November 13th, 2010 by KerriSparling in Better Health Network, True Stories
Tags: Blood Sugar Levels, Blood Sugar Low, Diabetes Management, Glucose Meter, Kerri Morrone Sparling, Living With Diabetes, Six Until Me
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“Brrrrr…it’s a little chilly outside today,” I said to BSparl as I tucked her blanket snug around her wiggly little self in the car seat. She waved at me and showed me her sock.
“Yes, that’s a nice sock, birdy. Okay, let’s get out of here and get you into the car so we can go home!”
The automatic doors parted and a brisk gust of wind came and skipped down my collar. With the baby’s car seat safely tucked into the belly of the carriage, I ventured out to find my car in the massive parking lot.
“Ha ha, where did Mommy leave the car?” I said out loud, walking up and down the parking lot aisles and pressing the alarm on my keys. Nothing. No flashing lights, no subtle little “beep” noise from my Honda. Nothing but a sea of cars and I had no idea which one was mine.
“Am I getting old?” I asked BSparl. “Mmmmmm!” she proclaimed, raising her teething toy into the air.
I walked for several minutes, combing the lot for my car. And the wind kept whipping, only this time it felt good because it kept whisking the sweat off the nape of my neck. I felt dizzy. Read more »
*This blog post was originally published at Six Until Me.*
November 13th, 2010 by DrRob in Better Health Network, True Stories
Tags: A Doctor's Many Hats, Doctor's Story, Doctors Who Write, Dr. Rob Lamberts, Humanity, Medical Publishing, Musings of a Distractible Mind, NaNoWriMo, Patient Story, Physician Responsibility, Responsibility To Others, Time For Work And Family, Unusual Patient, Work-Life Balance
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I have taken on the task of writing 50,000 words for a novel in November (NaNoWriMo) and would have to carve time out of work or family [my posts are decreased by this new hat]. I can only wear so many hats.
But I am here, and my writing has been far more enjoyable than I expected. This is the time when it is easy to hit the wall (we get daily encouraging emails from successful writers to get us through this time), but I’m okay so far. I am writing about a doctor who encounters a very unusual patient. I am writing in the first-person, which was a good choice, as I know the first person of a physician intimately and stand no risk of getting those details wrong. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
November 12th, 2010 by Happy Hospitalist in Better Health Network, Health Tips, Opinion, True Stories
Tags: Cigarettes, Dangers Of Smoking, Happy Hospitalist, Health Risks Of Smoking, Nicotine Use, Pesticide Use, Pulmonology, Quitting Smoking, Smokers, Tobacco, Tobacco Farming, Tobacco Products, Vegetable Farmers
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I had a fascinating discussion with an ex-tobacco farming expert. He’s an expert because he used to grow tobacco, but not anymore. If you’re a smoker, or user of any tobacco leaf product, what he said should shock you. I take that back — you’re a smoker: “shocked” is never going to happen to you.
What did he say that was so striking? I’m not a farmer, so it became a little difficult to understand all the science behind the conversation. Needless to say, he said they used to farm vegetables and tobacco side by side. He said something about potato farming being timed with tobacco crops, and when the potato market went south he got out of the tobacco farming business for good and went with just vegetables. Now he’s a full-time vegetable farmer.
While he was a tobacco farmer, how did he run his tobacco farm? Like I said, he grew vegetables and tobacco side-by-side. He used different pesticides for the vegetables than he did for the tobacco farming. He farmed based on the concept that people who ate vegetables were looking for a healthy food. So he used pesticides in their lowest recommended concentration and applied them at the longest recommended time frame between applications and used the safest formulations available. None of his chemicals carried the skull-and-crossbones warning. And what about the tobacco farming? Read more »
*This blog post was originally published at The Happy Hospitalist*
November 12th, 2010 by John Mandrola, M.D. in Better Health Network, Humor, Opinion, True Stories
Tags: AF, Atrial Fibrillation, Brand Name Drugs, Cardiac Electrophysiology, Cardiovascular Drugs, CV Drugs, Dabigatran, Dofetilide, Dr. John Mandrola, Drug Prescribing By Doctors, Generic Drugs, Lovenox, Overprescribing, Pharmaceutical Reps, Physician Drug Prescribing Habits, Pradaxa, RE-LY Trial, Warfarin
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I loved my old status. Perhaps, reveled in it would be a better description. I was a crotchety, generic medicine-only doctor.** Sadly, my status changed today. Dabigatran (brand name Pradaxa) was the culprit.
It was a little nerve racking. I wrote the order, looked at it, thought it out again, talking to myself: “John, are you sure you don’t want to do it the old way? [pause to think] No, I am embracing the new.” And then, I closed the chart and handed it to the nurse.
“What’s that? Pradaxa?” asked the nurse. “Stop the Lovenox? You sure?” My face must have told the story.
Eight days had passed since dabigatran’s approval. “That’s plenty of time to mourn warfarin’s demise,” I thought. Enough studies, enough blogs — it was time for the rubber to hit the road. Read more »
*This blog post was originally published at Dr John M*
November 12th, 2010 by Bryan Vartabedian, M.D. in Better Health Network, Opinion, True Stories
Tags: 33 Charts, Compromising Patient Care, Cutting Corners on Healthcare, Doctor Performance, Doctor's Job, Dr. Bryan Vartabedian, Farewell, General Medicine, Giving Good Care, Improving Patient Care, Less Than 100 Percent, Mediocre Medical Care, Pediatrics, Quality Improvement, Two-Biscotti Physician
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[Recently] I ate at one of my favorite Italian restaurants. I had eaten there many times before, but the experience this time was different. After ordering, I received a vacuous bread basket with precisely two pieces of bread. At the end of my meal I was offered two biscotti — and no more. Only the manager could offer an explanation: As a means of containing costs, the decision had been made to capitate bread and biscotti distribution.
I was disappointed. I had been eating here for years. When Colic Solved was released, my publication party was held here. After all those anniversaries, New Year’s celebrations, and birthdays, I’m shortchanged on cookies? It’s remarkable how a great experience can be shadowed by something so small.
Then I got to thinking: Perhaps I’m a two-biscotti physician. Like this restaurant, there are times when I don’t finish well. I may do a phenomenal job with assessment and diagnosis, only to delay a callback on biopsies or X-ray results. Perhaps I get it all right, but fail to get the detail right on the home health orders. Are there small pieces missing in my encounter that represent everything a parent remembers? I know that there are, and I know there are things I have to work on.
There’s a lot we can learn from a restaurant. I don’t want to be a two-biscotti physician.
*This blog post was originally published at 33 Charts*
