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Tuesday, 6 January, 2009

What's in the news: Jan. 6 -- MDs demand more pay for filling out paperwork

The Canadian Medical Association is attempting to negotiate better payments for doctors to fill out third-party forms, in particular the much-maligned, lengthy Canada Pension Plan medical claims documentation, the completion of which only pays doctors $65. [CMA News]

Edmonton emergency physician Louis Francescutti would like to see Alberta implement a soft-drink tax as New York Governor David Paterson has proposed there. "We allow [patients] to be unhealthy and then when they get sick we pay for their health care," he said. "There is absolutely no incentive for anyone to go and be healthy because if you need a heart transplant, they'll give it to you for free. You can become an alcoholic and we'll fix you up." But he's not optimistic about the idea. "Would Albertans go for something like this? I don't think so. Would our politicians go for something like this? I definitely don't think so." [Edmonton Sun]

Health reporter Charlie Fidelman lists some of the things patients should not bring to the emergency room with them: dirty diapers, live scorpions, bloody tissues and sex toys (assuming they're not stuck somewhere). [Montreal Gazette]

Diabetic patients performed significantly worse than non-diabetics on a series of brain-function tests, a new University of Alberta study found. [Neuropsychology (PDF)] [Edmonton Journal]

Merck has, as promised, finally submitted its request to the US Food and Drug Administration to approve its human papillomavirus (HPV) vaccine Gardasil for use in boys. [Wall Street Journal Health Blog] Recently, we analyzed some of the recent research on the vaccine in boys. [Canadian Medicine]

The oldest person in the world, Maria de Jesus, of Portugal, died at the age of 115. Born in 1893, Ms de Jesus didn't attend school, was illiterate, had six children, and never "fell ill, nor took any medication," her daughter said. [Agence France-Presse]

Schering Plough researchers have created a new, artificial binding molecule to treat blood poisoning and overdoses and eliminate anesthetic medications from the bloodstream. [Telegraph (UK)]

US President-elect Barack Obama offered the job of Surgeon General to neurosurgeon and CNN reporter Sanjay Gupta. No word yet on whether Dr Gupta plans to accept. [Washington Post] The Post's Ben Pershing teased, "He narrowly beat out Dr. Phil for the post. (The joke was just sitting there, waiting for someone to make it.)" [Washington Post] In an interview last year with the Canadian news magazine the National Review of Medicine Dr Gupta said he hoped some form of universal healthcare would be implemented. "There are a lot of pluses to Canada's healthcare system. The biggest plus -- besides the fact that people have healthcare insurance -- is that there's a certain amount of psychological well-being, feeling safe just from knowing that you're going to be taken care of if something bad happens to you. Unfortunately, in the US people don't have that." Asked if he would consider entering politics, he said, "I don't know if I'd ever want to run for electoral office, but I can see myself one day in a position where I can do something with health policy. I've always been interested in health policy. I think the way we take care of other people is a reflection of our society." [National Review of Medicine]

2 comments:

  1. RE: bringing evidence to the E.R.

    The crap coming out of this advice is green and frothy.....

    thanx for bringing the evidence.....

    ........ [to aid in diagnosis and treatment (of course)]

    P.S. keep bringing in those " lopped off " body parts, folks!

    Oh yes .... I almost forgot ..... we do not actually want to send a message that you hurt yourself " doing"bad" things ( maybe "stupid") ...... but we do NOT want to send the public a message that we sit in judgement of them... do we, DR????

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  2. Dr. Gupta leading the way:

    excerpt from article

    'Dr Gupta said he hoped some form of universal healthcare would be implemented. "There are a lot of pluses to Canada's healthcare system. The biggest plus -- besides the fact that people have healthcare insurance -- is that there's a certain amount of psychological well-being,

    ... feeling safe just from knowing that ....... you're going to be taken care of

    ........if something bad happens to you.'

    end of excerpt

    The key phrase here is 'you're going to be taken care of'

    I have had "hospitalization events" over a span of time. In one I was "most inconvenienced" by assistive devices contaminated by fecal matter.
    Actually my entire room was filthy.

    Since it was an awkward moment for both me and the ancillary staff member ... I think I must have said something eternally significant ( at least to her)

    Why do I think that?

    As we awkwardly looked at this " fecal" matter, after a moment of silence I looked at her and said " you know I do believe the medical staff is "taking care OF me"...
    but for the other 19 hours that I do not see them I want to know that you are "caring FOR me"....
    ....above all of that I hope someone demonstrates that they care ABOUT me.

    ( from that point on the next few days were heaven!)

    So, Dr. Gupta .... the moral of this story is.....

    Since patients are subjectively compromised and cannot negotiate good care.... is there any possibility that you could secure " continuity" in the

    "care OF", "care FOR", and care ABOUT" categories??

    ( and it will take more than "good handwashing" flyers in the locker room)

    ReplyDelete