October 19th, 2009 by Bryan Vartabedian, M.D. in Better Health Network, News, Opinion
1 Comment »
It would appear that doctors and nurses in the social space have finally arrived. This week marked the first Blog World Expo with a track dedicated to the medical blogger. BWE brought together some of the web’s most visible medical minds including Kevin Pho (KevinMD), Rob Lamberts (Musings of a Distractible Mind), Kim McAllister (Emergiblog), Bob Coffield (Health Care Law Blog), Paul Levy (Running a Hospital) Mike Sevilla (Doctor Anonymous), and Nick Genes (Blogborygmi), and many more.
From health privacy to the ethical obligation of doctors to be visible on Twitter, the panel-based dialog at Blog World Expo raised as many questions as answers. Medical professionals in the online space face remarkable challenges, especially with regard to transparency, personal boundaries, and the definition of patient privacy. It’s clear that our technology is ahead of our legal and ethical dialog. Read more »
October 19th, 2009 by Dr. Val Jones in True Stories
2 Comments »
I’m working with a small team of primary care physicians in Vienna, Virginia. Part of their strategic business plan is to offer flu shots to local residents via office visits and house calls. Just last week I accompanied Dr. Alan Dappen on a series of flu shot house calls to the frail elderly. They were too weak to come to the office, but wanted to be protected from life-threatening flu. I was really proud to be able to care for them in their own homes and wondered how many emergency room visits we would avert this season with our strategy.
The answer may be “fewer than I thought” – but not for the reason I expected. As it turns out, a local pharmacy conglomerate has bought up most of the flu vaccine supply, so that our practice can’t get any more. Although we have hundreds of patients requesting flu shots, we just don’t have the goods. And I can tell you that the frail elderly (who would have benefited from our house calls) won’t go to the pharmacy to get them. They’ll be at risk for the flu, and will have to wait until we can get more vaccine – whenever that happens. Read more »
October 19th, 2009 by EvanFalchukJD in Better Health Network, Opinion
No Comments »
Last night, I saw a commercial produced by the federal government. Called “Questions are the Answer,” it’s a call for patients to be engaged in their medical care, to ask questions of their doctors in order to be sure of their medical condition.
The commercial was excellent – it showed a man asking dozens of increasingly arcane questions about a cell phone he was thinking of buying. Then, it showed him in his doctor’s office, apparently after getting a diagnosis. “Do you have any questions?” the doctor asks. “Nope,” says the man.
The government agency that produced the commercial is the Agency for Healthcare Research and Quality. There are a series of other videos and tools that can help you be a better, more informed consumer if you get sick.
The only catch: it’s almost impossible to find any of this great material. Read more »
*This blog post was originally published at See First Blog*
October 19th, 2009 by CodeBlog in Better Health Network, True Stories
No Comments »
He knew she was angry with him.
“Whenever I come to see her, I reach out and take her hand, but she looks away.”
Husband and wife for well over 50 years, they had been through a lot. They met in another country in another time, and to hear him tell it, it almost seemed fated that they’d end up together. Since then, they’d moved many times, raised a family, supported each other through myriad illnesses. They were growing old together.
Unfortunately, “growing old together” doesn’t always work out like we hope it will. Diseases and illnesses ravage our bodies; dementia ravages our brains. She’d long ago given up on their little garden in the backyard. It was her favorite hobby, but she couldn’t manage it anymore. Read more »
*This blog post was originally published at code blog - tales of a nurse*
October 19th, 2009 by Happy Hospitalist in Better Health Network, True Stories
No Comments »
I have a patient that comes in every so often that demands a PICC line (peripherally inserted central catheter). PICC lines are convenient for patients and nurses and doctors because they can be used to obtain blood without needing to stick the patient on a daily basis. They can be kept in for weeks and weeks and weeks with proper care. They can maintain adequate IV access when old ladies and drug addicts present with poor veins. Often they save the patient during acute decompensations of their critical illness. However, they come with frequent complications. I have had my share of patients return to the hospital with sepsis from their PICC line. Read more »
*This blog post was originally published at A Happy Hospitalist*
