December 13th, 2011 by Dinah Miller, M.D. in Opinion
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In yesterday’s post on e-prescribing, the issue of patient confidentiality came up in the context of doctors being able to see a patient’s full medication history in an electronic program, and one commenter brought up that she doesn’t necessarily want to tell her shrink about a yeast infection, perhaps because she finds it embarrassing. The writer of the post, a guest blogger, suggested that this might lead to useful information that should be addressed in therapy, for example the patient’s sexual life.
Years ago, I remember being a bit taken back when a patient brought up some rather problematic (to him) sexual issues in his marriage. It wasn’t the nature of the issues that surprised me (I spent more than a decade consulting to a sexual behaviors unit and I spent several months of residency training on an inpatient sexual disorders unit: it takes a lot to shock me). What surprised me was that this was the first I was hearing about this issue after seeing the patient for 5 years of psychotherapy. He had a secret life.
There’s not really much to do about this. One can only Read more »
*This blog post was originally published at Shrink Rap*
December 13th, 2011 by Toni Brayer, M.D. in Research
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A study published in the journal Academic Pediatrics reveals that 93% of California children’s hospitals offered unhealthy food to outpatients, visitors and staff in the cafeteria and snack bars. Said another way, only 7% offered healthy food. What did these foods consist of to be called “unhealthy”? Try fried food, sweetened beverages, burgers and lots of sugary sweets.
The study found that 81% of the cafeterias placed high-calorie, high-sugar items like ice cream right by the cash register, a well known marketing plan to tantalize and increase selection. Forty four percent didn’t even offer low calorie salad dressing and fewer than 1/3 had no nutrition information.
Health care workers, like the rest of America, suffer from increasing obesity. One study showed over 54% of Read more »
*This blog post was originally published at EverythingHealth*
December 13th, 2011 by Paul Auerbach, M.D. in Health Tips
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There is a site on the Internet named “Bee Aware” that provides information for patients and physicians about stinging insect allergies and venom immunotherapy. The quality of the information is good, so this website makes an excellent reference for the average person and can be reliably used by doctors and other health care providers to assist in educating their patients.
For instance:
| “It is impossible, not to mention undesirable, to avoid going outdoors, but there are certain precautions that can be taken that will allow you to enjoy the outdoors while minimizing your chances of being stung.
It is important to remember that stinging insects do not seek out humans. The sting of these insects is only used against people for self-defense or in defense of their nest. This is why it is important to never approach or provoke an insect of this kind unnecessarily.
- If a stinging insect approaches, remain calm and stay still.
- Never Read more »
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This post, Website Offers Tips For Dealing With Stinging Insect Allergies, was originally published on
Healthine.com by Paul Auerbach, M.D..
December 12th, 2011 by Michael Kirsch, M.D. in Health Policy, Opinion
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This blog has tried to support the virtue of personal responsibility. If you smoke, don’t blame Joe Camel. If you surrender to Big Mac attacks, don’t go after Ronald McDonald. If you love donuts, and your girth is steadily expanding, is it really Krispy Kreme’s fault? And, if you suffer an adverse medical outcome, then…
Medicare aims to zoom in on hospitals, suffocating them with a variation of the absurd pay-for-performance charade that will soon torture practicing physicians. Of course, a little torture is okay, as our government contends, but pay-for-performance won’t increase medical quality, at least as it currently exists. It can be defended as a job creator as several new layers in the medical bureaucracy will be needed to collect and track medical data of questionable value.
Medical quality simply cannot be easily and reliably measured as one can do with a diamond, an athlete or a wine. Most professions resist being graded or claim that the grading scheme is a scheme. Teachers, for example, refute that testing kids is a fair means to measure their teaching performance. Conversely, any individual or profession who scores well on any quality review program will applaud the system’s worth and fairness. Shocking.
Under the government’s new program, hospitals could be financially responsible for the cost of medical care that a patient requires for up to 90 days after discharge. Read more »
*This blog post was originally published at MD Whistleblower*
December 12th, 2011 by CynthiaBaileyMD in Health Tips
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The vertical lines around the mouth are challenging to fix but now there are things you can do to improve them.
Most people call these lines ‘smoker’s lines’ but they aren’t necessarily from smoking. Everybody will eventually get them as they age, smokers just get them earlier, and so do women.
I want to give you a quick overview of how I treat them in my dermatology practice. To reduce the appearance of vertical lines around your mouth consider one or more of the following treatments (click on any of the blue links to see more about the options).
The Best Treatments For ‘Smoker’s Lines’
Using skin care products to brighten the skin.
These will lessening the dark, wrinkled textural appearance of this area and it’s something you can do with your at-home skin care regimen. The best product options include prescription tretinion, retinol (helpful, but not as effective as prescription tretinoin), and AHA products (the best contain glycolic acid with a concentration over 10% and pH around 4). The tretinoin and AHA products may also stimulate a little collagen formation under your skin to actually build up the area to help permanently diminish the wrinkles too.
Doing a series of superficial professional skin treatments that peel, abrade and brighten the skin. Read more »
*This blog post was originally published at Dr. Bailey's Skin Care Blog*
In yesterday’s post on e-prescribing, the issue of patient confidentiality came up in the context of doctors being able to see a patient’s full medication history in an electronic program, and one commenter brought up that she doesn’t necessarily want to tell her shrink about a yeast infection, perhaps because she finds it embarrassing. The writer of the post, a guest blogger, suggested that this might lead to useful information that should be addressed in therapy, for example the patient’s sexual life.
