August 20th, 2011 by BobDoherty in Health Policy, Research
Tags: Administrative Costs, Canada, Coding Guidelines, Government Involvement, Health Care System, HIPAA Privacy Rules, Insurance Companies, Obamacare, Ontario, Paperwork, Post-Payment Reviews, Pre-Payment Reviews, Private Health Insurance, Quality Measurement and Reporting, RAC Audits, Single Payer System
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If you ask internists and their patients what makes them bonkers about the U.S. health care system, paperwork will top the list. Many will point to the federal government as the culprit, citing the many forms, RAC audits, pre-and post-payment reviews, documentation and coding guidelines, HIPAA privacy rules, quality measurement and reporting, Part D drug formularies, and HIT meaningful use requirements imposed by Medicare and other federal programs. (Some put more of the blame on private insurers and pharmacy benefit managers.)
But if paperwork is associated with the degree of government involvement in health care, then Canada–a single payer system–should have more of it than the United States, right? Think again.
A new Health Affairs survey of U.S. physicians and practice administrators found that U.S. physicians spend Read more »
*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*
August 20th, 2011 by RyanDuBosar in Health Tips, Research
Tags: Antioxidant, Black Pepper, Cinnamon, Cloves, Diabetes, Diet, Garlic Powder, Hyperlipidemia, Journal of Nutrition, Nutrition, Obesity, Orac, Oregano, Oxygen Radical Absorbance Capacity, Paprika, Phenolic Compounds, Research, Rosemary, Spices, Triglycerides, Tumeric
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The Mediterranean diet has a new competitor, the spicy diet. Antioxidant spices may reduce the triglyceride response of a high-fat meal by 30% compared to the same meal without them, concluded a study.
The antioxidant potential of spices stems from their phenolic compounds, the authors wrote. Also, some spices increase the blood plasma concentrations of others, and spices are typically eaten as blends, making them good targets to study. Turmeric, cinnamon, rosemary, oregano, black pepper, cloves, garlic powder and paprika were on the short list that researchers examined.
The study compared results in Read more »
*This blog post was originally published at ACP Internist*
August 19th, 2011 by RyanDuBosar in Research
Tags: American Journal of Clinical Nutrition, BMI, Diabetes, Diet, Meat, Nutrition, Obesity, Processed Meat, Proteins, Red Meat, Research, Substitution, Type 2, Unprocessed Meat, Weight Gain
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There’s a strong association between daily servings of red meat, especially processed meat, and a nearly 20% increased risk of type 2 diabetes, researchers found.
Replacing red meat with healthier proteins, such as low-fat dairy, nuts, or whole grains, can significantly lower the risk, according to a study was published online at the American Journal of Clinical Nutrition.
Researchers reviewed questionnaire responses from 37,083 men followed for 20 years in the Health Professionals Follow-Up Study, from 79,570 women followed for 28 years in the Nurses’ Health Study I, and from 87,504 women followed for 14 years in the Nurses’ Health Study II. Diet was assessed by validated food-frequency questionnaires, and data were updated every four years. Diabetes was confirmed Read more »
*This blog post was originally published at ACP Internist*
August 19th, 2011 by MotherJonesRN in Research, True Stories
Tags: Hospital, Injuries, Major Holidays, Night Shift, Nurse, Registered Nurse, RN, RN Central, Sleep, Sleep Deprived, Weekend Shift, Work
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I wonder how many cups of coffee an average night nurse consumes during their shift. Look, there’s someone we can ask, although it looks like her caffeine buzz is wearing off. Notice the telltale chin to chest head tip that gives sleep deprived nurses away. She may look like she’s charting, but she really is in a twilight sleep.
Working nights isn’t for wimps. Neither is working holidays and weekends. You are always short of help, and BIG things seem to go wrong just as the day shift staff heads out the door. I always thought that I was just paranoid about working the off shifts, but Muhammad Saleem from RN Central sent me some information that validated my observations. I’ve posted their research results below. I’ve lived through a lot of these situations. I’ve seen seasoned nurses nod off at the desk at 3AM because they’ve been working their butts off, and I’ve worked with doctors who don’t answer pages promptly during evening hours and on weekends even though they are on call. I’ve also worked with new residences who are unable to write coherent orders until the third week of their rotation. Sometimes I’ve wondered why more things don’t go wrong in a hospital.
I think their information looks accurate. What do you think? Read more »
*This blog post was originally published at Nurse Ratched's Place*
August 18th, 2011 by AndrewSchorr in Opinion, Research
Tags: Cancer, Cancer Drugs, Chemotherapy, Dr. Lowy, Hot Chemotherapy, Immunotherapy, Jennifer Ambrose, New York Times, Oncology, Powerful Patient, Powerful Patients, Web-Savvy Patient
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You heard about it first on Patient Power when, a couple of years ago, we interviewed Dr. Andrew Lowy, oncology surgeon at UC San Diego Medical Center. He explained how some patients with advanced cancer spread in their abdomen could benefit from an open surgery – perhaps as much as nine hours long – where, after snipping out visible cancer – the organs are bathed in heated chemotherapy for 90 minutes. You may recall the story of Jennifer Ambrose, a young mom from suburban Chicago, who developed cancer of the appendix. She tracked down Dr. Lowy after spotting him on the Internet. She traveled to San Diego, had the “hot chemo” procedure, recovered and then went on to have a second child – her “miracle baby.” Today Jennifer remains fine and her story is featured in my book, The Web-Savvy Patient.
Jennifer Ambrose’s Powerful Patient Video
Today Andrew Pollack, reporter for The New York Times, wrote a front page story about Dr. Lowy, hot chemo, and how other medical centers are now picking up on it for other advanced cancers including colon and ovarian. They are even advertising it as one last bit of hope when often there is virtually none. Now, some of the big names in GI cancers are suggesting this approach has merit and may offer longer survival then some super expensive drugs. There’s a debate going on. Read more »
*This blog post was originally published at Andrew's Blog*
