September 22nd, 2010 by DrRob in Better Health Network, Health Policy, News, Opinion, Research, True Stories
Tags: ADHD, Dr. Rob Lamberts, DSM, Family Medicine, General Medicine, Internal Medicine, John Gever, Life Happens, Life Without Pain, Living Life, Medicine Won't Fix Life, Mental Health, Musings of a Distractible Mind, Off-Label Drug Use, Overmedicating, Pain In Life, Patient Requests For Medications, Philosophy On Life, Primary Care, Psychiatric Drugs, Psychiatry and Psychology, Quality of Life, Real Life, Regular Medications, Sick People, Treating Colds
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The man who twirled with rose in teeth
Has his tongue tied up in thorns
His once expanded sense of time and
Space all shot and torn
See him wander hat in hand –
“Look at me, I’m so forlorn –
Ask anyone who can recall
It’s horrible to be born!
– Bruce Cockburn, from song “Shipwrecked at the Stable Door”
I found the discussion around my recent post about treating colds very interesting. Sick people come to the office to find out how sick they are. Most people don’t want to be sick, and when they are sick they want doctors to make them better.
Most people.
Some people want to be sick, and some doctors want to make people sick. I am not talking about hypochondriacs — people who worry that they may have disease and become fixated on being sick. I am not talking about malingerers — people who pretend to be sick so they can get medications. I am talking about the slippery slope of defining disease. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
September 22nd, 2010 by AlanDappenMD in Better Health Network, Health Policy, Opinion, Primary Care Wednesdays, True Stories
Tags: Doctokr Family Medicine, Dr. Alan Dappen, Electronic Medical Record, MDHQ EHR, Primary Care, Telemedicine
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My desire for integrating the power of technology with primary care started nearly two decades ago. It was then, when working as a family physician in a busy medical practice, that I began experimenting with typing my notes and using computers in front of my patients.
In 2001, I launched a new medical practice DocTalker, focusing on access of medical care to patients, and almost immediately I started searching in earnest for an EMR solution to fit my needs. However, I was not happy with the systems I looked into and tested and felt that they didn’t do what I needed them to.
Some of my discontent came from the way my medical practice consults with patients, which is primarily via telephones and emails and house calls (in addition to the common office visit). Because of our ability to offer telemedicine, we often treat patients when they’re not in town, but rather traveling for business or taking a vacation. We therefore must interface with hundreds of different local labs, radiology groups, pharmacies, and specialists. Read more »
September 21st, 2010 by RamonaBatesMD in Better Health Network, Health Policy, Health Tips, News, Opinion, Research
Tags: Clean Hands, Disease Prevention, Dr. Ramona Bates, Family Medicine, General Medicine, Hand Hygiene, Handwashing, Immunology, Infectious Disease, Internal Medicine, JAMA, Journal of the American Medical Association, Preventive Health, Preventive Medicine, Primary Care, Spread of Infection, Surgeon's Hands
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Some interesting items this week involving hands. The one which has gotten much news coverage is the issue of handwashing. Take a look at some of the headlines:
High five! Handwashing on rise (Chicago Sun-Times)
For Many, ‘Washroom’ Seems to Be Just a Name (The New York Times)
93% of women wash their hands vs. 77% of men (USA Today)
All the above are reporting on the same study, but the difference in presentation is amazing to me.
The study doesn’t involve handwashing in a hospital or doctor’s office setting. The JAMA article (2nd reference below) does, but this article focuses on whether public reporting of handwashing compliance is helpful or not. Do we inflate our numbers to make ourselves look better? Read more »
*This blog post was originally published at Suture for a Living*
September 21st, 2010 by GarySchwitzer in Better Health Network, News, Opinion, Research
Tags: Alzheimer's Test Assertion, Correction In Health Reporting, Gary Schwitzer, Health Journalism, HealthNewsReview.org, Inaccurate Health Reporting, Neurology, Responsible Reporting, Science Reporting, The New York Times
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I have a lot of catching up to do after being in Europe for just 4 days. But I can’t let this one go by without comment. In fact, this issue was one of the first ones raised by German journalists I met with in Dortmund this week. Don’t think people around the world don’t notice the good AND the bad in American health/medical/science journalism — especially by The New York Times.
The Times took a long time (five weeks) to comment on what critics — including me, Paul Raeburn, Charlie Petit and many other journalists (including Times’ ombudsman Arthur Brisbane) — wrote about Gina Kolata’s August 10 piece on a “100% accurate” Alzheimer’s test. But [on September 16th] the paper published a correction. Read more »
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
September 21st, 2010 by Edwin Leap, M.D. in Better Health Network, Health Policy, Health Tips, Opinion
Tags: Dr. Edwin Leap, Greenville News, Mental Health, Mental Health Crisis, Mental Health System, Mental Illness, Psychiatry and Psychology, South Carolina
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This is my column in [the September 17th] Greenville News. It’s a follow-up to a recent column I wrote on the mental health “crisis” in America, as seen in our emergency rooms.
My last column addressed the unfortunate truth of the overwhelmed mental health system in South Carolina, and indeed in much of the U.S. While I lament the fiscal condition of our mental health system, and while I feel for those who truly need the help we are often powerless to supply, I would be a poor observer if I didn’t report the truth. And the second truth we must face is that much of what we call mental illness is neither truly “mental,” nor even “illness.”
Let me first state the obvious: The brain is an organ. It is incalculably complex and truly a wonder of design and engineering. But, it remains an organ despite its wonderful capacities. Therefore, it requires energy, its support structures feel pain, it may be injured and swell, it can bleed and parts of it can die when its owner has a stroke.
Sometimes the dysfunction of this fantastic organ, or of the chemicals which course through it, is manifest[ed] as mental illness. In certain cases, medications can restore the brain to normal function. Therefore, I am not suggesting that true mental illness is wicked, or reflects character flaws. I have met too many sweet, confused schizophrenics to believe either of those things. I am suggesting that too often we allow character flaws, unpleasant personalities, remorse over bad choices — and even, yes, wickedness — to masquerade as mental illness. Read more »
*This blog post was originally published at edwinleap.com*
