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No matter what doctors, nurses, technicians, and other hospital staff do – medical care will never be good enough. The decisions made can always be better, mistakes will be made, and people will die. Perfection is a dream for most people, but it can be a nightmare for many people in the medical field. What if this was done, would the patient still be alive? This problem should have been noticed earlier. The answer to this illness is unknown. And yet, doctors are at the epitomy of respected professions. Health care may be a gray area, but care is not. The responsibility of people in the medical is to do their best, not to be perfect. People will entrust their own lives to someone who’s best action is determined, not necessarily by what’s right or wrong, but more so by the situation itself.

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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)

What I Learned From My First Reading Session about Seizures

  • More than 2 million people in the U.S. have had seizures and/or been diagnosed with epilepsy
  • The term seizure is a symptom
  • If a seizure is not epileptic, or if a diagnosis is uncertain, it should be described as paroxysmal
  • There are about 32 types of seizures
  • aprox. 50% of seizures never have an identified cause; the other 50% are usually due to underlying diseases or injury of the brain
  • Seizures limited to one portion of the brain are called partial seizures
  • Most seizures last from 30 seconds to 2 minutes

For a fairly common ‘symptom’ very little is known about seizures. Understanding seizures better could improve the lifestyle of thousands of people. Equally important, it could decrease the amount of fear in people who suffer a seizure and are unsure of why it happened, if it will happen again, or when it could happen. Tests to search for underlying causes can also be quite time consuming and expensive, often including an EEG, CT scan, and an MRI. Each test can be very important in indentifying problems, but the quality of the tests do not seem to meet the needs of epilepsy/seizure patients since only 50% of the time a cause is identified.