May 3rd, 2011 by KerriSparling in Humor, True Stories
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Growing up, we had these large, potted plants in our dining room, within throwing distance from the dining room table. (Stick with me – this is an important detail.) The plants were big and had wide, draped leaves and they made the corner of the dining room look like a veritable jungle.
Also, these suckers were really convenient for hiding food.
When I was little, the “diabetic diet” school of thought was based on the exchange program. This meant that my meals were structured around my calorie needs and the needs of my (then) peaking insulin doses. An average dinner would include one meat exchange, two starch exchanges, a dairy exchange, a fat exchange, and a fruit exchange. (Exchange, exchange, exchange.) When I was on insulins like Regular, NPH, and Lente, I needed to consume these portions in proportion, or I would end up with a very high, or very low, blood sugar.
So my mother (bless her anecdotal-medical-degree’d heart) would carefully measure out these exchanges and that would be my dinner. EXACTLY one meat exchange, and those two starches, etc. She worked very hard to make sure my meals were calculated and well-balanced.
And in response, I would hide my vegetables – aka “gross things” – in the dining room plants. Read more »
*This blog post was originally published at Six Until Me.*
May 3rd, 2011 by RamonaBatesMD in News, Opinion
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There was a lovely news article on the first California hand transplant patient in the LA Times earlier this week: Hand transplant patient speaks (bold emphasis is mine)
Emily Fennell, 26, last month became the first person in California to have the revolutionary surgery. Six weeks and many hours of therapy later, she has no regrets. …..
On March 5, Fennell became the first person to undergo a hand transplant in California and the 13th nationwide to have the revolutionary surgery. . ….
“It’s crazy how good it looks,” she said at her occupational therapy session one morning last week at UCLA, where she spends about eight hours a day working on learning how to move her new hand and fingers. “I knew the match wouldn’t be perfect, but if you didn’t know what happened, you’d think I just had some kind of orthopedic surgery.” ….
Doctors told her that the biggest risk from the surgery comes from the side effects of lifelong use of strong immunosuppressant medications, which can cause high blood pressure, kidney or liver damage, elevated cancer risks and lower resistance to infections. …..
“I decided the benefits were worth those risks,” Fennel said. She has adjusted well to the medications. …. Read more »
*This blog post was originally published at Suture for a Living*
May 3rd, 2011 by Stanley Feld, M.D. in Health Policy, Opinion
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Thousands of articles have been written about forming ACOs. Millions of dollars have been spent by hospital systems to try to form an ACO. Healthcare policy consultants have discovered a new cash cow.
Hospitals systems are wasting their money. They think the return from owning salaried physicians’ intellectual property will be more than worth the cost.
- Thousands of physicians have been confused by the concept of ACO.
- Many have felt ACOs are an attack on their freedom to practice medicine the best they can.
- Many have rejected the concept because they feel they will have to be salaried by hospital systems.
- Many physicians do not trust President Obama or Dr. Don Berwick.
- The Stage 2 ACO regulations are not easy to understand. They are more ominous than the stage 1 regulations.
The two core stated objectives for ACOs are:
(1) Reducing healthcare costs.
(2) Preserving and improving quality.
The stated objectives are laudable. The government regulations and controls are confusing. Read more »
*This blog post was originally published at Repairing the Healthcare System*
May 3rd, 2011 by DavidHarlow in News, True Stories
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In recent years many health care providers and managers have told me, time and again, that the health care world is accustomed to managing confidential patient information, and therefore doesn’t need much in the way of social media training and policy development. This week brings news that should make those folks sit up and take notice. A physician in Rhode Island, who was fired for a Facebook faux pas, has now been fined by the state medical board as well. The physician posted a little too much information on Facebook — information about a patient that, combined with other publicly available information, allowed third parties to identify the patient. The details of the story are available here and here.
The key takeaway from this story — and the Johnny-come-lately approach to health care social media taken by the Rhode Island hospital in question and the Boston teaching hospital that the Boston Globe turned to for comment — is that prevention is the best medicine. Read more »
*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*
May 2nd, 2011 by RyanDuBosar in Humor, Research
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Swearing really can relieve pain, but only if one doesn’t do it daily.
Researchers at Keele University in England have considered this topic before, and most recently, they studied whether people who swear more often in everyday life get as much pain relief from cursing as those who swear less frequently.
Researchers recruited 71 participants who completed a questionnaire that assessed how often they swore. Pain tolerance was assessed by how long participants could keep their unclenched hand in icy water (5° C, capped at 5 minutes) while repeating a chosen word. The word was either a swear word (self-selected from a list of five words the person might use after hitting their thumb with a hammer) or a control word (one of five they might use to describe a table). Interestingly, one person was excluded from the study because they did not list a swear word among their five choices.
Results appeared in NeuroReport.
Swearing increased pain tolerance and heart rate, and decreased perceived pain compared with not swearing. But, the more often people swear in daily life, the less time they were able to hold their hand in the icy water when swearing compared with when not swearing. Read more »
*This blog post was originally published at ACP Internist*
