrong with them. We don’t have to emulate them, just learn from them, and that includes the good and the bad. It also applies to any universal form of coverage, not just a government-run plan.
Wish I had said that at the time.
So much for thinking on my feet (or on my butt, as the case may be).
*****
There was some controversy about not having any patient bloggers on the panel. There should have been. I hope that, as a nurse, I spoke for patients, but it was not the same as having someone there who navigates the system as a patient every single day.
The patient bloggers were in the audience, though, and if you go to Twitter you can find the live tweeting at “#patientsfirst”. There was a pretty healthy debate going on in the Twitterverse while the panel was up on the dais.
Here I am with Lisa Emrich (Brass and Ivory) and Kerri Morrone Sparling (Six Until Me). Duncan Cross was also there, but my pic was blurry!
*****
While health care reform has been a hot topic for awhile, it was especially acute this week as the President was actively promoting a government run health care system and there seemed to be a huge sense of urgency to get what is called “Americas Affordable Health Choices Act of 2009″ passed ASAP.
The bill is over 1000 pages long.
I just downloaded it.
And Congress has not read it.
Folks, our representatives are being asked to pass legislation they have not had a chance to read.
While I will admit to being a bit unsure of exactly what happens in the Beltway (Civics classes and Schoolhouse Rock’s “I’m Just a Bill” notwithstanding), that can’t possibly be business as usual.
Can it?
*****
I’ll say one thing: no matter what we believe, why we believe it or what our role is in the health care system, it is a conversation rife with strong opinions and passionate debate.
And, in the end, because we are all patients in one form or another at some point in our lives, the conversation is about us.
So, when you hear the phrase “putting patients first”, think of it as “putting me first”.
That may help you get a foothold in the morass of information that is the health care debate.
It worked for me.
*This blog post was originally published at Emergiblog*
July 25th, 2009 by KerriSparling in Better Health Network, Patient Interviews
Tags: Cure, Diabetes, Joe Solowiejczyk, Johnson & Johnson, Living With, Type 1 Diabetes
No Comments »
“Friends for Life … this conference is delicious. It’s like the Woodstock of diabetes,” he said, pacing around the room and smiling warmly.
Meet Joe Solowiejczyk.
According to his bio on the CWD website, “He [Solowiejczyk] currently works for LifeScan, as Manager of Diabetes Counseling & Training and is a faculty member of the Johnson & Johnson Diabetes Institute. Joe is healthcare professional who has lived with Type 1 diabetes for over 47 years, Mr. Solowiejczyk has been able to translate his personal experience into patient care.”
To my untrained eye, Joe is the “guy who gets it.” He’s a diabetes nurse educator, and a person with diabetes himself. If he was a member of my personal medical team, he’d be the one I take most seriously because when I say, “It sucks,” he could respond, truthfully, with “I know.”
Joe hosted a session at Children With Diabetes called “It’s Not Just a Numbers Game.” This grabbed my attention because I write constantly about how an A1C is only one part of diabetes management. There’s all this emotional and mental stuff that comes into play.
“Ask me if I like it,” Joe said to the group of us. He paused for a second. “I hate it.”
I was sitting at a table with a bunch of CWD parents (including Bennet and Michelle) and I heard them all chuckle, but I just nodded in agreement. Empowerment is being able to say that diabetes is hard and that it sucks sometimes, but still forging ahead and working towards better health. I was glad to hear Joe telling this group of parents (and adults diabetics) that diabetes doesn’t have to be something we like. We can hate it, openly, and still remain positive.
“I schedule my diabetes depression days,” he said. “I plan them and then I tell everyone I know to call me every hour and tell me how courageous I am.” He laughed. “After about an hour, I’m sick of it and I just want to move on with my day.”
I like Joe. I like listening to him talk and I respect him for managing diabetes for over 47 years. I respect him for saying, “It took years for me to be able to say, ‘I’m having a hard time with diabetes,’ without it being a chip on my integrity.” This statement resonated for me because I think people want to read blogs about diabetes and find a lot of upbeat moments and happiness. But the truth of life is that there is an emotional gamut to be run and we have the right to run it, diabetes or no diabetes.
“You can not like it and still do it. Hating it [diabetes] and doing it are not mutually exclusive states.”
He talked about the daily duties of a person with diabetes, from waking up in the morning and testing to all of the bits and pieces of precision management that are required along the way. The possibility of a cure was mentioned. And while many diabetics say “I’ll eat the contents of an entire Crumb’s Bakery,” or “I’ll drink orange juice FOR FUN,” Joe smiled gently.
“If there’s a cure? What will I do? I’ll sit on a park bench for three weeks and stare at the sky and do nothing.”
It’ll be 23 years for me this September.
I’d love to sit on a park bench and count clouds for a while.
*This blog post was originally published at Six Until Me.*
July 25th, 2009 by MotherJonesRN in Better Health Network, Health Policy, Opinion
Tags: Better Health, Healthcare reform, National Press Club, Paul Ryan, Politics, Putting Patients First, Twitter
2 Comments »
“The doctor will see you now.” I’m hoping to hear those golden words soon because I’m sitting in my primary care physician’s office on my day off from work. I’m lucky that I have a primary care physician who is still taking new patients. Did you know that a lot of primary care doctors are struggling to keep their doors open? That was just one of the issues that healthcare bloggers were talking about last week in Washington, D.C.
I was honored to receive an invitation to serve as the official Twitter Reporter for Better Health’s Putting Patients First event. The summit on healthcare reform took place last week at the National Press Club in Washington, D.C. I sat under the Twitter Gallery sign (pictured above) during the conference. The experience was amazing, but I’d like to make two suggestions to the management of the National Press Club. First, please install more electric wall sockets in your building. There were no wall sockets to plug my computer into during the conference, so my battery almost went dead while I was tweeting. Next, please have Anderson Cooper onsite when I’m in the building. He’s hot.
I was happy to finally get to meet the people behind the blogs that I read everyday. I met Kim from Emergiblog, Dr. Wes, DrRich, Dr.Rob, Dr.Kevin, and Better Health contributors Dr. Alan Dappen, Valerie Tinley, NP and Dr. James Herndon. I sat in the Twitter Gallery with Kerri Morrone Sparling from Six Until Me , Dr. Edwin Leap, and Evan Falchuk from See First Blog. I also got to meet Lisa Emrich from Brass and Ivory, and Duncan Cross. I think Kim was a knockout in her new Calvin Klein suit. Note to Fox News: You need to hire Kim as one of your Sunday morning talking heads. She has a lot of good ideas about healthcare reform and she looked right at home at the National Press Club. She also comes complete with her own professional wardrobe.
Every blogger expressed their personal viewpoint about healthcare reform at the conference. The bloggers were not told what to say, and I was not told what to tweet, or what comments to make before, during, or after the conference. We came to D.C. to add our voices to the healthcare debate. No, I didn’t agree with everything that I heard during the conference. I thought a lot of the information presented by the keynote speakers was bunk. I’m in favor of a public option healthcare reform bill, and I don’t like the disinformation being spread via partisan politics about this important issue. I get infuriated when members of Congress from both sides of the aisle play partisan politics while my patients languish in a healthcare system that’s literally killing them. I’m really very frustrated, and I’m just like everyone else in this country that wants to give our politicians a good swift kick in the butt. What gives me hope is seeing good people from both sides of this debate coming together at a healthcare blogger conference in Washington, D.C. Healthcare providers truly want to put patients first.
*This blog post was originally published at Nurse Ratched's Place*
July 25th, 2009 by Jonathan Foulds, Ph.D. in Better Health Network, Health Tips
Tags: Advertising, Cigarettes, Marketing, Onserts, Philip Morris, Quit Smoking, smoking cessation
No Comments »
You may have noticed that over the past few years the cigarette companies have been trying to persuade the pubic that they are really nice people trying to make the world a better place. For example, at the start of this decade in the U.S. we saw ads on T.V. showing that Philip Morris tobacco company was bringing bottled water to flood victims or donating to good causes. Why would I be cynical and call this a P.R. stunt? Well for one thing because they spent more money on telling the public about the good deeds than on the good deeds themselves!
More recently companies like Philip Morris have been involved in such odd activities as providing consumers with booklets designed to help them to quit smoking. Of course, if the tobacco companies really did have their customers best interests at heart they would withdraw their products completely. But that isn’t going to happen. The management of these companies have a duty and a responsibility to do their best to help the company make money and provide value to their shareholders. So when it comes to activities apparently designed to help smokers quit, one can be pretty sure that’s not the long term intent. The intent is to provide a PR benefit that will outweigh any effect of helping smokers to quit.
One thing tobacco companies do have control over is the cigarette pack itself. Right now the United States is one of many countries that has inadequate health warnings on the pack. Compare the rather weak and small written health warning on the side of a US cigarette pack with the powerful (and large) pictorial warnings on cigarette packs in numerous other countries. You can view pictorial pack warnings from around the world here.
The new legislation giving FDA the power to regulate tobacco products in the United States provides a new opportunity for the government to regulate not only the product but also the packaging. At the recent UK National Smoking Cessation Conference, Dr David Hammond of University of Waterloo in Canada gave an excellent presentation on the most effective ways to use the cigarette pack to inform smokers about the harmfulness of tobacco and to encourage them to quit. He showed that strong emotional pictures of the harms from tobacco on the pack itself, combined with limiting brand information, adding direct information about help to quit on the pack (e.g. the national quitline number) plus a quit smoking “onsert” added to the pack will all have the effect of encouraging smokers to make a quit attempt.
He made it clear that every country in the world should be much more active in using the cigarette pack as a means of encouraging smokers to quit. The companies themselves clearly won’t do it voluntarily, so governments need to take control of the packs via legislation and require much more effective warnings and quitting information be included on cigarette packs.
You can listen to Dr Hammond’s full presentation and view his slides by clicking on the appropriate icon at the following website.
This post, Advertising On Cigarette Packs May Help Smokers Quit, was originally published on
Healthine.com by Jonathan Foulds, Ph.D..
July 24th, 2009 by Shadowfax in Better Health Network, True Stories
Tags: Emergency Medicine, Lab Coat, Light, Pen, Pockets, Stethoscope, White Coat
No Comments »
Long, long ago, when I was a medical student, we joked that you could tell how senior a physician was by how much junk was in their lab coat pockets. As students, we tended to carry around big bags full of every medical gadget we could think of, plus a few reference texts. The attendings were slim and graceful in their long white coats with empty pockets.
When I became an intern and moved into the hospital full-time, all that crap became just too much to lug around. I ditched the bag, and my short white coat (with interior pockets, thank god) became loaded down with tons of stuff: reflex hammers, pocket reference guides, photocopied research papers for reading, patient lists, a procedure log, a PDA with epocrates, a bit of a snack maybe, and more. The coat weighed at least ten pounds fully loaded. As a junior resident, I pared it down to the few references and gadgets I actually used frequently, and the coat got a lot lighter. With each succeeding year I have lightened the load somewhat, down to the absolute essentials. I shed the white coat years and years ago. Now the only things I bring with me to the hospital are:
Three items. It’s very liberating. Of course, I have epocrates and more on every computer workstation, so the references are there in the ER for me, but still, it’s something of a victory over inanimate junk and my own packrat tendencies that I can go to work with only three things in my pockets.
The downside is that if I happen to forget any one of these three sacred totems, it totally ruins my whole day.
*This blog post was originally published at Movin' Meat*
