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 ...

Read more...

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 ...

Read more...

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 ...

Read more...

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 ...

Read more...

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 ...

Read more...

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 ...

Read more...

by Dora Calott Wang, MD There will be more shooting rampages, like that which targeted Congresswoman Gabrielle Giffords in Tucson recently-as long as it is easier to get a gun than mental health care. Our current epidemic of mass shootings is but a symptom of our nation's broken health care system. Poor access to medical care jeopardizes an individual's health. But when the mentally ill or the seriously distressed can't access ...

Read more...

An active 61 year female, who has been in my practice for 30 years, developed strange aches and pains and abdominal symptoms.  My evaluation turned up nothing. I then asked for help at the University of Miami rheumatology and gastroenterology divisions. With the help of a brilliant local gastroenterologist and rheumatologist, and after a trip to Johns Hopkins Medical Center and the Mayo Clinic, collagenous ...

Read more...

"How to Haggle With Your Doctor" was the title of a recent Business section column in the New York Times.  This is one of many similar directives to the public in magazines, TV and Websites urging us to lower the high price of our health care by going  mano a mano with our physicians about the price of tests they recommend and the drugs they prescribe.  Such articles provide simple, ...

Read more...

by Dennis Grace I recently received a message from the Center for Connected Health.  I must admit the opening of the letter really put me off. It asked:

How do you solve the puzzle of patient compliance?
I responded to the gentleman who sent the invitation with:
Well, you might start by calling it something less offensive. Patient compliance? The phrase assumes “patient” as direct object rather than subject of participatory medicine. We ...

Read more...

Most Popular