March 17th, 2011 by ChristopherChangMD in Health Tips, Opinion
Tags: Antibiotics, Culture, Family Medicine, Infection, Pediatrics, Positive Strep Test, Sore Throat, Strep Throat, Test, What To Do
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Occasionally, I see patients who have received throat swabs for strep that have come back positive… even if they have no signs or symptoms of pharyngitis.
In this situation, there are 2 main actions a physician may take (I am biased towards one):
1) Prescribe antibiotics until throat cultures are normal
2) Do nothing
Personally, if a patient is without throat symptoms and has no history of rheumatic fever or kidney damage, I would not have even bothered obtaining a strep test. What for??? Read more »
*This blog post was originally published at Fauquier ENT Blog*
March 17th, 2011 by Jeffrey Benabio, M.D. in Opinion
Tags: Compensation, Facebook, Kaiser Permanente, Legal, Liability, Physicians, Social Media, Twitter
1 Comment »
I recently wrote a paper on social media with some of my colleagues at Kaiser Permanente: Ted Eytan, MD @tedeytan, Rahul Parikh, MD @docrkp, Vince Golla @vincegolla, and Sara Stein, MD @sarasteinmd. In the article, “Social Media and the Health System,” we argue that the benefits of engaging patients and colleagues in social media outweigh potential risks.
The two most common reasons that physicians resist participating on blogs, Twitter and Facebook are: 1. Fear of liability. 2. Lack of compensation for the time invested.
If we would like more physicians to be part of the conversation, then we’ll need to find ways to overcome these barriers.
What has your experience been like interacting with physicians on social media? Is there a place for physicians on sites such as Twitter and Facebook?
For physicians reading this post, you can also join the over 160 others who have commented on this article on Sermo.
*This blog post was originally published at The Dermatology Blog*
March 17th, 2011 by DavidHarlow in Health Policy, Opinion
Tags: Hacking, HealthNet, HIPAA, HIT, Medical Records, OIG, Privacy
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HealthNet either lost, or had stolen from it, computer hard drives with PHI of 1.9 million subscribers that had been in a California facility. This latest HealthNet data security breach, which may have included names, Social Security numbers, addresses, health information and financial information comes a little over a year after a widely-reported data security breach by HealthNet in Connecticut which resulted in the first state Attorney General action under the HIPAA amendments contained in the HITECH Act. HealthNet is notifying affected individuals and is offering two years of no-cost credit monitoring and fraud resolution services, and credit restoration and identify theft insurance as needed.
It’s both surprising and unsurprising that this has happened again to HealthNet. In these cases, and in recent cases in Massachusetts (Mass General Hospital HIPAA settlement) and Maryland (Cignet HIPAA violations and CMPs), we have seen examples, collectively, of individual sloppiness, of ineffective corporate policies and procedures, and possibly of gross neglect/fraud/incompetence. The question arises: Is HIPAA the right instrument to address all three sorts of problems? Since it seems that it is not having an effect on any of them, I would suggest that the answer is no. Read more »
*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*
March 16th, 2011 by StevenWilkinsMPH in Opinion, Research
Tags: Academic Medicine, Clinical Empathy, Doctor Patient Relationship, Doctor-Patient Communication, Doctors' Behavior, Doctors' Understanding, Empathy For Patients, Empathy Research, Evidence Based Medicine, Evidence-Based Healthcare, Family Medicine, Friendly Doctors, General Medicine, How Patients Feel, Lancet, Mind The Gap, Patient Experience, Patient Satisfaction, Patients' Feelings, Physician Empathy, Primary Care, Steven Wilkins MPH, Therapeutic Effect, Therapeutic Value of Doctors' Empathy, Understanding the Patient
3 Comments »
Is anyone else tired of hearing about how important empathy is in the doctor-patient relationship? Every other day it seems a new study is talking about the therapeutic value of empathy. Enough already!
It’s not that I don’t believe that empathy is important — I do. I also believe the data that links physician empathy with improved patient outcomes, increased satisfaction, and better patient experiences.
A recent study released in Academic Medicine reported that “patients of physicians with high empathy scores were significantly more likely to have good control over their blood sugar as well as cholesterol, while the inverse was true for patients of physicians with low scores.”
Findings from this study by Hojat, et al. are consistent with a 2009 study by Rakel, et al. which found that among patients with the common cold, those with physicians displaying high empathy had a significantly shorter duration of illness and trend toward lesser severity of illness and higher levels of immune response compared to those patients whose physician displayed less empathy. Read more »
*This blog post was originally published at Mind The Gap*
March 16th, 2011 by Davis Liu, M.D. in Health Tips, Opinion
Tags: American Cancer Society, American College of Gastroenterology, Annals Of Internal Medicine, Blood in the Stool, Colon Cancer Screening, Colon Health, Colonoscopy, Colorectal Cancer, Confused Patients, Dr. Davis Liu, Dr. John Abramson, Family Medicine, Fecal Immunochemical Test, Fecal Occult Blood Test, Fit, Flexible Sigmoidoscopy, FOBT, General Medicine, National Cancer Institute, New York Times, Oncology, Preventive Health, Preventive Medicine, Preventive Screening, Primary Care, Saving Money and Surviving the Healthcare Crisis, Screening Guidelines, Stool Test
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Colon cancer screening has a particular personal interest for me — one of my colleagues in residency training had her father die of colon cancer when she was a teenager.
No one should lose a loved one to a disease that, when caught early, is often treatable. But for both men and women, colon cancer is the third most common cancer behind lung cancer and prostate cancer in men, and behind lung cancer and breast cancer in women, it’s the second most lethal.
The problem is that patients are often confused about which test is the right one. Is it simply a stool test? Flexible sigmoidoscopy? Colonoscopy? Virtual colonoscopy? Isn’t there just a blood test that can be done? (No.)
In simple terms, this is what you need to know:
All men and women age 50 and older should be screened for colon cancer. Even if you feel healthy and well and have no family history, it must be done. Note that Oprah’s doctor, Dr. Oz, arguably a very health-conscious individual learned that he had a colon polyp at age 50 after a screening test. Left undetected, it could have cut his life short. This wake-up call caused him to abort his original second season premier on weight loss and instead show the country why colon cancer screening matters. He admitted that if it wasn’t for the show and the need to demonstrate the importance of screening to America, he would have delayed having any test done.
The least invasive test is a stool test. If it is to screen for colon cancer, then the test is done at home and NOT in the doctor’s office. Either the fecal occult blood test (FOBT) or the fecal immunochemical test (FIT) are available to screen for unseen microscopic blood that could be a sign of a colon polyp or cancer. Research shows that when a stool test is done annually, the risk of dying from colon cancer can fall by 15 to 33 percent. If you don’t want any fiber optic cameras in your rectum and lower colon, this is the test for you. You must do it annually.
The next two tests are similar but often confused: The flexible sigmoidoscopy and the colonoscopy. Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
