November 10th, 2011 by CodeBlog in True Stories
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So, Megen wrote this post recently about “Therapeutic Presence.” The following passage really caught my attention:
Question is: are there more things in nursing, Horatio, than science can explain? Can we touch patients and zap them with calmness or take away their pain? Can we, by our mindset during our provision of care, substantially affect our patients’ outcomes? Can any of this be taught? Can we do it on purpose? I don’t know. That situation has captured my attention, though, because the flip side must also be true—if I despise my patient, she can probably tell that too, regardless of how tightly I’m controlling my behavior.
Little backstory: A few weeks ago I had a laparoscopic cholecystectomy. Basically, a very nice surgeon made a few incisions into my abdomen, inserted a camera and some wrenches or something, and took my gall bladder out. I had never had surgery before. Never been intubated. I have been on “the bed side” quite a few times, but never for surgery.
A week elapsed between the time we decided to do surgery and the time the surgery actually happened. It was a really hard week for me as I was very anxious about the whole thing. I’m not even sure what exactly it was that I was nervous about. I Read more »
*This blog post was originally published at code blog - tales of a nurse*
November 10th, 2011 by DavidHarlow in Health Policy, Opinion
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On my way to the annual two-day blowout health law seminar put on by Massachusetts Continuing Legal Education (MCLE) on Monday — I was second in the lineup, speaking about post-acute care and some of the innovations in that arena for dual eligibles, among other things — I heard a fascinating piece on NPR on one of the ideas floating around the supercommittee charged with cutting $1.2 trillion from the federal budget. The idea: increase the minimum age for Medicare eligibility from 65 to 67, and save a bundle for Medicare in the process.
The problem with this deceptively simple idea (Social Security eligibility is migrating from 65 to 67, too, so it seems to be a sensible idea on its face), is that while it would save the federales about $6 billion, net, in 2014, it would cost purchasers of non-Medicare coverage (employers and individuals) about $8 billion, net. Why? The 65 and 66 year olds are the spring chickens of Medicare — they actually Read more »
*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*
November 10th, 2011 by PreparedPatient in Expert Interviews
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This interview is the ninth and final of a series of brief chats between CFAH president and founder, Jessie Gruman, and experts—our CFAH William Ziff Fellows—who have devoted their careers to understanding and encouraging people’s engagement in their health and health care.
Trudy Lieberman is concerned that despite all the rhetoric, choosing the best hospital, the best doctor, the best health plan, is simply not possible. Some of the so-called best might be good for some people but not others, and the information available to inform/guide choices is just too ambiguous.
Ms. Lieberman is a CFAH William Ziff Fellow.
Gruman: What has changed in the past year that has influenced people’s engagement in their health and health care?
Lieberman: Costs have risen a lot, and employers and insurers have made consumers pay higher deductibles, co-pays and coinsurance. The theory is, Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
November 10th, 2011 by KerriSparling in Opinion
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Last week (was it only a week ago? My time-space continuum is completely off kilter these days), I was out in San Francisco for a quick visit at the Lifescan Town Hall meeting.
Okay, I was actually in Milpitas, which is a nice little place that the driver from the airport inadvertently described as, “Why are you going there?” Not exactly the same excitement as the home of the Golden Gate Bridge and other sights I saw from the car, but close.
I was asked to come out and talk about life with diabetes to a large group of Lifescan employees (they make the One Touch meters and they clearly like people who play guitar because Crystal Bowersox and B.B. King are their buddies, so I felt a little musically inept). I wasn’t asked to talk about my meter, or my pump, or to pimp out any partnerships, etc. They just wanted to hear about life with diabetes. Plain life. Real life.
Because I don’t have a formal bone in my body (all of my bones are in sweatpants and baseball caps), and because I didn’t have any airs to put on, I just stood on that stage showed them our community. I showed them some of our blogs, and talked about some of our meet-ups. I showed them that while life with diabetes can be challenging, Read more »
*This blog post was originally published at Six Until Me.*
November 10th, 2011 by KennyLinMD in Health Policy, Opinion
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A couple of years ago, I served for several weeks on a grand jury for the Superior Court of the District of Columbia. Mine was designated a RIP (Rapid Indictment Protocol) jury, assigned to efficiently hand down indictments for small drug-related offenses. These cases usually involved undercover officers posing as customers making purchases from street dealers, or uniformed police stopping suspicious vehicles and searching them for drugs. Although rarely we heard testimony about defendants caught with thousands of dollars of contraband, the vast majority of offenses were possession of small amounts of marijuana, heroin, or cocaine for “personal use.” Many of the latter defendants had multiple such offenses, which had resulted in probation, “stay away” orders (court orders to avoid certain neighborhoods where drugs were highly trafficked), or brief stints in jail. Few, if any, had received medical treatment for their addictions.
After a few weeks of hearing these cases, my fellow jurors and I grew increasingly frustrated with this state of affairs. We felt like a cog in a bureaucratic machine, fulfilling a required service but making little difference in anyone’s lives. A young man or woman caught using drugs would inevitably return to the street, violate the terms of his or her probation or “stay away” order, and be dragged before our grand jury again for a new indictment. We openly challenged the assistant district’s attorneys about the futility of the process. They would just shrug their shoulders and tell us Read more »
*This blog post was originally published at Common Sense Family Doctor*
