December 7th, 2009 by Davis Liu, M.D. in Better Health Network, Health Tips
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Now a couple weeks after Thankgiving, an important concept to remember is the following:
The body doesn’t lie.
We’ve all eaten a little too much. If we’ve done any exercise, then it is likely standing in line during Black Friday (or clicking the mouse on Cyber Monday). We should not be shocked about some weight gain. Although my patients find it hard to believe, the body doesn’t lie and are stunned that they continue to gain weight in subsequent office visits. It can’t be due to anything they are doing. Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
December 7th, 2009 by Happy Hospitalist in Better Health Network, Health Policy, Opinion
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I got an email today laying out the reality of our current health care debate. Is it a crisis of culture or a health care crisis. I am a firm believer in taking responsibility for one’s actions. I believe those who chose not to practice healthy lifestyles should pay more for the consequences of their actions than those who do. I believe the solution to our health care finance quandary lies not in controlling the cost of treating disease, but rather in upholding the personal responsibility all Americans have to themselves and their country.
What does the distribution of health care dollars look like among the American population? While we know that 50% of our population spends only 3% of health care dollars, we also know that 50% of our health care dollars are spent by 5% of our population, a population of chronic disease sufferers who’s diseases are, by and large, a direct result of the personal decisions they chose to make on a daily basis. For the most part, genetics alone is no longer an excuse. We knew very well that lifestyle directly affects the expression of disease by genes. Read more »
*This blog post was originally published at The Happy Hospitalist Blog*
December 6th, 2009 by KerriSparling in Better Health Network, True Stories
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Over the last few weeks, I have had a few run-ins with the gentlest of diabetes police – people who don’t mean to be second-guessing me or asking me why I’m eating that, but still, they can’t help but ask. Sometimes their questions are subtle and we end up having a quiet, private discussion about what type 1 diabetes means to my life, and I welcome these opportunities as ways to help educate and advocate.
But other times, when I’m at the table with a piece of pie in my hand and about to sink my fork into it, knowing full-well that I am at a very good blood sugar and have bolused for the pie carefully, and someone asks, “Why are you eating that?” … I feel completely defeated. And embarrassed. Can’t a girl have dessert without being questioned? And when questioned, why isn’t my explanation good enough to justify my actions?
I’d like to be a person with diabetes who sits down for dinner and eats with everyone without the scrutiny. Read more »
*This blog post was originally published at Six Until Me.*
December 2nd, 2009 by DrRob in Better Health Network, Humor
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Dear Influenza Vaccine:
I am sorry to be so formal, but using your pet name, “flu shot”, doesn’t seem appropriate in a letter like this. I am also sorry to be writing this letter; I don’t want you to be hurt and I don’t want others to think bad of you.
I just don’t love you any more and want out of our relationship.
Don’t get me wrong; I still think you save lives. You are strong, noble, and deserving of appreciation. You give to my patients what I seek to give them: a longer life with less sickness, and you do so without much cost. I will never think badly of you in that way. I even want to continue meeting with you every year. I don’t want to lose touch.
But things have gotten hard for me. You give so much to others, yet you make my life so very hard. I never know how many people will want you, and yet I have to order you six months or more in advance. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
November 30th, 2009 by Happy Hospitalist in Better Health Network, Opinion, True Stories
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I remember very clearly as a medical student hearing my attending hammer home the importance of the history and physical examination. Everyday I heard the same thing
The history and physical examination is the most important part of patient care
After seven long years of hospitalist medicine, I gotta say my attendings were right. If you listen to what the patient is telling you, the answer is often staring you in the face. Unfortunately, in this volume driven world of fee for service we live in, time is not on the physician’s side. Most elderly patients are incapable of separating important medical information from irrelevant medical information, which can make history taking a very painful part of being a doctor. So they just talk and talk and talk. Read more »
*This blog post was originally published at The Happy Hospitalist Blog*
