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Posts Tagged ‘health care’

Avoid These Unnecessary Medical Tests And Procedures.

In consumer forum, Health on February 27, 2013 at 16:24

I recall an instance when my daughter, 25 then had constipation.

She had problems in bowel movement for two days.

In India we used to give Castor oil as a Laxative.

But this has to be practiced since childhood.

As this was not the case with my daughter, I tried Plantains on the first day and Greens in food the next day.

No results.

I could try Epsom Salt.

But my daughter insisted that we go to a hospital, that to a Super Specialty  at that in Chennai.

We went there, consulted a Physician, who directed us to a Gastroenterologist..

While examining my daughter the Doctor was quizzing on where my daughter was working, whether she had Medical Claim facility.

Then he asked us to come for an Endoscopy the next Day , with an empty stomach and said that he was prescribing a medicine.

He added that it might relieve the bowel problem and that to prevent(!) such problems an Endoscopy is needed,it would cost Rs.800!

The medicine costed us Rs. 2.90 paise and the Consultation fee was Rs 300!

The Medicine..Epsom Salt!

Many Doctors indirectly pressurize you  into taking unnecessary Medical Tests.

A Novice Doctor will tell you’ you should take the Test”

The experienced and the wily ones will tell you,

Of course, you need not have these tests.

But in my experience I have seen cases becoming complex if these Preliminary Tests are not taken!

What would you do?

You would take these Tess.

Unnecessary Medical Tests and Procedures.

Unnecessary Medical Tests and Procedures.

Not only these Tests are costly, but in some cases they may be dangerous to Health.

I am providing information on the Test that are wholly unnecessary with Links.

Assert your rights with your Doctor.

Routinely performing annual PAP tests for women 30 to 65 years old.

• Prescribing antipsychotic medication as a first choice to treat behavioral and psychological symptoms of dementia.

• Prescribing testosterone in men with erectile dysfunction and normal testosterone levels.

• Screening healthy people — with no symptoms — for cancer using a PET/CT scan.

• Treating an elevated PSA in men with antibiotics when no other symptoms are present.

• Prescribing Xanax, Valium, Ativan, and other drugs known as benzodiazepines in older patients as a first choice for insomnia, agitation or delirium.

http://thinkprogress.org/health/2013/02/21/1620591/three-problems-contributing-to-americans-sky-high-medical-bills-and-three-ways-to-fix-them/

The Medical Tests You need Not Have .

Skin or blood tests, when combined with a doctor’s examination and your medical history, can help determine if you’re truly allergic to something you inhaled, touched, or ate. But if you don’t have symptoms or a medical evaluation that points to an allergy, you should think twice about testing….

It’s worth getting a bone-density test if you’re older or have other risk factors for weak bones, because without it the first sign of osteoporosis is usually a broken bone. But if you’re not at higher risk, you should think twice about the test. ..

If you’re scheduled for surgery, a pre-operative chest X-ray can sometimes help make it safer by identifying medical problems that might make it a good idea to delay or even cancel the procedure. But if you don’t have signs or symptoms of heart or lung disease, you should think twice about having the X-ray…..

People with chronic kidney disease usually have other health problems too, such as diabetes or high blood pressure. And it can cause anemia, bone disease, heart disease and other health problems. So proper care can be complicated and can often include seeing several specialists, for many years. Even when the disease is treated carefully it can get worse, and may lead to the need for dialysis or a kidney transplant.

But if you or a family member are on that path, choosing among the tests and treatments along the way won’t always be straightforward. Some of the decisions will be challenging: You might not even want or need some of the tests, treatments or procedures you may be offered.

Below, we describe four important examples where you, your family, and your doctor should carefully discuss the benefits and risks of treatment….

This calls for a detailed discussion with your Doctor.

Preferable that you have a family Doctor whom you know well and he knows you and your family.

Corporate and Super Specialty Hospitals are in the racket of making money, exploiting your so called “‘ Health Consciousness’an euphemism promoted by the Health Care industry for ‘Fear’!

Please check the following Links.

http://www.choosingwisely.org/doctor-patient-lists/

Dozens of types of tests and treatments are too often recommended by doctors when patients don’t need them, according to a warning issued Thursday by a coalition of leading medical groups in the United States.

This unnecessary care wastes time and money and sometimes causes harm to patients, according to the organizations that represent more than 350,000 doctors, the Associated Press reported.

http://www.webmd.com/

*This information is provided for you to use in discussions with your health care provider. The content is for educational use only and is not a substitute for professional medical advice, diagnosis, or treatment. Unfortunately, we cannot help you with individual medical questions. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition. Never disregard, avoid, or delay in obtaining medical advice from your doctor or other qualified health-care provider because of something you read in this report. Use of this report is at your own risk. Consumer Reports, the American Academy of Asthma, Allergy, & Immunology (AAAAI), the ABIM Foundation, and their distributors are not liable for any loss, injury, or other damage related to your use of this report.

The report is intended solely for consumers’ personal, noncommercial use and may not be altered or modified in any way or used in advertising, for promotion, or for any other commercial purpose. Special permission is granted to organizations participating in the Consumer Reports consumer health communication program to disseminate free copies of this report in print or digital (PDF) formats to individual members and employees. Learn more at ConsumerHealthChoices.org or send an e-mail to HealthImpact@cr.consumer.org.

Published by Consumer Reports © 2012 Consumers Union of U.S., Inc., 101 Truman Ave., Yonkers, NY 10703-1057. Developed in cooperation with AAAAI for Choosing Wisely, a project of the ABIM Foundation. Portions of this report are derived from AAAAI’s “Five Things Physicians and Patients Should Question“ list. © 2012 AAAAI . All Rights Reserved.

‘Elders,Hurry Up and Die’ Japan Minister Decay of A Culture

In lifestyle on January 22, 2013 at 09:43

Japan’s finance minister Taro Aso said Monda asked the elders in Japan to ‘Hurry up and die”

Japan’s finance minister Taro Aso said Monday the elderly should be allowed to “hurry up and die” instead of costing the government money for end-of-life medical care.

Aso, who also doubles as deputy prime minister, reportedly said during a meeting of the National Council on Social Security Reforms: “Heaven forbid if you are forced to live on when you want to die. You cannot sleep well when you think it’s all paid by the government.

“This won’t be solved unless you let them hurry up and die,” he said.

 

Taro Aso,

” ‘BORNSep 20, 1940

AGE72″

 

You Leave First.

 

Japan Finance Minister  Taro Aso

Japan Finance Minister Taro Aso

http://www.reddit.com/tb/16zkni

Look at How The Western Concepts have the changed a rich Culture’s treatment of the elderly.

 

Old age ideally represents a time of relaxation of social obligations, assisting with the family farm or business without carrying the main responsibility, socializing, and receiving respectful care from family and esteem from the community. In the late 1980s, high (although declining) rates of suicide among older people and the continued existence of temples where one could pray for quick death[citation needed] indicated that this ideal was not always fulfilled. Japan has a national holiday called Respect for the Aged Day, but for many people it is merely another holiday. Buses and trains carry signs above specially reserved seats to remind people to give up their seats for elderly riders. Many older Japanese continued to live full lives that included gainful employment and close relationships with adult children.

Although the standard retirement age in Japan throughout most of the postwar period was fifty-five, people aged sixty-five and over in Japan were more likely to work than in any other developed country in the 1980s. In 1987 about 36% of men and 15% of women in this age-group were in the labor force. With better pension benefits and decreased opportunities for agricultural or other self-employed work, however, labor force participation by the elderly has been decreasing since 1960. In 1986 about 90% of Japanese surveyed said that they wished to continue working after age sixty-five. They indicated both financial and health reasons for this choice. Other factors, such as a strong work ethic and the centering of men’s social ties around the workplace, may also be relevant. Employment was not always available, however, and men and women who worked after retirement usually took substantial cuts in salary and prestige. Between 1981 and 1986, the proportion of people sixty and over who reported that a public pension was their major source of income increased from 35% to 53%, while those relying most on earnings for income fell from 31 to 25% and those relying on children decreased from 16 to 9%.

In the 1980s, there was a major trend toward the elderly maintaining separate households rather than co-residing with the families of adult children. The proportion living with children decreased from 77% in 1970 to 65% in 1985, although this rate was still much higher than in other industrialized countries. The number of elderly living in Japan’s retirement or nursing homes also increased from around 75,000 in 1970 to more than 216,000 in 1987.

But still, this group was a small portion of the total elderly population. People living alone or only with spouses constituted 32% of the sixty-five-and-over group. Less than half of those responding to a government survey believed that it was the duty of the eldest son to care for parents, but 63% replied that it was natural for children to take care of their elderly parents. The motive of co-residence seems to have changed, from being the expected arrangement of an agricultural society to being an option for coping with circumstances such as illness or widowhood in apostindustrial society.

The health of the aged receives a great deal of the society’s attention. Responsibility for the care of the aged, bedridden, or senile, however, still devolves mainly on family members, usuallydaughters-in-law.

http://en.wikipedia.org/wiki/Elderly_people_in_Japan

 

 

Modern Medicine,’Clinical decisions Arbitrary, Uncertain and Variable

In Health on July 11, 2012 at 00:10

True.

Kaiser Permanente Sunnyside Medical Center in ...

Kaiser Permanente Sunnyside Medical Center in Clackamas County, Oregon, USA. (Photo credit: Wikipedia)

While we have too many technological advancements in Modern Medicine, the cure takes longer, you are sure of the side effects and of course it is costly.

I am yet to see a Doctor of Modern Times( I mean from late eighties) who checks up your pulse, talks to you on your symptoms and family History.

They start writing prescriptions and order tests, not necessarily in that order,

Specialization in Medicine is fine but most of the Doctors seem to be unaware of the other parts of the body.

Nor they seem to be bothered about the side effects of the medicine they prescribe.

Hospitals having become Corporations, the Doctors do not even ask you your case, they have it recorded by some body else and you carry the paper inside.

To check the veracity of my statement please go to a Multi-speciality Hospital.

Now read the Research on the Clinical decisions of Modern medicine.

The problem is that physicians don’t know what they’re doing. That is how David Eddy, MD, PhD, a healthcare economist and senior advisor for health policy and management for Kaiser Permanente, put the problem in a Business Week cover story about how much of healthcare delivery is not based on science. Plenty of proof backs up Eddy’s glib-sounding remark.

The plain fact is that many clinical decisions made by physicians appear to be arbitrary, uncertain and variable. Reams of research point to the same finding: physicians looking at the same thing will disagree with each other, or even with themselves, from 10 percent to 50 percent of the time during virtually every aspect of the medical-care process—from taking a medical history to doing a physical examination, reading a laboratory test, performing a pathological diagnosis and recommending a treatment. Physician judgment is highly variable.

Here is what Eddy has found in his research. Give a group of cardiologists high-quality coronary angiograms (a type of radiograph or x-ray) of typical patients and they will disagree about the diagnosis for about half of the patients. They will disagree with themselves on two successive readings of the same angiograms up to one-third of the time. Ask a group of experts to estimate the effect of colon-cancer screening on colon-cancer mortality and answers will range from five percent to 95 percent.

Ask fifty cardiovascular surgeons to estimate the probabilities of various risks associated with xenografts (animal-tissue transplant) versus mechanical heart valves and you’ll get answers to the same question ranging from zero percent to about 50 percent. (Ask about the 10-year probability of valve failure with xenografts and you’ll get a range of three percent to 95 percent.)

Give surgeons a written description of a surgical problem, and half of the group will recommend surgery, while the other half will not. Survey them again two years later and as many as 40 percent of the same surgeons will disagree with their previous opinions and change their recommendations. Research studies back up all of these findings, according to Eddy.”

http://www.scientificamerican.com/article.cfm?id=demand-better-health-care-book

 

Senior Citizens To Carry Medical Certificates For Train Travel.-IRCTC.

In lifestyle, Uncategorized on August 11, 2011 at 07:45

IRCTC, the Commercial wing of Indian Railways are set to insist on those between 60-70 years to carry a Medical Certificate from a physician on their Health and to the effect that they are carrying necessary medicines while on Tours organised by IRCTC.

Proposal is also on to enlist the services of Doctors and  attendants to accompany passengers by providing them free passes.

Seems to be a good move.

It is advisable for passengers to have this followed in their own interest.

Joint Commission(Medicine)-A Fat cat That Helps itself.

In Uncategorized on June 16, 2011 at 13:32

This  organisation, for fee US $ 46,00,000 plus the inspecting teams expenses like Travel ,accredits Hospitals.

In return this body inspects Hospitals unannounced and conducts Survey.

There have been scandals and manipulations as well.

Any Doctor/Hospital knows or must know what is needed by way of systems,procedures, knowledge updating for patient Care.

If you require some body to tell you that you are deficient in an area which is basically your Specialty, I do not know what a Professional you are.

Note the Fees.These Fees are collected from the patients.

Hospitals no longer are Hospitals but Five Star Lodgings where every whim of yours is catered to with minimum patient care.

These professional;(?) Corporate Hospitals seems to indoctrinate Doctors to look grave before the patient,pretend to listen to what you have to say and write out costly prescriptions.

I am yet to see a corporate hospital declaring the Patient completely fit and recovered.

Always, please come back after 3/6/Months.

Hippocrates must be turning in his Grave.

The Joint Commission (TJC), formerly the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), is a United States-based not-for-profit organization. The Joint Commission accredits over 19,000 health care organizations and programs in the United States.[1] A majority of state governments have come to recognize Joint Commission accreditation as a condition of licensure and the receipt ofMedicaid reimbursement. Surveys (inspections) typically follow a triennial cycle, with findings made available to the public in an accreditation quality report on the Quality Check Web site….

The declared mission of the organization is “To continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value…

All health care organizations, other than laboratories, are subject to a three-year accreditation cycle. With respect to hospital surveys, the organization does not make its findings public. However, it does provide the organization’s accreditation decision, the date that accreditation was awarded, and any standards that were cited for improvement. Organizations deemed to be in compliance with all or most of the applicable standards are awarded the decision of Accreditation.

The unannounced full survey is a key component of The Joint Commission accreditation process. “Unannounced” means the organization does not receive an advance notice of its survey date. The Joint Commission began conducting unannounced surveys on January 1, 2006. Surveys will occur 18 to 39 months after the organization’s previous unannounced survey.[

There has been criticism in the past from within the U.S. of the way the Joint Commission operates. The Commission's practice had been to notify hospitals in advance of the timing of inspections.[13] A 2007 article in the Washington Post noted that about 99% of inspected hospitals are accredited, and serious problems in the delivery of care are sometimes overlooked or missed.

Similar concerns have been expressed by the Boston Globe, stating that “The Joint Commission, whose governing board has long been dominated by representatives of the industries it inspects, has been the target of criticism about the validity of its evaluations”.[11] The Joint Commission over time has responded to these criticisms. However, when it comes to the international dimension, surveys undertaken by JCI still take place at a time known in advance by the hospitals being surveyed, and often after considerable preparation by those hospitals…

Joint Commission International, or JCI, is one of the groups providing international healthcare accreditation services to hospitals around the world and brings income into the U.S.-based parent organization. This not-for-profit private company currently accredits hospitals in Asia, Europe, the Middle East and South America, and is seeking to expand its business further).[28]

JCI also offers a variety of educational programs, especially “Practicums” – more information, including attendance costs, is available through their Web site.[29]

There are other accreditation organisations based in countries other than the USA which fulfill a similar internationally-orientated role to JCI. These include:

  • In INDIA National Accreditation Board for Hospitals and Healthcare Providers or NABH

Cost of accreditation

JCI publishes an average fee of $46,000.00 USD for a full hospital survey.Reimbursement for surveyors’ travel, living expenses and accommodations is required in addition to the fee.

There may be additional costs related to consultancy work etc. directed towards assisting a hospital to be successful in the accreditation process.

Other international accreditors incur different levels of costs, some costing less than JCI….

n 2008, the Joint Commission collected $165 million in revenue, mainly from the fees it charges U.S. health care organizations for evaluating their compliance with federal regulations. Its expenses during this period were $162 million. Its total return on investments in 2008 was -$27 million (loss), and the total value of its investments was $83 million. In 2007, its collected revenue was $149 million. Its expenses were $148 million. Its total return on investments was $5 million, and the total value of its investments was $107 million. The Joint Commission’s primary investments in 2007 and 2008 were in stocks (about 50% of investments) and trusts (about 40% of investments

http://en.wikipedia.org/wiki/Joint_Commission#Operation

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