September 29th, 2010 by CodeBlog in Better Health Network, Health Policy, Humor, News, Opinion, True Stories
Tags: Code Blog, Credential Reminder, Digital Camera, Hospital Equipment, IV Pumps, Medical Apps, Medical Equipment, Medical Monitors, New York Times Blog, Nurse and Lawyer, Nurse Fired, Nurse Loses Job, Nurses and Law Enforcement, Nurses and the Police, Nursing, Photography, Rapid Response Team, RRT
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So who hasn’t heard about The Policeman vs. Nurse? A nurse was pulled over for speeding, told the policeman that she hoped he would never end up as her patient, and was subsequently fired when the policeman complained to the hospital she worked at.
Really? I have the utmost respect for the police of course, but put on some big boy undies and get over it. Should the nurse have made that comment? No. Not in front of him, at least. That was pretty dumb. But being fired for saying it is ridiculous in my opinion. Does that cop go complain to the pimp when the hooker he’s arresting makes a sassy comment? Nurse and Lawyer had a pretty good discussion about the whole situation.
Next up: Rapid Response Teams Sign of Poor Bed Management. Really? I think GruntDoc summed it up best in his tweet about it. The article states that rapid response teams (RRTs) are utilized due to overcrowding because sometimes patients aren’t placed in a unit that is appropriate for their needs. Therefore, their condition worsens and they need help. Read more »
*This blog post was originally published at code blog - tales of a nurse*
September 26th, 2010 by John Mandrola, M.D. in Better Health Network, Health Tips, True Stories
Tags: Aging Adults, Atrial Fibrillation, Dr. Bing, Dr. John Mandrola, Elisabeth Strout, Embrace Life, General Medicine, Happiness In Life, Healthy Aging, Hiccups of the Heart, Life Awareness, Life Reflections, Life's Imperfections, Life's Lessons, Living Life, Middle Age, Middle-Age Experiences, Moments In Life, Olive Kitteridge
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“It was the best of times, it was the worst of times…”
An intermission, the curtain has closed on youth, but the next act awaits.
Caring for hiccups of the heart, like atrial fibrillation for example, often throws me in front of the mirror, of middle age that is, and sadly the reflections show imperfections. Since I am middle aged myself, there are my own experiences. But everyday at work, on my job site, I see the effects of these same middle-age experiences on the atrium of my patients. The results are often profound. So must be the pressures.
I read a passage in the wee hours of the quiet morning, in the dark, with a flickering book light. It grabbed me. It is from Elisabeth Strout’s Pulitzer Prize-winning, Olive Kitteridge. Read more »
*This blog post was originally published at Dr John M*
September 26th, 2010 by DrRob in Better Health Network, Health Policy, Opinion, True Stories
Tags: Doctor-Patient Communication, Doctors' Pay, Doctors' Status, Dr. Rob Lamberts, Empowered Patients, General Medicine, Health Care Vs. Health Performance, Healthcare reform, Medical Knowledge, Musings of a Distractible Mind, Patient Empowerment, Patient-Centered Medicine, Patient-Centeredness, Primary Care
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The “empowered patient” movement (which I think is a good thing) strives to take the doctor out of the center of care and put the patient at its focus. The role of doctor is not to be the star of the show, the quarterback, the superhero, but the advocate and helper for the patient to accomplish their goal: Health.
Many rightly attack doctor prima donnas who want the exam/operating room to be about them instead of the patient. This is health care, not health performance. They want doctors who care more about the people they treat than they do about money, praise, or status.
I get it. I get the message that doctors have to adjust to this new age of patient empowerment and patient-centeredness. I get the fact that making patients wait is a bad thing, and that communication is as essential of a skill as is medical knowledge — remove either one of them and you don’t have care. I hear the message: Doctors should care about patients more than they care about themselves. That is what we are paid to do, and that is what we have neglected at our own peril. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
September 25th, 2010 by AndrewSchorr in Better Health Network, True Stories
Tags: A Life of Medicine, Andrew Schorr, Doctor's Lifestyle, Doctor's Personal Story, Dr. Gerald Vockley, Dr. Irl Hirsh, Dr. Sunil Hingorani, General Medicine, Kaiten Kormanik, Life Choices, Life Lessons For Doctors, Life Mission, Life Stories, Medical Dedication, Patient Power, Personal Life, Personal Pain, Sarah Swartz
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The old joke about psychological therapists is they are among the biggest consumers of therapy themselves. Lately, I have been noticing more and more how a significant portion of the people we meet wearing white lab coats have a very personal connection to the medical work they do. For them it is not a job, a meal ticket, or just putting their years of training into practice, it is a mission connected to something in their past, something in their own body, or the health of a loved one.
A recent example is Kaiten Kormanik. She is 23 and has had the genetic condition PKU since birth. She has to follow a strict low protein diet or otherwise risk severe negative effects on her brain. If you toured the labs of The Children’s Hospital of UPMC in Pittsburgh you might bump into her as she does research for her Ph.D. on, guess what?- genetic illnesses in children. And she often works alongside Dr. Gerald Vockley, the very expert physician who guides her care. As you can imagine, Kaitlen thinks about her own childhood and the faces of other children every day. You can hear her story on one of our recent programs.
Irl Hirsh, M.D., at the University of Washington, is one of America’s most famous diabetes doctors. He has diabetes himself and has all the challenges everyone with this disease has in managing it. You can hear his story on one of our earlier programs on diabetes. Read more »
*This blog post was originally published at Andrew's Blog*
September 25th, 2010 by JessicaBerthold in Better Health Network, Health Tips, True Stories
Tags: ACP Hospitalist, Doctor's Story, Dr. Kimberly Manning, Family Medicine, General Medicine, Health Nut, Health Problems From Bad Habits, Healthy Patient, High Blood Pressure, Hypertension, Internal Medicine, Jessica Berthold, Life At Grady, Primary Care
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A version of the following post, by Kimberly Manning, FACP, appeared on the blog “Life at Grady.”
“My blood pressure is still borderline? Man!”
“Yeah…and from looking through the chart, it was 150/96 on your admission. It’s pretty much been that since you’ve been here, give or take a few points. That’s a little more than borderline, actually.” I paused for a moment, realizing that I sounded a bit discouraging. “I don’t think this would be hard to get under control at all, sir. I mean…you’re such a motivated patient, you know?”
I studied my patient carefully. He was in his late thirties, although he could totally pass for a twenty-something all day, every day. His skin looked like someone had grabbed him by the tip of his toe and uniformly dipped him in milk chocolate — not a single blemish anywhere.
“I eat right and I exercise…in fact, I’m a health nut! I’m really kind of surprised that my pressure keeps running high.” Read more »
*This blog post was originally published at ACP Hospitalist*
