It may seem like nothing but I'm scared. My period came as normal and on time at the first of the month but now with the exception of maybe 5 total days this month with very light spotting my period hasn't stopped. I had to call the doctor a few times to even get an appointment with an OBGYN but even then, the first appointment they have available is mid April.
Since the only thing I was taught by the family is to just not have sex and leave my vagina alone, I have no idea what might be wrong. The first OBGYN I had a phone appointment with just prescribed birth control and I'm terrified of it. I have no idea what to expect or how it will change me. I'm wondering if my ovaries are dying or something. I still never had sex before but I don't know if I played with myself too hard or maybe I didn't clean my toy right and gave myself an infection. Or is it my bodu changing since I'm approaching 30? I just can't believe how I'm a 29 year old woman, sitting here crying like a teenager, and wishing you were alive and in your right mind right now so I could have known earlier or ask these questions now instead of doom googling my questions.
I had to start 6 units of insulin for my fasting numbers a couple of weeks ago. It worked great, and I’ve now had no high fasting numbers.
However, my diabetic nurse told me that I need to watch my food intake and/or increase my walking as she’s considering starting insulin post meals. I’m really confused though because I’ve had two slightly elevated post meals during the past week (2/21 tests). That’s above 90% compliance. I also tested positive for COVID during this week. I feel like Kaiser is being ridiculous. I already watch my food intake and go on 2-3 walks per day.
I’m wondering if anyone has any advice, feedback, or their own experience to share? I’m really frustrated. Tia.
Hi there, first and foremost thanks for taking the time to read this. I’d really appreciate some advice and insight on my lovely AP incident.
Last month I stupidly went on a roughly 30 day drinking binge. I’m not a normal drinker, never have been with the exception of my late high school and early college years. Outside of that I would drink maybe once every 3 months at most. But last month I went through a bunch of random horrible things and I just kinda said fuck everything. What started out as getting stupid crazy drunk led into the next day to avoid the worst hangover I had ever had......which continued on and on. It was gross. When I was finally over it the withdrawals were horrible, I could barely walk I was so dizzy, and I couldn’t even keep water down much less eat. I hadn’t actually eaten in a week. I mustered up the courage to call an ambulance. They took my vitals and said they didn’t see a reason for me to go to the ER. I know the dangers of withdrawal and since I couldn’t keep fluids down I insisted they take me. I knew if my husband took me later I’d be in the waiting room for hours and would have walked out. They were super hot so this was not my finest moment for sure.
After being in the waiting for 12 hours (a couple grand not to wait, total backfire), I finally caught a doctor and not so nicely let him know I needed to be seen. He took me right back. They did all the normal triage stuff, asked the normal questions and when the doctor came back he said he thought I had acute pancreatitis. I was shocked, I suppose I shouldn’t have been after all the poison I put in my body BUT I wasn’t in a bit of actual pain. There was a very slight twitch when he touched my abdomen area, but that’s a spot on my body my husband can’t even touch....almost like a ticklish spot. They hooked me up to fluids, gave me 2 shots of Zofran, and the doc came back saying lab work confirmed acute pancreatitis and I was being admitted. Wow, ok. They shoved a tube up my nose, (which was the most horrific pain I’ve ever felt) and wheeled me to my room. The tube went down to what I believe was just below my ribs, and I was hooked up to suction.....which suctioned out what looked like stomach acid. They then started pumping me full of diladid and Ativan. The Ativan I needed for withdrawals (and I do normally have general anxiety I take Valium daily for). The diladid I didn’t need, but at this point go for it. For 3 days I laid there, no food, no drink (I was able to con... keep reading on reddit ➡
I am writing this for people who are Non-Trads thinking about medical school and wondering what direction to take to get there. This is my story (uGPA < 2.5, sGPA <2.0, White male, over 30) coming from a competitive undergrad school on the west coast. I majored in a non-science so my sGPA only included a small number of low marks. I couldn't find much information on how to get into medical school in my situation, so I am writing this in hopes that someone else might find it useful. This cycle I got accepted to a few MD schools and a few DO schools. You can do it too.
You will hear a lot of people tell you along the way that you cannot make it. Always have a common sense backup plan, but know that you do have a chance. This is not a quick fix or a fast solution, but it is one path to get to your goal if you decide you really want it.
**Considerations before you start**:
Your application will all hinge on one difficult standardized exam (MCAT) at the end of your journey. You need to really think about how well you do on these types of exams. Look at your SAT/ACT percentile for a rough guide, but understand that the caliber of students taking the MCAT is going to be higher. Just for reference, mine fell about 10% from one test to the other. I have no idea if this is typical, but it is something to keep in mind. The common advice I found online was a 510+ for MD and a 505+ for DO. I found that I really needed a higher score than 505 for DO because DO schools lean more heavily on GPA. This is N=1 experience, but I was flat out rejected from more DO schools pre-secondary due to GPA screening than MD schools and found it to be a common theme.
Get a 4.0 or as close to a 4.0 as possible during your postbac. If you are like me and don't have money lying around, you will need to work while going to school. This is not fun. Really decide that this is absolutely what you want to do. There are people who have been working extremely hard in their undergraduate program to get a shot at medical school. It is only fair that you match their effort, just at a later point in life. It took me 2.5 years of school to finish the prereqs while working. FYI: There isn't an exact science to calculating cGPA if you have taken time between undergraduate work and postbac work because each school treats it differently in my experience. Your application is going to be one that an Adcom reads differently if you make it past the computerized cutoffs.
This... keep reading on reddit ➡
Thought it'd be a good idea to have this list all in one spot, instead of spread out across my coronavirus response threads. This list focuses on warnings. I also wrote about the teams that Trump disbanded and programs Trump defunded that would have helped us be more prepared in this article.
2003-2015: As evidence that part of the government’s failure to respond to the coronavirus outbreak is systemic, there were at least 10 government reports on ventilator shortages that pre-date the Trump administration. In 2003, the Government Accountability Office warned that “few hospitals have adequate medical equipment, such as the ventilators that are often needed for respiratory infections ... to handle the large increases in the number of patients that may result” from an infectious disease outbreak.” In 2015, DHS and CDC modeled a scenario in which a high severity influenza outbreak would “need approximately 35,000 to 60,500 additional ventilators, averting a pandemic total 178,000 to 308,000 deaths."
Edit to add: Though this pre-dates Trump's inauguration, it's just one example of a large body of research that was in place and available for the incoming administration in 2017. The point is that Trump was not starting from scratch. Additionally, contrary to Trump's attempts to shift blame to Obama, an investigation by ProPublica found that the Obama administration attempted to update/improve the equipment in the Strategic National Stockpile, but the Republicans in Congress denied the necessary funding.
To briefly rebut another lie: Trump claimed that Obama left him with "broken tests." Fact check: The CDC couldn’t have bad tests left over from the Obama administration, because the coronavirus test didn’t exist until this year. More details here
Under the Trump administration, the Department of Homeland Security (DHS) [stopped running models](https://www.p... keep reading on reddit ➡
TL;DR: 21 hours of labor, mostly in the hospital. Stalled for hours during transition while trying to avoid pushing. Ten minutes of pitocin triggered heart decels. I was literally minutes away from a precautionary epidural when I finally finished dilating and was able to push her out in 20 minutes.
I've been working on writing this for over a week now, but I wanted to get down all the gory details, if only for myself. Cross-posted to monthly sub and r/babybumps because it was hard to find birth stories with PUPPS during labor so I didn't know what to expect.
I never wrote one of these for my first pregnancy, but it was pretty unicorn except that baby was breech the entire time. After a failed ECV attempt, she was born by scheduled c section on her due date. Recovery was pretty straightforward, and I didn't have any regrets or trauma, but I still wanted to try for a VBAC the next time. Unmedicated if possible for the simpler recovery.
My second pregnancy was pretty textbook too, but in every way at least just a little bit harder. SPD hit sooner, though it never got quite as bad. More sciatica. Stuff like that.
I felt early on in my third trimester like I had never been so pregnant before. Because my first baby was never head down, I think a lot of the late pregnancy discomforts just never triggered. Well did they this time! Baby dropped around 35 weeks. I had frequent but irregular BH from 36 weeks on. It got old.
On top of the physical discomfort, the thing causing me the most anxiety in the run-up to delivery was the countdown to my hard-out date. The doctors wanted me on the surgery schedule in case I didn't go into labor on my own. By policy, they could augment my labor if it started on its own, but they wouldn't induce from a dead stop because I was a TOLAC. I was told I could go to 41 weeks, but there was no availability that day, and they don't schedule on the weekends, so the date I ended up setting was 40+4. Knowing that in many ways my body was like a FTM, I knew I was likely to go late, so I was really stressing about going into labor before that deadline.
At 39+1 I was 1 cm and 50%, and the doctor was optimistic I would go into labor on my own soon. This was the day I was diagnosed with the PUPPS I had been suspecting for a couple of days. It wasn't until the next day that it spread all over my arms and legs as well. I was miserable, and just wanted this baby out of me for so many more reasons now.
At 40+0, I was still 1 cm and 50%, but t... keep reading on reddit ➡
For the last few years I've been feeling generally tired, not sleepy so much, but fatigued and brain foggy. After doctors visits for blood samples, labs for diet/GI issues, and finally a sleep study I'm hoping to get some resolution. I spoke to the nurse today about my results and she said that I have severe apnea while on my back while still moderate on my side. My oxygenation hit 88 at it's lowest point in the night. The oxygenation number surprised me as I am an asthmatic and don't usually hit 88 even when sick.
So they're going to do a machine for me. I assume I'm mostly limited to whatever Kaiser decides to give me. But in the future if I find that I need something else I'll be back for recommendations.
This is very new to me so I had some questions if anyone feels like answering.
"Gonna spend the next four days trout fishing. Long-planned." - Tucker Carlson, on his head writer being outed as racist
Millions of jobless, uninsured Americans will topple over a financial cliff when federal benefits expire at the end of July, but the White House has a fresh new message to put their fears to bed: “Find Something New.” (Really.)
A new analysis from Families USA found that 5.4 million workers lost their health insurance between February and May. Over those few months, more Americans became uninsured as a result of job losses than have ever lost coverage in a single year. A separate study by Kaiser Family Foundation, taking into account workers’ families, estimated that some 27 million Americans have lost their health insurance at the worst possible moment.
Meanwhile, the enhanced federal unemployment benefits those families have relied on are set to expire in just two weeks. Around 32 percent of U.S. households missed their July housing payment, and a mind-boggling 20-million renters are at risk of eviction by September. Against that backdrop, Senior Daughter Ivanka Trump unveiled a new White House ad campaign advising the unemployed, uninsured, housing-insecure masses to “find something new.” For example, if you have lost your job at a restaurant, why not try being born to a wealthy real estate developer? :)
Congress is now scrambling to pass another coronavirus-relief bill before the August recess, which House Speaker Nancy Pelosi said she’s prepared to delay. Some Trump administration officials have signaled they’re open to [a narrow extension](https://www.washingtonpost.com/business/2020/07/14/unemployment-benefit
This is a rant and a celebration:
For background, my factor 8 assay is around 5% and I treat for trauma. I've been self-infusing since middle school. Like everyone here, I know a lot about managing hemophilia and all the junk that's come with it.
I went to the ED for a torn calf muscle and associated bleed. I arrived at 4 pm and got in around 8 pm - Finally got factor at 9:30. I'm not pushy at the ER, I know lots of people are in bad shape. My leg got drum tight while icing and elevating in the waiting area.
Infused twice a day and called Kaiser Hematology on Monday for advice and a treatment plan. The person told me over the phone they do not take phone calls from patients. Nor do they take phone calls for injuries. I explained more clearly that I needed a factor 8 treatment plan and this is the only available number for my assigned hematologist. That got me to the advice nurse. She agreed that my call was important and promised me a callback. That call never came.
I ordered factor from the online page of the Kaiser pharmacy on Sunday. I know they can take a week to have it and I keep a weeks supply on hand.
I saw the occupational doc, (this is a work injury), on Tuesday. The oncology department did add notes that I should infuse for four days. That didn't seem right to me, but those are the notes.
I touched base with the pharmacy and discovered they had no record of the refill. They explained it is handled by the Oncology pharmacy and that pharmacy is closed to patients. After more insistence, they confirmed the order was not processed and ineligible for an online refill, though it is listed as an option on my refill page and there was no indication the order failed.
-Lesson 2: Call the pharmacy or go there in person. Get someone's name. Wait there until they commit and confirm.
- Kaiser isn't going to take care of you, or honor online requests.
Kaiser does supply me factor, but unreliably. The other support they've offered this week is worse than nothing. Their 4-day treatment plan guarantees this will re-bleed.
I drove up to the HTC and explained my situation. They gave me an infusion plan on the spot, advised me about how to handle this injury and sent notes to the occupational doc. They also c... keep reading on reddit ➡
Well, I got my BFP at 6 am yesterday, and one email and two phone calls later, it's after business hours on the following day and my OB has STILL not ordered the HCG labs. Am I expecting too much? Is it hard to order that lab?
I joined this OB group near the end of my last pregnancy, and I assumed that my late arrival was why I always felt like I was falling between the cracks. But I think this might be the nudge I need to find somewhere new.
My dream place would be fairly easy to schedule an appointment and fairly easy to get someone on the phone. I actually really liked Kaiser, because you could always reach an advice nurse, and because they had a good system for making sure you got all your appointments scheduled when you needed them. Alas, my current job is Blue Cross, so that's not an option.
Aside from asking friends, do you have any other ideas for finding an OB's office? What do you ask to distinguish between the practices that ignore your calls for days on end while you put their number on auto dial to try to get some help, versus the places where you actually feel like they care about the outcome? Honestly, I think our veterinarian communicates more promptly and thoroughly.
Okay, venting over! I'd really appreciate any advice, especially if you've done some shopping around for an OB.
Medicare paid for Betty Gordon’s knee replacement surgery in March, but the 72-year-old former high school teacher needed a nursing home stay and care at home to recover.
Yet Medicare wouldn’t pay for that. So Gordon is stuck with a $7,000 bill she can’t afford — and, as if that were not bad enough, she can’t appeal.
The reasons Medicare won’t pay have frustrated the Rhode Island woman and many others trapped in the maze of regulations surrounding something called “observation care.”
Patients, like Gordon, receive observation care in the hospital when their doctors think they are too sick to go home but not sick enough to be admitted. They stay overnight or longer, usually in regular hospital rooms, getting some of the same services and treatment (often for the same problems) as an admitted patient — intravenous fluids, medications and other treatment, diagnostic tests and round-the-clock care they can get only in a hospital.
But observation care is considered an outpatient service under Medicare rules, like a doctor’s appointment or a lab test. Observation patients may have to pay a larger share of the hospital bill than if they were officially admitted to the hospital. Plus, they have to pick up the tab for any nursing home care.
Medicare’s nursing home benefit is available only to those admitted to the hospital for three consecutive days. Gordon spent three days in the hospital after her surgery, but because she was getting observation care, that time didn’t count.
There’s another twist: Patients might want to file an appeal, as they can with many other Medicare decisions. But that is not allowed if the dispute involves observation care.
Monday, a trial begins in federal court in Hartford, Conn., where patients who were denied Medicare’s nursing home benefit are hoping to force the government to eliminate that exception. A victory would clear the way for appeals from hundreds of thousands of people.
The class-action lawsuit was filed in 2011 by seven Medicare observation patients and their families against the Department of Health and Human Services. Seven more plaintiffs later joined the case.
“This is about whether the government can take away health care coverage you may be entitled to and leave you no opportunity to fight for it,” said Alice Bers, litigation director at the Center for Medicare Advocacy, one of the groups representing the plaintiffs.
If they win, people with traditional Medicare... keep reading on reddit ➡
Yesterday I went to Kaiser for my depression and anxiety issues. However, this appointment did not go as planned with the psychiatrist.
Some context: I used medicines as a teen and had success with Lamictal, but I stopped taking them as an adult. Last year I decided to start anti-depressants, and I noticed an improvement when I was on Trentillix, on the advice from my nurse practitioner after prozac and zoloft did not work. However, I switched over to Kaiser, and they refused to refill it. Instead they gave me zoloft. I did not see much improvement, so I ended up making an app with Kaiser's mental health department. I went into therapy and I was much worse then than I am now. We take surveys at Kaiser so they can see whether we are improving or worsening.
Nevertheless, I quit my job recently and I have been much less stressed than before and I am not as depressed. That's not to say that I am not depressed, but it is much better.
When I went to see the psychiatrist he said that my stats had improved since January, and he claims that he prefers me to try some "lifestyle changes" because he does not think medication will work.
I was stumped. I went in for help, but since my numbers had improved based on the surveys, so he saw no need for me to take medicine. I tried arguing a bit, and at some point he said he would put me on Lexapro, but he did not seem to confident in prescribing anything so I declined.
What do I do know? I could make another app with another Doctor, but this experienced was just odd. I feel like they were not taking me seriously. My experiences with Kaiser have not been great, both on the primary side and on the mental health side...
For my first real /r/badhistory post I decided to watch 2008's The Red Baron, since First World War aviation is my field and I was assured there was plenty of yummy bad history in it. I was assured correctly.
Firstly, this movie commits the first sin of being leaden and boring. It commits the secondary sin of getting me angry and making me write a massive Reddit post about its historical terribleness. It's a German production, though the dialogue is in English; nice to know that Hollywood has no monopoly on ballsing up the past, isn't it?
What's interesting is that they got so many of the details right despite the low budget. Somebody cared. You can identify Handley-Pages and R.E.8s on the British side; has anyone ever shown an R.E.8 in a movie before? German aircraft lack variety but they're there. The likenesses are accurate enough. The CGI is very good. Many of the ingredients are present!
Many of the usual movie air combat tropes are present. Pilots throw their machines in manouevres that would rip the wings off the real deal. Guns never overheat or jam. (The quality of marksmanship is at least accurately low!) Manfred von Richthofen takes an Albatros D.III into dives that would be extremely ill-advised given the smaller lower-wing's tendency to pull off in a power dive^. Fuel is infinite. Nobody fires tracer or uses explosive or incendiary ammunition against balloons. None of the pilots seem to have any clear idea of aerial tactics, especially two-seaters, which are always engaged singly while flying in more-or-less straight lines like cold meat. There is not a single French, let alone a Belgian, aircraft in all the sky. That sort of thing. But perhaps we can excuse it as dramatic license.
And I don't even mind the tacked-on fictional love story with a nurse whose name is German but sounds French (sure, she's all-but-cheering for Germany to win the war, but collaboration happens). I mean, obviously it never happened but who cares, really, that's why they call it historical fiction, and bringing in a character to represent the nameless several Manfred von Richthofen would have interacted with in his time is a perfectly acceptable distillation, don't you think?
Yet. They do get carried away. We begin with the Red Baron taking a flight of four Albatros D.IIIs over the lines in November 1916 to drop a wreath precisely into the grave of a beloved enemy flyer during his funeral. A bit theatrical but the spirit's not wrong; pilots on both sides off... keep reading on reddit ➡
TL;DR: Kaiser mental health services are not interested in helping you, they're interested in helping you get back to work.
I've been telling my HR department at work about my depression for months, and we've been going back and forth trying to find a solution that both the company and I could live with. This past Monday, I pretty much broke down in front of the HR director, and she said I should take the company's week-long leave, then we could discuss a longer leave after that.
This was some small comfort, until I started trying to get the requisite certificate deeming me worthy of having a mental breakdown. I couldn't get it from my normal doctor, even though I've told her about this for years and just had her run blood work for me specifically related to depression, because Kaiser policy or whatever is that it has to come from the psychiatry department. This alone is bullshit - my regular doctor is perfectly qualified to say "this guy needs a fuckin' break for a month or two because he's losing his shit" - but it doesn't stop there.
Some background: I had seen a Kaiser therapist twice a few months ago, after the second or third time I talked to my work's HR. I did not click with this therapist at all. I said work was making me miserable and exacerbating my depression by preventing me from ever feeling rested, and by filling all my waking hours with meaningless drudgery and inane smalltalk. I told her that I often had a hard time doing anything, even things I actually wanted to do, even just going to the bathroom. Her response was, "Well if you can't do anything, how do you make it into work?" Setting aside that part of the reason I was in her office was because I had been missing so much work, how the fuck does this supposed mental health professional not understand that depressive people often have to force themselves to do things? Ya know, like the things that get them money for food and shelter? I don't know how I do it, my mind goes numb and becomes consumed with fantasies of getting hit by a bus, or contracting some fast-acting virus. Then I get home, dread the next day and do it again... except when I don't.
So I had called a couple weeks prior to Monday's breakdown to get a new therapist, and was told I had to get my change of therapist approved. What the fuck, why do I not have the right to just pick a therapist?. After calling back twice, they finally approved it and gave me an appointment - in six weeks. Are you kidding?
So then I ha... keep reading on reddit ➡
You can talk to these nurses about whatever physical symptoms you may be feeling and they can help you decide if it would be smart to go in to urgent care or an ER or if it is another panic attack. Having a registered nurse reassure you that it’s your anxiety is very helpful. You can also talk to them about that new medication you’re a little bit nervous to take for the first time or they can help you find treatment options if that’s what you need.
This service has saved me thousands of dollars in medical bills as well as a lot of stress.
Edit: some numbers
UnitedHealthCare Speak to a registered nurse through MyNurseLine at 1-877-365-7949
Blue Cross: 877-304-0504
Cigna: the number can be found on the back of your card or by logging in here
Kaiser: speak to an advice nurse through their appointment and advice line at 1-866-454-8855
Humana: speak to a nurse through their HumanaFirst Nurse Advice Line at 800-622-9529
Aetna: speak to a registered nurse through their Informed Health Line at 1-800-556-1555
Okay, maybe I worded that wrong. My English isn't the best -_-
But here's the thing:
I've been taking my vitamins (extra edit: they're just plain multvitamins, not even prenatals, which I had planned on getting upon convincing parents not to hate me) and since yesterday, a B6 supplement in hopes of the queasies easing up on me. However, I seem to vomit soon after taking my vitamins. I don't see any solid vitamin pills in my vomit, but I'm worried I may be throwing them up anyway since my puke kinda tastes... like vitamin pills.
edit= note: I take them with food, like the bottle says to. I try not to take them on an empty stomach, but my stomach likes to empty itself out along with the food and vitamins
Should I take another set of vitamins later *(again) in the day, or could I possibly take too much? Also, I don't know exactly what triggers my vomiting, since it seems to happen whenever it wants to, so I don't really know if there's a better time to take my vitamins.
I would also settle for just eating better, but I can't seem to keep anything down. I would see a doctor, but my stupid Kaiser stuff won't work and I always get a busy tone when I try to make an appointment via phone (wrong number? could I just drop in?). I would ask my mom who's a doctor/nurse but she hates me right now -_- I do plan on making a doctor's appointment ASAP but for right now, especially since I have no one to take me (and I can't drive) I was hoping all you wonderful people would have some advice for me.
Hey folks, apologies first for the long post but this is my diatribe on why I consider the fate of the NHS and our future health to be at stake in this election, and how the current government have been eroding it. I am a doctor currently working within the NHS, but as if you ask me and most of my colleagues if the current crisis continues we will be working for private companies within a decade. I have included some references, but this is mainly as a post for highlighting why this should be an issue for voting on this election, as well as some points to help in discussions about why the NHS is at such risk.
The NHS is facing a crisis like it never has in it’s 70 year history. With increasing strains on services and multiple cuts, more and more the service is being run into the ground by lack of funding. The main issue facing the NHS currently is currency. There is not enough money being invested into the NHS to continue to provide a long term, free at the point of access service to the public and I hope through this series of points to guide you through this issue.
The first point to make is that the current budget for the NHS is increasing at one of the lowest rates it ever has. Costs for the NHS have risen every year since its inception, as have health care costs for every country in the world. This is caused by two main factors for us in the UK, increasing service users and how they use the service and increasing cost of healthcare provision, as well as the standard inflation.
Many have laid the blame for increasing costs of healthcare on ideas like “health tourism”, or simply issues with immigration causing larger population size. However, these are not the communities who place the greatest strain on our NHS. Most of the money spend on the NHS is spent on those in their last 10 years of life, normally the elderly. These are the folks most likely to need and to use the services within the NHS. This is for obvious reasons, as we get older we are more likely to have collected medical problems like a reluctant pokemon trainer. As these problems accumulate we require more and more specialist skills, knowledge and treatment. We also require far more intervention and procedures because of these co-morbidities. But this is a fact of life. As we have increased our medical knowledge we have extended the lifespan of our population, but not managed to alleviate the problems faced toward the end of life. This is known as the compressi... keep reading on reddit ➡
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|You want to revolutionize CARE. What is the biggest issue in the current CARE model and how do you plan on reforming it?||Reimbursement model (this directly influences the care model). Current fee-for-service incentivizes us to do things TO people, not FOR them. Change it to a flat membership fee (for primary care) and a fee-for-outcome for most everything else.|
|Team Based Care: we talk about patient-centered medical homes but it's just talk, and when implemented it's pretty much polishing the existing turd. We need to rebuild our care model around a collaborative, non-hierarchical culture. Interdisciplinary, core-value driven. That's why we use health coaches, docs, nurses, nurse practitioners, and social workers together. They huddle every morning to talk about all the patients that are coming in, as well as patients that we haven't seen that we're worried about.|
|The days of one doc-one patient should end. Humans are complex systems deserving of a robust team approach.|
|Also, we need to respect the mind-body interface (heck, how do you think the placebo effect, one of the strongest healing phenomena we know, works?) and allow for TIME in visits to talk, develop relationships, tease out the underlying drivers of "disease". It's health care, not just sick care.|
|The placebo is a very interesting effect but is it true that it works wonder only for a short time? If it is a chronic problem, the problem will come back after some duration of time.||It's very complicated. There are short term and long term effects, but one thing is clear: what we describe as "the placebo effect" is simply some influence that our conscious and subconscious mind has on our physiology. I think it goes beyond hormone release and has a deeper effect (I'm not talking metaphysics or magic here though). We need to understand it better in order to harness it. I think it's also what drives much of so-called "alternative medicine": highly effective because they harness the mind (but are they more effective than another placebo? Hmmm...)|
[Nothing you're promoting will r... keep reading on reddit ➡