Primary care needs to be valued first before it can be saved
Posted by: admin on: July 21, 2011
- The insurance intermediaries, who never actually see a patient or deliver any care, haven’t got a clue how this whole health thing works.
- They are happy with mediocre doctors that cut time and care. Those doctors (and physical therapists) run mills, but the insurance companies are happy with them.
- Quality and quantity of time are not rewarded, and in fact are punished in the health care environment we have.
- Primary care physician will become as rare as swimming with dolphins.
- It will depend upon how much money you have to buy concierge/retainer medicine.
Why doctors should reconsider ordering a CRP to screen patients for heart disease
Posted by: admin on: July 21, 2011
The CRP, or C-reactive protein, is a test that many doctors use to screen for heart disease.
- Studies have associated an elevated level of CRP with an increased risk of coronary artery disease.
- But there is little data showing that reducing the CRP level saves lives. That hasn’t stopped both doctors and patients from inappropriately ordering the test.
- Although not expensive by itself, it serves as a gateway to more intense, and expensive, testing, like stress tests or cardiac catheterizations.
- Patients at borderline risk for heart disease, who have an elevated CRP level, are often placed on cholesterol medications.
Many doctors order tests rather than do a history and physical
Posted by: admin on: July 20, 2011
Take a good history, do a good exam.
- Rather than doing a careful history and physical, many physicians resort to order expensive tests based on a complaint rather than a full history.
- Physicians almost unanimously believe that other physicians do this and some will admit that they are guilty also.
- Our predecessors were able to gather essential pieces of clinical data from a physical exam.
- Today, in the world of overburdened emergency departments, full hospitals, and electronic ordering and note-writing systems, we are forced to spend less and less time with our patients.
Light Therapy May Aid Traumatic Brain Injury (TBI)
Posted by: admin on: July 20, 2011
- In: Imaging | Neurology
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- Transcranial red/near-infrared LED may be an inexpensive, noninvasive treatment, suitable for home treatments, to improve cognitive function in TBI patients, as well as to reduce symptom severity in post-traumatic stress disorder
- In patients with closed-head, mild TBI, CT or MRI scans usually show no evidence of focal lesions, but more often, diffuse axonal injury in the anterior corona radiata and frontotemporal regions.
- PET scans of the brain have shown reduced regional glucose metabolism in bilateral frontal and temporal lobes in chronic TBI. Other studies have shown abnormal frontal-lobe activation.
- Low-level laser therapy has been shown to have beneficial cellular and physiologic effects in controlled trials.
Smart patients need to establish a relationship with a primary care doctor
Posted by: admin on: July 20, 2011
Good primary care physicians are becoming harder and harder to find.
- A year from now we’ll find it almost impossible to find primary care doctors who are willing to take on new patients – at least any primary care doctor worth seeing won’t be doing so.
- Smart patients and their advocates know that today is the day to be sure they have good relationships established with primary care doctors.
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