September 1st, 2010 by SteveSimmonsMD in Better Health Network, Health Policy, Opinion, Primary Care Wednesdays, True Stories
Tags: DocTalker Family Medicine, Dr. Steve Simmons, Healthcare reform, primary care wednesday, Shortage of Primary Care Doctors
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As a primary care physician, I am becoming painfully aware of how hard it is to be good –- I mean really good — at what we do today. I would prefer to believe that it has always been so, yet I do not believe that our predecessors in the medical profession found it nearly as difficult to excel in their time as we do now.
With all of the technological and medical advances, you might ask how I could believe this to be true. Too, you might consider it pessimistic or even crazy to suggest that physicians 20, 30, or 100 years ago found it easier to practice medicine well in their time.
You could counter with numerous or obvious examples such as antibiotics, pharmaceuticals, robotic surgical procedures, or even our wondrous ability to peer inside the human body without cutting it open. You also would be correct to point out that the technological advancements of the 20th century opened the way for the medical profession to become a real science thus giving me and my colleagues the chance and knowledge to make a real difference in our patients’ lives today. Read more »
August 31st, 2010 by Happy Hospitalist in Better Health Network, Opinion, True Stories
Tags: Co-Worker Respect, Communication Gap, Compromising Patient Care, Disrespectful Nurses, Doctor-Nurse Relationship, General Medicine, Healthcare Workers, Impolite, Inappropriate Professional Behavior, Lack of Communication, Nurse-To-Doctor Communication, Rude, VA Nurses, Veterans Administration, Veterans Hospital, Yelling At Doctors
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What do you do when doctors and nurses don’t get along? A reader asks for my advice:
Hi Happy,
I have this problem and wanted some advice from someone with more experience dealing with this.
I have been bashed by nurses because they expect me to know all the bureaucratic issues, when you don’t have more than a month in the hospital. I have noticed that nurses get mad, when you give them an instruction they don’t understand, or they aren’t used to, not because you are wrong, but instead, their lack of ignorance, or their narrow process of thought. One example of this is when they laugh at me cause i prescribed a generic medication of a common drug that they weren’t familiar with the generic name.
Days ago, a first-year family doctor was yelled at badly by some nurse because she filled in the prescription chart where she shouldn’t — she didn’t know because no one told her. I have seen that attitude several times from different nurses — they yell in a very unproper manner. Read more »
*This blog post was originally published at The Happy Hospitalist*
August 29th, 2010 by Berci in Better Health Network, Health Tips, News, Opinion, True Stories
Tags: Brian Stelter, Data Analytics, Dieting Accountability, Internet-Based Data Collection, Losing Weight on the Interent, New York Times, Obesity, Online Dieting Support, Online Weight Loss Tools, Overweight, Tweeting, Twitter Diet, Your.FlowingData.com
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Here is a recent piece in the New York Times by reporter Brian Stelter who decided to lose weight by 1) getting support from fellow Twitterers, and 2) by tweeting everything he eats throughout the day. An excerpt:
I knew that I could not diet alone; I needed the help of a cheering section. But rather than write a blog, keep a diary or join Weight Watchers, I decided to use Twitter. I thought it would make me more accountable, because I could record everything I ate instantly. And because Twitter posts are automatically pushed to each person who subscribes to them, an audience — of friends or strangers — can follow along.
What’s surprising is that he didn’t start using some kind of data-collecting application. Read more »
*This blog post was originally published at ScienceRoll*
August 29th, 2010 by Edwin Leap, M.D. in Better Health Network, Humor, Opinion, True Stories
Tags: Alcoholics, Child Abusers, Desensitized Doctors, Drug Addicts, Drunk Drivers, ED, Emergency Department, Emergency Medicine, Emergency Physician, Emergency Room, ER, General Medicine, Medical Humor, Meth Dealers, Meth Lab, Meth Users, Methamphetamine, Moral Judgment, Murderers, Sexual Assault
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Last week a trailer less than a mile from our house experienced a small explosion. Trailers, which seldom explode on their own (without undiscovered volcanoes or CIA drones with missiles) was concealing a meth lab.
What can you say? If I weren’t an emergency physician I’d say, “Shocking! Ghastly! Unbelievable!” But I do what I do so I say, “Huh, how about that.”
I’ve lost much of my capacity to be shocked. I have seen meth users, and probably meth dealers. I’ve known and enjoyed the company of alcoholics and Valium addicts. I’ve cared for murderers and the murdered (albeit briefly in the case of the latter). I’ve been involved in the evaluation of sexual assault victims, car thieves, drunk drivers and child abusers. A meth lab is, in its own way, kind of small stuff.
What does it say about me? I don’t know. It may suggest that I’m cynical. Or it may mean that I’m cold. Or it may mean, as I suspect it does, that I’m just realistic. I know the world is full of drugs and brokenness. The ER, where I work, is just the place where all of it arrives in its fermented, fully concentrated, “contents under pressure” form. Read more »
*This blog post was originally published at edwinleap.com*
August 29th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Tips, True Stories
Tags: Diet and Weight, Dietetics, Failed Weight Loss, Food and Nutrition, Food Shopping, General Medicine, Grocery Store, How To Lose Weight, Junk Food, Obesity, Overweight, Primary Care, Processed Foods, U.S. Weight Problem, Weight Loss, Weight-Loss Foods
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I know it’s not politically correct to look at what other people buy at the grocery store, but as a physician I just can’t help noticing. Some carts contain huge containers of soda pop, Doritos, frozen pizza, and other packaged goods.
I’m not surprised, because at the end of every isle is a display case that offers the giant soda for 89 cents or the Doritos on special for $1.29. With this type of marketing, it takes a strong person to resist the “bargain.”
Yesterday the woman in front of me (overweight, middle-aged) had a strange assortment of goods that she probably thought would help her lose weight. She had several Weight Watcher-type meals, diet drinks, power bars, and lots of “light” items — “light butter,” “light crackers,” “light yogurt,” and “light ice cream.”
Folks, this won’t work. Eating this way won’t help her lose weight. She needs to make dramatic changes to drop the pounds. Read more »
*This blog post was originally published at EverythingHealth*
