December 2nd, 2009 by Paul Auerbach, M.D. in Better Health Network, Health Tips
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Ski season is upon us. There is no greater relief on a frigid winter day than warming cold, painful fingers and toes. In a recent issue of Wilderness and Environmental Medicine (2009;20:33-38), William Sands, Ph.D. and colleagues authored an article entitled, “Comparison of Commercially Available Disposable Chemical Hand and Foot Warmers.” The objective of their study was to characterize the thermal behaviors of 14 commercially available hand and foot warmers.
The warmers were studied in pairs in a laboratory setting, not in frigid conditions. Each warmer was monitored with a rapidly-responding thermister to determine its external temperature. One of each pair of warmers was placed in a boot or glove. Temperature was recorded until the heat output of the devices ceased and the temperature was determined to be identical to ambient temperature.
The results were quite interesting. There was variability both within and between manufacturers and types of warmers. Some of the devices exceeded packaging claims, while others fell short. The greater the mass of the warmer, the longer the duration of heat production. Read more »
This post, Do Hand and Foot Warmers Work?, was originally published on
Healthine.com by Paul Auerbach, M.D..
December 2nd, 2009 by DrRob in Better Health Network, Humor
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Dear Influenza Vaccine:
I am sorry to be so formal, but using your pet name, “flu shot”, doesn’t seem appropriate in a letter like this. I am also sorry to be writing this letter; I don’t want you to be hurt and I don’t want others to think bad of you.
I just don’t love you any more and want out of our relationship.
Don’t get me wrong; I still think you save lives. You are strong, noble, and deserving of appreciation. You give to my patients what I seek to give them: a longer life with less sickness, and you do so without much cost. I will never think badly of you in that way. I even want to continue meeting with you every year. I don’t want to lose touch.
But things have gotten hard for me. You give so much to others, yet you make my life so very hard. I never know how many people will want you, and yet I have to order you six months or more in advance. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
December 2nd, 2009 by Dr. Val Jones in News, Opinion
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What does America’s economic recession have to do with a school teacher in Kenya? A lot more than you realize. If there’s one thing I learned at the World Bank’s World AIDS Day event yesterday, it’s that our lives, economies, and health are all inextricably intertwined on a global scale.
Beldina Atieno (second from the left in the photo) traveled all the way from Nairobi to offer her first hand account of life as an HIV+ school teacher in Africa. Ms. Atieno’s story was both heart-wrenching and eye-opening. She was first diagnosed after her youngest daughter became very ill from an opportunistic infection, which prompted HIV testing in both daughter and mother. After discovering that they were both positive, she was abandoned by her husband and was plunged into poverty and despair. Read more »
December 2nd, 2009 by Happy Hospitalist in Better Health Network, Health Policy, Opinion, True Stories
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It’s official. Happy has now earned his CMS physician pay for performance PQRI Bonus for 2008, a direct deposit into Happy’s bank account. PQRI stands for Physician Quality Reporting Initiative. How much was my PQRI Medicare pay for performance bonus for calendar year 2008? A $2,500 check written out directly to Happy by the Medicare National Bank. CMS gives a wonderful overview of the history of PQRI . PQRI is the Medicare pay for performance program for physicians that was initiated by Congressional mandate in the latter half of 2007. Doctors have an opportunity to earn back 2% of their gross Medicare collections (which the government calls a bonus but which I call legalized theft) by submitting a grotesque amount of quality performance paper work to the Medicare National Bank. It’s one giant PQRI guideline game.
PQRI reporting is currently voluntary, but legislation in future years will certainly mandate reductions in payment for not submitting data, all but making this program a punitive standard. Many physicians failed to meet the requirements to get paid under CMS pay for performance program guidelines in the latter half of 2007, the first year for PQRI measures. Read more »
*This blog post was originally published at The Happy Hospitalist Blog*
December 2nd, 2009 by AlanDappenMD in Primary Care Wednesdays
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Last week, I introduced the key characters in the parody of family medicine which I entitled, Trapped in Family Medicine. Can This Marriage Be Saved.
As the scene opens, we see a typical day in the waiting room of a family practice: the primary care physician (PCP) is 45 minutes behind schedule. The room is packed with frustrated patients who glare accusingly at the receptionist, transferring their feelings of resentment to her for this routine and expected predicament.
Every few minutes someone storms to the front desk, demanding: “How much longer will it be before I’m seen?” … “My time is valuable.” …“I’ll send the bill for my time to PCP and see how he likes it!”…“What makes the PCP so special?”… “This wait happens every time I come and I’m not waiting anymore!”
Read more »
Ski season is upon us. There is no greater relief on a frigid winter day than warming cold, painful fingers and toes. In a recent issue of Wilderness and Environmental Medicine (2009;20:33-38), William Sands, Ph.D. and colleagues authored an article entitled, “Comparison of Commercially Available Disposable Chemical Hand and Foot Warmers.” The objective of their study was to characterize the thermal behaviors of 14 commercially available hand and foot warmers.
