Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Latest Posts

Understanding Hospital Delirium And Some Tips To Prevent It

No matter how sick my grandmother got or what her doctors said, she refused to go to the hospital because she thought it was a dangerous place. To some degree, she was right. Although hospitals can be places of healing, hospital stays can have serious downsides, too.

One that has been getting a lot of attention lately is the development of delirium in people who are hospitalized. Delirium is a sudden change in mental status characterized by confusion, disorientation, altered states of consciousness (from hyperalert to unrousable), an inability to focus, and sometimes hallucinations. It’s the most common complication of hospitalization among older people.

We wrote about treating and preventing hospital delirium earlier this year in the Harvard Women’s Health Watch. In the New York Times “The New Old Age” blog, author Susan Seliger vividly describes her 85-year-old mother’s rapid descent into hospital delirium, and tips for preventing it.

Although delirium often recedes, it may have long-lasting aftereffects. Read more »

*This blog post was originally published at Harvard Health Blog*

This Nurse Feels Unnecessarily Attacked: What Set Her Off?

Looks like Mr. Administrator has some ‘splainin’ to do!

And I suggest he be straight with my colleagues, because a nurse can sense BS before it is even spoken.

I am not in management, and I never will be.

No, I am one of the “rank and file.” And right now, this member of the “rank and file” is hotter than hell.

**********

What set me off?

A comment in a post on the Health Leaders Media website, entitled Top 5 Challenges Facing Nursing in 2012. The article, written for nursing management, refers to nurses as “rank and file caregivers” and disparages their understanding of the importance of the “patient experience” to reimbursement: Read more »

*This blog post was originally published at Emergiblog*

Is It OK To Drink Any Alcohol When Pregnant?

photo from www.newscientist.com

A recent medical study by Dr. Ira J. Chasnoff of the Children’s Research Triangle asserts that Hispanic women who have assimilated to American culture have a greater risk of having children born with fetal alcohol syndrome. According to Chasnoff, pregnant Hispanic women in San Antonio had the second highest drinking rate of 29 cities in the states that were studied.  I find that rather hard to believe based on my twenty-one year history of taking caring of Hispanic pregnant women. I have seen first, second and third generation Hispanic women and never encountered alcoholism among any of them. However, Chasnoff brings up an interesting point about alcohol and pregnancy.  There are two schools of thought.  According to Good Morning America, there are physicians such as Dr. Jacques Moritz, who think an occasional glass of wine is okay to consume during pregnancy however the U.S. Surgeon General and the American College of Obstetrician-Gynecologists advocate strict abstinence from alcohol while pregnancy.

According to medical literature, more than one-half of women of childbearing age report drinking alcohol and 1 out of 8 women report binge drinking.  Alcohol appears to have negative effects throughout the entire pregnancy, not just during the first-trimester. At present, Read more »

*This blog post was originally published at Dr. Linda Burke-Galloway*

Skeptic Uncovers Some Of The Week’s Medical Quackery

Hey there skeptifans. Here are the media Fails and Wins you sent me last week.

Edzard Ernst on alternative medicine
After Steve Jobs death, which we now know may have been hurried due to his decision to choose alternative treatments over evidence based ones, Maclean’s chose to run this Q&A with alternative medicine expert Edzard Ernst. Several years ago Dr. Ernst set out to find out if there is evidence to support the most popular alternative treatments. His findings were that the vast majority of alternative medicine is quackery. I hope this interview will help sway some people on the fence about chiropractic and other placebo treatments.

Family Doc Says No To Perilous Chickenpox Pops
Anna spotted this story on NPR. Apparently, there is a mom in Texas selling chicken pox infected lollipops to Read more »

*This blog post was originally published at Skeptic North*

Which Patients Are Happiest With The Care They Receive?

Adults who received care from a medical home in 11 Westernized countries were less likely to report medical errors and were happier with their care, according to a new Commonwealth Fund international survey.

The 2011 survey included more than 18,000 ill adults in Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States. It included people who reported they were in fair or poor health, had surgery or had been hospitalized in the past two years, or had received care for a serious or chronic illness, injury or disability in the past year. The vast majority had seen multiple physicians.

A medical home was defined as patients reporting a regular source of care that knows their medical history, is accessible and helps coordinate care received from other providers. Results were published in Health Affairs.

Sicker adults in the U.S. were the most likely to Read more »

*This blog post was originally published at ACP Internist*

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…

Read more »

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…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

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…

Read more »

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…

Read more »

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…

Read more »

See all book reviews »

Commented - Most Popular Articles