September 11th, 2010 by Bryan Vartabedian, M.D. in Better Health Network, News, Opinion, True Stories
Tags: Autism, Cinchcast, Emotional Health, Emotional Support, Location Applications, Newly Diagnosed, Private Support, Psychiatry and Psychology, Public Support, Robert Scoble, Social Community, Social Media and Personal Life, Social Media and Personal Support, Social Media As Personal Therapy, Social Media Behavior, Social Media Privacy, Social Media Standards, Transparency Threshold
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Last week Robert Scoble announced on Cinchcast the news that his son, Milan, had just been diagnosed with autism. I often listen to his Cinchcasts, and the disappointment in his voice was heartbreaking.
Then I began to wonder: If one of my children were to receive a devastating diagnosis, would my first impulse be to share the news on a public platform? Probably not. And that, among a number of obvious things, is what differentiates me from Robert Scoble.
Everyone’s got their transparency threshold. You can see it with attitudes surrounding location applications. The importance of community to each of us varies tremendously. Read more »
*This blog post was originally published at 33 Charts*
September 10th, 2010 by John Mandrola, M.D. in Better Health Network, Health Policy, News, Opinion, True Stories
Tags: Caring For Patients, Doctors' Pay, Dr. John Mandrola, Dr. Saul Greenfield, General Medicine, Less Compensation, Loss of Physician Autonomy, Physicians' Salaries, Uniformity of Medical Practice, Wall Street Journal
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“Ouch! That really hurts! You win, please stop torquing my arm behind my back. “Uncle! I said, Uncle!!”
Yes, the threshold has been reached. We docs no longer need a tennis court or a Mercedes, our kids are fine in public schools, and we will happily buy our own damn pens.
But, please, just give us some modicum of autonomy. Throw us a measly scrap and let us take care of our patients as we see best. Like Dr. Saul Greenfield so beautifully said today in the Wall Street Journal. The paragraph that stood out the most for me is as follows:
Physician autonomy is a major defense against those who comfortably sit in remote offices and make calculations based on concerns other than an individual patient’s welfare. Uniformity of practice is a nonsensical goal that fails to allow for differing expression of disease states.
Really, it isn’t hyperbole to surmise that the overwhelming majority of doctors would decide, if faced with a choice between less compensation and less autonomy, to choose less compensation.
As a teen my dad told me the best part of being a doctor would be the autonomy. He was right, and that’s what hurts the most these days.
JMM
*This blog post was originally published at Dr John M*
September 10th, 2010 by DrRob in Better Health Network, Health Tips, Opinion, True Stories
Tags: Death Of A Loved One, Dr. Rob Lamberts, Emotional Health, Grief, Grieving, How To Grieve, Musings of a Distractible Mind, Pain and Loss
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She looked down toward her feet at the end of her visit. “I’ve got one more question, doctor,” she said, hesitating. I turned toward her and waited for her, letting her ask on her own time. Clearly this was something difficult for her to ask.
“When will I get over the death of my husband? It’s been ten years, and I still wake up each morning thinking he’s there. I still come home wanting him to be there. Am I crazy?”
Her face showed the shame that was so clear in her words. I had been along with her during the death of her husband, and she handled that period with much grace and strength. Now the silence at home is deafening. People around her, on the other hand, are far too quick to tell her how to grieve. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
September 8th, 2010 by AlanDappenMD in Better Health Network, Health Policy, Opinion, Primary Care Wednesdays, True Stories
Tags: Affordable Healthcare, Choosing Primary Care, DocTalker Family Medicine, Dr. Alan Dappen, Evidence-Based Healthcare Decisions, Fixing Primary Care, Healthcare reform, Healthcare To All Americans, More Primary Care Doctors, PCP, Primary Care Mission, Primary Care Physician, Primary Care Shortage, Sir Ernest Shackleton
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“MEN WANTED FOR HAZARDOUS JOURNEY. SMALL WAGES,
BITTER COLD, LONG MONTHS OF COMPLETE DARKNESS,
CONSTANT DANGER, SAFE RETURN DOUBTFUL. HONOR AND
RECOGNITION IN CASE OF SUCCESS.”
With this want ad, circa 1914, Sir Ernest Shackleton recruited 28 souls with an unimaginable challenge: To cross the unexplored Antarctica on dogsled. The polar explorer knew exactly what human characteristics he needed to pull off such a feat and understood that straight talk would resonate with a few select men.
Shakleton and his crew boarded their ship, the “Endurance,” and sailed the world’s most dangerous oceans straight into harms way — still considered one of the world’s greatest survival stories. Amazingly, all men survived against unimaginable odds. Their story reminds us that we all stand on the waves and wakes of dreamers, doers, slaves, and fools, all who say, “We did it, took our chances, immigrated to the U.S., headed West, built a new business, risked it all.”
And, if you listen closely, you will hear their stories as an invitation that has been repeated throughout history: “What will you do? Whether your turn or your calling, what will you do?”
Today, I’m posting a similar want ad to medical colleagues. The journey may be far less physically dangerous, but considering prevailing attitudes, perhaps it’s as daring in imagination. Read more »
September 7th, 2010 by StevenWilkinsMPH in Better Health Network, Health Tips, Opinion, True Stories
Tags: Communication Gap, Doctor-Patient Communication, Empowered Patients, Family Medicine, General Medicine, Health Psychology, How To Take Control Of Your Health, Internal Medicine, Patient Empowerment, Patient's Fear, Primary Care, Questions To Ask Your Doctor, Rushed Office Visit, The Doctor Knows Best, Why Patients Don't Ask Questions
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A neighbor of mine was diagnosed with breast cancer about the same time my wife was being treated for lung cancer. I saw my neighbor the other day for the first time in several years. I asked her how she was doing. She said great. In turn I asked her how her PET/CT exam looked. PET/CT scans are often done to make sure that one’s cancer hasn’t spread. My wife gets one every year.
My neighbor told me her doctor never told her she needed one, that mammograms would suffice. She went on to say a friend had also recently asked her if she had a PET/CT as well. “Maybe I should ask my doctor,” she told me. That was the same response she gave me the last time I raised the subject two years earlier: “I should ask my doctor.”
So Why Don’t People Ask More Questions?
My neighbor is not alone when it comes to asking their doctor questions. In an earlier post, I cited research which found that patients ask their doctor an average of two important questions during the office visit. According to researchers, there are five reasons why people don’t ask their doctor questions. Read more »
*This blog post was originally published at Mind The Gap*
