January 19th, 2011 by GruntDoc in Health Policy, Opinion
Tags: Ban Against Doctors, Doctor Sued By A Patient, Doctors' Questions For Patients, Dr. Allen Roberts, First Coast News, Florida State Lawmaker, GruntDoc, Healthcare Law, Jason Brodeur, medicaid, Medical Lawsuits, Patient Privacy Laws, Patients and Guns, Patients Who Own Firearms, Public Health, Records of Gun Ownership, Reports to Insurance Companies, Violence and Medicine
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Via an article entitled “Proposed Law Would Ban Docs From Asking If Patient Owns Gun” from First Coast News:
TALLAHASSEE, Fla. — A state lawmaker has filed a bill that would ban doctors from asking their patients if they have a gun in the home.
Rep. Jason Brodeur, R-Sanford, said he has heard of a number of cases in which doctors asked their patients that question, which he thinks should be off limits.
“What we don’t want to do is have law-abiding firearm owners worried that the information is going to be recorded and then sent to their insurance company,” he said. “If they’re on Medicaid maybe it’s sent to the government. If the overreaching federal government actually takes over health care, they’re worried that Washington, D.C. is going to know whether or not they own a gun and so this is really just a privacy protection.”
Under the legislation, a doctor could face a fine of up to $5 million or be sent to prison for up to five years for asking about guns in the home.
I understand the stated intent as recorded in this news item: Gun ownership is being recorded, lots of things are reported to insurance companies and the government, and this bill is an attempt to keep this information out of those circles, at least as obtained in a doctors’ office where people still believe what they say is between them and their doctor. It should be, but lots of things should be absolute that aren’t. Read more »
*This blog post was originally published at GruntDoc*
January 19th, 2011 by GarySchwitzer in Better Health Network, Opinion
Tags: Accurate Diagnosis, Becoming A Patient, Blood Test, Cancer Diagnosis, Cancer Diagnosis Tool, Cancer Epidemic, Cancer Screening, Complications of Screening Tests, Dartmouth, Disease Pathology, Dr. Gil Welch, Gary Schwitzer, HealthNewsReview.org, JAMA, Journal of the American Medical Association, Oncology, Overdiagnosis, Overtreatment, Prostate Cancer Surgery, Prostate Specific Antigen, PSA Screening, Public Health, Risk of Complications, Single Cancer Cell, Unnecesary Medical Complications, Urinary Incontinence, Urology
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That’s the question Dartmouth’s Dr. Gil Welch asks in a column on the CNN website. He reflects on [recent] news about a test in development that might find a single cancer cell among a billion healthy ones — as so many news stories framed it. Welch analyzes:
“But it’s not that simple. The test could just as easily start a cancer epidemic.
…
Most assume there are no downsides to looking for things to be wrong. But the truth is that early diagnosis is a double-edged sword. While it has the potential to help some, it always has a hidden side-effect: overdiagnosis, the detection of abnormalities that are not destined to ever bother people in their lifetime.
Becoming a patient unnecessarily has real human costs. There’s the anxiety of being told you are somehow not healthy. There’s the problem that getting a diagnosis may affect your ability to get health insurance. There are the headaches of renewing prescriptions, scheduling appointments and keeping them. Finally, there are the physical harms of treatments that cannot help (because there is nothing to fix): drug side-effects, surgical complications and even death. Not to mention it can bankrupt you.
Americans don’t need more diagnoses, they need the right diagnoses.
I don’t know whether this test will help some patients. It might, but it will take years to figure that out. Read more »
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
January 18th, 2011 by Michael Kirsch, M.D. in Better Health Network, Opinion
Tags: Dr. Michael Kirsch, Electronic Medical Record, EMR, General Medicine, MD Whistleblower, Medical Data, New Medical Technology, Point-and-Click Medicine, Shared Patient Information
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Whistleblower readers know of my criticisms of the electronic medical record (EMR) juggernaut that is oozing over the medical landscape. Ultimately, this technology will make medical care better and easier to practice. All systems will be integrated, so that a physician will have instant access to his patients’ medical data from other physicians’ offices, emergency rooms and hospitals.
In addition, data input in the physician’s office will use reliable voice activated technology, so that some antiquated physician behaviors, such as eye contact, can still occur. Clearly, EMR is in transition. I place it on the 40 yard line, a long way from a touch down or field goal position.
A colleague related a distressing meeting he had at the community hospital he works at. This hospital, like nearly every hospital in Cleveland, is owned by one of the two towering medical behemoths. I’m not a businessman, but I have learned that when something owns you, it’s generally better for the owner than the ownee. This meeting was about the hospital’s upcoming EMR policy. Sometimes, these hospital meetings are ostensibly to seek physician input, but the true purpose is to inform the medical staff about decisions that have already been made.
In the coming months, this hospital will adopt a computerized ordering system for all patients. In theory, this would be a welcome advance. It would create a digital and permanent record of all physician orders that could be accessed by all medical personnel involved in the patients’ care. It would solve the perennial problem of inscrutable physician handwriting, including mine. Read more »
*This blog post was originally published at MD Whistleblower*
January 18th, 2011 by KevinMD in Opinion, Research
Tags: Archives of General Surgery, Depression in Doctors, Doctors and Suicide, Doctors' Workload, Dr. Kevin Pho, Fatigued Surgeons, Healthcare reform, KevinMD, Medical Errors, Physician Burnout, Physician Stress, Psychiatry and Psychology, Quit Medicine, Work-Hour Restrictions For Doctors, Work-Life Balance, Working Overtime, Working Too Much
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I wrote last year in USA Today about the impact of physician burnout. Not only do doctors suffer, but so do their patients.
Burnout starts early in residency, with entering interns having a depression rate of 4 percent, similar to the general public. But after the first year of residency, that number balloons to 25 percent.
Now another study adds fuel to this disturbing trend. A paper published in the Archives of General Surgery looks at the prevalence of physician burnout in surgeons:
In a national survey, one in 16 surgeons reported contemplating suicide, researchers reported.
An increased risk of suicidal ideation was linked to three factors: depression, burnout, and the perception of having made a recent major medical error …
… But only about one in four of those who reported thinking about taking their own lives sought psychiatric or psychologic help.
The rate of suicidal ideation in surgeons, at 6.3 percent, was almost double of that in the general population (3.3 percent).
Physician burnout is a phenomenon that’s often ignored. The practice environment is deteriorating, with increasing time pressures and worsening bureaucratic burdens. Little of this is addressed in the national health conversation, or in the recently passed health reform law. Read more »
*This blog post was originally published at KevinMD.com*
January 18th, 2011 by Peggy Polaneczky, M.D. in Better Health Network, Opinion
Tags: Bacterial Growth, Beef Production, Calcium Sulphate, Cattle, Chemicals in Food, Dr. Peggy Polaneczky, Farm Woo, Farming, Food Chain, Food Safety, Frequential Bio-Conditioning, Gypsum, Meat Production, Medical Woo, Scientific Woo, Serio Bio-Hygienization, SOP Life Vibration, TBTAM, The Blog That Ate Manhattan
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Google is an amazing thing — it occasionally tosses you a link that lands you in an alternate universe of folks you’d never encounter in real life.
Like cattle ranchers. I’ve just spent the good part of an hour wandering their world — reading about their concerns (water, wolves, the economy), seeing how cattle breeding has changed (you pick a sire at Bullsemen.com, then do genomic profiling on your stock — did you know that cows bred for docility have more tender meat ?), and learning that ranchers are not immune to marketing from the world of scientific woo.
Check this out — it’s called SOP Life Vibration or “Serio Bio-Hygienization.” They’re selling it to farmers and ranchers in Europe and the U.S. as the latest and greatest answer to bacterial growth and odors in farm feed and bedding:
SOP products are formulated with the innovative Sirio Operating Process technology to improve the environment of the farm in a more effective and longer lasting way than current available means.
SOP® products are natural and scientifically tested. They are not enzymes, bacteria nor disinfectants. Using a process of “frequential bio-conditioning” they selectively favor the activity of the “beneficial” micro-organisms and create unfavorable conditions to inhibit the development of the “pathogenic” ones.
A 100% natural product. Through a bio-frequency method, SOP® is created with strategic wavelength and harmony. This same technology is comparable to the electronic systems used for radio broadcasting.
“100% natural,” “Bio-hygeinization,” ”Frequential bio-conditioning”…
I smell a woo. And that makes me nervous.
After all, I’m a meat eater. If someone’s putting something wacky into and around my food source, I want to know about it. So I decided it was worth my while to find out what the heck was in this SOP® stuff. Read more »
*This blog post was originally published at tbtam*
