October 23rd, 2011 by BarbaraFicarraRN in Opinion
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You Can’t Ignore It…Social Media Networking Isn’t Going to Go Away…
Engaging in social media networking by health care professionals continues to cause hesitation.
Despite the uncertainty surrounding social media networking, nurses at Scripps Cancer Center in San Diego, CA embrace it. They decided to educate themselves for a deeper understanding of this powerful form of real-time communication.
They are proactive and they step outside the box to gain knowledge to help them navigate through the social media networking maze.
In a recent interview with Guy Kawasaki, New York Times Best-Selling author, co-founder Alltop.com, and former chief evangelist of Apple, Kawasaki talked about the value of companies jumping the curve to excel. (Kawasaki’s latest book, Enchantment: The Art of Changing Hearts, Minds, and Actions.)
At the 31st Annual Scripps Oncology Nurses Symposium in San Diego, CA, Read more »
*This blog post was originally published at Health in 30*
October 9th, 2011 by DrWes in Health Policy, Opinion
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If you want to grow the expense of health care delivery in America very quickly, then create two government agencies to do the same job.
From the 28 September 2011 issue of the New England Journal of Medicine, we read about a small paragraph in our new health care law that created the Patient-Centered Outcomes Research Institute (PCORI). From that same article, here’s the PCORI’s mission:
PCORI responds to a widespread concern (eds note: emphasis mine. Really? What about the internet?) that, in many cases, patients and their health care providers, families, and caregivers do not have the information they need to make choices aligned with their desired health outcomes.
PCORI funding is set at a total of $210 million for the first 3 years and increases to approximately $350 million in 2013 and $500 million annually from 2014 through 2019. With more than $3 billion to spend between now and the end of the decade, PCORI will support many studies encompassing a broad range of study designs and outcomes that are relevant to patients, aiming to assist people in making choices that are consistent with their values, preferences, and goals.
We should recall that Read more »
*This blog post was originally published at Dr. Wes*
September 20th, 2011 by John Mandrola, M.D. in Opinion
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Did you know September is AFib awareness month?
As a believer in education as the first, and best treatment of AF, I think it’s great to enhance the public knowledge of this highly-misunderstood disease.
By all means…
Tell people about AF’s risks: stroke and heart failure.
Tell them that their fatigue, poor exercise tolerance and breathlessness might not be old age; it might be AF.
Tell them about the importance of early intervention.
Tell them that obesity, inactivity, sleep disturbances, alcohol, and incessantly worrying about everything makes AF more likely to occur, and to stay.
Tell them that Read more »
*This blog post was originally published at Dr John M*
September 14th, 2011 by Jessie Gruman, Ph.D. in Opinion, True Stories
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“My doctor can titrate my chemotherapy to the milligram but can’t tell me when I am going to die,” a friend who was struggling with his treatment for cancer complained to me a couple years ago.
Had he lived, he might have been reassured by the announcement last week of a new scale that allows clinicians to estimate the time remaining to people with advanced cancer. He was spending his final days “living by the numbers” of his white blood cell count, the amount and size of his tumors and suspicious lesions, the dosage of various drugs and radiation treatments. And he was peeved about what he saw as a critical gap in those numbers. He believed (hoped?) that because his cancer was quantifiable and the treatment was quantifiable, that the time remaining should be similarly quantifiable. He needed that information to plan how to use the time that remained.
Many of us would make a different choice about knowing how long we will live when we are similarly ill. But most of us are attracted to the certainty we attach to the numbers that precisely represent aspects of our diseases.
It is not just when we are seriously ill that numbers dominate our experience with health care. Advances in technology have made it possible to quantify – and thus monitor – a seemingly infinite number of physiological and psychological health-related states. For instance: Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
September 9th, 2011 by Bryan Vartabedian, M.D. in Opinion
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In The Innovator’s Prescription Clayton Christensen details how technology is disrupting health care. He describes the provision of medical care as occurring on a spectrum ranging from intuitive medicine to precision medicine. Intuitive medicine is care for conditions loosely diagnosed by symptoms and treated with therapies of unclear efficacy. Precision medicine is the delivery of care for diseases that can be precisely diagnosed and with predictable, evidence-based treatments. Intuitive medicine is almost entirely dependent upon clinical judgment. Precision medicine not as much. 19th century medicine was intuitive; the 21st century will prove precise.
When we think about our role as doctors, we like to see ourselves as providers of intuitive medicine. It’s how we were all trained – products of 20th century mentoring. And so we see of ourselves just as indispensable as we were 100 years ago. But as medicine makes its march toward predictive care all of this will change.
There’s an endemic insecurity among the 21st century doctors: Read more »
*This blog post was originally published at 33 Charts*
