physician

The Cyberchondriac: Managing the Difficult Patient

by

There is an interesting series over at QuantiaMD on Managing the Difficult Patient. Presentations are available for viewing as long as you sign up for with your email. One such presentation was originally called The Patient Who Knows too much but has been changed to The Cyberchondriac. http://quantiamd.com/player/wywzswwh?courseid=31844 Mary Modahl  who is QuantiaMD Chief Communications Officer said after the original title was added  “‘The Patient Who Knows Too Much’ is a very poor title. Certainly a patient can never know too much. In every way, we’re supportive of doctors meeting their patients’ need for care.” Dr. Joseph Scherger, vice president for primary care at Eisenhower Medical Center in Rancho Mirage, California, defines a Cyberchondriac in the presentation: “This is a patient who is on the internet…indiscriminate with the material they are reading…they consider themselves an expert yet often their true medical … Read more

Professionalism of Medicine in the 21st Century

by

An article is titled Medical Professionalism in the New Millennium: A Physician Charter in the Annals of Internal Medicine, vol. 136, no. 3, pages 243-246, February 5, 2002, http://www.annals.org/content/136/3/243.full?ijkey=49cf14ffb35a6afdba3a14871f01fb39ad23066f&keytype2=tf_ipsecsha In the second paragraph appears the words: “…conditions of medical practice are tempting physicians to abandon their commitment to the primacy of patient welfare” The article then goes on to discuses a preamble “Professionalism is the basis of medicine’s contract with society. It demands placing the interests of patients above those of the physician, setting and maintaining standards of competence and integrity, and providing expert advice to society on matters of health. The principles and responsibilities of medical professionalism must be clearly understood by both the profession and society. Essential to this contract is public trust in physicians, which depends on the integrity of both individual physicians and the whole profession.” The … Read more

Health Care Costs in America

by

I came across a very interesting graphic illustrating many of the myths and facts about healthcare in the United States. The graphic illustrates some reasons for the high costs of healthcare including the myths and the truths. The myths include 1) americans smoke and drink too much, 2) america has a larger elderly population, 3) obseity in america skyrockets costs, 4) malpractice is out of control. I actually slightly disagree with #3 and #4. I think being obese in the U.S. is a real problem, see this graph from the OECD. Further one has to account for defensive medicine (as in doctors being scared of getting sued  and ordering more tests than really needed) in malpractice lawsuits. Graph below illustrates the % obese in each country shown. Source: OECD Factbook 2010: Economic, Environmental and Social Statistics. I believe the truths … Read more

The Well Informed Patient

by

In a recent editorial in the Journal of Oral and Maxillofacial surgery (vol. 69. page 1263, 2011),  titled “Shouldn’t All Clinical Research Be Scientific?”, Dr. Thomas B. Dodson,  talks to his fellow oral surgeon colleagues and says “Not only do we face rapid advances in science and technology, but we have new accountability from economic, legal, and regulatory challenges, as well as a new brand of well-informed patient.” I personally would hope that the well-informed patient are patients who are being informed by oral and maxillofacial surgeons and dentists. However, I do not believe that is really the case here. One question to ask is why patients in the past were not well informed? The other and more pressing question to ask is why are these patients still not being properly informed today? (This also applies to other doctors and … Read more