February 16th, 2010 by DrRich in Better Health Network, Health Policy, Opinion
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In his past few posts, DrRich has offered a substantive criticism of the new code of medical ethics which has now been formally adopted by over 120 physicians’ organizations across the globe. (See here, here and here.) Fundamentally, the New Ethics abrogates the physician’s classic obligation to always place the welfare of their individual patients first, by adding to it a new and competing ethical obligation (called Social Justice), which requires doctors to work toward “the fair distribution of healthcare resources.”
The New Ethics was explicitly born of the frustration felt by physicians as a result of the multitude of coercions the payers have thought up to force them to place the needs of the payers (the proxy for “society”), ahead of the needs of their patients. Thanks to the New Ethics, doctors can now bend to this coercion without violating their ethical standards. Read more »
*This blog post was originally published at The Covert Rationing Blog*
February 9th, 2010 by BarbaraFicarraRN in Better Health Network, Health Tips
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Kevin Pho, MD, primary care physician in Nashua, N.H., blogs at KevinMD.com, member of USA TODAY’S board of contributors and a guest to the Health in 30® Radio Show, writes about the importance of doctors engaging in social media to communicate with patients.
He writes in an op-ed in USA TODAY “Doctors ignore Internet at their own peril” on January 27, 2010:
“Raise your hand if you’ve ever left a physician’s office without fully understanding what the doctor just told you. According to The New England Journal of Medicine, half of patients admit to not understanding what their doctor told them during an office visit.
As a primary care physician, being unable to clearly communicate with patients is frustrating. The typical, 15-minute office visit often is not sufficient for a thorough discussion. A better way to connect with patients is needed.”
Read more »
*This blog post was originally published at Health in 30*
February 8th, 2010 by DrCharles in Better Health Network, True Stories
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On the way to the funeral you wonder how you’ll be received by the grieving. Although you are confident that your care for the deceased was sincere, professional, and adept, you still question if others will so assume. There is silence in the car. This is a trip you make alone.
You manage a bitter smile as you recall stories the patient shared in unguarded moments, behind the door of a small examining room. How he beamed with content at the thought of his grandchildren; how her eyes glowed as she remembered the view from the Eiffel Tower; how the tears and sobs and memories of a lost child wracked his otherwise impenetrable façade. Sometimes you knew his spirit as well as you knew his medical illnesses, and often he hoped you would tend more to the former. Read more »
*This blog post was originally published at The Examining Room of Dr. Charles*
February 7th, 2010 by Michael Sevilla, M.D. in Better Health Network, True Stories
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“Hey doc,” the patients says, “I think I got wax in my ear.” I reply, “Well, that makes it hard to hear me, then, huh?” “WHAT?” – the patient yells. Oh yeah, I say to myself. “I’ve been having this ever since I was a kid. Every few months, I need my ears cleaned out.” So, I look in there, and it’s the most amount of wax I’ve seen in a long time.
“Sir, do you use q-tips to clean our your ears?” I ask the patient. “Well, yeah, I think I’ve been doing a good job at keeping things clean, don’t you think?” “Well, I wouldn’t recommend that because it looks like you’ve been pushing the wax further in there.” “WHAT?”
So, we’re able to get some of the wax out of there only to find a lot of redness and irritation in the ear canal. “Doc, I still can’t hear. Are you sure that you got all the wax out of there?” “Well, sir, there is no more wax in there now. It looks like there is an infection underneath, and that’s what causing the problem now.” “WHAT?” Read more »
*This blog post was originally published at Doctor Anonymous*
February 3rd, 2010 by Dr. Val Jones in Audio, Expert Interviews, Health Tips
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February is National Heart Disease Awareness Month, and so I invited Dr. Bill Kussmaul to make me aware of some of the hottest controversies in cardiology. His tips and insights are invaluable to busy primary care physicians looking for the bottom line on thorny issues. Dr. Kussmaul is the Associate Director of the Cardiac Catheterization Laboratory at Hahneman Hospital in Philadelphia and an Associate Editor of the Annals of Internal Medicine. You can listen to our conversation or read my transcript below:
[Audio:https://getbetterhealth.com/wp-content/uploads/2010/02/billkussmaul.mp3]
Controversy #1: Cholesterol and Statin Therapy
Dr. Val: Who should receive high-dose statin therapy? Read more »
