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Update From Haiti: Despair Sets In And Women Consider Suicide

jangurleyDr. Jan Gurley just returned from a mission trip to Haiti, 5 weeks after the earthquake hit. In this audio clip, she relays a horrific first-hand account of the current realities of life in Port Au Prince. With no running water, bathrooms, or place to shelter – and packed into a field with 100,000 people – some young women are choosing to stop drinking water in an effort to commit suicide.

Dr. Gurley describes the loss of human dignity associated with the crisis in Haiti, including a near stampede when sanitary napkins were offered in a crowd of women. She explains that the place is becoming dangerous – and the screams of women being raped in the night fill the dark air. In the day time, people huddle together for safety while the stench of rotting corpses surrounds them. With the rainy season approaching, and tent cities perched precariously on land-slide prone hills, Dr. Gurley predicts a second wave of disease, violence, despair, and death in Haiti.

[Audio:https://getbetterhealth.com/wp-content/uploads/2010/02/haitiupdategurley.mp3]

Are Health Insurers Killing The Goose That Laid Its Golden Egg?

Ann Braly, WellPoint’s CEO, launched a new offensive to protect the vested interests of the healthcare insurance industry now that Obamacare seems to be dead.

The healthcare insurance offensive began with her op-ed article in the Wall Street journal on February 7, 2010. Readers will have a deeper understanding of the offensive if they follow the underlined historical links in this article.

It will destroy President Obama’s credibility, the practice of medicine, patient access to care and increase the number of uninsured. It will bankrupt the country if her offensive is successful.

The healthcare insurance industry is killing the goose that laid its golden egg.
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*This blog post was originally published at Repairing the Healthcare System*

Hemophilia: A King’s Ransom To Treat “The Disease Of Kings”

globalgenesIn honor of World Rare Disease day and the Global Genes Project, I’d like to repost a fascinating interview with a young man who has hemophilia…

Hemophilia A is a blood clotting disorder sometimes referred to as the “disease of kings” since it is a genetically inherited (X-linked) bleeding disorder that was introduced by Queen Victoria to the Russian royal family in the mid 1800’s. Women are carriers of the gene, while males express the signs of the disease, so only the “kings” display the trait.

Today there are fewer than 18,000 individuals with hemophilia A in the United States. Those with the most severe form of the disease make less than 1% of the regular amount of a certain blood clotting glycoprotein (known as factor VIII) and are often dependent on the regular intravenous administration of this expensive factor to keep them from bleeding to death. The cost of factor VIII and associated medical care and hospitalizations is estimated at $150,000/year.

How do people with hemophilia A manage to get their medical needs met in our current healthcare system? I spoke with a young man with hemophilia A (we’ll call him “J”) to find out.
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A Health Insurance Coding Error Exasperates Patient

I believe this is what's holding them back from making progress with our bills.Yesterday, the mail arrived.  There were catalogs for clothes (mmmm, can’t wait until May!), letters from friends, the crappy bills that keep arriving even though we didn’t forward them to our new address, and oh yeah, that one bill from my mail order pharmacy.

For a thousand dollars.

Dated January 30, 2009.

So, being the rational and patient woman that I always am, I ripped up the envelope it came in, cursing under my breath like my temperamental buddy, Yosemite Sam.  Punctuated each tear of the paper with “fricka-frakin’ insurance bill dagnabit …”

And then I called the mail order pharmacy company.

“Thank you for calling Byram Health Care.  Your call is important to us.” Read more »

*This blog post was originally published at Six Until Me.*

One Doctor’s ER Game Face

I’m going to make a button to wear at work. t’ll say “I’m really only a dick at work”.

I’ve written before about my ‘game face‘ and how it’s not me, not really.  It’s a Business Me, and it’s how I get through life at work.

(Is that a cop-out? Do I do it because it makes me more efficient, a better doctor, smoother, faster, or do I do it because it builds a bit of a wall between me and my real self and lets me get through the day without getting emotionally attached to every patient and their family?) Read more »

*This blog post was originally published at GruntDoc*

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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