Blogs

A Helping Hand Through the Maze of Dementia

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This recent article from Healthzone.ca, by reporter Susan Pigg, sheds light on the confusion faced by many while attempting to navigate the Ontario health care system, especially during times of need.

Maria Freda could barely eat or sleep during the weeks her 77-year-old mother languished in a hospital bed, deemed too frail to return to her daughter’s east-end home, but not sick enough for the constant care of nurses and doctors.

Race for New Hips

Study highlights impact of patient preferences on race disparity in surgeons’ recommendations for joint replacement.

A recent study by researchers at the VA Center for Health Equity Research and Promotion in Pittsburgh, Pennsylvania, suggests that patient treatment preferences play an important role in racial disparities in total joint replacement utilization observed in the US. Different attitudes toward total joint replacement procedures held by African American and white patients explained racial disparities in whether orthopedic surgeons recommended the procedure to patients. These findings¹ by Dr. Leslie Hausmann, from the VA, and her colleagues, are published online in the Journal of General Internal Medicine², published by Springer.

New Breed of Specialist Steps in for Family Doctor: New York Times

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The hospitalist is one of America's fastest-growing medical specialties. A physician-administrator, the hospitalist takes over where overburdened clinical doctors leave off; following patients through the system from entry to discharge — they are largely credited with reducing the length of hospital stays by anywhere from 17 to 30 percent, and reducing costs by 13 to 20 percent, according to studies in The Journal of the American Medical Association.

Consent Forms for Research: Have They Improved in 25 Years?

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(Garrison, NY) The consent forms that people sign before participating in research are widely considered difficult to understand and sometimes inaccurate. The lack of clarity was implicated in a high-profile legal settlement in April between Arizona State University and a Native American tribe, which claimed that blood samples that its members provided for genetic research were used for purposes not stated in the consent form. Efforts have been made to improve the forms, but how effective are they?

Medicine's Secret Archives

How patients are harmed by the concealment of knowledge.

No one knows how many mothers' and babies' lives have been saved by the obstetrical forceps. This device has been part of the standard equipment of every maternity room for about 250 years. However, a shadow lies over the success story: after the Chamberlen brothers developed the device at the beginning of the 17th century, the brothers and their descendants used it for 3 generations, but kept it a secret from other obstetricians. While thanks to the forceps the Chamberlen family became rich and famous, at the same time women and babies were still dying elsewhere because the device was not available.

Patients Have Misconceptions and High Levels of Anxiety About General Anesthesia

1 in 5 are very anxious about waking up during surgery.

Eight-five per cent of patients who took part in a survey shortly after day surgery said that they had been anxious about receiving a general anaesthetic, according to research in the May issue of the Journal of Advanced Nursing.

Seventeen per cent of respondents said they were very or extremely anxious, 22 per cent said they were quite anxious, 46 per cent said they were a little anxious and 15 per cent experienced no anxiety at all.

Key concerns included dying while asleep, not waking up after surgery, waking up during surgery and anxiety while waiting to go into surgery or arriving at the theatre door.