November 15th, 2011 by Linda Burke-Galloway, M.D. in News, Opinion
Tags: 19 Kids and Counting, 20, Advanced Maternal Age, Babies, C-sections, Celebrities, Children, Complications, Doctors, Dr. Linda Burke-Galloway, Duggar Family, High Risk Pregnancy, Mothers, Pregnancy, Premature Labor, TLC, TV Show
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OMG, Michelle Duggar is pregnant again. Is she competing with the wife of Feodor Vassilyev? Vassilyev was pregnant 27 times between 1725 and 1765 and gave birth to 16 pairs of twins, 7 sets of triplets and four sets of quadruplets. 67 children survived infancy making her the woman who had the most documented number of children in the world. Vassilyev had a history of multiple births. What’s Duggar’s excuse?
I’ve written about Duggar before out of genuine concern and received over 2,000 comments on the Basil and Spice website. Many were unkind. People like Duggar because of her affable personality but want to ignore the facts: with each subsequent pregnancy, her life becomes fraught with danger. Her last pregnancy was extremely high-risk, complicated by pre-eclampsia and the emergency premature delivery of her daughter who only weighed 1.3 pounds at birth. It was a very close call. According to Answers.com, the Duggar family gets paid an estimated $25,000 to $75,000 per episode on the reality television show on Channel TLC. So, is it perhaps the show’s ratings that have prompted this 45 year old mother of 19 children to have yet another child? Is it the Baby-Doll syndrome where women have multiple children because they like the baby doll effect of having a newborn? I’m still scratching my head. However, I would be remiss if I did not, as an obstetrician offer some advice (albeit unsolicited) regarding the dangers of extreme parity (aka a great number of pregnancies). It was the same advice I offered almost 2 years ago: Read more »
*This blog post was originally published at Dr. Linda Burke-Galloway*
November 15th, 2011 by EvanFalchukJD in Opinion
Tags: Common goal, Cowboy, decision-making, Doctor Patient Relationship, Help, Individualists, Pit Crew, Primary Care, Specialists, Teamwork, Time, Working Together
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Atul Gawande says that we’re used to doctors working like “cowboys” – rugged individualists who are responsible for making sure your care gets done right. We don’t need cowboys, he says. We need “pit crews” – teams of doctors working together toward a common goal, with each playing their own role.
It’s an appealing idea. Pit crew-like teams work, and work well, in trauma units across the country.
But there’s a problem: if you haven’t just been airlifted to a hospital after a horrible accident, you’re not going to be treated by a pit crew. You’re going to be on your own, shuffled from one 15-minute specialist visit to the next, likely with no one person in charge of your care.
Dr. Gawande knows this, and he picks a heck of an example of the problem: Read more »
*This blog post was originally published at BestDoctors.com: See First Blog*
November 14th, 2011 by Emergiblog in Opinion
Tags: Blog, Communication, Disagree, Florida, Gossip, Incontinent, Nursing, Personal experiences, Personal Life, Professionalism, Reader's Digest, secrets, St. Petersburg, Truth About Nursing
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Reader’s Digest has published an article, “50 Secrets Nurses Won’t Tell You“. The link will take you to the article itself, and Sandy Summers has written a review of the article at The Truth About Nursing.
There are some interesting “secrets” here – and you’ll recognize a few of the names!
Gina from Code Blog is in there, and so is Jo from Head Nurse!
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I’ll be the first person to tell you that I am not a perfect person, and not a perfect nurse, but two of these “secrets” really ticked me off.
Royally.
The first one: Read more »
*This blog post was originally published at Emergiblog*
November 14th, 2011 by Bryan Vartabedian, M.D. in Opinion
Tags: Communication, Computers, EHR, Electronic Health Record, Electronic Medical Record, Email, EMR, Keyboard, Physician, Skill, Technology, Typing, Voice recognition
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I always loved to type. It started in high school with typing class. We were told that typing was critical for college term papers. I liked it so much that I took advanced typing. It was myself and 12 girls with Farrah Fawcett hair. Heaven.
Fast forward to 2011. My interface with the medical record is my fingers. Most of my communication flows through my hands. I complete the core of my documentation in the exam room. Fast documentation of information at the outset of an encounter allows for meaningful, eye-to-eye dialog during the latter part of the visit.
Those who can’t type have a different experience with their EHR. Sure there’s voice recognition but when pressed they wish they could make a sentence instantly flow onto the screen. Two colleagues this week, one from Barbados and another from the UK, Read more »
*This blog post was originally published at 33 Charts*
November 13th, 2011 by Dr. Val Jones in News, Opinion, Quackery Exposed
Tags: #dontflydelta, AAP, American Academy of Pediatrics, Anti-Vaccine, Anti-Vaccine Movement, CDC, Delta Airlines, Don't Fly Delta, Flu, Influenza, NVIC, Vaccine
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I’ve been following the recent Delta airlines flu vaccine kerfuffle with interest and now amazement. After running in-flight infomercials by a notorious anti-vaccine group (NVIC), the American Academy of Pediatrics alerted Delta to the faux pas with a letter from president Robert W. Block, M.D. I had assumed that Delta would be grateful for the head’s up, and would immediately remove the infomercials. Instead, they chose to ignore the letter, denying that they saw any harm in associating themselves with anti-vaccine activists. Despite the warning, they will continue to run the ads through the month of November.
Every year the influenza virus kills as many as 49,000 Americans and 500,000 individuals world-wide. According to the CDC, the best defense against these often preventable deaths is the influenza vaccine. Since viral spread is especially likely in closed quarters where air from infected individuals is recirculated (such as in an airplane) it is critical for extra precautions to be taken before and during air travel. In addition to yearly flu vaccination, the use of alcohol-based hand wipes, regular hand washing, covering one’s mouth during coughing, are recommended. Since the flu virus can live in droplets outside the body for up to 48 hours, door knobs, seat covers and tray tables can spread the virus from passengers on previous flights.
I don’t understand why Delta, Read more »
OMG, Michelle Duggar is pregnant again. Is she competing with the wife of Feodor Vassilyev? Vassilyev was pregnant 27 times between 1725 and 1765 and gave birth to 16 pairs of twins, 7 sets of triplets and four sets of quadruplets. 67 children survived infancy making her the woman who had the most documented number of children in the world. Vassilyev had a history of multiple births. What’s Duggar’s excuse?
