I was reminded that April is National Donor Month by a post over at Donorcycle. I am a strong organ donation advocate. My driver’s license is signed. My family has been informed of my wishes.
It is a point of a contention in my family, hopefully a small one that will be resolved (or never come up for real). My niece, K, who is in nursing school has signed her driver’s license to be an organ donor. Her mother, my sister, J, will not give her permission if asked – not readily anyway. “I don’t want my baby cut up.” That is her reason.
My niece, K, is a giving soul. Her wishes should be honored. She should be allowed to make that last gift if the time ever arises.
I need to find a way to reassure my sister that we don’t “butcher” the body when donor organs are harvested. I need to get her to read Dr Cris’ blog post “Organ Donation from the Inside”
Transplant surgeons care about donors. Staff respect them, and the decision they have made. Their job in this case is to implement the wishes of the donor and not waste their sacrifice. …… I have assisted at an organ retrieval for transplant, and that is why I am on the Organ Donor Register
Another of my sisters recently was widowed when her husband died of heart failure. He had had many heart attacks over the last several years. In the end, he was told he needed a heart transplant. He didn’t live long enough, but I use this to show that the need it there. The need is great. If we would be receivers of the organs, then we need to be givers when able.
Why even post it? Just to comment on a society where people ask me “is it safe?” when I prescribe a medication for them and yet value the fact that people in Hollywood do something. Most of the people in Hollywood are idiots and are surrounded by more idiots.
Let me reassure you:
Your body is not “full of toxins.” When it is, your liver and kidneys are designed to handle those “toxins” and will do so far better than anything someone tries to sell you.
Diets only work when they restrict calories.
Your colon is fine and does not deserve to be regularly “cleansed.” Colonics have been around since the early 1900’s (maybe earlier) and the fact that they are still being used is only evidence of the gullibility of humans.
Never trust something that claims to “strengthen the immune system.” It is an impossible claim to prove or disprove, and so is made with impunity.
Look for the word “supports.” Phrases such as “supports prostate health” or “supports a healthy immune system” are big signs that you are being BS’d.
I never give patients medicines I would not take myself in the same circumstance. I know no doctors who do. It is fine to say “why do I need this medicine?” or “Is this medication really necessary?” but to ask “is it safe?” or “doesn’t this destroy the liver?” is kind of insulting.
I guarantee that any plan like this one will cause significant weight loss…in your wallet.
Sorry. Had to rant about this. People believe many dumb things and will until the world’s end. I feel bad for the people brought in by this and am angered at the hucksters that are fattening their wallets and misleading the uninformed.
Almost 30 percent of Medicare beneficiaries have trouble finding a new primary care doctor.
Expect that number to rise dramatically in the near future, as the number of Medicare beneficiaries balloons, and the amount of primary care physicians plummets.
The whole scenario is a perfect example of how poor physician access makes medical coverage practically worthless.
Contrary to popular belief, Medicare’s paperwork requirements and pre-authorization obstacles are just an onerous as those of private insurers. Combined with the continuing threat of downward physician reimbursements, and the baseline complexity of a typical Medicare patient, it is no wonder that doctors are dropping Medicare in droves.
This phenomenon with Medicare is likely going to spread nationwide, if the current plans for universal coverage go through without first addressing the primary care shortage.
**This blog post was originally published at KevinMD.com**
“Internet 2.0” emphasizes social networking over simply downloading and reading “content”. The world of Twitter, blogging, facebook, e mail, and text messaging is revolutioning our society and rapidly becoming a major force in the way we work and play. It remains to be seen, however, how it will impact health care. There are many, many issues that are no where near resolution.
Although, at eDoc, we have been involved in online health for over a decade, we still run up against innumerable barriers and resistance factors that prevent this modality from truly becoming mainstream.
In order for this to occur, I believe the following needs to happen:
1. The team providing the service must be of high quality. This is difficult to determine in the best of circumstances and almost impossible in the often murky, even sleazy, world of internet
2.0. Until there is a better system for this, the user must be careful to scrutinize the credentials of the professionals involved and understand the business model behind the product. Check to make sure that the physicians are board certified. Beware of industry supported sites that are, essentially, using their web site to sell another product and “giving away” medical content or advice. If possible, find someone else who has used the service and ask whether the service is reputable. If you decide to try the service, dip your foot in the water and assess the quality of what you get back. If you like what you get, try again. If not, run in the other direction!
2. There has to be a widely available method for professional reimbursement. At eDoc, we developed a business model in which sponsoring corporations purchase the service on behalf of their employees or members. Most insurance companies do not cover on line visits with a physician but this is likely to be the case in the future; and, until that occurs, most docs won’t or can’t afford to, get on line to provide feedback or information to their patients.
3. Better tools are needeed. Although there are a lot of good web sites with good medical content, web tools are just starting to be designed to take advantage of the Web 2.0 world. Good, user-friendly, secure patient and provider portals will need to be connected to eprescribing hubs, will need to readily switch to search for internet sites to attach, will need to accept and view video footage, will need capability to connect through digital cameras for real time viewing and communication, and need easy to use, menu driven drop downs that guide the patient and provider through an online encounter.
For now, eDoc has a high quality team that uses a free form communication model and offers medical, dental, pharmaceutical and mental health professional advice. We are watching with eager anticipation to see what the future brings and, hopefully, we can stay ahead of the curve and continue to offer the highest quality online heath professional experience.
Your comments and dissenting opinions are welcome…
**This blog post was originally published by Dr. Charlie Smith at eDocAmerica’s blog**
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