Too much testing = too much medicine
I just ran across an old doctor joke: What is a well person? Someone who hasn’t yet been thoroughly examined.
It’s not funny, of course, if you’re the patient and have suffered the harms—and the expense—of too much medical care.
In 2010, my husband was the victim of too much medical care. Because of complications and a string of medical errors he almost died. His care cost our insurance company over $100,000 and we were out of pocket for our $10,000 deductible.
Now he has no thyroid and has to take medication every … Continue reading
What’s in your chocolate?
I’ve been in the dark about chocolate!
I just received a newsletter from ConsumerLab, one of my favorite consumer websites, that details not only what makes dark chocolate healthy (flavanols), but what potentially makes it just a little bit toxic (the heavy metals lead and cadmium).
And apparently this isn’t new news. I’ve found stories talking about trace levels of heavy metals in chocolate going back over ten years, so I don’t know how I missed it other than I’m not much of a chocolate eater.
Still, I have friends that are chocoholics and I … Continue reading
What are PSAPs?
PSAP stands for Personal Sound Amplification Product.
They are available at Target or Walmart or Amazon for a fraction of the price of a traditional physician-prescribed hearing aid.
BUT…they can’t actually be called hearing aids and they can’t be marketed as a treatment for hearing loss. That’s because they are currently not regulated as medical devices by the Food and Drug Administration (FDA).
The FDA will only allow them to be sold as sound “amplifiers” to help with recreational activities, such as hunting, bird watching or eavesdropping 😉
Not being hard of hearing … Continue reading
What is deprescribing?
As an advocate for less medicine and better health, I love the latest healthcare trend of “deprescribing,” or cutting down the number of prescription drugs a patient is taking.
Dr. Aaron Carroll of Healthcare Triage explains the importance of deprescribing in this video:
Polypharmacy—taking multiple prescription drugs—has become much more common over the last couple of decades. There are more drugs than ever on the market, and the drug companies are spending billions of dollars to make sure we know all about them.
Related post: Bohemian Polypharmacy
The elderly are especially … Continue reading
My peek into the future
Health insurance companies in my state finally submitted their requests for 2018 rate hikes.
Usually I can look up this info online by mid-May, but all the partisan and intra-party bickering over the future of healthcare in this country has left insurance companies scratching their figurative heads over how to price next year’s policies.
I remember a time when I never gave my health insurance much thought. Like my car or home insurance, it didn’t change much year to year, and was simply there when I needed it.
But for the last ten years or … Continue reading
We’re not sleeping enough
Sleeplessness is epidemic in this country.
The Centers for Disease Control (CDC) consider insomnia a public health issue and report that at least 35% of adults don’t get a good night’s sleep.
Judging from my circle of friends, I think the percentage is much higher than that!
Insomnia and daytime fatigue make life miserable and contribute to chronic illness. Drowsy drivers cause accidents. Drowsy employees cause on-the-job injuries.
Sleeping pills (hypnotics) are the go-to treatment in the US. Drugs like zolpidem (Ambien), eszopiclone (Lunesta) and suvorexant (Belsomra).
Related post: Belsomra—Use with caution
But they have side … Continue reading
Surgeons want the public to learn this skill
I taught first aid classes for the American Red Cross for many years. To control excessive bleeding, we showed students how to apply pressure directly on a wound, or at pressure points in the groin and upper arm.
We did not teach how to use a tourniquet. The Red Cross deemed this technique to be potentially dangerous and beyond the skill set of most lay responders.
I told this to a surgeon friend once, and he was amazed. He said “The Red Cross needs to get its head into the 21st century.”… Continue reading
Cutting the waste
I’ve posted several times about the Choosing Wisely campaign.
Developed by Consumer Reports and the American Board of Internal Medicine, Choosing Wisely hopes to educate both physicians and patients, and cut back or eliminate unnecessary medical tests, procedures and treatments.
Over-testing and over-treatment are estimated to cost about $200 billion every year. I think that’s a conservative figure, as the financial—not to mention emotional—consequences of too much medicine can be difficult to quantify.
Bringing about change in our behemoth, for-profit healthcare system is a daunting task, and I’m always happy to see signs that it’s catching … Continue reading
My guest post today is from Matthew Bahr, a healthcare finance specialist.
I’ve posted about surprise medical bills before. Sadly, they are becoming more common as healthcare costs continue to rise and provider networks shrink.
Consumer Reports estimates about one third of patients with health insurance receive these unexpectedly high medical bills.
Thank you, Matthew, for sharing your tips and expertise with my readers! FN
Although we know healthcare costs a lot of money, it still stings when we see that bill.
You might think because you’re insured, your insurance will cover most or many of the costs. But … Continue reading
UV rays damage eyes
As part of May’s Skin Cancer Prevention Month, I wanted to share some tips to protect your eyes.
Just as the sun can injure your skin, it can hurt the delicate tissue of your eyes, too.
Did you know you can also get melanoma of the eye? Unprotected UV exposure from the sun or tanning beds increases the risk of this type of cancer.
Related post: Tanning beds and skin cancer
Long-term exposure to UVA and UVB rays contributes to cataracts and age-related macular degeneration.
Cataracts—cloudy areas on your eye’s lens—can be corrected with … Continue reading
“Trying to make medicine great again”
I’ve been a fan of Zubin Damania, MD—aka ZDoggMD—for several years. A hospitalist physician based in Las Vegas, he began by making entertaining parody videos on a variety of healthcare topics: end-of-life, the opioid epidemic, electronic health records (EHR), sepsis, sleep apnea, and more.
Now he has expanded his social media footprint in an attempt to rally healthcare professionals behind Healthcare 3.0.
As he explains in the video, Healthcare 1.0 was the old doctor-patient relationship—”Doctor knows best” and all that (I still know doctors and nurses who … Continue reading
May is Skin Cancer Awareness Month!
I think one of the best discussions about the prevention and detection of melanoma is from Doctor Mike Evans in this YouTube video:
It’s only 8 minutes long, but packed full of information.
Melanoma is deadly
And the numbers are increasing. Did you know:
- From 1970 to 2009, the incidence of melanoma increased by 800 percent among young women?
- One person dies of melanoma every 57 minutes?
- About 86 percent of melanomas can be attributed to exposure to ultraviolet (UV) radiation from the sun?
- Tanning beds are considered
… Continue reading
FDA warns consumers
Nothing makes me angrier than unscrupulous companies (owned by unscrupulous individuals) marketing products advertised as “miracles” to cure illness.
These modern-day snake oil salespeople prey on fear and suffering by selling false hope. Worse, the products they sell can sometimes harm rather than heal.
The Food and Drug Administration (FDA) recently put out a new warning on their Consumer Updates page: Products claiming to “cure” cancer are a cruel deception
Frequently advertised as “natural” treatments and often falsely labeled as dietary supplements, such products may appear harmless, but may cause harm by delaying or interfering with proven,
… Continue reading
How rudeness affects your healthcare
I just read an article in the New York Times by Perri Klass, MD: Rude Doctors, Rude Nurses, Rude Patients.
Rudeness all around!
Dr. Klass, a pediatrician, refers to a recent study published in a pediatric medical journal. The study looked at how rude or disparaging comments (by an actor playing the part of an infant’s mother) affect the performance of doctors and nurses.
The study’s conclusion?
Rudeness has robust, deleterious effects on the performance of medical teams. Moreover, exposure to rudeness debilitated the very collaborative mechanisms recognized as essential for patient care and
… Continue reading
“An American Sickness”
I love Elisabeth Rosenthal’s work.
She’s a medical journalist (an MD, but no longer practicing) who wrote a brilliant series of articles on the high cost of healthcare for the New York Times a few years ago.
Now she has a book on the same topic. Because, of course, our healthcare system with its punishing costs for services, drugs and insurance has not improved. If anything, it’s worse.
As a physician, Dr. Rosenthal has experienced first hand the perverse incentives—illness being more profitable than health, after all—and lack of price transparency in our healthcare system. Her book … Continue reading