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Tag Archives: ill

An especially special friend of mine spoke with me about the uselessness of primary care physicians. And almost had me, but something came to mind when I read an article in the July 2, 2008 edition of the JAMA (Journal of the American Medical Association) by Dr. Michael Stillman. My friend presented me with the idea that general care physicians are not always very knowledgable about ailments or certain health problems that specialists would know. I had a personal experience that comes under this category. However, when the patient of a primary care physician is ill or injured, the primary care physician will know the patient well. One of the most important aspects of health care that is commonly overlooked is knowing the patient. Often such luxury is not possible with the busy schedule of doctors, or the lack of need to see certain doctors. Nonetheless, it can influence care dramatically. Dr. Stillman gave an example in his article where the medications of a patient had been changed to a more expensive regimen without his knowledge. The prescribing doctor would not have know that the patient could never afford those medications, but Dr. Stillman knew and prescribed the original, less-costly, and equally effective regimen.  A number of other issues come up as well when identifying the importance of primary care physicians. When making an important medical decision, trust between a patient and the doctor becomes essential. Patients, even if are under the care of a specialist may want to consult a phyiscian with whom they are familiar before making an important decision. Primary Care doctors may not necessarily save lifes, but they can certian help people maintain the highest quality of life possible. So with the greatest level of respect possible, I disagree with my friend [I will convince her I am right, and if she happens to read this before I try the art of persuasion…] (citation: JAMA July 2, 2008 p.21-22).

The benefits of exercise are innumerable. Reseachers have discovered that, in patients with early Alzheimer’s disease, exercise helped minimize the progression of the disease. I was not surprised by the findings since exercise seems to keep the mind clear and sharp, but for physically fit Alzheimer’s patients to actually have less brain shrinkage is interesting. It appears that the increased flow of blood to the brain during exercise allows for a healthier brain by delivering more oxygen & nutrients. The connection between exercise and the function of the brain may also point to a future increase of dementia that corresponds with an increase in obesity (citation: WebMD, BBC)