… read on
This is a guest post from a dear friend. As a cancer survivor, she has a lot of experience dealing with doctors, hospitals and insurance companies. She does not work in the health care industry, but is very savvy and not afraid to ask questions. She has been a huge supporter of Frugal Nurse as she, too, sees a need for patients to be more aware and wary of the
It’s not that simple
Last night on the local news I watched a story about health care costs. The reporter, a consumer affairs specialist, talked about the expanding trend in health care of high-deductible medical insurance plans. Under the ACA, family annual deductibles can reach up to $12,700 (increasing to $12,900 for 2015); whatever your deductible, you pay your medical bills out of pocket until that deductible is met.… read on
Yet another screening exam found unhelpful
Earlier this month, the American College of Physicians (ACP) published its recommendation in the Annals of Internal Medicine that routine annual pelvic exams are unnecessary for healthy, non-pregnant women with no gynecologic symptoms (bleeding, discharge, pain, etc.).
The ACP looked at evidence on pelvic examinations dating back almost 70 years and concluded:
… read on
… no data support the use of routine pelvic examination (excluding cervical
The big business of sleep
As someone who has always had trouble sleeping, I find solace in the fact that I am far from alone. The last statistic I saw was that about 60 million Americans complain of some form of sleep trouble. And I suspect that number is under reported.
Sleep experts recommend we get 7-9 hours of sleep every night, and popular media are quick to point out … read on
Unnecessary care = unnecessary expense
Every day I see a new article about the high costs of health care.
A new study suggests that in a single year, up to 42 percent of Medicare patients got at least one medical procedure they didn’t need — overtreatment that cost as much as $8 billion.
Use of [Mohs] surgery has … read on
There’s no such thing as a “mild” concussion
Last week I posted about first aid for concussions, which is important because head injuries in kids are a growing concern in the medical and public health communities.
Of particular importance is avoiding the potentially fatal “second impact syndrome”; if a young athlete suffers a “mild” concussion and then sustains another within a few weeks, “diffuse cerebral swelling, brain herniation, … read on
I’m a big fan of the Choosing Wisely® campaign sponsored by the ABIM Foundation, a non-profit group established by the American Board of Internal Medicine.
Why? Because the campaign’s objective is to reduce the number of unnecessary and potentially harmful (not to mention expensive) medical procedures being done in the US.
… read on
Choosing Wisely® aims to promote conversations between physicians and patients by helping patients choose
Will there soon be a blood test?
My father-in-law recently passed away after suffering with Alzheimer’s for several years. I also have an aunt who is currently living with some form of dementia, probably vascular.
Few diseases strike more fear into those over the age of 50 than Alzheimer’s. Needless to say, both my husband and I worry when we find ourselves saying:
“Oh, what’s the word I want?”
or … read on
The latest report
Most of my nursing career was in breast cancer, so I like to stay current on the most recent research on screening, diagnosis and treatment.
Earlier this week, the British Medical Journal released a pretty stunning report:
In conclusion, our data show that annual mammography does not result in a reduction in breast cancer specific mortality for women aged 40-59.
In normal language that translates to … read on
This morning I read a post by a pediatric intensive care (PICU) doctor who admitted too many CT scans are still being given to children, despite recent evidence that radiation exposure from the scans carries a not insignificant future risk of cancer.
I posted about the results of this study a couple of months ago: Children are more “radiosensitive” than adults; … read on