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How To Micro-Tweak Diagnosis And Treatment

A common problem in healthcare is the number of times that small adjustments are needed in a person’s care. Often for these little changes, a physical exam and face-to-face time have nothing to do with good medical decision making.

Yet the patient and doctor are locked in a legacy-industrialized business model that requires the patient to pay a co-pay and waste at least half of their day driving to and from the office, logging time in a waiting room, and then visiting five minutes with their practitioner for the needed medical information or advice.

Today I’d like to visit the case of a patient I’ll call “DD,” who I easily diagnosed with temporal arteritis (TA) through a 15-minute phone call after she’d spent four weeks as the healthcare system fumbled her time with delays and misdirection via several doctors without establishing a firm diagnosis. Read more »

Grand Rounds: Call For Submissions

Better Health Grand Rounds logoGrand Rounds will be hosted by Better Health on Tuesday, May 18th, 2010.

Please send your medical blog submissions via email by 12:00AM midnight CDT on Sunday, May 16th, to: maria.gifford@getbetterhealth.com.

Please include:

  •  “Submission for Grand Rounds” in the subject line of your email.
  • Your name (blog author), the name of your blog, and the URL of your specific blog submission.
  • A short summary (1-3 sentences) of your blog post.

(NOTE: There is no specific theme for this session of Grand Rounds.)

For more information, please see the Grand Round Submissions Guidelines. We look forward to receiving your submissions and featuring them here next week.

A Helpful Guide For Discharge Planning

Medicare has a handy guide to help patients and their caregivers take control of the discharge planning process. It might be good for hospitals to have a stack of these at the ready and a plan to make sure every patient gets one:

Planning for your discharge: A checklist for patients and caregivers preparing to leave a hospital, nursing home, or other health care setting

*This blog post was originally published at ACP Hospitalist*

When Doctors Deliver Babies Too Early

Babies born between the 34th and 36th week have more complications and cost the U.S. $26 billion annually. These children have more risk of death, cerebral palsy, cognitive impairment, or respiratory problems.

In the United States, nearly 13% of infants are born before they reach 37 weeks gestation. According to the Society for Maternal-Fetal Medicine (SMFM), that rate is much higher than other developed nations, and physicians may be partially to blame for the early deliveries.

Some of the reasons may be older moms or the increased use of artificial reproductive technology and multiple births, but some physicians are choosing to deliver between 34 and 37 weeks even when there is no clear medical indication. Read more »

*This blog post was originally published at EverythingHealth*

Challenges Continue For Women In Science And Medicine

I didn’t turn on the computer yesterday (yes, it was glorious), so I missed Mother’s Day coverage in our local newspaper. When we returned home, I was happy to see that on the front page of the print copy the dean of Duke School of Medicine, Nancy Andrews, M.D., Ph.D., was featured with her daughter in the lab on their “fun Saturdays” together.

Also cited and pictured in the article was Duke vice dean for research and professor of pharmacology and cancer biology, Sally Kornbluth, Ph.D., and her daughter.

Written by News & Observer science editor Sarah Avery, the article describes how women are increasing in ranks in biomedical degrees earned while still lagging at the associate professor level and up. This trend was cited specifically for faculty and administrators in basic science departments of medical schools, but is widespread in academic science and engineering. Read more »

*This blog post was originally published at Terra Sigillata*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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