Behind the Suits
New Born Screening Awareness Month
My nursing notes.: Fellow? Intern? House officer? What??
A great description of some of the names for physician roles in the hospital. I explain this to people all the time, but it sure can be confusing.
- Interns. This is probably one of the most confusing terms in a teaching hospital. Interns are doctors who have graduated medical school and are…
(Source: kevinmd.com)
Health
Health.
“Health is not a commodity. Risk factors are not disease. Aging is not an illness. To fix a problem is easy, to sit with another suffering is hard. Doing all we can is not the same as doing what we should. Quality is more than metrics. Patients cannot see outside their pain, we cannot see in, relationship is the only bridge between. Time is precious; we spend it on what we value. The most common condition we treat is unhappiness. And the greatest obstacle to treating a patient’s unhappiness is our own. Nothing is more patient-centered than the process of change. Doctors expect too much from data and not enough from conversation. Community is a locus of healing, not the hospital or the clinic. The foundation of medicine is friendship, conversation and hope.”
David Loxtercamp, author of A Measure of Days: The Journal of a Country Doctor, as read in his interview with NPR’s Liane Hansen.
(Source: NPR)
A little video on the role of NPs.
"But I wouldn’t say that we (at The Future Well) look at health from just a medical and emotional perspective. I’d say it’s much more than that. The word health has been hijacked by the medical/sickness industry. But it really means the way you live your everyday life through your relationships with friends, family, your neighborhood, your movement, your food, your experiences, your work, and your finances. Health isn’t a goal, it’s a tool to live your life the way you want. Sometimes being fit isn’t the tool you want to use, but having a lovely marriage is. Is the unfit person with a lovely marriage less healthy than a fit person with a horrible relationship with their spouse? Health is obviously complex but it’s more about sociology and anthropology than pills and scalpels."
« Interview: Dr. Jay Parkinson | Made by Many (via nursling)
“The food pyramid is dead. Long live the plate!
The USDA today announced the latest attempt to conceptualize the government’s dietary advice in a way consumers can understand.
Half of the plate is made up of fruits and vegetables and the other half grains and protein, with the sections for vegetables and grains slightly bigger than those for fruits and protein. Off to the side is a cup representing milk or other dairy product.”
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I’m not sure this will have any observable effect on dietary habits of the American public, but simplifying nutrition recommendations is certainly a step in the right direction. The food pyramid (the previous model used to illuminate portion distribution) was unnecessarily complex and made patient teaching harder. I would print out the pyramid for my patients and they would immediately lose interest in what I was saying - a balanced diet seemed too complex and not for them.
This simple diagram will be a easier way for patient’s to reflect on their current diets and also to model future meals.
Of course, I love the advice Michael Pollan (well-know food intellectual, author of The Omnivore’s Dilemma) gives “Eat food. Not too Much. Mostly plants.”
He offers an impressively simple solution to one our nation’s more challenging questions - what do we need to eat to be optimally heathy? Or for most people, what to we need to eat to be healthier than we are right now.
My nursing notes.: Should pharma companies wait to advertise?
“Some pharma companies have a policy of waiting six months before advertising new drugs directly to consumers (in part to get physicians up to snuff on the products first).
Should that period be extended to two years, as some have suggested, to save some health-care dollars and allow for a…
(Source: The Wall Street Journal)


