November 25th, 2010 by DrWes in Better Health Network, Health Tips, News, Opinion, Research
Tags: Calorie Consumption, Cardiac Electrophysiology, Cardiology, Dietetics, Dr. Wes Fisher, Eating Habits, Food and Drink, General Medicine, Harvard, Healthy Diet, Heart Attack, Heart Health, High-Fat Diet, Holiday Eating, Indigestion, Lipids, Overeating, Thanksgiving, Washington Post, WesMusings
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It seems the Washington Post, cloaked under an anonymous author, wants to use scare tactics to keep most of us from enjoying Thanksgiving with their ominously titled article, “And for dessert, a heart attack?” They spew all kinds of garbage with very little data about how eating a high-fat diet might give you a heart attack.
If you want to know more, consider this article* from some pretty smart folks at Harvard. Then eat, drink, and be merry without guilt (courtesy of Dr. Wes). Happy Thanksgiving!
– WesMusings of a cardiologist and cardiac electrophysiologist.
*REFERENCE: Renata, M. and Mozaffarian, D. “Saturated Fat and Cardiometabolic Risk Factors, Coronary Heart Disease, Stroke, and Diabetes: a Fresh Look at the Evidence.” Lipids, 31 Mar 2010.
[Photo credit: Lambert]
*This blog post was originally published at Dr. Wes*
November 25th, 2010 by DrRich in Better Health Network, Health Policy, Humor, Opinion, True Stories
Tags: 30 Million Newly-Insured Patients, Americans With No Health Insurance, Being Thankful, Covert Rationing Blog, Dr. Rich Fogoros, Emergency Room Overcrowding, Healthcare reform, JAMA, Journal of the American Medical Association, Obamacare, People Without Health Insurance, Primary Care Crisis, Thanksgiving, U.S. Healthcare System, Uninsured Patients
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In what has become a tradition over the past few years, DrRich proudly reprises his annual Thanksgiving message to his beloved readers:
Gathered around the Thanksgiving table, DrRich’s large extended family, carrying out a longstanding tradition, each offered in their turn one reason for being thankful on this most reflective of American holidays. DrRich listened respectfully as each of his loved ones, and each of the ones he was obligated to tolerate benignly because they had married (or in some other manner had committed to) one of his loved ones, recounted a cause for thanks.
There is no need for DrRich to recite their utterances here, because they were all perfectly predictable and fairly mundane, having mostly to do with items such as maintaining good health, finding a job, being able to afford one’s mortgage payments, getting a passing grade in French, receiving a new puppy, Mr. Obama’s remarkable presidency, the apparent continued structural integrity of the Universe despite Mr. Obama’s presidency, etc., etc.
When it was at last DrRich’s turn, he, in retrospect perhaps somewhat inadvisedly, was unable to refrain from displaying his keen insight and superior analytical abilities on matters related to healthcare (a topic, anyone would have to admit, about which most of us would very much like to feel thankful). Lifting his glass, DrRich pronounced that he was most deeply and humbly thankful for the 47 million Americans without health insurance.
And further, especially thankful that their ranks must surely be growing, given the recession, advancing unemployment, imminent collapses of businesses and indeed entire industries, etc. And even though Obamacare promises to significantly reduce that number, DrRich went on to express his fervent wish that large numbers of the uninsured might still be with us a year and two years and even ten years hence, for the great and good benefit of us all. Read more »
*This blog post was originally published at The Covert Rationing Blog*
November 24th, 2010 by Shantanu Nundy, M.D. in Better Health Network, Health Policy, Opinion, True Stories
Tags: Academic Medical Center, BeyondApples.org, Canadian Healthcare, Chicago, Comparing Healthcare Systems, Dr. Shantanu Nundy, Free Clinic, Hospital Clinic, Internal Medicine, Medical Residents, Primary Care, Single-Payer Government-Run System
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This past September, a group of medical residents at my institution began seeing primary care patients at a free clinic down the street from our tertiary academic medical center (“hospital clinic”). Far from my expectations, the care we are able to provide at our free clinic is in many ways better than our hospital clinic. Somewhat paradoxically, the experience has given me a taste of what the practice of medicine is like in single-payer healthcare systems like Canada’s.
When I volunteered to start seeing patients at a nearby free clinic, I had little idea what I was signing up for. The term “free clinic” conjured up memories as a medical student in East Baltimore tending to patients at a local homeless shelter with severe frostbite or at a student-run clinic rummaging through the storage room for anti-hypertensive medications. I expected our patients to be terribly poor, the clinic to be little more than a warehouse, for supplies and medications to be few and far between, and for the care we provided to be more about putting out fires than delivering high-quality primary care.
But the place I have come to cherish working at is none of these things. A surprising number of our patients have stable lives and regular jobs — it’s just that their jobs don’t offer health insurance (including some who work in healthcare!) Patients call for appointments. When they arrive they are triaged by a nurse who takes their vitals and asks about their chief complaint before putting them in an exam room. We provide comprehensive primary care complete with routine lab tests for cholesterol and diabetes, age appropriate vaccinations, and referrals for mammograms and colon cancer screening. Read more »
*This blog post was originally published at BeyondApples.Org*
November 24th, 2010 by Davis Liu, M.D. in Better Health Network, Health Policy, News, Opinion, True Stories
Tags: Barrier To Patient Care, Captain Chelsey Sullenberger, Chuck Yeager, Cookbook Medicine, Doctors As Cowboys, Dr. Atul Gawande, Dr. David Ring, Dr. Davis Liu, Dr. John Collins Warren, Dr. Peter Pronovost, Future Doctors, General Medicine, Infallable Doctors, Jeff Skiles, Massachusetts General Hospital, Medical Errors, Medical Schools, New England Journal of Medicine, Patient Safety, Performing the Wrong Operation, Primary Care, Procedures, Protocols, Quality Patient Care, Rescue Efforts, Saving Money and Surviving the Healthcare Crisis, The Practice of Medicine, US Airways
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A recent medical error of a wrong-site surgery that occurred in one of the country’s best hospitals, Massachusetts General, reminded me why doctors need to be less like Chuck Yeager and more like Captain Sullenberger.
Growing up, I always wanted to be a fighter pilot, years before the movie “Top Gun” became a part of the American lexicon. My hero was World War II pilot Chuck Yeager, who later became one of the country’s premier test pilots flying experimental jet and rocket propelled planes in a time when they were dangerous, unpredictable, and unreliable.
Much like the astronauts in the movie “The Right Stuff,” Yeager and his colleagues literally flew by the seat of their pants, made it up as they went along, and never really knew if their maiden flight in a new aircraft might be their last. They were cowboys in the sky wrangling and taming the heavens.
Fast forward to January 2009, when shortly after takeoff, a one-in-a-million chance, a double-bird strike completely disabled a US Airways jetliner. Captain Chesley Sullenberger, with the help of his co-pilot Jeff Skiles, ditches the aircraft in the Hudson River in under four minutes even as the nation surely expected a tragedy. But not on that day. Not with that pilot. Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
November 24th, 2010 by BarbaraFicarraRN in Better Health Network, Health Tips, Opinion
Tags: Barbara Ficarra, Children's Health Insurance, Donna Cryer, Dr. Carl Sullivan, Dr. Kevin Pho, Elizabeth Cohen, Empowered Patients, General Medicine, Health In 30, Medical Team, Patient Engagement, Patient Importance, Primary Care, Quality Patient Care
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Do you feel patients are the most important part of the medical (healthcare) team?
In a recent post on Health in 30, “When Doctors and Nurses Work Together,” I wrote about the team-based approach for caring and treating patients, and it addressed the relationship between nurses, doctors, patients and the importance of a multidisciplinary, team-based approach to patient care.
The healthcare team is comprised of a diverse group of specialized professionals, and the most important part of the medical team is the patient.
Subsequent to publishing this post, I received an email from an author and patient advocate stating that patients are not the most important member of the medical team. I value and respect this comment, however I politely and passionately disagree. As a registered nurse and consumer health advocate, I emphatically say that patients are the most important part of the medical team. Read more »
*This blog post was originally published at Health in 30*
