January 23rd, 2011 by admin in Opinion, True Stories
Tags: ACP Internist, Age 65, Aging, America's Seniors, American College Of Physicians, Baby Boomers, Doula, Dr. John Schumann, Fountain Of Youth, Geriatrics, Giving Back During Retirement, GlassHospital, Healthcare reform, Longevity, Medicare, Older Adults, Patient Protection and Affordable Care Act, PPACA, Retirement and Health, The Age Of Seniority
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This is a guest post by Dr. John Schumann.
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In 2011, the first wave of baby boomers will turn 65 years old. Sixty-five still has currency because that’s the age at which non-disabled Americans are eligible to be covered under the Medicare program (now itself having reached middle age).
As our economy continues to recover (hopefully) from the Great Recession, the entrance of millions of Americans to the Medicare rolls over the next decade and a half will be a formidable planning challenge. Look at this chart to see how the baby boomers population has surged:
So is the promise of healthcare reform (the “PPACA“), which will enlarge Medicaid by an additional 16 million Americans — about half of the projected growth in coverage for those currently uninsured.
A couple of recent patient encounters got me thinking about these phenomena, and how we are very much in historically uncharted territory. Never have we had so many living so well for so long. We have an entire generation of people reaching “seniority” who will continue to want the most out of life, without many guideposts on how to achieve it. Read more »
*This blog post was originally published at ACP Internist*
January 22nd, 2011 by Bryan Vartabedian, M.D. in Health Policy, True Stories
Tags: 33 Charts, AMA Survey, American Medical Association, Displaying Medical Credentials, Doctor Patient Relationship, Doctor-Patient Communication, Doctor's Badge, Doctors Who Don't Introduce Themselves to Patients, Doctors' Credibility, Dr. Bryan Vartabedian, General Medicine, Identifying Healthcare Professionals, Legal Licensure, Level of Medical Training, Mystery Healthcare Provider, Pennsylvania
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So I’m in the exam room recently with a new patient. After some initial dialog with the child and family, I launched into the business of problem solving. Ten minutes into my history the mother politely asks: “I’m sorry, and you are?…”
I hadn’t introduced myself. I had left my ID badge at my workstation, and by order of some innocent distraction with the child or family, I hadn’t identified myself immediately on entering the room. This is rare.
Sometimes I assume people will know who I am. But I don’t wear a white coat and my stethoscope is concealed. I wear clothes only good enough to sustain the barrage of regurgitation, urine, full-frontal coughs, and sloppy hugs that mark a successful clinic day. A colleague once told me I dress like an algebra teacher. I haven’t quite processed that one, but suffice it to say it’s easy to fall into a mistaken identity.
So I apologized and made a proper introduction. What’s remarkable is how far I went without the mother having any idea about my identity. I can imagine that it took a certain amount of wherewithal to interrupt the person she suspected was the doctor to ask such a basic question. Read more »
*This blog post was originally published at 33 Charts*
January 22nd, 2011 by admin in Opinion, True Stories
Tags: Dr. Steven Reznick, Patient Advocacy
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This is a guest post from Dr. Steven Reznick.
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Patient Advocacy: It’s Worth The Effort
I have a 61-year-old patient who has been seen in my practice for over thirty years. When she first started developing strange aches and pains as well as abdominal symptoms, her evaluation turned up nothing. At that point she was very active: Playing ball with her two growing sons and dancing the nights away wearing out dance partner after dance partner at community social functions.
When I could not determine the cause of her ills, I asked for help at reputable places including the University of Miami rheumatology division and gastroenterology division. Like so many illnesses, the disease remained a mystery until it was ready to show itself and until technology and progress developed diagnostic tools to allow us to see what is actually there. With the help of a brilliant local gastroenterologist and rheumatologist, and after trips to Johns Hopkins Medical Center and the Mayo Clinic, collagenous colitis and sarcoidosis were documented. In the interim, local medical doctors and her friends branded this poor woman as “another neurotic spouse of a doctor who liked narcotics.”
She developed a peripheral neuropathy, which meant her feet and legs hurt all the time with burning/shooting discomfort exacerbated by walking. She went from dancing the Lindy to hobbling with the assistance of her husband, and a cane from the bedroom to her kitchen. She would then have to sit down, massage her legs, and put on thick-cushioned sweat socks to tolerate the foot and leg discomfort. Read more »
January 14th, 2011 by AndrewSchorr in Research, True Stories
Tags: Andrew Schorr, Beth Anne Baber, Bonnie Addario, Cancer Research, Lung Cancer Foundation, Neuroblastoma, Oncology, Patient Empowerment, Patient Power, Pediatrics, Personalized Medicine World Conference, Pulmonology, The Nicholas Conor Institute
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I am really excited about serving as the emcee for next week’s Personalized Medicine World Conference in Mountain View, California near San Francisco. I also will be the moderator of a panel discussion on patient empowerment. As I prepare, I am interviewing the panelists and their stories are very inspiring.
One panelist is Bonnie Addario. Bonnie had been an oil company executive in the Bay Area. She began having chest pain. Was it her heart? No. Was it a nerve problem? No. Doctors were stumped. Bonnie was frustrated, but she was also a woman of action — a “powerful patient.” She went on her own for a full body scan. The news was not good. A lung cancer tumor was wrapped around her aorta and other vessels. It was inoperable. But, fortunately, chemotherapy and radiation shrunk the tumor and loosened the stranglehold it had on her blood vessels. Surgery was then possible. It took 17 hours and she even had more radiation before she left the operating room.
Bonnie’s life was saved. But what then? She was a changed woman who wanted to do more to advance care in lung cancer. She organized a conference, first to help UCSF, where she was treated, but it immediately became clear it should be bigger. Bonnie found herself forming the Lung Cancer Foundation. Read more »
*This blog post was originally published at Andrew's Blog*
January 9th, 2011 by KerriSparling in Better Health Network, Humor, True Stories
Tags: Airport Patdown, Airport Scanners, Airport Security, Dexcom Sensor, Diabetes Management, Insulin Pump, Kerri Morrone Sparling, Living With Diabetes, Medical Devices, Portable Diabetes Devices, Six Until Me, Transportation Security Administration, Travel and Health, Traveling With Diabetes, TSA, Type 1 Diabetes
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Last week we were at the airport to travel to Marco Island for the CWD Family Weekend. And we were NOT traveling light, by any stretch. Chris and I had our suitcases, our laptops, and my diabetes supplies (infusion sets, insulin, test strips, glucose tabs, etc.) stashed in a carry on. Oh, and we also had that giggly baby BSparl, plenty of clothes for her to spit up on, formula, bottles, wipes, diapers, water for mixing the formula, toys, Happy Baby puffs for snacks, her car seat, the car seat base, and the stroller. (Phew.)
In addition to all the junk we were carrying, I was also wearing my Animas Ping and my Dexcom sensor (and carrying the receiver) — which made me a prime candidate for the airport opt-out search from a TSA employee, thanks to the fact that these devices are better off not going through X-ray machines, etc.
I know some people have had some very troubling experiences with the full patdowns, but I’m thankful that I didn’t have any issues whatsoever. Both times (leaving Rhode Island and then leaving Florida), I was pulled aside for the pat down. Chris and the baby went through security and waited while the (female) TSA employee gave me a good how-do-you-do. Read more »
*This blog post was originally published at Six Until Me.*
