by VeronicaB, MD We’ve all had that hysterical patient.  The one that comes in during a busy shift.  Grabbing at their head, their chest, their abdomen.  Yelling out that they are in pain. You know the one.  They makes the nurses’ eyes roll.  They add to an already chaotic scene.  Other patients stop to watch as the gurney rolls by. You debate how long you’re going to wait to ...

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by erdoc85, MD When I arrived for my shift this am, I was passed off the following patient. EMS responded to a 50-year old guy laying alongside the Interstate. He had no idea who he was or how he got there. He complained of knee pain and shoulder pain. They were kind enough to tote him to my ER where his evaluation revealed that he had a fracture ...

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‘Tis the season for upper respiratory infections, and since I couldn’t tell if what I had was garden-variety crud or crud that needed antibiotics, I went to the doctor. I handed over my $20 co-pay at the reception desk, where they have an electric candle burning, a tradition when a soldier is off to war. Their soldier is my family doctor, who’s in Afghanistan as a colonel with the Army ...

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In classic Aristotelian drama, there comes a moment when the main character is presented with an insurmountable obstacle, be it physical, psychological, spiritual, or otherwise. The nature of the obstacle forces the character to make a choice: a critical choice, an act of free will that determines the glide path of the rest of the story, irrevocably altering its arc. So it is with the arc of illness, a medical drama ...

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Last year's Mayo Transform 2010 symposium was a two-day excursion into the world of science, data, design, and the secret ingredient to health: love. Patch Adams, MD, kicked things off in grand style. If you’ve never seen him speak, treat yourself to a hit of his energy: In 1971, he and his compatriots opened a 24×7 hospital in a six-bedroom house to address every aspect of ...

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An excerpt from What Will Happen to Me? by Howard Zehr and Lorraine Stutzman Amstutz Children need time to adjust to the separation caused by having a parent in prison.  But it takes more than time.  As we have heard in their voices, children also need to make sense of what has happened to them and to their parent or parents.  Because of this, they have many ...

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by Zakari Tata, MD Biomedical ethics and bedside communication is currently taught to medical students in a classroom mainly in the first two years. In residency it is not usually given a lot of attention. This is leading to a situation where a very basic part of daily patient interaction is not addressed. This leads to many complex problems in the hospital that lead to moral dilemmas and conflicts. The idea needs ...

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by John Mooney A recent study conducted by Dove Press Patient Intelligence Journal asked this question of patients: “Have you ever asked your physician to prescribe something different than the original recommendation?” Thirty-four percent of the respondents indicated that in fact they had.  Perhaps even more interesting: of that 34 percent, 69 percent of the doctors agreed to prescribe the alternative drug when asked.  Why is this important?  The health ...

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Doctors have no trouble or compunction giving these good pieces of advice:

  • stop smoking
  • lose weight
  • eat less saturated fat
  • wash your hands
  • vaccinate
  • schedule your mammogram
  • get a colonoscopy
These all likely can augment both life quality and expectancy. Do doctors, then, (in appropriate situations obviously) go the extra mile and tell a patient to get married? There are reasonable reports church-going adds to longevity, but with sensitivity to broaching religious beliefs, doctors may be reluctant to suggest ...

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Gentle nudges is a concept termed recently to describe a micro-choice movement that is beginning to carve out a sizable niche in the healthcare start-up space, and is gaining a lot of well deserved national attention.  The secret ingredient relates to the power of a gentle nudge; verbal, text or otherwise to accomplish a change in the behavior of the person who receives the nudge.  We are just starting to ...

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