May 31st, 2011 by Linda Burke-Galloway, M.D. in Opinion
Tags: Denial of Care, Florida, High Risk Pregnancy, Humiliation, Los Angeles Times, Maternal-Fetal Medicine, Medical Malpractice, OB/GYN, Obese Mothers, Obesity, Obstetrics And Gynecology, Pregnancy, Risk
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How does one teach compassion? Either you have it or you don’t. A recent article in the Los Angeles Times made me cringe. In South Florida, fifteen ob-gyn practices out of 105 polled said that would not take care of a pregnant woman who weighed more than 200 to 250 pounds. The article goes on to describe two ob-gyn business partners who cited malpractice issues and fear of being sued as a reason for excluding obese women in their practice. So, what’s next? Will pregnant women be denied access to care based on bank accounts or zip codes? Where their children attend school? Whether they own a pet? Where do we draw the proverbial line?
One of my most frustrated moments in clinical practice was dealing with an imaging center who had cancelled my patient’s ultrasound procedure because they were “afraid she was going to break their table.” The patient was excited about her first pregnancy and wanted to do everything in her power to have a healthy baby. The first time I met her, she was almost apologetic about her weight. Most obese patients are. My staff had to locate an imaging center that was not only willing to accept the patient but her Medicaid insurance as well. No one should not have to endure that level of humiliation.
Whether we like it or not, Americans are obese and as physicians, we have done very little to reverse that process. I learned more about nutrition from Weight Watchers® then I did in medical school. Read more »
*This blog post was originally published at Dr. Linda Burke-Galloway*
May 30th, 2011 by Stanley Feld, M.D. in Health Policy, Opinion
Tags: Advantages, Britain, British Healthcare System, Digital, Electronic Medical Records, EMR, England, National Health Service, NHS, Solution, Technology
1 Comment »
The development and use of an electronic medical record is extremely important for communication, rapid diagnosis and clinical decision making, increasing efficiency in working up patients, decreasing the cost of duplication of testing and time delays in medical care and treatment.
There are many other advantages of using a functional electronic medical records. A person could be anywhere in the world and have his medical information immediately available. The results of all testing should immediately be communicated to the treating physician. All imaging studies should be digital.
Patients’ physicians could immediately read and use them for their clinical decision making.
These are only a few of the advantages of the electronic medical record. Read more »
*This blog post was originally published at Repairing the Healthcare System*
May 29th, 2011 by John Mandrola, M.D. in Opinion
Tags: Ablation, American Healthcare System, Anesthesiology, Atrial Fibrillation, Bicycles, Europe, German Healthcare System, Health Care Reform, Health Insurance, Healthy Living, Hospital Rooms, Noise, Nursing, Operating Room Etiquette, Private Insurance, Technology, Two-tiered System
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I have been in Hamburg, Germany for the past five days. I enjoyed an amazing opportunity to visit one of the world’s most respected heart rhythm labs. Among other things, the main purpose was to learn a new way to ablate atrial fibrillation.
It was an incredible learning experience, one for which I owe an enormous debt of gratitude to the kind and generous people of Dr Karl-Heinz Kuck’s EP lab. Though these people are famous, they treated me as a respected colleague.
Details of all that I learned regarding this newly-approved ablation technique is a matter for future posts. Suffice it to say, I already feel like a better AF doctor.
For now, may I highlight a few of the more striking differences between Europe and the States, as noted by a Kentuckian on his first trip across the Atlantic? Read more »
*This blog post was originally published at Dr John M*
May 28th, 2011 by GruntDoc in Opinion
Tags: Censorship, Dentists, Doctor Reviews, Doctors, Forms, Medical Justice, Mutual Privacy Agreement, Policy, Reviews, Unethical
1 Comment »
We (especially doctors themselves) like to think docs are smart. While all are very well educated in medicine, it doesn’t mean they’re actually smart at much else. Docs are well known to lose gobs of money in stupid ‘investements’ like Avacado farms and ostrich ranches (and yes, there are those with the chicken ranch problems, as well).
Here’s a dumb thing some docs are adopting I hope goes away quickly, as it’s actually not in the best interest of medicine:
When I walked into the offices of Dr. Ken Cirka, I was looking for cleaner teeth, not material for an Ars Technica story. I needed a new dentist, and Yelp says Dr. Cirka is one of the best in the Philadelphia area. The receptionist handed me a clipboard with forms to fill out. After the usual patient information form, there was a “mutual privacy agreement” that asked me to transfer ownership of any public commentary I might write in the future to Dr. Cirka. Surprised and a little outraged by this, Read more »
*This blog post was originally published at GruntDoc*
May 27th, 2011 by BarbaraFicarraRN in Health Tips, Opinion
Tags: Blogs, Doctors, E-Patients, Empowered Patient, Facebook, Health Communications, Health Education, Healthcare Professionals, Hospital Care, Medical Social Networking, Nurses, Participatory Medicine, Patient Engagement, Social Media, Social Networking, Society of Participatory Medicine, Twitter
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Social networking allows doctors, nurses and other health professionals to deeply connect and engage with the community and their colleagues.
“We are standing at the precipice of a new online revolution in health care. As more and more health experts embrace the Internet and increase their social media activity, health information seekers will undoubtedly benefit in profound ways.” [Source: Mashable]
Dynamic health and medical professionals engaged in social networking, using Twitter, Facebook, Blogs and YouTube are on the front-line of new modern medicine.
Today’s modern medicine is all about the patient. Participating, partnering and developing a professional relationship is paramount.
While many health consumers are searching the web for support, reassurance and specific health news and information; doctors and nurses continue to question the value of the internet for patients.
Social networking sites such as Twitter, Facebook, and Blogs are not a waste of time for health professionals because it offers value.
Social networking sites and blogs are a powerful and phenomenal platform to educate patients, raise awareness of health issues and it offers a forum to collaborate and connect. It gives a voice to patients and it allows for the conversation to get started with their doctors and other health care professionals.
Doctors, nurses and other health professionals can help validate what is important for patients.
3 reasons why social networking is not a waste of time Read more »
*This blog post was originally published at Health in 30*
How does one teach compassion? Either you have it or you don’t. A recent article in the Los Angeles Times made me cringe. In South Florida, fifteen ob-gyn practices out of 105 polled said that would not take care of a pregnant woman who weighed more than 200 to 250 pounds. The article goes on to describe two ob-gyn business partners who cited malpractice issues and fear of being sued as a reason for excluding obese women in their practice. So, what’s next? Will pregnant women be denied access to care based on bank accounts or zip codes? Where their children attend school? Whether they own a pet? Where do we draw the proverbial line?
