November 11th, 2011 by Jessie Gruman, Ph.D. in Opinion, Research
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Our ailing economy has boosted the number of people who are unemployed, without health insurance or with minimal coverage. The popularity of high deductible health plans is soaring as employers and individuals look for affordable insurance. Twenty-nine percent of bankruptcies are said to be caused by medical bills. Many of us now choose health care services and providers carefully, trying to stay within tight budgets.
The American people, long protected from the price of health care by insurance, are now forced to act as consumers. This situation is a free marketer’s dream. According to this model, we will rationally calculate the price/quality trade-offs of each doctor visit, procedure, test and drug. We will stop overusing services. We will demand better care. And the result will be reduced health care costs for the nation while the quality of care and the health of individuals will remain the same, if not improve.
There’s nothing like a good theory.
But the theory can only be tested if a) It’s easy to find publicly reported, relevant quality information about the services we need, matched with what we would pay out of pocket; and b) We use that information as the basis of our health care decisions. Neither of these conditions can be met today.
A new Cochrane review Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
November 11th, 2011 by BruceCampbellMD in True Stories
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Traveling makes one modest – you see what a tiny place you occupy in the world.
-Gustave Flaubert
We have come to Kenya, expecting to work outside of our “comfort zones.”
Our patient has arrived from miles away, riding on the back of her husband’s bicycle. She has an enlarging, bleeding mass growing off of the side of her neck. There are no pathologists available, so we are uncertain what kind of tumor it is, although it appears to be a cancer. She has been wearing a scarf to hide the mass for the past year; her head covering is speckled with blood.
We are anxious. Unexpected things can happen in an operating room this far from home. We expect Read more »
November 11th, 2011 by Dr. Val Jones in Health Tips
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Over the past 6 weeks, 5 families (selected by the Boys & Girls Clubs) have been working hard to develop new healthy eating and exercise patterns (part of The Triple Play Fit Family Challenge). Their ultimate goal is to maintain these habits for a lifetime, and teach their peers to follow in their footsteps. Next week I’ll be traveling to Los Angeles to meet the families and participate in the awards ceremony – where the winning family will receive an all expense paid vacation. (Maybe if I play my cards right they’ll take me with them? One can always dream…)
I myself have been challenged to encapsulate all the best nutrition research into simple guidelines for daily living. I gave it my best shot in this blog post, and today I’m going to review some final food philosophy, straight from one of my favorite books, Food Truths, Food Lies.
Food Truths:
- Calories matter most – food is like fuel. It is burned for energy, and when we have reached our daily calorie needs, the rest is stored as fat. Some food is more calorie-dense than others, but the bottom line is that to maintain our weight we need to balance calories in (what we eat) with calories out (what we burn through activities of daily living and/or exercise).
- You can’t exercise your way to weight loss. In other words, you can’t outrun your mouth. Just think about it Read more »
November 11th, 2011 by PJSkerrett in Health Tips
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My ability to sit peacefully day after day and write about health or enjoy my family owes more than I’ll ever know to the hard work and sacrifice of generations of American men and women who served in the Armed Forces. On behalf of my colleagues at Harvard Health Publications: Thank you for your service.
One of the challenges faced by many servicemen and servicewomen returning from war is post-traumatic stress disorder, or PTSD.
In a nutshell, post-traumatic stress disorder is a lasting and exaggerated reaction to a terrifying or life-threatening event. It makes a person feel like he or she is living through the event over and over again. PTSD shows itself in three main ways:
Re-experiencing. People with PTSD mentally relive the triggering trauma in daytime flashbacks, nightmares, or inescapable thoughts about the event. Sights, sounds, smells, or other stimuli can bring the event to life.
Avoidance. People with PTSD tend to Read more »
*This blog post was originally published at Harvard Health Blog*
November 11th, 2011 by MelissaSchaeferMD in News
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Antimicrobial resistance is a world-wide problem and increases the difficulty a variety of infections. In the United States, the major threat that is faced each day by millions of Americans every year is posed by bacteria that are resistant to antibiotics. Studies to obtain precise estimates for all types of resistant infections is ongoing, but we do know that every year, almost 90,000 people become ill with infections caused by one of these resistant bacteria—methicillin-resistant Staphylococcus aureus or MRSA. Of these people, over 15,000 die.
Tremendously effective strategies have been developed to prevent infections, especially those likely to be caused by resistant bacteria. Readers of this blog are very familiar with the wide range of evidence-based, proven-effective interventions that reduce the incidence of infections and prevent the transmission of dangerous pathogens between people, especially hospitalized patients who are most at risk.
But a critical strategy for preventing the development of drug resistance in bacteria is to use antibiotics carefully and judiciously. Scientists have known for 70 years, Read more »
*This blog post was originally published at Safe Healthcare*
