December 24th, 2011 by Dinah Miller, M.D. in Opinion
Tags: Doctor Patient Relationship, Gifts, Mental Illness, Mind, Motives, Pets, Psychiatry, psychodynamic, Psychotherapy, Shrink, Talk Therapy, Therapist, Therapy
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When we talk about psychotherapy, one aspect of what we look at is the process of what occurs in the therapeutic relationship. This is an important part of psychodynamic-based psychotherapy, meaning psychotherapy that is derived from the theories put forth by Freud. Psychoanalysis (the purest form of psychodynamic psychotherapy) includes an emphasis on events that occurred during childhood, and a focus on understanding what goes on in the relationship between the therapist and the patient, including the transference and counter-transference.
In some of our posts, our friend Jesse has commented about how it’s important to understand what transpires in the mind of the patient when certain things are said and done. Let me tell you that Jesse is a wonderful psychiatrist, he is warm and caring and attentive and gentle, and he’s had extensive training in the analytic method, he’s on my list of who I go to when I need help, so while I want to discuss this concept, I don’t want anyone, especially Jesse, to think I don’t respect him. With that disclaimer…..
On my tongue-in-cheek post on What to Get Your Psychiatrist for the Holidays, Jesse wrote: Read more »
*This blog post was originally published at Shrink Rap*
December 23rd, 2011 by PreparedPatient in Health Tips, Opinion
Tags: Common, Discussion, Doctor-Patient Communication, Doctors, Drowsiness, Dry Mouth, Health care team, Medical Device, Medications, Physical Therapy, Physicians, Prepared Patient, Problems, Side Effects, Silence, Surgery, symptoms, Treatment
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Talking About Side Effects With Your Health Care Team
Side effects may occur with any new treatment, including new medications, placement of a new medical device, surgery, or even physical or occupational therapy. We usually think of side effects when we begin to experience bad changes —when the treatment introduces new worrisome symptoms or problems. Most treatments have some sort of side effect associated with them, and many of us may wonder if side effects are simply the price we must pay for a necessary treatment.
But side effects shouldn’t be taken lightly, for a number of reasons. At their most extreme, side effects raise the alarm when you are having harmful and even potentially fatal treatment reactions. Even somewhat mild side effects like a dry mouth, sleepiness, or minor muscle aches may still interfere with your daily life. Sometimes side effects bother some people so much that they skip doses or give up a treatment altogether, which can derail care and put them at risk for both short- and long-term complications.
Before treatment begins, here are a few questions you can discuss with your health care team: Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
December 23rd, 2011 by Richard Cooper, M.D. in Health Policy, Opinion
Tags: America, Cost, David Blumenthal, demographically varied, Economically varied, Geographic Variation, Medicare, New England Journal, New York Times, Obama, Poverty, Reform, Secretary Sebelius, Uniform, Universal Coverage, Universal Health care, Wall Street Journal
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There is a romantic view of America as a homogeneous nation – a nation that is flat. But the real America has high peaks of affluence and deep valleys of poverty and a varied landscape of health care spending. It is a hilly terrain of income inequality.
The Affordable Care Act was based on homogeneity. Not only would its provisions be disseminated equally, but smoothing the peaks and valleys of health care utilization would liberate the funds necessary to finance it. Under reform, Newark would come to resemble Grand Junction CO, and Mayo would be the model for Manhattan. No longer would Los Angeles, home to the nation’s largest concentration of poverty, consume more resources than Green Bay, WI, where poverty is infrequent. Regional variation in income and poverty could be ignored all together. The problem is “practice variation,” and health care reform will fix that.
Of course, the US is not homogeneous, and poverty cannot be ignored. In fact, Read more »
*This blog post was originally published at PHYSICIANS and HEALTH CARE REFORM Commentaries and Controversies*
December 22nd, 2011 by John Di Saia, M.D. in News, Opinion
Tags: 1-800-Get-Thin, Advertising, Billboards, California, Cosmetic Surgery, FDA, Food and Drug Administration, Lap-Band, Medical Device, Negatives, Obese, Overweight, Precautions, Required Information, Risks, Surgery, Warning
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The U.S. Food and Drug Administration today announced that it has taken action against eight California surgical centers and the marketing firm 1-800-GET-THIN LLC, for misleading advertising of the Lap-Band, an FDA-approved device used for weight loss in obese adults. The FDA issued Warning Letters to Bakersfield Surgery Institute Inc.; Beverly Hills Surgery Center; Palmdale Ambulatory Center; Valley Surgical Center; Top Surgeons LLC; Valencia Ambulatory Center LLC; Cosmopolitan Plastic & Reconstructive Surgery; San Diego Ambulatory Center LLC; and to 1-800-GET-THIN because Lap-Band is a restricted medical device that is misbranded as a result of misleading advertising by these groups. In the letters, the FDA warns that billboards and advertising inserts used by recipients of the Warning Letters to promote the Lap-Band procedure fail to provide required risk information, including warnings, precautions, possible side effects and contraindications. The FDA also is concerned that the font size of information related to risks on the advertising inserts is too small to be read by consumers.
Source: fda.gov/NewsEvents/Newsroom/PressAnnouncements
/ucm283455.htm#.TueG3YY1aZY.facebook
We have blogged on 1-800-Get-Thin and Lap-band surgery in general before. Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
December 22nd, 2011 by KerriSparling in Opinion
Tags: Blood Sugar, Champ, Children, Diabetes, Fun, Glucose Meter, glucose meter case, Jump, kids, Kyrra Richards, Myabetic, Run, Sports, Stay Active, Testing, Type I
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A few years ago, I connected with Kyrra Richards, creator of Myabetic, to highlight the completely adorable “Lovebug” meter case. She and I have talked a few times since, and I had the opportunity to reconnect with her at the Diabetes Sisters conference in San Diego back in October.
It was at that conference that I was able to check out her new project, Champ, in person. And it’s totally cool, in that “hey, let’s make my glucose meter case something that doesn’t suck” sort of way. I love it.
I asked Kyrra what the inspiration for Champ was, and she had this to say: Read more »
*This blog post was originally published at Six Until Me.*
When we talk about psychotherapy, one aspect of what we look at is the process of what occurs in the therapeutic relationship. This is an important part of psychodynamic-based psychotherapy, meaning psychotherapy that is derived from the theories put forth by Freud. Psychoanalysis (the purest form of psychodynamic psychotherapy) includes an emphasis on events that occurred during childhood, and a focus on understanding what goes on in the relationship between the therapist and the patient, including the transference and counter-transference.
