November 26th, 2011 by Dinah Miller, M.D. in Opinion
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I’ve been asked several ‘ethical dilemmas’ in the past few weeks. I’m putting them up on Shrink Rap, but please don’t get hung up on the details. These aren’t my patients, but the details of the stories are being distorted to disguise those involved. The question, in both cases, boils down to: Should the mental health professional report the patient to his professional board?
In the first case, a psychiatrist is treating a nurse who is behaving badly. The nurse is stealing controlled substances from the hospital and giving them to friends who ‘need’ them. She doesn’t intend to stop, and her contact with the psychiatrist was only for an appointment or two before she ended treatment. Should the psychiatrist contact the state’s nursing board? Is he even allowed to?
In the second case, Read more »
*This blog post was originally published at Shrink Rap*
November 26th, 2011 by Jessie Gruman, Ph.D. in Health Policy, Opinion
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A couple of weeks ago, I was asked to speak as a patient about “consumers and cost information” while being videotaped for use in the annual meeting of the Aligning Forces for Quality initiative funded by the Robert Wood Johnson Foundation.
RWJF Video - This Costs How Much?
I admire the aims of this initiative – “to lift the overall quality of health care in targeted communities, reduce racial and ethnic disparities and provide models for national reform” – and I think it has taught us some valuable lessons about what it takes to make even slight course corrections in the trajectory of the huge aircraft carrier that is health care.
Plus, I have listened to hundreds of people talk about their experiences with the rising price of health care: who thinks about it when and why, what individuals do to cut back on the expense, where they have been successful and where not. I’ve heard lots of stories, most of them involving Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
November 25th, 2011 by Bryan Vartabedian, M.D. in Opinion
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This is my 3rd year participating in The Engage with Grace Blog Rally. Engage With Grace is a movement designed to help advance the conversation about the end-of-life experience. It began with a simple idea: Create a tool to get people talking. Their tool is a slide with five questions designed to initiate dialog about our end-of-life preferences. I originally heard about Engage with Grace from Paul Levy and he’s at it again this year.
This campaign has forced me to Read more »
*This blog post was originally published at 33 Charts*
November 25th, 2011 by KerriSparling in True Stories
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It’s that well-worn tale of Pavlov and his crazy dogs, the ones that he trained to expect treats whenever a bell was rung. And whether or not the treats were offered, the dogs learned to respond by salivating, waiting.
Diabetes has made me one of Pavlov’s dogs. But instead of the chimes of a bell triggering salivation, it’s the sound of the Top Gun theme song coming from my insulin pump, making me check the status of my battery. Or the sound of my Dexcom letting loose with a BEEEEEEEP!, making me reach for my glucose meter. The sounds of diabetes are so ingrained in my brain that I don’t think before responding. My reaction to certain sounds is visceral.
Sometimes the sounds of my diabetes are subtle – Read more »
*This blog post was originally published at Six Until Me.*
November 25th, 2011 by ChristopherChangMD in Health Tips
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A deviated septum is a well known factor causing nasal obstruction in people. However, many patients with a deviated septum will also state that there are times when they can breathe just fine from their nose. As such, can a deviated septum truly be the cause of their nasal obstructive symptoms? Shouldn’t the obstruction be constant?
The blunt answer is ABSOLUTELY nasal obstruction can be intermittent OR constant with a deviated septum!!! It’s more a question of degree.
To begin with, a deviated septum is when the wall that separates the right and left nasal cavities is bent one way (green arrow in left illustration) instead of being perfectly straight (right illustration).
If there is no mucosal swelling, a person with a deviated septum is able to breathe from both sides just fine. However, if there is the slightest bit of mucosal swelling from turbinate hypertrophy, allergies, upper respiratory infection, or any other environmental irritation, the side that is more narrow will obstruct much more readily with less swelling given there is just “less room” for swelling to occur before obstruction occurs.
Below is the same exact nose and septum as above, but with mucosal swelling present. Read more »
*This blog post was originally published at Fauquier ENT Blog*
I’ve been asked several ‘ethical dilemmas’ in the past few weeks. I’m putting them up on Shrink Rap, but please don’t get hung up on the details. These aren’t my patients, but the details of the stories are being distorted to disguise those involved. The question, in both cases, boils down to: Should the mental health professional report the patient to his professional board?
