October 14th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Tips
Tags: Accurate Diagnosis, Differential Diagnosis, Doctor-Patient Communication, Dr. Toni Brayer, Everything Health, Good Diagnosis, How To Help Your Doctor, Patient-Doctor Partnership, Signs and Symptoms, Thinking Like A Physician
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When patients and doctors communicate effectively, the patient has the best result. Not every doctor asks the critical question that can cinch a diagnosis. Yet good communication, coupled with good diagnostic skill can be worth more than $10,000 in tests and referrals to consultants.
You can help your doctor figure out what is going on by thinking and communicating like a physician. Whether you have a new problem or something that has been bothering you for a long time, here are some things that the doctor will want to know:
1. What are the symptoms? Be specific. Don’t just say “Sometimes I have a pain in my stomach.” Since more than 80 percent of health problems can be diagnosed based on information that you provide, make sure you can verbalize what you are feeling. Is it crampy? Does the pain come and go? Where is it located? Is it sharp or more like an ache? These specifics are giving information that your doctor can use as she thinks of the anatomy, physiology and causes of pain.
2. How long has it been going on? Try to be specific. “Awhile” doesn’t mean anything to a doctor. That could be two days or two years. Did it come on gradually or suddenly? There is a different cause for any symptom that is chronic (over several weeks) vs. sudden or acute. Did anything precede the symptoms? Travel, trauma, or life stress can point to different causes. Read more »
*This blog post was originally published at EverythingHealth*
October 10th, 2010 by Davis Liu, M.D. in Better Health Network, Health Policy, Health Tips, News, Opinion, Research
Tags: America's Health Insurance Plans, Dr. Davis Liu, General Medicine, Health Insurance, Health Insurance Companies, Health Insurance Coverage, Health Insurance Policies, Health Plans, National Committee for Quality Assurance, NCQA, Personal Health Insurance, Saving Money and Surviving the Healthcare Crisis
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Unless your doctor is a policy expert, in healthcare administration, a researcher, an author or blogger, I seriously doubt he will be reviewing an important report card that helps you pick the best health insurance plan that keeps you healthy. Published annually by the National Committee for Quality Assurance (NCQA), this year’s report card ranks 227 health plans across the country on their ability to keep you healthy and well, treat you quickly, and how patients feel about their insurance coverage.
Because unlike banking or airlines where there is not much difference in ATM machines or planes, there is a big difference in whether a health insurance plan helps in keeping its enrollees healthy. Do children get their vaccinations? Do healthy mothers get screened for breast cancer or cervical cancer with mammograms and pap smears respectively? Do kids only get antibiotics appropriately for strep throat and not overtreated and unnecessarily when they have a viral illness or cold? Are adults over 50 screened for colon cancer (something Dr. Oz can relate to). Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
October 10th, 2010 by RyanDuBosar in Better Health Network, Health Tips, Humor, Opinion, Research
Tags: ACP Hospitalist, Continuous Positive Airway Pressure, CPAP, Disturbing Others' Sleep, Dr. John Henning Schumann, Family Medicine, General Medicine, GlassHospital, Good Night's Sleep, Internal Medicine, Lack Of Sleep, Obstructive Sleep Apnea, OSA, Primary Care, Quality of Sleep, Ryan DuBosar, Sleep Deprived, Sleep Disturbance, Sleep Medicine, Sleep Remedy, Sleep Studies, Snoring, University of Chicago
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Guest post by Dr. John Henning Schumann
I’m not a drum banger for the latest “epidemics” to come to media attention, whether it’s H1N1, Vitamin D, or getting your kids CAT-scanned routinely.
But there comes a time in every blogger’s life when he must comment on something that does bubble up into consciousness a tad, shall we say, often.
I’m talking here about an epidemic that we are learning more about each passing day. Something that you or someone you know or sleep with may be diagnosed with, and ultimately treated for (an interesting national problem in its own right): Obstructive sleep apnea (OSA).
What is it, you ask? A new national scourge? Stop the presses! Can I catch it? Read more »
*This blog post was originally published at ACP Hospitalist*
October 9th, 2010 by Edwin Leap, M.D. in Better Health Network, Health Tips, Opinion, True Stories
Tags: Death Of A Colleague And Friend, Doctor's Death, Doctor's Personal Life, Doctor's Story, Doctors' Partnership, Dr. Edwin Leap, Dr. Howard Leslie, Dr. Jack Warren, Emergency Medicine Doctors, Emergency Medicine News, ER Doctors, General Medicine, Lessons For Doctors, Life's Lessons, Medical Partners, Medical Practice Partnership, Perspective In Medicine, Perspective When Practicing Medicine, Practice Of Medicine, Successful Medical Practice
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Here’s my column in this month’s Emergency Medicine News:
I have practiced with the same group, in the same hospital, for 17 years. Because we have been together so long, our group is a family. So it was with enormous grief that we buried our founder, Dr. Jack Warren, 11 years ago after a tragic car crash. That wound is still open, but we still tell stories about his humor, his compassion, and his grace.
As I write this I am tending another wound, or I should say our group is tending another. A second partner passed away last week. Unlike the sudden horror of the first death, the second was progressive, as our friend and partner, Dr. Howard Leslie, left us by degrees, the victim of metastatic melanoma. Jack and Howard founded our group before any of the rest of us arrived. Both of them are buried in the same wooded, hillside nature preserve. Pieces of our group, pieces of ourselves, interred in the red-clay earth. Just as they practiced before the rest of us, so they went to sleep before the rest of us. I think they’ve gone ahead to show the way. So they can one day help us adapt to peace the way they helped us adapt to practice.
But both deaths remind me of partnership. Medicine today is chaotic and difficult for many reasons. Part of the problem is that government and regulatory bodies overwhelm us and litigation threatens us. Part of the problem is that we, and our patients alike, have untenable hopes and impossible standards for the practice of medicine. Read more »
*This blog post was originally published at edwinleap.com*
October 9th, 2010 by John Mandrola, M.D. in Better Health Network, Health Tips, Opinion, True Stories
Tags: AF, AF Meds, Alternatives To Treatment, Atrial Fibrillation, Body Rights Itself, Cardiac Drugs, Cardiac Electrophysiology, Cardioversion, Doctor's Story, Dr. John Mandrola, Heart Medication, Heart Problems, Heart Rate, Heart's Resilence, Medicine Story, Minimizing Treatment, Sinus Rhythm
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It’s been a very busy few weeks. Medicine is like that — seldom is “business” steady. Like rainy weeks in the southeast when you think it will never be sunny again, there are weeks when you think everyone’s atria are fibrillating. So there were shocks, and burns, and wires installed. The heart rhythm was rocking, and so were we.
But in all this fury two cases stand out as a reminder that in spite of, not always because of, what we doctors do, the human body can right itself — like it did before their were drugs, procedures, and surgery. (Keep this quiet, though.)
Case 1: A semi-emergent consultation for atrial flutter (AF’s crazy sister) came in. “Something has to be done, Dr. M,” was the message. She was symptomatic and scared (not necessarily in that order), but after a bit of simple doctoring (a pill), the heart rate had slowed and the symptoms abated somewhat. Then after a heavy dose of an AF doctor’s greatest weapon, reassurance and education, we mutually decided on one of my secret treatments for acute AF/AFlutter: A deep breath, a chair, a book, and time. Just in case, though, a cardioversion (shock) was set up for the next morning. I knew that since this was a first episode, that given some time the heart may right itself, without any fury.
Bingo. The text message came the next morning: “Cardioversion cancelled. Patient converted to sinus rhythm right after you saw her yesterday.” (Grin.) Read more »
*This blog post was originally published at Dr John M*
