Health Management

Conspicuous Caring

Mar 26, 2019

In an interesting article on Medscape.com, “Have We Missed the Hidden Cause of Medical Overuse,” the author raises a provocative issue about medical overuse. He cites the story of when a mother kisses the scrape of a toddler, "No healing takes place, yet both parties appreciate the ritual." Continuing, he states, "The ritual shows how we might be programmed to both seek and offer healthcare even when it isn't medically useful.” He believes this is "Conspicuous Caring". The provocative conclusion is that healthcare isn't just about health; it's also a grand signaling exercise called conspicuous caring. If healthcare was only a transaction about getting well,...

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Filed Under: changes in healthcare, Health Management, healthcare quality, Insider, mental status affects health, patient satisfaction, unnecessary testing

Technology & Heart Health: Is being connected killing you?

Feb 26, 2019

We are in the concluding days of the month of February, designated as Heart Health Month.Our knowledgeable cardiologists have told us to be more active; to maintain a healthy weight; to eat a healthy diet; to manage our high blood pressure; to manage our high cholesterol. We've also been told to manage our stress. In an article in Everyday Health author Mikel Theobold tells us, "Stress causes strain on the heart which creates a higher risk of cardiovascular disease.” Jeffrey Fisher, M.D., a cardiologist and clinical professor of medicine at the Weill Cornell Medical College and attending physician at New York –...

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Filed Under: Health Management, mental status affects health, work-life balance

Powerful Positive Health

Dec 26, 2018

As 2018 comes to a close, we think about "taking stock" of the year that is ending. The real opportunity is to look forward to the upcoming year and its potential for us. On the internet I came upon an article from Harvard Medical School,  which opened with the these three powerful phrases - Positive Mind, Positive Vibes, and Positive Life. Dr. Laura Kubzansky, a professor of social & behavioral sciences at Harvard, and her colleagues have analyzed data on emotional vitality and health outcomes from the National Health and Nutrition Examination Study (NHANES). According to the article, "In 2007, her team reported...

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Filed Under: Health Management, healthcare quality, Insider, mental status affects health, positive attitudes, positive thinking

Caught in “too big to care”?

Nov 29, 2018

There have been two compelling articles in the “New York Times” over the past few weeks focused on healthcare. The first article dated Tuesday, October 30, 2018, is entitled “A Sense of Alarm as Rural Hospitals Keep Closing”1 and the second article dated November 14, 2018, entitled “When Hospitals Merge to Save Money, Patients Often Pay More”2. These two articles are really bookends of the same set of issues emerging in our healthcare delivery system. "Since 2010, nearly 90 rural hospitals have shut their doors. By one estimate, hundreds of other rural hospitals are at risk of doing so." 1 In many communities...

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Filed Under: changes in healthcare, doctor shortages, Health Management, healthcare quality, Insider, medical access, pros and cons of concierge medicine, Traveling

Unlocking Access to Healthcare

Oct 29, 2018

Some years ago,  a physician friend told me this story, and it has remained with me. He was one of the finest diagnosticians around and highly respected for his medical skills. He was visiting with his family members at his daughters home and realized he was in the process of having a heart attack. He requested his son immediately take him to the hospital. There was a hospital with an emergency room quite close.  However, even in the midst of his coronary, he insisted that his son drive to another hospital that had a highly respected coronary team.  I asked him,  "Why didn't...

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Filed Under: changes in healthcare, concierge healthcare, Health Management, medical access, work-life balance