While breast reconstruction after a mastectomy is covered by insurers in New York, many poor, minority, and less educated women do not seek out the procedure. Now, NY Gov. David A. Paterson has signed into law a bill that is aimed at reversing this trend. "A disproportionate number of women who are at a socioeconomic disadvantage do not get breast reconstruction surgery after a mastectomy for one of several reasons.
She was not my patient. Actually, she was nobody’s patient, she was just a wife; she was “the family.” She was a rough, stern looking woman, and with good reason as she had weathered many difficult times. Her husband had been severely demented for many years; however, it was only in the past few months that he required such intensive inpatient care.
Maximizing the use of surgical instruments and ensuring many years of productive and satisfactory performance starts with caring for your instruments. New Instruments - Newly purchased instruments must be cleaned, lubricated and autoclaved immediately before use. Proper Use - Instruments are designed for a specific purpose and should be used only for that purpose Water and Stainless Steel - Tap water contains minerals that can cause staining.
Perhaps the most important principle in practicing medicine, drummed into medical students and junior doctors time and time again, is to do no harm. Our medical interventions and treatments can be given either too early, too late, or inappropriately, with sometimes terrible and tragic results.
Designing and developing medical devices is a challenging business, and as America’s health care system evolves, Battelle creators are busy innovating new products. But the hurdles of the industry get higher all the time. That’s why Battelle turns to a hometown neighbor to get the process started easily.
The hospital is never a quiet place. Walk through the wards on a typical day, and you’ll hear a cacophony of alarms, bells, and other tones coming from both computers and medical equipment. American Medical News recently discussed so-called “alarm fatigue.” They cite a study showing find that “16,934 alarms sounded in [a medical] unit during an 18-day period.
One night during my training, over dinner in the hospital cafeteria, a fellow resident and I had a discussion about the situation of one of our professors. Known for his blistering teaching sessions, this senior surgeon possessed the uncanny ability to sniff out lapses in memory or judgment among doctors-in-training.
The devaluation of doctors' time continues unabated. As we move into our new era of health care delivery with millions more needing physician time (and other healthcare providers' time, for that matter) -- we're seeing a powerful force emerge -- a subtle marketing of limitless physician availability facilitated by the advance of the electronic medical record, social media, and smart phones.
It has been 10 years since the landmark Institute of Medicine report “To Err is Human” uncovered disturbing deficiencies in the quality of our nation’s medical care. Progress in correcting these deficiencies remains frustratingly slow, and it has become clear that achieving the quality and safety improvements we seek will require us to examine our approach to medical education.
For myself I am an optimist — it does not seem to be much use being anything else. -Winston Churchill August 9, 2010 Even before I met him, I could tell that his cancer was extensive. His problems had started several months before with a cough, a voice change, and some trouble swallowing.
They made a regal couple, the elderly man and woman sitting in Room 19. She was the patient, he the supportive husband. She sat in the treatment cot while he sat in a chair pulled near her bedside. Together, they greeted me with their warm smiles as I walked into their room. They both had full heads of healthy, silvery hair that shimmered from the overhead fluorescent bulbs.
We say we exchange words when we meet. What we exchange is souls. -Minot J. Savage It was Monday evening. The shelves in the electronics department overflowed with different styles, prices, and brands of headphones, all displayed in sealed plastic cases. I was in the mood to buy but was baffled by the array of options in front of me.
Greed drives innovation in industry. While I might not always like it, when it comes time for me to deal with a serious medical condition, I want as many treatment and non-treatment options on the table as possible. July 28, 2010 In “What Broke My Father’s Heart,” a piece in New York Times magazine a couple weeks ago, journalist Katy Butler writes about how an implanted pacemaker kept her father’s heart ticking long after the rest of his body was ready to go.
To walk along the water’s edge and be away from the hospital, even for a day, is relaxing. My breathing here is slower, deeper. When I look back on residency thus far, I can hardly believe how much has changed. Central lines slide into the internal jugular with ease; I slip breathing tubes just below the epiglottis and curve upwards into the vocal chords almost as often as I place a straw into a cold glass of iced tea.