Lately, there have been numerous reports surrounding sunscreen....
Questions like "Is it beneficial or harmful" , "Is is worth it for a senior to apply sunscreen", "what difference does it make?" "Are all sunscreens the same? "It sings when I use it, should I try a different one?" "What is the story with the new sunscreen, Mexoryl Sx, that just received FDA approval?"... I will attempt to address some of these issues for you...
1. Recent studies have questioned whether sunscreen is beneficial or harmful. I dont suggest that I know the answer but here is some of the latest opinions... the American Academy of Dermatology, http://www.aad.org still feels strongly that the benefits of use of sunscreen outweighs the potential risks. Despite this , there was another controversial study in the August out of San Francisco by Dr. William Grant, a Ph.D. in the http://www.iiar-anticancer.org/research/research_index.htm Anticancer Research journal that looked at age adjusted types of cancer as plotted by the National Cancer Institute http://cis.nci.nih.gov/ and he found that increase exposure to UVB is associated with a reduced risk of 16 internal cancers, he also went further to show that cancer rates are higher in NE US vs the South and West where levels of environmental UVB is higher throughout the year... he controlled for factors such as smoking, alcohol and ethnicity and he contends strongly, that Vitamin D is critical in reducing the "angiogenesis around tumors, metastasis ....and in helping cell apoptosis". Basically, he is saying that he feels that Vitamin D is critical in reducing the risk for cancer and he feels that Sunscreen may limit the production of critical Vitamin D. Most Dermatologists would argue that throughout the course of the day, even with sunscreen, people get enough sun exposure to generate adequate levels of vitamin D. Dr. Grant asserts that dermatologists dont realize that people get alot of their vitamin D from solar radiation. He advocates going out in the middle of the day for 15-20 minutes so you can create Vitamin D, and minimize the risk of skin cancer. This is controversial as most dermatologists tell you to avoid sun in mid day.
I think this issue is still very, very controversial. From my standpoint, sunscreen clearly makes a difference in reducing the likelihood of getting skin cancer, the most common form of cancer in the United States. I am concerned that studies like Dr. Grants, retrospective multivariate analysis, though statistically sound, are also flawed in their isolation of the importance of the amount of Vitamin D as the critical factor in tumor angiogenesis. I would really like to see a study, that looks specifically at the amount of Vitamin D that is lost through the use of sunscreen and the amount of Vitamin D that is produced by the body in spite of sunscreen all against the amount of Vitamin D shown to be responsible for inhibiting tumor growth. I dont really have an appreciation of this data and thus, before recommending that people go out and get mid day sun and not use sunscreen, I would want more facts and better studies.
Just ask someone, that has had metastatic Squamous cell carcinoma of the skin, a very common scenario, one that accounts for more deaths annually than melanoma. And, one, that is clearly related to sun exposure. I can assure you that they wish that they had used sunscreen.
2. FDA approves new sunscreen...Mexoryl SX , which provides complete broad spectrum UV protection has recently received FDA approval. La Roche Posay http://www.laroche-posay.com/ will maket a broad spectrum sunscreen containing this and Parsol 1789 (avobenxone) and octocrylene. Mexoryl Sx is unique becuase it is highly photostable and filters out UVA and fills the gap left by some UVA sunscreens.
3. Sunscreens are not all the same, generally speaking the recommended sunscreens are those of at least an SPF of 15 and are "broad spectrum" such that they filter UVA and UVB light. After that, the difference really is in the vehicle..ie whether the sunscreen comes as a lotion (more liquid format), a cream, a gel, a stick or a spray on. The main issue here is to use whatever format you prefer as long as it doesnt irritate your skin and that you understand that you need to re apply it after sweating or swimming , for example.
4. Sunscreens are very expensive. Almost cost prohibitive if you use them the way the manufacturer recommends. This is an issue that for some reason is glossed over. I really think the costs of sunscreen is not discussed enough... I would recommend comparing prices via sites on the internet or typical retail outlets. Sometimes more expensive doesnt equate to more effective.
5. Putting aside the controversy of whether or not sunscreen is actually beneficial or harmful until more evidence is presented, I believe that sunscreen should be applied even if you are older and a senior. It is true that much of the sun damage you received is an accumulation over your lifetime, but, the sun you receive as a senior will do much more damage quicker than that same sun would do when you were young. In other words, you may still benefit from sunscreen as a senior and thus you should practice sun safety.
Saturday, September 30, 2006
Diagnosis of Alzheimers made Earlier through the skin
Alzheimers disease, http://www.alz.org/ affects all of us, even if we dont personally have the disease. It may affect you through your family or friends. This devastating disease can be crippling to a family and an individual. Early diagnosis would be extremely beneficial.
There was a recent report out of the HealthDay News and other sources such as http://www.healthday.com/ that discuss Alzheimer issues... Most recently it was noticed at the West Virginal university health Sciences Center http://www.hsc.wvu.edu/ that since Alzheimer's disease tends to affect the body systemically, a skin test that looks at two forms of enzyme degradation of the protein, amyloid, might be detectable by skin biopsy and provide an easy, non invasive way to diagnosis the early stages of Alzheimers...
Other recent reports that came out this September about Alzheimers worth noting are:
1.
Red Wine May Help Prevent Alzheimer's
Cabernet Sauvignon appears to inhibit proteins that cause plaque buildup in brain
2.
Restricted Diet May Help Prevent Alzheimer's
Low-calorie intake influenced a variety of age-related diseases in monkey study
3.
Alzheimer's Symptoms May Arise From Mutant Genes
It's a possible new dimension to the disease, researchers say
4.
Early Memory Lapses Could Warn of Alzheimer's
But detecting, treating sooner might also help slow the disease, experts say
Have you had personal battles with this disease? I have seen rapid deterioration of patients and people and families as they have watched their loved ones fall victim . Seniors are very aware of this problem and research will continue to make progress on a diagnostic front and therapeutic front. Do you feel we are putting enough resources towards this disease?
There was a recent report out of the HealthDay News and other sources such as http://www.healthday.com/ that discuss Alzheimer issues... Most recently it was noticed at the West Virginal university health Sciences Center http://www.hsc.wvu.edu/ that since Alzheimer's disease tends to affect the body systemically, a skin test that looks at two forms of enzyme degradation of the protein, amyloid, might be detectable by skin biopsy and provide an easy, non invasive way to diagnosis the early stages of Alzheimers...
Other recent reports that came out this September about Alzheimers worth noting are:
1.
Red Wine May Help Prevent Alzheimer's
Cabernet Sauvignon appears to inhibit proteins that cause plaque buildup in brain
2.
Restricted Diet May Help Prevent Alzheimer's
Low-calorie intake influenced a variety of age-related diseases in monkey study
3.
Alzheimer's Symptoms May Arise From Mutant Genes
It's a possible new dimension to the disease, researchers say
4.
Early Memory Lapses Could Warn of Alzheimer's
But detecting, treating sooner might also help slow the disease, experts say
Have you had personal battles with this disease? I have seen rapid deterioration of patients and people and families as they have watched their loved ones fall victim . Seniors are very aware of this problem and research will continue to make progress on a diagnostic front and therapeutic front. Do you feel we are putting enough resources towards this disease?
Before Traveling, Seniors Should Know their Rights
For most seniors, traveling is getting more and more difficult. Long lines, searches, taking off shoes, and removing clothing are just a few of the issues that younger travellers are taking for granted but seniors find to be a real issue.
If you are a senior, and have any medical problem whatsoever, such as oxygen needs, walkers, canes, for example, that help a senior ambulate, also, become a burden because of the difficulty of getting through an airport today. Understandably, many seniors are simply choosing not to fly, not to visit their children or families for the holidays. And , I understand this... The lines and searches have become a necessary evil one that I would not want to give up...if it was up to me..I wouldnt want anyone to carry anything on board a plane. I know I would travel safer and not worry as much as I do. I am sure it wont be long until new competitive airlines start to offer everything we need on the plane so we dont need to carry anything with us. For instance, i cant wait until I can start using outlook and surf the internet on a plane without carrying my lap top with me. That will be great and i am sure the airlines know this.
But, this article isnt really about that, what it is about , is to point out the "rights" you have as a traveler, all of the airlines, http://www.continental.com/web/en-US/default.aspx , http://www.southwest.com/, http://www.united.com/ , http://www.aa.com/
a recent article in the USA today, http://www.usatoday.com/ describes these very well and i will summarize...
1. If your flight is cancelled, the airline only has an obligation to find you another flight on the next available flight. There will be no compensation for lost time or inconvenience.
2. If your flight is delayed, the airlines have two different prongs of approach: If the delay occurs because of a mechanical issue or staffing issue, then they usually provide hotel or meal vouchers. But if the delay occurs for the more common scenario, force majeure delays (weather or traffic control), then dont expect any perks.
3. If You miss your connection, the airline that caused you to miss your connection is responsible to assist you with rebooking so that you can make your original itinerary. The airline that you missed the flight on has no obligation to help you.
4. If you are bumped because an airline has oversold your seat, then you are entitled to a voucher or compensation, this is calculated based upon how much of a delay your bump causes you. For instance, if you are delayed 2 hours, then you might receive up to $200 or if you are delayed up to 4 hours, you might receive up to $400.
5. The airlines will bump the passenger that typically checked in the latest, so make sure you check in early , if you are concerned about this possibility.
6. If your luggage is lost (10,000 bags were lost last year), dont worry, as 98 % of all lost luggages is found withing a few hours. But, do not leave the airport without first filing a lost luggage report and dont leave the airport without a file number and phone number to call to track your bags progress. If your luggage doesnt turn up within 45 days, then you might get up to $2800 per person for lost luggage on domestic flights. There will be no coverage for jewelry or photo gear. This is the max you will get , no matter how valuable your contents were. If you are waiting for your luggage, and you need to buy necessitities,the airlines will reimburse you $25 a day to a max of $125 a day... but you must provide receipts...so good luck with this.
Unfortunately, since the state of air travel and the plight of the airlines is "up in the air" , with so many operators in and out of bankruptcy, or hemorrhaging just to stay alive, you wont have much leverage with them. I do understand this.
Here is a great sight to review your rights..http://airconsumer.ost.dot.gov/publications/flyrights.htm
Do you have any concerns regarding your rights on airlines? What are your thoughts on how to improve your flight experiences? What do you think would be a better way for airlines to become more profitable
If you are a senior, and have any medical problem whatsoever, such as oxygen needs, walkers, canes, for example, that help a senior ambulate, also, become a burden because of the difficulty of getting through an airport today. Understandably, many seniors are simply choosing not to fly, not to visit their children or families for the holidays. And , I understand this... The lines and searches have become a necessary evil one that I would not want to give up...if it was up to me..I wouldnt want anyone to carry anything on board a plane. I know I would travel safer and not worry as much as I do. I am sure it wont be long until new competitive airlines start to offer everything we need on the plane so we dont need to carry anything with us. For instance, i cant wait until I can start using outlook and surf the internet on a plane without carrying my lap top with me. That will be great and i am sure the airlines know this.
But, this article isnt really about that, what it is about , is to point out the "rights" you have as a traveler, all of the airlines, http://www.continental.com/web/en-US/default.aspx , http://www.southwest.com/, http://www.united.com/ , http://www.aa.com/
a recent article in the USA today, http://www.usatoday.com/ describes these very well and i will summarize...
1. If your flight is cancelled, the airline only has an obligation to find you another flight on the next available flight. There will be no compensation for lost time or inconvenience.
2. If your flight is delayed, the airlines have two different prongs of approach: If the delay occurs because of a mechanical issue or staffing issue, then they usually provide hotel or meal vouchers. But if the delay occurs for the more common scenario, force majeure delays (weather or traffic control), then dont expect any perks.
3. If You miss your connection, the airline that caused you to miss your connection is responsible to assist you with rebooking so that you can make your original itinerary. The airline that you missed the flight on has no obligation to help you.
4. If you are bumped because an airline has oversold your seat, then you are entitled to a voucher or compensation, this is calculated based upon how much of a delay your bump causes you. For instance, if you are delayed 2 hours, then you might receive up to $200 or if you are delayed up to 4 hours, you might receive up to $400.
5. The airlines will bump the passenger that typically checked in the latest, so make sure you check in early , if you are concerned about this possibility.
6. If your luggage is lost (10,000 bags were lost last year), dont worry, as 98 % of all lost luggages is found withing a few hours. But, do not leave the airport without first filing a lost luggage report and dont leave the airport without a file number and phone number to call to track your bags progress. If your luggage doesnt turn up within 45 days, then you might get up to $2800 per person for lost luggage on domestic flights. There will be no coverage for jewelry or photo gear. This is the max you will get , no matter how valuable your contents were. If you are waiting for your luggage, and you need to buy necessitities,the airlines will reimburse you $25 a day to a max of $125 a day... but you must provide receipts...so good luck with this.
Unfortunately, since the state of air travel and the plight of the airlines is "up in the air" , with so many operators in and out of bankruptcy, or hemorrhaging just to stay alive, you wont have much leverage with them. I do understand this.
Here is a great sight to review your rights..http://airconsumer.ost.dot.gov/publications/flyrights.htm
Do you have any concerns regarding your rights on airlines? What are your thoughts on how to improve your flight experiences? What do you think would be a better way for airlines to become more profitable
Sunday, September 24, 2006
It's Not Just the Poor that Struggles with Healthcare Costs
According to the Commonweath fund, http://www.cmwf.org/ , it' s not just the "poor" who are having problems footing their healthcare bills. 50% of households earning between $35K and $49 K annually still struggle to make their healthcare bills and health insurance payments. Approximately, 33 % of households earning between $50K and $75 K annually, also report problems with being able to afford their medical bills and health insurance.
Obviously, the rising cost of healthcare is an ongoing problem for Americans. And, it is nothing new. Many factors contribute to this.... corporate profits, rising costs of prescriptions, medical malpractice, insurance crises, new health care technologies, increased regulatory compliance costs and requirements.
I dont think physician salaries play a roll as physicians are continually being asked to deliver more for less. http://www.cms.hhs.gov/center/physician.asp ... Every year it seems your physicians are taking some sort of hit. I really dont think it is fair for the doctor to be blamed for increasing healthcare costs.. unfortunately they are the recognizable and most tangible scapegoat in the healthcare cost process..so they are unfairly often mis represented as being part of the problem. http://content.healthaffairs.org/cgi/content/full/hlthaff.w4.374/DC1
and http://www.aafp.org/online/en/home/policy/federal/background-on-federal-issues/reimbursement.html http://www.californiahealthline.org/index.cfm?Action=dspItem&itemID=113454 http://www.acponline.org/college/pressroom/letter/25jul02.htm illustrate what is an ongoing year after year process of decreasing physician reimbursement.
Obviously, the rising cost of healthcare is an ongoing problem for Americans. And, it is nothing new. Many factors contribute to this.... corporate profits, rising costs of prescriptions, medical malpractice, insurance crises, new health care technologies, increased regulatory compliance costs and requirements.
I dont think physician salaries play a roll as physicians are continually being asked to deliver more for less. http://www.cms.hhs.gov/center/physician.asp ... Every year it seems your physicians are taking some sort of hit. I really dont think it is fair for the doctor to be blamed for increasing healthcare costs.. unfortunately they are the recognizable and most tangible scapegoat in the healthcare cost process..so they are unfairly often mis represented as being part of the problem. http://content.healthaffairs.org/cgi/content/full/hlthaff.w4.374/DC1
and http://www.aafp.org/online/en/home/policy/federal/background-on-federal-issues/reimbursement.html http://www.californiahealthline.org/index.cfm?Action=dspItem&itemID=113454 http://www.acponline.org/college/pressroom/letter/25jul02.htm illustrate what is an ongoing year after year process of decreasing physician reimbursement.
Seniors Ask themselves Should I do a Reverse Mortgage?
Seniors are really asking themselves.. should I tap out? Am I wrong to consider a reverse mortgage?
This is a common questions amongst the elderly...a thought that is traditionally against all of their upbringing..but a real issue today that may have some merit. There are many sources for seniors to read about this to determine if it makes sense for them. For instance, http://www.reverse.org/ or AARP writes about it http://www.aarp.org/money/revmort/
or even, the government through the Federal Trade Commission offers advice to Seniors at http://www.ftc.gov/bcp/conline/pubs/homes/rms.htm.
Seniors should cautiously tread these waters as I am sure there are many scams that prey on their niavete. We have no advice on this subject nor are we being paid to voice any opinion either way. The only purpose of this particular blog is to http://www.KeepSeniorsHealthy.com and when we discuss keeping Seniors healthy.. we look at them from the perspective of keeping them healthy financially, emotionally, and physically.
Another unrelated issue but worthy of mentioning is that "cash out mortgages" soared to the highest level in 16 years in the second quarter of 2006 according to http://www.freddiemac.com/ . Nearly 90 % of Freddie Mac Loans were refinanced with amounts at least 5 % higher than the original mortgage.
This is a common questions amongst the elderly...a thought that is traditionally against all of their upbringing..but a real issue today that may have some merit. There are many sources for seniors to read about this to determine if it makes sense for them. For instance, http://www.reverse.org/ or AARP writes about it http://www.aarp.org/money/revmort/
or even, the government through the Federal Trade Commission offers advice to Seniors at http://www.ftc.gov/bcp/conline/pubs/homes/rms.htm.
Seniors should cautiously tread these waters as I am sure there are many scams that prey on their niavete. We have no advice on this subject nor are we being paid to voice any opinion either way. The only purpose of this particular blog is to http://www.KeepSeniorsHealthy.com and when we discuss keeping Seniors healthy.. we look at them from the perspective of keeping them healthy financially, emotionally, and physically.
Another unrelated issue but worthy of mentioning is that "cash out mortgages" soared to the highest level in 16 years in the second quarter of 2006 according to http://www.freddiemac.com/ . Nearly 90 % of Freddie Mac Loans were refinanced with amounts at least 5 % higher than the original mortgage.
Should doctors participate in execution by lethal injection
There was a recent poll in Medical Economics magazine . This poll solicited physicians regarding their feelings toward executions by lethal injections. This is a controversial subject particularly for the medical field that really focuses on "Do No Harm" approach and philosophy to all patients. We are not talking about http://www.euthanasia.com/ euthanasia , which is a completely separate subject but what we are referring to is doctors beliefs and attitudes towards performing executions by lethal injections.
The web poll showed 24 % of doctors said it's the only humane way to deliver a death sentence.
10% of doctors said , "yes, as long as somelne else does the actual injection" but an overwhelming 66 % of doctors said "No, physicians should never do anything to take a life". An interesting article, http://www.asahq.org/news/asanews063006.htm written by President of the American Society of Anesthesiologists is worth noting.
What are your feelings?
The web poll showed 24 % of doctors said it's the only humane way to deliver a death sentence.
10% of doctors said , "yes, as long as somelne else does the actual injection" but an overwhelming 66 % of doctors said "No, physicians should never do anything to take a life". An interesting article, http://www.asahq.org/news/asanews063006.htm written by President of the American Society of Anesthesiologists is worth noting.
What are your feelings?
Thursday, September 21, 2006
Top Ten Reasons For Personal Health Records
Here are the top ten reasons to set up a personal health record
1. In the event of an emergency, that info is available to your treating doctor
2. Reduce the likelihood of medical mistakes by giving this info to your doctor
3. An easy way to Keep track of your medications
4. An easy way to show your medication allergies to a health care provider
5. If you need to move or need an expert consultation or second opinion, you have your records available to share with another provider.
6. Using a proprietary system, like http://www.passportmd.com/ , saves time and effort by automatically getting your records from many sources and doctors
7. Great for your kids, your family members or yourself, while away on vacation or at summer camp
8. Can give info to your doctor so you dont have to "fill out" as many forms at doctors office
9. Can keep living will accessible rather than filed in a drawer.
10. Disaster Recovery of important files and medical records in the event of Hurricanes, storms, floods or fires.
Companies or sites that offer creation of personal health records
1. http://www.passportmd.com/
2. http://www.keepseniorshealthy.com/
3. http://www.webmd.com/
4. http://www.bt.cdc.gov/disasters/hurricanes/katrina/kiwy.asp
5. http://www.medicalert.org/home/Homegradient.aspx
6. http://www.capmed.com/
1. In the event of an emergency, that info is available to your treating doctor
2. Reduce the likelihood of medical mistakes by giving this info to your doctor
3. An easy way to Keep track of your medications
4. An easy way to show your medication allergies to a health care provider
5. If you need to move or need an expert consultation or second opinion, you have your records available to share with another provider.
6. Using a proprietary system, like http://www.passportmd.com/ , saves time and effort by automatically getting your records from many sources and doctors
7. Great for your kids, your family members or yourself, while away on vacation or at summer camp
8. Can give info to your doctor so you dont have to "fill out" as many forms at doctors office
9. Can keep living will accessible rather than filed in a drawer.
10. Disaster Recovery of important files and medical records in the event of Hurricanes, storms, floods or fires.
Companies or sites that offer creation of personal health records
1. http://www.passportmd.com/
2. http://www.keepseniorshealthy.com/
3. http://www.webmd.com/
4. http://www.bt.cdc.gov/disasters/hurricanes/katrina/kiwy.asp
5. http://www.medicalert.org/home/Homegradient.aspx
6. http://www.capmed.com/
Wednesday, September 20, 2006
Are We Raising Too Many Medicated Grandchildren?
This is a real issue. Clearly, traditionalists and "old school" parents remember when they "were kids", and how a threat of a belt or a slap on the wrist was enough to get their child's attention.
Well, today things are different. And, although, many older parents and grandparents do not necessarily agree with the recent trends, there is a significant movement that attributes "bad behavior" , "hyperactivity" , "poor performance in school", "inability to follow directions" to a medical condition known as Attention Deficit Hyperactivity Disorder (ADHD), http://www.add.org/ and you have to be living in a cocoon if you don't know a child with this diagnosis.
The condition is diagnosed three times more often in boys than in girls and is the most common neurobehavioral disorder of childhood according to http://www.aap.org/ . The condition runs in families and is treatable.
But, some would argue that there is a significant "over representation" of this disorder. Some people argue that "just because your kid doesn't listen" doesnt mean they have ADHD. It is controversial as many people that dont want to believe that this is the child's problem, firmly and staunchly believe that the increasing numbers of diagnoses is more representative of "poor parenting". On the other hand, parents, that see a dramatic difference with medication would take issue with that opinion. What are your thoughts?
Today, ADHD realted doctors' office visits by children age 3-18 more than double, from 3.2 million to 7.4 million according to a recent article in http://www.webmd.com/ (WebMD magazine). The number of office visits that included a prescription also more than doubled to 6.6 million from 1993-2003.
So, this begs the question... Are we medicating our grandchildren and children too much?
Additionally, there is a debate as to whether or not these medications, should carry a warning label about the risk of suicide or heart attacks. More than 200 scientific studies have found that these medications are effective . The medications range from stimulants to antidepressants and more than 70 % of children do well on the stimulants or Strattera http://www.strattera.com/index.jsp . Strattera is undel special scrutiny because of some suicidal thoughts and one attempt in children in a clinical trial of 2200 children. So, between remote possibilities of suicide ideations and heart problems , this drug is being scruitinized by the FDA.
What are your thoughts? Are we over medicating? Are we over diagnosing? Or are we over reacting to a problem that is real, existent and does respond to medicine?
Some great blogs that also deal with health are:
http://blogs.webmd.com/healthy-children/2006/01/your-kids-accept-them-as-they-are.html
http://seniorhealth.about.com/
Well, today things are different. And, although, many older parents and grandparents do not necessarily agree with the recent trends, there is a significant movement that attributes "bad behavior" , "hyperactivity" , "poor performance in school", "inability to follow directions" to a medical condition known as Attention Deficit Hyperactivity Disorder (ADHD), http://www.add.org/ and you have to be living in a cocoon if you don't know a child with this diagnosis.
The condition is diagnosed three times more often in boys than in girls and is the most common neurobehavioral disorder of childhood according to http://www.aap.org/ . The condition runs in families and is treatable.
But, some would argue that there is a significant "over representation" of this disorder. Some people argue that "just because your kid doesn't listen" doesnt mean they have ADHD. It is controversial as many people that dont want to believe that this is the child's problem, firmly and staunchly believe that the increasing numbers of diagnoses is more representative of "poor parenting". On the other hand, parents, that see a dramatic difference with medication would take issue with that opinion. What are your thoughts?
Today, ADHD realted doctors' office visits by children age 3-18 more than double, from 3.2 million to 7.4 million according to a recent article in http://www.webmd.com/ (WebMD magazine). The number of office visits that included a prescription also more than doubled to 6.6 million from 1993-2003.
So, this begs the question... Are we medicating our grandchildren and children too much?
Additionally, there is a debate as to whether or not these medications, should carry a warning label about the risk of suicide or heart attacks. More than 200 scientific studies have found that these medications are effective . The medications range from stimulants to antidepressants and more than 70 % of children do well on the stimulants or Strattera http://www.strattera.com/index.jsp . Strattera is undel special scrutiny because of some suicidal thoughts and one attempt in children in a clinical trial of 2200 children. So, between remote possibilities of suicide ideations and heart problems , this drug is being scruitinized by the FDA.
What are your thoughts? Are we over medicating? Are we over diagnosing? Or are we over reacting to a problem that is real, existent and does respond to medicine?
Some great blogs that also deal with health are:
http://blogs.webmd.com/healthy-children/2006/01/your-kids-accept-them-as-they-are.html
http://seniorhealth.about.com/
Friday, September 15, 2006
Some Medicare Patients get "Discharge" letter from their doctors
What are your thoughts on the emerging trend of "Concierge" or "boutique" medicine?
In this new emerging trend, doctors are reducing the size of their practice so that they may spend more quality time with their patients and their families. The physicians are reducing their practice by charging an annual fee to patients that is in addition, in most cases, to their health insurance. Companies like https://www.mdvip.com/Corporate/index.aspx have created a new specialty called "personalized" or "boutique" medicine. This is a more personal and somewhat more proactive form of medicine. Who stands to benefit from this emerging trend?
Wealthier patients benefit while the typical http://www.medicare.gov/ patient or the typical senior on a limited budget , can probably only afford a http://www.medicarehmo.com/ or may have problems finding a non HMO doctor willing to take them on as new patients.
How does this new trend affect you ? Write to us and let us know from either the patient or the physician perspective? Is this better medicine? Why do you think this new trend has emerged? Do you think that this trend has a negative or a positive impact on health care?
In this new emerging trend, doctors are reducing the size of their practice so that they may spend more quality time with their patients and their families. The physicians are reducing their practice by charging an annual fee to patients that is in addition, in most cases, to their health insurance. Companies like https://www.mdvip.com/Corporate/index.aspx have created a new specialty called "personalized" or "boutique" medicine. This is a more personal and somewhat more proactive form of medicine. Who stands to benefit from this emerging trend?
Wealthier patients benefit while the typical http://www.medicare.gov/ patient or the typical senior on a limited budget , can probably only afford a http://www.medicarehmo.com/ or may have problems finding a non HMO doctor willing to take them on as new patients.
How does this new trend affect you ? Write to us and let us know from either the patient or the physician perspective? Is this better medicine? Why do you think this new trend has emerged? Do you think that this trend has a negative or a positive impact on health care?
Thursday, September 14, 2006
Did you know that pets have health insurance in Sweden?
In Sweden, a country that has government sponsored, universal health care for it's human citizens, 30% of dogs have private medical insurance.
If you are concerned about the 45 million people in the US that do not have medical insurance for their medical care, you dont have to worry about Swedish dogs...they are covered...and regardless of their pedigree.
If you are concerned about the 45 million people in the US that do not have medical insurance for their medical care, you dont have to worry about Swedish dogs...they are covered...and regardless of their pedigree.
Seborrheic Dermatitis is common scaling redness and dandruff of scalp, new treatment just approved!
There is yet another treatment approved for the common condition Seborrheic Dermatitis. Seborrhea, often called, dandruff, causes redness, scaling and itching in scalp, ears and face.
FDA recently approved Xolegel (ketoconazole) 2% gel..It is a waterless gel approved for once daily application and has been shown to be as effective as potent topical steroids for the common symptoms of seborrhea but with less side effects.
If you are on potent steroids for seborrhea, ask your doctor about this new medicine, Xolegel, it may be more effective and less risky.
(The author has no financial interest in the company that makes Xolegel)
FDA recently approved Xolegel (ketoconazole) 2% gel..It is a waterless gel approved for once daily application and has been shown to be as effective as potent topical steroids for the common symptoms of seborrhea but with less side effects.
If you are on potent steroids for seborrhea, ask your doctor about this new medicine, Xolegel, it may be more effective and less risky.
(The author has no financial interest in the company that makes Xolegel)
New oral medication for rosacea
FDA recently approved a new oral medication for Rosacea. It is called Oracea and is a 40 mg capsule of doxycycline monohydrate...
This is a traditional oral antibiotic used for the common condition Rosacea, ("WC Fields Nose"), redness and flushing of the face, pimples and blood vessels on cheeks and nose.
The advantage with this new formulation is a lower side effect profile since the medication is a much lower dose than traditionally used. Most dermatologists prescribe 100 mg of Doxycycline (doryx) or minocycline (Minocin), however, this new lower dose has a reduced side effect profile but still effective.
Ask your dermatologist about Oracea.
(The author has no financial interest in the company that makes Oracea)
This is a traditional oral antibiotic used for the common condition Rosacea, ("WC Fields Nose"), redness and flushing of the face, pimples and blood vessels on cheeks and nose.
The advantage with this new formulation is a lower side effect profile since the medication is a much lower dose than traditionally used. Most dermatologists prescribe 100 mg of Doxycycline (doryx) or minocycline (Minocin), however, this new lower dose has a reduced side effect profile but still effective.
Ask your dermatologist about Oracea.
(The author has no financial interest in the company that makes Oracea)
Tuesday, September 12, 2006
How much is healthcare connectivity worth?
Health Affairs put the value of a "fully standardized" health information exchange at $77.8 billion ANNUALLY, while the Rand Corp said a wired healthcare industry would create a savings of $162 billion ANNUALLY. Obviously there is a lot of waste in this field and a lot that technology could do to help...
What can you do? tell your doctor or hospital administrator to go digital.
Tell United Health Care and Cigna and Aetna and the Blues to tell their doctors that there can be financial incentives if they digitize their offices and practices... You can make the difference but doctors cannot singularly carry the cost burdens of this transformation... they should receive significant incentives to do this...and that can only be effectively communicated and requested by you, the healthcare consumer, on behalf of the doctor..As the doctors already lost all the financial fights to the United Health Care of the worlds..
Start by digitizing yourself, your own health care.. your parents and your children.. it is better medicine.. http://www.PassportMD.com can do this for you.
What can you do? tell your doctor or hospital administrator to go digital.
Tell United Health Care and Cigna and Aetna and the Blues to tell their doctors that there can be financial incentives if they digitize their offices and practices... You can make the difference but doctors cannot singularly carry the cost burdens of this transformation... they should receive significant incentives to do this...and that can only be effectively communicated and requested by you, the healthcare consumer, on behalf of the doctor..As the doctors already lost all the financial fights to the United Health Care of the worlds..
Start by digitizing yourself, your own health care.. your parents and your children.. it is better medicine.. http://www.PassportMD.com can do this for you.
What are patients perceptions of safety in health care?
A recent survey of 1500 households.. asked "What comes to mind when you think about patient safety issues in the healthcare environment?"
28% said NOTHING.
20% said exposure to infection.
13 % said patient care received.
11 % said qualifications of healthcare professionals
8% said getting the right treatment
The same survey asked "How likely or unlikely do you think your risk of encountering a medical mistake in the following health care settins or situations?
30% said it was "very likely" to occur at a Nursing Home, while 14% said it was "very likely" to occur at a hospital. 6 % said it was "very likely" to occur at the doctors office or the pharmacy.
28% said NOTHING.
20% said exposure to infection.
13 % said patient care received.
11 % said qualifications of healthcare professionals
8% said getting the right treatment
The same survey asked "How likely or unlikely do you think your risk of encountering a medical mistake in the following health care settins or situations?
30% said it was "very likely" to occur at a Nursing Home, while 14% said it was "very likely" to occur at a hospital. 6 % said it was "very likely" to occur at the doctors office or the pharmacy.
Digital Medical Records -Is your doctor or hospital ready to fork over the cash to do this?
Recently, a group of hospital executives was surveyed as to the most likely benefit of digital health care, digital health records, electronic medical records, and the most compelling benefit of digitization of health care was patient safety according to these executives.
But , is that enough for these hospitals to invest dollars to make these changes a reality?
Are hospitals listening to their hospital executives?? This author thinks they are .. although slow to pull the trigger, I do think, hospitals "get it" and will "get it" by moving from paper charts to digital paperless hospitals.. it is simply better medicine..
Oh, by the way , did I mention that they may also be motivated b the bottom line as it also helps operational efficiency, reimbursement management, consumer impact, physician recruitment, competive advantages, regulatory compliance and not to mention... revenue growth..
But , is that enough for these hospitals to invest dollars to make these changes a reality?
Are hospitals listening to their hospital executives?? This author thinks they are .. although slow to pull the trigger, I do think, hospitals "get it" and will "get it" by moving from paper charts to digital paperless hospitals.. it is simply better medicine..
Oh, by the way , did I mention that they may also be motivated b the bottom line as it also helps operational efficiency, reimbursement management, consumer impact, physician recruitment, competive advantages, regulatory compliance and not to mention... revenue growth..
The top 10 Drugs Associated with Medication Errors
Do you know which meds most commonly are associated with medication errors?
here they are:
1. Insulin
2. Albuterol
3. Morphine Sulfate
4. Potassium Chloride
5. heparin
6. Cefazolin
7. Warfarin (coumadin)
8. Furosemide (Lasix)
9. Levofloxacin
10. Vancomycin
Are you or have you ever been on these medications?
Do you keep an accurate record of your medications? what about for you parents or your children?
There is an automatic wizard that creates your medication list, dosage, frequency and organizes it, makes it legible and is always accessible at http://www.KeepSeniorsHealthy.com or
visit http://www.PassportMD.com
here they are:
1. Insulin
2. Albuterol
3. Morphine Sulfate
4. Potassium Chloride
5. heparin
6. Cefazolin
7. Warfarin (coumadin)
8. Furosemide (Lasix)
9. Levofloxacin
10. Vancomycin
Are you or have you ever been on these medications?
Do you keep an accurate record of your medications? what about for you parents or your children?
There is an automatic wizard that creates your medication list, dosage, frequency and organizes it, makes it legible and is always accessible at http://www.KeepSeniorsHealthy.com or
visit http://www.PassportMD.com
United health care we stand, United health care we fall
Where do you stand on healthcare issues? Should the government pay more or less of the citizens of the United States?
What about the cost of medicine ? What about the cost of errors and adverse events in medicine?
is United health Care or Aetna or Cigna or the Blues... really looking out for your best interests? or are they cherry picking the best and healthiest insureds?
should healthcare services that help reduce errors in medication, errors in treatment and diagnoses be paid for by the government or reimbursed by health insurance companies? Services that allow you to create your own health record , decide what you want to keep in it, decide who you want to see it, help you get your doctors notes, help you organize your medications... these services found at http://www.PassportMD.com are meant to empower you, the healthcare consumer, to make educated choices regarding healthcare, regarding United Health Care, Cigna, and Aetna....
You should have the power, as you are the consumer.. and healthcare is just another product... you should be able to select your own doctor.. easily get your notes from one to another.. share or not share you medical history...You should be able to easily shop and compare healthcare facilities and health care plans such as United health care or Cigna Health or Aetna or the Blues... You are the one paying the bill either directly or through taxes for the medical care , you and your loved ones receive...
How easy is it to understand the true costs of your hospital services... ??
How much Senior Citizen Information Service do you receive regarding your medical care?
What about the cost of medicine ? What about the cost of errors and adverse events in medicine?
is United health Care or Aetna or Cigna or the Blues... really looking out for your best interests? or are they cherry picking the best and healthiest insureds?
should healthcare services that help reduce errors in medication, errors in treatment and diagnoses be paid for by the government or reimbursed by health insurance companies? Services that allow you to create your own health record , decide what you want to keep in it, decide who you want to see it, help you get your doctors notes, help you organize your medications... these services found at http://www.PassportMD.com are meant to empower you, the healthcare consumer, to make educated choices regarding healthcare, regarding United Health Care, Cigna, and Aetna....
You should have the power, as you are the consumer.. and healthcare is just another product... you should be able to select your own doctor.. easily get your notes from one to another.. share or not share you medical history...You should be able to easily shop and compare healthcare facilities and health care plans such as United health care or Cigna Health or Aetna or the Blues... You are the one paying the bill either directly or through taxes for the medical care , you and your loved ones receive...
How easy is it to understand the true costs of your hospital services... ??
How much Senior Citizen Information Service do you receive regarding your medical care?
health care and Senior Citizen information services
The purpose of this blog is to inform people about health care. Our efforts are aimed at KeepSeniorsHealthy by promoting and empowering consumers in health care.
For example, what are the stats on adverse incidents in health care?
Here they are (according to Centers for Medicare and Medicaid Services, Clinical Decision Support:Improving Saftey, Efficiency and Quality of Care, December 2005;
1. in 15 inpatient admissions includes a significant adverse drug event
2. Adverse drug events occur in up to 18% of ambulatory patients
3. 6 percent of admissions are caused by an adversed drug event
4. Preventable medication errors cost $2 billion annually
5. Poor medication utilization costs another $27 billion.
What can you do? visit http://www.PassportMD.com or visit http://www.KeepSeniorsHealthy.com so that you can use their wizard to create your medical record with your medications, organized, legible and accessible from anywhere.
For example, what are the stats on adverse incidents in health care?
Here they are (according to Centers for Medicare and Medicaid Services, Clinical Decision Support:Improving Saftey, Efficiency and Quality of Care, December 2005;
1. in 15 inpatient admissions includes a significant adverse drug event
2. Adverse drug events occur in up to 18% of ambulatory patients
3. 6 percent of admissions are caused by an adversed drug event
4. Preventable medication errors cost $2 billion annually
5. Poor medication utilization costs another $27 billion.
What can you do? visit http://www.PassportMD.com or visit http://www.KeepSeniorsHealthy.com so that you can use their wizard to create your medical record with your medications, organized, legible and accessible from anywhere.
Senior Citizen services judge quality of healthcare
Almost 98,000 deaths are caused per year as a result of medical errors. What is the determining factor for senior citizens to select their doctors, hospitals or health care organizations... a recent study showed that 12 percent of those people surveyed said patient safety is the most influential factor.
This study was specifically asking how a patient judges the quality of their healthcare. Fifty-two (52) % said that quality or outcome information is the most important.
23% of people surveyed used price or cost as their determining factor.
What is your most influential single piece of information that you use in determining the quality of health care?
This study was specifically asking how a patient judges the quality of their healthcare. Fifty-two (52) % said that quality or outcome information is the most important.
23% of people surveyed used price or cost as their determining factor.
What is your most influential single piece of information that you use in determining the quality of health care?
Thursday, September 07, 2006
Keep Seniors Healthy- Cancer Facts
Lower rates of smoking, earlier diagnoses and better treatments have all resulted in a decline in death rates from cancer. A decline of 1.6 % for men from 1993-2003 and .8 % for women during this period.
Increases in breast cancer have leveled off. There was a jump, however, in thyroid cancer with rates increasing amongst women , year over year. This has been attributed to better diagnosis. Two thirds of poeple diagnosed with thyroid cancer are between 20 and 55 years of age. Thyroid cancer has a 97 percent five year survival.
For more information go to www.cancer.org or call 800-422-6237 for the American Cancer Society.
Increases in breast cancer have leveled off. There was a jump, however, in thyroid cancer with rates increasing amongst women , year over year. This has been attributed to better diagnosis. Two thirds of poeple diagnosed with thyroid cancer are between 20 and 55 years of age. Thyroid cancer has a 97 percent five year survival.
For more information go to www.cancer.org or call 800-422-6237 for the American Cancer Society.
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