September 24th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Tips
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We think of chickenpox as a childhood disease, but there are adult cases and they tend to lead to more serious complications.
Chickenpox is caused by the varicella virus and it is extremely contagious. Most people are exposed in childhood (or they receive the chicken pox vaccine), and so adults rarely contract it. It is especially dangerous for pregnant women because the fetus can become infected. The latency period from infection exposure to disease is 10 to 21 days. Read more »
*This blog post was originally published at EverythingHealth*
September 22nd, 2010 by DrRob in Better Health Network, Health Policy, News, Opinion, Research, True Stories
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The man who twirled with rose in teeth
Has his tongue tied up in thorns
His once expanded sense of time and
Space all shot and torn
See him wander hat in hand –
“Look at me, I’m so forlorn –
Ask anyone who can recall
It’s horrible to be born!
– Bruce Cockburn, from song “Shipwrecked at the Stable Door”
I found the discussion around my recent post about treating colds very interesting. Sick people come to the office to find out how sick they are. Most people don’t want to be sick, and when they are sick they want doctors to make them better.
Most people.
Some people want to be sick, and some doctors want to make people sick. I am not talking about hypochondriacs — people who worry that they may have disease and become fixated on being sick. I am not talking about malingerers — people who pretend to be sick so they can get medications. I am talking about the slippery slope of defining disease. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
September 22nd, 2010 by AlanDappenMD in Better Health Network, Health Policy, Opinion, Primary Care Wednesdays, True Stories
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My desire for integrating the power of technology with primary care started nearly two decades ago. It was then, when working as a family physician in a busy medical practice, that I began experimenting with typing my notes and using computers in front of my patients.
In 2001, I launched a new medical practice DocTalker, focusing on access of medical care to patients, and almost immediately I started searching in earnest for an EMR solution to fit my needs. However, I was not happy with the systems I looked into and tested and felt that they didn’t do what I needed them to.
Some of my discontent came from the way my medical practice consults with patients, which is primarily via telephones and emails and house calls (in addition to the common office visit). Because of our ability to offer telemedicine, we often treat patients when they’re not in town, but rather traveling for business or taking a vacation. We therefore must interface with hundreds of different local labs, radiology groups, pharmacies, and specialists. Read more »
September 21st, 2010 by RamonaBatesMD in Better Health Network, Health Policy, Health Tips, News, Opinion, Research
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Some interesting items this week involving hands. The one which has gotten much news coverage is the issue of handwashing. Take a look at some of the headlines:
High five! Handwashing on rise (Chicago Sun-Times)
For Many, ‘Washroom’ Seems to Be Just a Name (The New York Times)
93% of women wash their hands vs. 77% of men (USA Today)
All the above are reporting on the same study, but the difference in presentation is amazing to me.
The study doesn’t involve handwashing in a hospital or doctor’s office setting. The JAMA article (2nd reference below) does, but this article focuses on whether public reporting of handwashing compliance is helpful or not. Do we inflate our numbers to make ourselves look better? Read more »
*This blog post was originally published at Suture for a Living*
September 20th, 2010 by StevenWilkinsMPH in Better Health Network, News, Opinion, Research
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According to Marshall Becker, PhD, MPH, a one-time professor of mine and prime mover behind the Health Belief Model (HBM), four things must be in place for health behavior change to occur. I am paraphrasing here:
- A person has to know that they have a particular health condition.
- A person has to believe that having said health condition is bad.
- A person must perceive the benefits of behavior change to outweigh the difficulties of behavior change.
- There must be a “call to action” to spark the change.
Absent any one of these steps and the likelihood that behavior change will occur is diminished. Read more »
*This blog post was originally published at Mind The Gap*