October 1st, 2011 by Jessie Gruman, Ph.D. in Opinion
Tags: Advances, American Health Care, Care About Your Care, Dr. Oz, Drugs, Health and Human Services, Innovations, Involvment, Jessie Gruman, Loved Ones, Marketplace, Patient Engagement, Patient-Centered, Robert Wood Johnson, Serious Diagnosis, Technology
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Emerging from a foggy year of treatment for stomach cancer, I am vividly aware of how much time and energy it takes to meet the daily demands of a serious illness. When I think back over the past 35 years and my treatment for now four different cancer-related diagnoses, I am amazed by how much has changed. The diagnostic and treatment technologies are light years more sophisticated and effective.
I am also taken aback by how much more we, as patients, and our loved ones who care for us, must know and do to organize and administer our own care in response to a serious diagnosis.
From an economic standpoint, this makes sense: the marketplace drives innovations to become simpler and cheaper. In modern American health care, this means that new drugs, technologies and procedures are re-engineered so they can be offloaded from expensive professionals to patients and those who care for them – and who work for free.
Think about it: Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
September 30th, 2011 by John Di Saia, M.D. in Opinion
Tags: Age, Cosmetic Surgery, Fat, Fat Removal, Judgment Call, Liposuction, New Lipo, Newer Liposuction Techniques, Oversuctioning, Plastic Surgery, Prune, Sagging Skin, Tummy Tuck, Turkey Tummy, VASER, Wrinkly
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The ladies in this story have had a “new” form of lipo instead of a tummy tuck. Their stomachs do look thinner but their skin in wrinkly. Would they have been better served by having a tummy tuck and then lipo? Is it just their age that has their skin looking that way?
Source: dailymail.co.uk/femail/article-1215196/
New-5-000-treatment-claims-melt-away-muffin-top.html
VASER liposuction has been around for a while. I have used it and it is effective. The main question with newer lipo technologies is: “Are they worth the added expense and can they increase problems?”
Many of them (VASER included) make it even easier to take out more and more fat. As we have discussed here before of course more fat removal is not always desirable. Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
September 29th, 2011 by Michael Sevilla, M.D. in Opinion
Tags: Alcohol Consumption, Archived Information, Embarrassing, Health Care Social Media, Inappropriate, Internet, Med School, Online, Photos, Presence, Reputation, Searchable, Social Media, Status Updates, The Tech Guy
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Hey Docs out there! What if your patients found out about your most embarrassing moment from college? What if they saw a picture of it? I was watching and listening to one of my favorite technology shows over the weekend called “The Tech Guy” with tech journalist Leo Laporte.
In the brief video here, you’ll see the host take a call from an attending physician. The caller stated that back before medical school, he posed for PlayGirl magazine and now some of those pics are showing up on websites and the caller was trying to figure out how to have them taken down. It sounds like the pictures were taken in the pre-internet days. For the full exchange, click here and fast forward to the time 13:21hrs on the clock behind the host.
This call opened up the larger issue of Online Reputation which has been talked about in Health Care Social Media circles for a long time. But, it is interesting seeing what this non-medical tech journalist (and the caller) says about it: Read more »
*This blog post was originally published at Family Medicine Rocks Blog*
September 29th, 2011 by Paul Auerbach, M.D. in Health Tips, Opinion
Tags: Behaviors, Dangerous, Drew Watters, Emergency, Emotions, Fear, Indiana University School of Medicine, Life of death situation, Neurobiology, Perception, Risky, Safety, Stressful, Survival, Thought Processes, Wilderness Medical Society, WMS
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Perhaps the greatest thrill in attending a summer meeting of the Wilderness Medical Society (WMS) is listening to new, enthusiastic and exciting speakers. They bring new insights and opinions to numerous topics and discussions, which is an essential part of the educational process. This past summer, at the 2010 Annual Meeting of the WMS held in Snowmass, Colorado, Dr. Drew Watters from the Indiana University School of Medicine approached the audience with his observations about neurobiology and survival. It was an innovative approach to a very common topic within wilderness medicine. How does one account for and handle emotions in a time of stress, including the most stressful situation of all—namely, a survival situation? When is it better to think, rather than to react? The objectives of his presentation were to understand to a certain extent survival, the anatomy of thought and perception, the neurobiology of emotions, behavior, emotive and cognitive decisions, and implementation of interventions in situations dominated by emotion.
Anyone who has practiced wilderness medicine knows that bad things happen, sometimes despite the best preparations and intentions. People make bad decisions that can too often be characterized as dumb. If they follow with more bad decisions, the situation Read more »
This post, Handling One’s Emotions In A Survival Situation, was originally published on
Healthine.com by Paul Auerbach, M.D..
September 28th, 2011 by Michael Kirsch, M.D. in Opinion
Tags: Bedside Manners, Bucksbaum, Compassion, Context, Doctor Patient Relationship, Empathy, Generation, Medical School, Teaching, Understanding, University of Chicago, Values, Warmth
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How much are good bedside manners worth? Would you double your copay if you could be guaranteed an extra measure of TLC from your physician? Can we put price on a physician’s warm smile, an understanding nod or a reassuring hand on your shoulder? Do patients have to contract with a concierge medical practice to receive this treatment?
I agree that our bedside manners with patients need some rejuvenation. It’s not fair, however, to isolate this issue out of context. Physicians today are facing crunching pressures from various sources that we cannot always compartmentalize when we are facing our patients – even though we should. Most folks believe that the bedside manners of the prior generation of physicians were superior to ours. Were our predecessors simply more compassionate and caring human beings than we are? I don’t think so. I think the medical profession was a different beast then. I hypothesize that if these wizened physicians entered the profession today, that they would behave differently.
Context is so critical when examining any issue. Read more »
*This blog post was originally published at MD Whistleblower*
