Thursday, December 31, 2009

Health and Medical Matters

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Medical Matters

Medical Matters There is no doubt that as we age we are faced with more and more medical issues. These can be chronic conditions like osteoporosis and arthritis that affect mobility, or life-threatening diseases like cancer. Understanding how to help your parents cope with their illnesses will bring you both better peace of mind and quality of life.

You're right to check whether doctor knows best

By Miriam Stoppard on Sep 7, 09 12:52 AM in Today's Health Topic
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I'm a big believer in everyone's right to a second opinion in medical matters. As far as I'm concerned, two heads are nearly always better than one.
But, as lots of letters I receive reveal, many people are terrified at the thought of questioning their doctor. In fact, latest figures show half of all patients don't bother to seek a second opinion - even when they have serious concerns about their diagnosis.
Taking charge of your health With something as serious as cancer treatment or a heart-bypass operation, having the input of another expert is good sense.
Most doctors would agree with me. When you're having your car repaired, if it sounds too expensive or you doubt their expertise, you'll take it to another garage for a different viewpoint.
Surely your health it worth the same degree of care?
So, although the NHS does not guarantee you a legal right to a second opinion, if you're genuinely concerned you should not only ask for one, you should stand your ground and make sure you get one.
Good reasonsto ask for a second opinion..
/ If you don't get along with your doctor
/ If you have serious doubts about your doctor
/ If your doctor dismisses your complaint as trivial but you're still concerned
/ If you are dissatisfied with your doctor's explanation of your symptoms
/ If your doctor says nothing more can be done
/ If your doctor has reached the limit of his or her expertise and it's time for specialist input - this is why we have a referral system
/ If you'd simply prefer to hear another medical opinion before you take the plunge when it come to a serious treatment - for example, when considering cancer care
How to get it
Try another GP If you don't need a specialist opinion, but simply want the view of another GP, just make an appointment with a different doctor at your practice.
Most surgeries now have their own website so it's worth looking online to find out the names of other doctors there and what their areas of special interest are.
If your health problem is related to family planning, for example, you may find a different doctor in your practice has a lot of experience in this area. Then simply book yourself an appointment with them.
If your practice doesn't have a website, the receptionist should be able to give you a leaflet with the relevant information.
Another option is to ask for the opinion of a GP outside your practice but this usually means either registering at a new practice or paying to see a GP privately.
Ask to see a specialist
You can't get a second opinion from a specialist on the NHS without a GP referral so the first step is to talk to your doctor. Explain that you still don't know what's wrong or you're not responding to current treatment and ask to see a specialist in this area - most doctors will happily refer you on.
Do a little research before you go, so you know the correct name or "ologist" to ask for - for example, a dermatologist (a skin specialist) or a gynaecologist (an specialist in women's reproductive health). If you're nervous about challenging your doctor, take someone with you - a pushy friend or, better still, your partner.
Unfair though it might be, research shows that women get better results and are given more information if they take a man with them in this situation.
Still not happy?
If your GP refuses point blank to refer you to a specialist for a second opinion, or if you're unhappy with your treatment, you do have a right to complain.
First, ask about the complaints procedure in your GP practice and follow that.
If this doesn't produce a satisfactory response, you can contact the GP council in your NHS Trust area and explain you want to be referred to a specialist but your doctor has refused.
You can also contact the Patients Association for advice (visit www.patients-association.org.uk).
When to stop
Although you have the right to a second opinion, there are times when you should accept your diagnosis...
/ If your doctor's refusal to refer makes sense
/ If your doctor explains that he feels referring you will simply put you through unnecessary tests and investigations, which are unlikely to reveal anything helpful and only cause further worry, it's probably with good reason.
/ If all opinions you hear sound the same
/ While a second opinion and possibly a third can be useful, if you're craving a fourth viewpoint it's time to stop. If three doctors have come up with the same diagnosis, it's probably the correct one. And, if several doctors have failed to find anything wrong, you should feel reassured and put to bed any nagging worries.

species

There is a paradox about science broadcasting. Surveys going back to the Jurassic will tell you it tops the favourites list of viewers, listeners and readers. They want lashings of medical matters, wildlife unleashed and science unlimited: from Big Bangs to nanotubes. Yet science on air is almost unknown outside a few public broadcasters such as ABC, SBS, BBC and CBC. Do the commercials not want this source of guaranteed ratings bonanzas? Or is something else going on?
A clue is Channel 7. Recently it brought back Beyond 2000, originally invented by the ABC, and immediately scored big audiences: 1.3 million, fine for Australia. Yet, after only two seasons, it's gone. Why?
The answer is that science journalism, like science itself, requires investment both in time and money. Without research, experience and a critical mass of qualified journalists the show quickly collapses. Public broadcasters, until recently, have been willing to pay the required bills. Now, just at a time when the world faces monumental problems requiring scientific answers, the field is on its knees.
There are two reasons for this.
First, one is attacked personally for having some kind of high profile and for trying to face general questions beyond the detail. Take Robert Winston, professor of medicine and presenter of several TV series. He says, 'It was a serious issue for me. When I started doing television on a big, popular scale, I was completely ostracised by my colleagues and it was really unpleasant. So much so that I was determined to give up doing television. I thought, this is not worth it...'
Some of us are delighted he persevered.
Second, despite what seems like public recognition (I am supposed to be a ‘Living National Treasure' for God's sake!) the reality is slim pickings. I do three programs a week on national radio, 52 weeks a year. What kind of resources might be needed to maintain such an output? Researchers, reporters, locums on stand by? The answer is zero. I have one full-time producer working on The Science Show and part-time producers for the other two shows. The odd freelancer provides an occasional report. That's it!
By ABC Radio standards I'm treated well. Imagine what it's like for my colleagues. So why put up with this? Because, without maintaining the airtime for scientific ideas, these windows too, would close. We have repeatedly warned that veterans such as Norman Swan and me (with 60 years of broadcasting between us) will not go on forever and need youngsters hired to succeed us, but the response has been Siberian.
Future Perfect Could science on air go extinct? Well, the ABC Natural History Unit, where we made Nature of Australia and Wolves of The Sea, closed in August. For many years it had no production budget. The ABC's ‘standing army' of TV staff, with no programs to make, has long been an embarrassment. Outsourcing may free up funds, they say.
But where will the expertise come from? The point about public broadcasters is that, from David Attenborough to Adam Spencer, from Norman Swan to Jonica Newby on Catalyst, they provide a thorough training ground for both skills and innovation. This may and does happen outside as well, but does anyone really know how much we can rely on the independent sector to take over this role? Whenever I look around Australia for young and willing science communicators ready to grab the baton I'm left floundering.
Meanwhile, in a way, we are being set up to fail. The work expands relentlessly, as ‘platforms' multiply and more, much more, has to made of your material, on webs, nets, blogs and co-pros.
As for my own books, slim as they are, they have to be done on the run, usually in a handful of weeks.
I was dumbfounded the other day when a commission I had received from an academic source, a book review I had done of a biography from America, came back asking for page references. This was over 18 months after I had sent it in, bang on the stated deadline. Can those dons really need as much time as an elephant's pregnancy to cope with each small opus?
Oh such luxury!
There is a third impediment to writing popular science with global or futuristic implications. Personal attacks. I once asked Jared Diamond at his office in Los Angeles how he dared do portmanteau works such as Guns, Germs & Steel or Collapse. He replied that he had completed his lifetime's bench research and could now go forth boldly, without fearing his academic career would be wrecked. Tim Flannery, his Australian equivalent, is similarly placed.
Both have been attacked for their big picture offerings. My own are smaller and more humble, provided as introductions to more hefty works by big ideas guys.
Shooting messengers is easy. What is far more difficult is coming to terms with the reality that science and the future are suffering a criminal neglect. While some of us try to maintain an output to match the urgency it's easy to miss what's happening. Flannery, Swan, Dr Karl, and Winston represent a fading generation. The real future should belong to fresh voices. Where are they?

Jessi Taube, 20, is in her first term of an MBChB at the University of Edinburgh. She went to City of London Girls’ School where she got three A-levels in Chemistry (A), Biology (A), and History (A). She took a gap year in India where she worked in a hospital in Tamil Nadu.

I chose Edinburgh because I liked the city and I thought it looked like a really good course. Now that I am here I actually love the course even more than I thought I would. It is a good mixture of lectures and problem-based learning. We review a medical case each week, we do biomedical practicals and the aim of the course is to show us the personal side of medicine as well as the scientific side.
Typical week
In a typical week we do a lot of work. We start every day at 9am and usually have two or three lectures in a morning, sometimes four. The lectures are an hour long and we are expected to take notes and read around the subject – for example today we had a lecture on female gamete production and infection. We had to consider the basics of epidemiology - how infection spreads and the problems associated with infection control. It was a pretty intense morning with two lectures and then a break, then another lecture and then a break for lunch. I take notes throughout the lectures
Practical-based learning
In the afternoon we either have a free or a practical-based learning session. For the PBL session we are given a theoretical case at the start of the week – for example this Monday we were given the case of a teenage girl who goes to see her GP after having unprotected sex and finds out that she has chlamydia and doesn’t want to tell her partner. We have to tackle each issue from a scientific basis, a clinical basis, an ethical basis and a psycho-social and public health basis. In the first lesson the whole group has a brainstorming session and then we spend four to five hours during the week researching the questions and then at the end of the week we come back together and discuss what we’ve found as a group.
Anatomy lessons
As well as lectures we have tutorials, we do experiments and we have anatomy lessons. We don’t actually do any dissection of the human body ourselves but we have bodies that have already been dissected to examine. The bodies have been donated to the university for us to study and they are already cut up and preserved in formaldehyde. I didn’t think I would be shocked by seeing a dead body, and at first I was OK, but then when I held the heart in my hand I had to step back and take a few deep breaths. When you are working on the cadaver you have to abstract yourself from it, and it is quite weird at first.
We are looking at the physical structures of the body at the moment and we have body parts to examine in different stages of dissection. We cannot do any of the dissecting because there are not enough bodies donated for us all to work on them. In the tutorial there are about 20-30 students and we have four whole cadavers and parts of the body placed around the room. It sounds really ghoulish but you do get used to it.
Respectful behaviour
One of the things that was made really clear to us at the beginning was that we have to be respectful of the bodies. We were given a really strict lecture on how to behave – you cannot be disrespectful and, for example, just pick up a hand and start shaking it, you would be expelled for doing that. It is all part of the ethos of the whole course – to respect the patient and I think we are all pretty aware now of how to behave.
Gap year
The course is exhausting but I really love it. When I was on my gap year in India I worked in a hospital, which was an amazing experience but I missed my school friends and it is so reassuring to come back to university to study. It feels good to know that this is definitely that I want to do.
Living in Scotland and being so far from home was weird at first but my gap year had prepared me for being away.
Social life
I am making so many new friends, it’s really exciting. There are 230 students in my year, and in my tutorial groups there are about 20-30 students. There is a big mix of people from all over the world – for example in one tutor group there are students from Scotland, Germany, Zimbabwe and Northern Ireland. There is a really active social life here. I go out about two to three times a week and at weekends. I live in a catered hall of residence, which provides breakfast and supper so I don’t eat out a lot because I feel that would be a waste of money, but I do to pubs and we go clubbing and dancing.
I found the first week pretty hard – I came up to university not nervous at all and I wasn’t really prepared for the events of the first week – I am in a really big hall of residence and I think I just felt a bit overwhelmed by it all in the beginning, but as soon as I started my course and made friends, it all slipped into place. Best of all, I really love medicine and it has been a lovely turnout meeting some really nice people.

Sunday, September 27, 2009

Helping Others and Helping Ourselves With Medical LMS Training

The ancient Greeks told us: "Know thyself." In modern times, we have everything we've ever been curious about at our fingertips - just a Google search away - so it seems like we might be more informed about the human body. But how well do we really understand ourselves - or each other, for that matter?

If you're not a medical practitioner or student, you may not be familiar with the majority of stuff that's actually happening at any given moment, right beneath your skin. I'm certainly not.

For medical students, LMS training is often used to supplement real-life training. But if you're simply someone who wants to know more about your body, might consider enrolling in an online LMS training course. Inexpensive health and medical online courses include dental hygiene, radiologic science, gerontology, pharmacy, nursing, and food and nutrition.

LMS training and online courseware are increasingly utilized in the medical world, for various purposes.

For example, health insurance provider Aetna uses online courseware to train students, doctors and nurses in cultural sensitivity. Clinicians who are part of the Aetna network or who have filed a claim with Aetna are able to take the online courseware in cross-cultural care for free.

Partly because many Latinos come from countries where health care is state-run, diabetes and other chronic diseases disproportionately affect them in our private healthcare system.

Additionally, language barriers prevent good doctor-patient communication.

Online courseware provides convenient resources for ethnic diversity training, including training videos and Spanish booklets covering a variety of medical issues.

And of course, rewards and incentives are imperative. For example, physicians and nurses who complete Aetna's course receive credit toward their continuing education requirements.

An LMS offers tools for online courseware development including video and audio tools; simulation, demo and screen recordings; quiz, test and assessment tools; and more.

A Study of Two Erb's Palsy Medical Malpractice Cases

Childbirth brings with it the possibility of complications and injuries to the baby. One such injury, Erb's palsy, can affect a baby's shoulder, arm and hand. This can leave the baby with a limp arm. There are factors that, if present during the pregnancy, can indicate that the baby is at an increased risk for an Erb's palsy injury. When these factors are present, the doctor delivering the baby should take appropriate steps to avoid the injury. Failure to do so may constitute medical malpractice.

Erb's palsy injuries most often occur in situations involving (1) a large baby, (2) a breech position or (3) prolonged labor. These factors generally make a natural delivery difficult. In order to complete the vaginal deliver, the doctor or other health care professional may perform maneuvers (sometimes involving the use of forceps or a vacuum) that can cause excessive pulling on the shoulders during a headfirst delivery or put excessive pressure on the arms during a breech delivery. As a result, nerves in the network of nerve fibers that send signals from the spinal cord to the shoulder, arm, wrist, hand and fingers are damaged. This leads to a lack of control over movement and sensation in those areas.

There are four types of injuries that can occur to these nerves. In increasing order of severity, these are:

1. Praxis. The nerve is damaged but not torn.

2. Neuroma. The injured nerve develops scar tissue. This reduces or blocks the signals sent by the brain to the muscles.

3. Rupture. The nerve is ripped but remains attached to the spine.

4. Avulsion. The nerve is torn from the spine.

Many babies suffer from the milder forms of Erb's palsy and are able to fully recover within 6 months. Physical therapy may constitute an integral part of treatment. In cases involving a rupture or tear of the nerves, however, surgery may be necessary. Sometimes, multiple surgeries are required.

To be effective, surgery must normally be performed before the baby is one year old. Even when successful, it may take years for the child to regain sensation and movement of the arm, shoulder or arm. This is due to the slow growth of nerve tissue. Postsurgical rehabilitation usually involves extensive physical therapy exercises and other coordinated treatments. When surgery is not fully successful, the child may be left permanently unable to have full, or sometimes even partial, use of the affected arm.

Medical Matters Can Only Be Black Or White

Moms are the most paranoid people on earth. Their kids get a cold and they send them to the emergency room of the hospital demanding to be paid attention to. Every little thing tends to be a life or death situation. Every little thing that their child experiences, every little cut, every little bruise is a life or death situation. There are no gray areas, to the moms it can only be black or white, either the child is hurt or not.

That is the reason why pediatricians are the most patient people on earth. They do not just have to be patient to the child but to the respective moms too. They need to placate the mom more than the child. Children recover as soon as the wound stops bleeding. The moms need to be reassured every ten seconds that the child is safe.

It is no wonder why not all pediatricians give out their private cellphone numbers. Although, there are still some doctors who give out their private lines to the moms for emergency purposes but not all the time. They know that moms are driven to protect their offspring so every little cough in the wee hours of the morning will drive them to send a text message to the pediatrician asking for advice.

Actually, medical advise given during the wee hours of the morning via cellular phone is not wise, especially if it is a serious condition. Doctors need the medical history of the patient before administering any type of medicine. Patients (kids and adults alike) have allergies and one wrong medical advice can be life threatening. Thus, it is not only dangerous to the patient but to the doctor as well. Their license can be revoked because of medical malpractice. So to moms everything is about medical matters.

Medical Matters is Not Just the Practice of Medicine

There is no doubt about it. Medicine is important. That is why the training and the education that come with it are extremely hard. People who want to be in the field should think twice before embarking on this journey as a medical practitioner. However, as much as medicine and all those who practice it is important. Medical recording keeping is also important. Without a reliable system behind every doctor or any healthcare professional, you won't have anything. It is a dangerous world out there that is why accurate information and medical records are important for all of these doctors to do their job right.

Someday soon all the medical records of all the patients can be accessed globally. Meaning, your doctor can be on vacation and he can access your records when he needs to or you can be the one that is on vacation and the doctor needs to coordinate with your doctor to be able to give you appropriate health advice.. Although I am sure that there are going to be a lot of people who will be against this. They are afraid of the unknown and they have all these security and privacy issues. It is definitely strange for a doctor not to be at your side but he continuously checks what is happening. Actually the importance of medicine and all medical matters are beyond compare. Due to efficiency of some people who do the record keeping of hospital records of patients, hospital procedures and others, breakthroughs and efficient service have improved considerably. That is why medicine and information technology work hand in hand to deliver excellent and prompt service.

It's All About Medical Matters Now

Ever since time in memorial, it has always been about medical matters. It always has and it will always matter. The accuracy of the medical records are important. Without these records, medical malpractice will surely come in droves as doctors will always need the records of their patients. These records are the medical history of the patients. What they have been through, what medicines they were able to take and what they are afflicted with now. That is precisely the reason why records should always be updated and complete. The results can be fatal if the records are in disarray. That is the reason why it truly helps that there is a hospital or clinic-based software that makes the maintenance and upkeep of medical records easier to the medical profession, as well as to the patient.

The software is actually heaven sent to hospital staff, clinic staff, doctors, nurses, pharmacists and most especially to the patients. There was a time when hospital staff relied on folders to look at the historical medical records of the patient. That method was prone to errors because just one slip of not checking one piece of paper can mean fatal results. Aside from that automation of the medical records, it will make everything faster. People will be able to work faster, the database will be able to tell the doctor, at a glance, what he or she is looking for. More work will be done, more patients will be attended to and there will no longer be errors with regards to the administration of treatment and/or medicines.

Medical Matters Can Only Be Black Or White

Moms are the most paranoid people on earth. Their kids get a cold and they send them to the emergency room of the hospital demanding to be paid attention to. Every little thing tends to be a life or death situation. Every little thing that their child experiences, every little cut, every little bruise is a life or death situation. There are no gray areas, to the moms it can only be black or white, either the child is hurt or not.

That is the reason why pediatricians are the most patient people on earth. They do not just have to be patient to the child but to the respective moms too. They need to placate the mom more than the child. Children recover as soon as the wound stops bleeding. The moms need to be reassured every ten seconds that the child is safe.

It is no wonder why not all pediatricians give out their private cellphone numbers. Although, there are still some doctors who give out their private lines to the moms for emergency purposes but not all the time. They know that moms are driven to protect their offspring so every little cough in the wee hours of the morning will drive them to send a text message to the pediatrician asking for advice.

Actually, medical advise given during the wee hours of the morning via cellular phone is not wise, especially if it is a serious condition. Doctors need the medical history of the patient before administering any type of medicine. Patients (kids and adults alike) have allergies and one wrong medical advice can be life threatening. Thus, it is not only dangerous to the patient but to the doctor as well. Their license can be revoked because of medical malpractice. So to moms everything is about medical matters.

Medical Matters Include Medical Record Keeping

Nobody has to tell us that keeping the records straight and up-to-date matters. It is as important as the other field of medical matters. You do not have to be in the medical field to know that. But in medicine, it is crucial that every single record is in order and nothing is amiss. The effects are going to be devastating if the records are not up to date. This is probably the reason why the demands for medical transcriptionists are increasing day by day. The records have to be flawless and on time.

Doctors depend on the medical records of each patient to be able to administer the correct practice. Some of the medical malpractices that have been happening are the result of incomplete medical records or wrong filing of records and sometimes even wrong note taking of a patient's diagnosis. There are so many things that could go wrong with record keeping. In medicine, when that happens, it becomes disastrous.

There are different kinds of software related to medical record-keeping that hospitals and other health care establishments can avail of. It will make their record keeping easier to manage. Record keepers will have an easier job looking for records of patients. Doctors can easily check if the records are right. They will be able to check it using their PDAs or any high tech phones. Patients calling them up in the middle of the night asking for prescription can be accommodated because doctors can easily access their records without leaving their homes or even their beds. This is what it can bring, total convenience for both the doctor and the patients.

Information Regarding Medical Matters Can Come From the Doctor and the World Wide Web

There are several sources for information when it comes to medical matters. The truth is information is power and sometimes we feel so powerless when it comes to our body. The World Wide Web is always a good source of information for generic information on flu or cough and colds. You can always find medical advice on sicknesses that are not complicated. However, when it comes to more complicated cases, you should always consult with your doctor. Remember, there is some information on medical matters that will be best given to you by your doctor.

Besides, if you do your own self-diagnosis, it might turn out wrong because there are a lot of sicknesses out there that have similar symptoms. So for example you feel that you have the flu and it's been going on for over a month now, you better consult the doctor especially when the symptoms persist. Never discount the expertise of your doctor over the information that you get over the World Wide Web. Although, the World Wide Web has helped us a great deal especially on information that we are too shy or too afraid to ask from our doctor.

Suffice to say that when it comes to advice on medical matters, get in touch with your doctor but if you want to learn more about a procedure or about the diagnosis of your doctor, the World Wide Web is a good source of information. Plus you can get several different options and then discuss with your doctor what you think is the best option for you.

Medical Matters is Not Just the Practice of Medicine

There is no doubt about it. Medicine is important. That is why the training and the education that come with it are extremely hard. People who want to be in the field should think twice before embarking on this journey as a medical practitioner. However, as much as medicine and all those who practice it is important. Medical recording keeping is also important. Without a reliable system behind every doctor or any healthcare professional, you won't have anything. It is a dangerous world out there that is why accurate information and medical records are important for all of these doctors to do their job right.

Someday soon all the medical records of all the patients can be accessed globally. Meaning, your doctor can be on vacation and he can access your records when he needs to or you can be the one that is on vacation and the doctor needs to coordinate with your doctor to be able to give you appropriate health advice.. Although I am sure that there are going to be a lot of people who will be against this. They are afraid of the unknown and they have all these security and privacy issues. It is definitely strange for a doctor not to be at your side but he continuously checks what is happening. Actually the importance of medicine and all medical matters are beyond compare. Due to efficiency of some people who do the record keeping of hospital records of patients, hospital procedures and others, breakthroughs and efficient service have improved considerably. That is why medicine and information technology work hand in hand to deliver excellent and prompt service.