December 10th, 2009 by DrJonathanFoulds in Better Health Network, News, Research
Tags: Addiction Medicine, MassHealth Study, Programs, Psychiatry, Psychology, Quitting, smoking, smoking cessation
No Comments »
Across the country health insurance coverage for smoking cessation treatment - both counseling and medications – has been extremely patchy. For example, we ask all the new patients attending our smoking cessation clinic in New Jersey if their insurance covers smoking cessation treatment, and the vast majority have no idea. Typically its also not easy for either the patient or provider to find out either. It doesn’t just depend on the insurer, but on the plan, the type of service, what they’ve already had in terms of preventive care. We’ve had many occasions where we call the insurer twice on the same day and get a different answer. And New Jersey is a state that is supposed to have relatively good insurance coverage for tobacco cessation! So it’s a mess nationwide, and the net result is that fewer patients get the treatment they need because they are put of by the uncertainty about the cost and difficulty finding out how much it is. Read more »
This post, Massachusetts Leads The Way In Smoking Cessation, was originally published on
Healthine.com by Jonathan Foulds M.A., M.App.Sci., Ph.D..
December 8th, 2009 by Berci in Better Health Network, News, True Stories
Tags: Facebook, Inappropriate, Legal, Patients, Sexual Advances, Social Media, Surgery, Web 2.0
No Comments »
There is an interesting article in E-Health Europe about how patients try to contact doctors on Facebook, the popular social networking site, and how doctors shouldn’t respond to them. In my “Medicine and Web 2.0” university credit course, we cover this important issue several times and I try to provide students with useful pieces of advice about how to avoid such problems.
The Medical Defence Union said it was aware of a number of cases where patients have attempted to proposition doctors by sending them an unsolicited message on Facebook or similar sites.
The medical defence body said it would be “wholly inappropriate” to respond to a patient making an advance in such a way. Read more »
*This blog post was originally published at ScienceRoll*
December 7th, 2009 by Medgadget in Better Health Network, News
Tags: Amnesia, Autopsy, H.M., Henry Gustav Molaison, Neurology, Pathology
No Comments »
Contrary to common misconceptions, real cases of amnesia are extremely rare. But Henry Gustav Molaison (known as patient H.M.) was subject of a radical experimental brain surgery in 1953 in an attempt to treat his epileptic seizures following which he was not able to form new memories. About a year ago, Mr Molaison passed away but left to science his fascinating brain which is currently being dissected at the University of California San Diego Brain Observatory. The researchers in charge of the project have setup a live video feed with an open invitation to anyone interested in viewing the slicing to join in the fun. Read more »
*This blog post was originally published at Medgadget*
December 4th, 2009 by DrNancyBrown in Better Health Network, News
Tags: CDC, Chlamydia, Gonorrhea, Infectious Disease, sexually transmitted diseases, Sexually Transmitted Infections, STD, Syphillis
No Comments »
The CDC announced last week that the latest statistics on Chlamydia, gonorrhea and syphilis are still unacceptably high in the United States. The U.S. has some of the highest rates of sexually transmitted infections of any developed country in the world including 1.2 cases of Chlamydia in 2008 and syphilis cases, up 18 percent, are at 13,500. Men who have sex with men accounted for 63 percent of the syphilis cases, but the rate among women also increased 36 percent between 2007 and 2008.
Almost half of the 19 million new sexually transmitted infection cases reported each year are among 15- to 24-year-olds. Clearly marking the shift away from abstinence-only policies, the CDC called for better, more honest and open, sex education including how to use a condom, limiting the number of sexual partners, and avoiding people who have had multiple sex partners. Read more »
This post, Sexually Transmitted Infections Still On The Rise, was originally published on
Healthine.com by Nancy Brown Ph.D..
December 3rd, 2009 by DrSteveNovella in Better Health Network, News, Quackery Exposed
Tags: Coma, Laureys, Locked In Syndrome, Minimally Conscious State, Neurology, Rom Houben, Vegetative State
1 Comment »
I don’t know. The mainstream media is doing a wonderful job sensationalizing this case, presenting it without skepticism. Some outlets are doing a good job of discussing the relevant issues – but they don’t have the information to have a meaningful discussion of this particular case. Details are tantalizing but thin.
The case is that of Rom Houben. The story was broke, as far as I can tell, by the Mail Online – yes, that is a huge red flag. It does not make the story wrong, it just doesn’t instill in me confidence in the reporting.
Mr. Houben was in a terrible motor vehicle accident 23 years ago and has been paralyzed ever since. His diagnosis has been PVS – persistent vegetative state. However, recently, we are told, his mother insisted on a neurological re-evaluation. This is actually quite reasonable, generally speaking (again, without knowing specific details of this case). Read more »
*This blog post was originally published at Science-Based Medicine*
December 2nd, 2009 by drval in News, Opinion
Tags: 2009, Beldina Atieno, Economy, Eric Goosby, Event, Global, HIV/AIDS, Infectious Disease, Jack Lew, Joy Phumaphi, Michel Kazatchkine, PEPFAR, World AIDS Day, World Bank
No Comments »
What does America’s economic recession have to do with a school teacher in Kenya? A lot more than you realize. If there’s one thing I learned at the World Bank’s World AIDS Day event yesterday, it’s that our lives, economies, and health are all inextricably intertwined on a global scale.
Beldina Atieno (second from the left in the photo) traveled all the way from Nairobi to offer her first hand account of life as an HIV+ school teacher in Africa. Ms. Atieno’s story was both heart-wrenching and eye-opening. She was first diagnosed after her youngest daughter became very ill from an opportunistic infection, which prompted HIV testing in both daughter and mother. After discovering that they were both positive, she was abandoned by her husband and was plunged into poverty and despair. Read more »
December 1st, 2009 by Medgadget in Better Health Network, News
Tags: Chitosan, Cream, Emergency Medicine, Foam, Hemostat, Nano-Hooks, Remedium Technologies, Technology
No Comments »
Remedium Technologies won first prize in the Most Promising Security Idea category of the Global Security Challenge 2009 for their shaving cream-like foam that can stop bleeding. The foam incorporates chitosan, a natural low-cost hemostatic substance derived from shellfish. It is designed to be sprayed into wounds where it expands and adheres to tissues in order to slow or stop bleeding. The company is also working on a novel chitosan-based wound dressing which uses “nano-hooks” in order to better adhere to bleeding tissues. Read more »
*This blog post was originally published at Medgadget*
November 23rd, 2009 by EvanFalchukJD in Better Health Network, Health Policy, News, Opinion
Tags: Adverse Event, Connecticut, Cover Up, Disclose, Hide, Hospital Errors, Legislature, Medical Errors, Medical Mistakes, Reporting
No Comments »
There is a disturbing story in the Hartford Courant (via the WSJ Health Blog) on how Connecticut state lawmakers have helped hospitals keep medical mistakes secret from the public. It’s true:
The legislature in 2002 ordered hospitals to disclose all serious patient injuries “associated with medical management.” But after the first reports were made public, hospital lobbyists persuaded lawmakers to rewrite the statute in 2004, limiting the kinds of adverse events that must be divulged, and promising to keep reports secret unless they led to an investigation.
What happened next is predictable. According to the Courant, public access to data about hospital adverse events dropped by 90%. Read more »
*This blog post was originally published at See First Blog*
November 23rd, 2009 by DrWes in Better Health Network, Health Policy, News, Opinion
Tags: Cardiology, Internal Medicine, Medicare, Nocturnists, On-Call, Pay Cuts, Salary, Shift Work
No Comments »
Should there be a premium added to physician compensation for on-call coverage after hours, or are Medicare rates enough?
This appears to be the central question between two competing hospitals in Longview, Texas where a $300,000 stipend was paid to a cardiology group by one hospital and not the other for cardiology on-call coverage.
Guess which one the doctors are promoting now? Read more »
*This blog post was originally published at Dr. Wes*
November 21st, 2009 by DrToniBrayer in Better Health Network, News
Tags: ACOG, Guidelines, HPV, Infectious Disease, Obstetrics And Gynecology, Oncology, Pap Smears
No Comments »
Right in the middle of the national firestorm about Mammogram recommendations, the American College of Gynecologists (ACOG) has issued new guidelines for screening of cervical cancer. After 40 years of successfully convincing women to get pap smears annually, the new recommendations say women should not get their first pap test until age 21 and the intervals for testing can then be stretched out.
The new recommendations say that women should start pap screening at age 21 (not teens who are sexually active as previously recommended) and then every two years through age 29. Women age 30 and over with three negative pap smears can stretch it out for three years. Women over age 65 can stop getting pap tests if their previous tests have been negative. Women who have had a hysterectomy for non-cancer reasons never need a pap smear. Read more »
*This blog post was originally published at EverythingHealth*
