Saturday, March 17, 2007

PassportMD

As a physician and founder of PassportMD, Inc. (http://www.passportmd.com/ ) , I remain committed to creating a free site and service so that people of any age and any economic status can participate. The free service helps people through the often-tedious process of creating a very valuable, and potentially life saving tool, the personal health record. We are committed to simplifying this process, giving people, seniors, adults, children, particularly with a history of at least one chronic medical disease, on multiple medications, or with a history of allergies the ability to communicate their critical information reliably to their health care provider. Doctors need to have access to reliable information that is legible and accessible and PassportMD provides this needed function.
Medical Mistakes are common, hospital errors are responsible for over 100,000 deaths per year and these could be preventable. Information about drug interactions and cross reactivity combined with allergy alerts lead the way in being critical to every healthcare provider before initiating care.
The doctors are very slowly adopting electronic health records. This adoption is way too slow and is very complicated. It has many factors in play as it relates to the economics of medicine. Although privacy is considered an issue, the true issue is cost, implementation and maintanence costs to the physician practice are too burdensome in light of decreasing reimbursement. Thus, only 7.5 % of physician practices are currently adopting electronic health records. Though, if you poll the remaining 92.5% of physicians, probably all would agree that electronic health records are better for medicine and for the patient. Adoption is inevitable but the pace and time period for adoption is dependent upon many factors.

Monday, March 12, 2007

Stages of Grief, After we have lost a loved one, Yearning peaks in 4 months

A recent study at Yale University published in JAMA fuound that the initial dominant grief item was not disbelief but yearning. Yearning peaked at four months after the loss. All negavie grief indicators are in decline by six months post loss.

Acceptance the final stage of grief increased over a 2 year period.

To recap the conventionally accepted stages of grief are :
disbelief, yearning, anger , depression and acceptance.

In my experience, I have seening yearning and depression for approx 6 mos to a year, and acceptance around 18 months.