MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'care doctor'. Sat, 03 Sep 2011 02:40:17 +0100 http://www.medworm.com/index.php?rid=4118934&cid=t_295761_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fthe-big-picture-benefit-of-primary-care%2F2010.10.28 Her eyes were bloodshot. She responded to my casual greeting of “How are you?” with a sigh. “How am I? I’m alive, I can tell you that much for sure.” She went on to describe a situation with her adult son who’s in a bad marriage and has struggled with addiction. She sighed again: “I feel weak. I don’t know if I can deal with this one. I’ve had so many hard things in my life already. When will it stop?” “Many hard things” — yes, I agree with that assessment. She’s been my patient for more than a decade, and I’ve had a front row seat to her life. Her husband died a few years ago (while in his 40′s) of a longstanding chronic disease. Her daughter also has this disease, and has been slowly declining over time. I’ve watched her bear that burden,... Better Health blogs http://www.medworm.com/rss/comments.php?id=4118934 Thu, 28 Oct 2010 18:00:29 +0100 4118934 http://www.medworm.com/index.php?rid=4105672&cid=t_295761_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Ftweets-from-doc-gurley-in-haiti%2F2010.10.24 She’s tweeting her medical mission in Haiti. So tragic are the unmet medical needs of these people. From Doc Gurley: Saw an alone 9-month-pregnant 19 yr old. No birth kit, no string for the cord, no plan for who would be with her. Gave supplies+discussed how to ask helper to wash hands. Nothing sharp&clean for cord so gave scalpel. Acted out birth, w/handwashing. Also saw woman with overwhelming postpartum uterus infection. Someone used hands at delivery to pull out pieces of placenta. Saw 14yrold girl w/months of excruciating pain, mass in her lower belly, wasting. Ruptured appy? Tumor? Left her w/ narcotics, antibiotics. Also, women do not have menstrual protection supplies: I’ve been asked, if there are no pads, what do women use? In the cases I saw, one used a page of a magazi... Better Health blogs http://www.medworm.com/rss/comments.php?id=4105672 Sun, 24 Oct 2010 16:00:22 +0100 4105672 http://www.medworm.com/index.php?rid=3957914&cid=t_295761_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fhow-to-energize-and-engage-the-doctor-nurse-team%2F2010.09.10 Some patients struggle to communicate effectively with their doctors and some doctors and nurses find it difficult to communicate and collaborate with each other. Historically, the dynamic symbiotic relationship between doctors and nurses has been a little shaky, evidenced by the lack of engagement and respect for one another. Hospitals are chaotic and stressful. Working in such an environment can lead to frustration and it can take a toll on the staff. Instead of a good working relationship (which may never have been fostered to its full potential from the start), doctors and nurses become a fractured team. As a result, the fractured team will not effectively communicate and patient care may suffer devastating consequences. (more…) *This blog post was originally published ... Better Health blogs http://www.medworm.com/rss/comments.php?id=3957914 Fri, 10 Sep 2010 18:00:36 +0100 3957914 http://www.medworm.com/index.php?rid=3924902&cid=t_295761_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fdoctor-patient-communication-much-room-for-improvement%2F2010.09.01 In a surprising report from the Archives of Internal Medicine, we learn that most hospitalized patients (82 percent) could not accurately name the physician responsible for their care and almost half of the patients did not even know their diagnosis or why they were admitted. If that isn’t enough, when the researchers queried the physicians, 67 percent thought the patients knew their name and 77 percent of doctors thought the patients “understood their diagnoses at least somewhat well.” I would call that a pretty significant communication gap. Ninety percent of the patients said they received a new medication and didn’t know the side effects. Although 98 percent of physicians thought they discussed their patients’ fears and anxieties with them, only 54 perc... Better Health blogs http://www.medworm.com/rss/comments.php?id=3924902 Thu, 02 Sep 2010 01:00:00 +0100 3924902 http://www.medworm.com/index.php?rid=3924906&cid=t_295761_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fvideo-one-primary-care-doctors-journey%2F2010.09.01 Doug Farrago is a family physician in Maine and the editor of the entertaining Placebo Journal. He uses his Placebo Journal media platform to show his audience what primary care is all about. In this video, “Doug Unplugged,” Dr. Farrago gives us a little taste of that journey. Hollywood, take notice. *This blog post was originally published at KevinMD.com* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3924906 Wed, 01 Sep 2010 14:00:07 +0100 3924906 http://www.medworm.com/index.php?rid=3880858&cid=t_295761_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Femergency-palliative-care-we-cant-save-you%2F2010.08.18 An alert reader alerted me to this related piece in Slate: “We Can’t Save You: How To Tell Emergency Room Patients That They’re Dying.” An excerpt: The ER is not an easy place to come to these realizations or assess their consequences. A handful of physicians are trying to change that. Doctors like Tammie Quest, board-certified in both palliative and emergency medicine, hope to bring the deliberative goal-setting, symptom-controlling ethos of palliative care into the adrenaline-charged, “tube ‘em and move ‘em” ER. Palliative/emergency medicine collaboration remains rare, but it’s growing as both fields seek to create a more “patient-centered” approach to emergency care for the seriously ill or the dying, to improve symptom m... Better Health blogs http://www.medworm.com/rss/comments.php?id=3880858 Thu, 19 Aug 2010 00:00:00 +0100 3880858 http://www.medworm.com/index.php?rid=3718457&cid=t_295761_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F07%2F01%2Fpsychotherapy-in-your-doctors-office%2F One of the trends that isn’t likely to change significantly much is the fact that most people talk to their primary care doctor or family physician about a mental health problem first. Your family doctor is seen as the expert in all things, even when those things include mental health issues or concerns. So how effective are brief psychotherapy interventions conducted in a primary care setting? Researchers (Cape et al., 2010) looked at the results of 34 studies involving 3,962 patients and found the answer — therapy in a doctor’s office is surprisingly effective. Cognitive-behavioral therapy for anxiety had the most powerful effect size, meaning it’s likely the most effective brief intervention for anxiety disorders. General counseling and problem solving therapy w... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3718457 Thu, 01 Jul 2010 14:18:14 +0100 3718457 http://www.medworm.com/index.php?rid=3538095&cid=t_295761_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2F9-tips-to-improve-patient-satisfaction%2F2010.05.05 Some interesting points were raised at a recent Society of Hospital Medicine (SHM) session by Winthrop Whitcomb and Nancy Mihevc on patient satisfaction. To improve satisfaction scores: 1. Review the patient’s chart before you go in the room. It makes a big difference if the patient perceives you know what’s going on without having to bury your face in a chart. 2. Patients are often confused about who they are supposed to see after discharge. This, of course, is a safety issue as well as one that affects patient satisfaction. 3. Sit down when you are visiting a patient. Patients are happiest when they perceive you’ve spent enough time with them, and they are more likely to perceive this if you are sitting than standing with your hand on the doorknob. (more…) ... Better Health blogs http://www.medworm.com/rss/comments.php?id=3538095 Wed, 05 May 2010 18:00:00 +0100 3538095 http://www.medworm.com/index.php?rid=2865730&cid=t_295761_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F10%2F06%2Fphone-psychotherapy-helps-depression%2F Imagine a treatment that was so powerful and useful, it could even be delivered by the telephone. That treatment? Good old psychotherapy. We’ve previously discussed the benefits of using web-based self-help programs for depression based upon proven cognitive-behavioral therapy techniques. And we’ve noted previous studies that showed the benefits of telephone therapy for depression. But this new 600-person study is the largest to date of psychotherapy by phone — and one of the largest studies of psychotherapy ever. Subjects in the study were randomly assigned to one of three groups — treatment as usual, telephone care management, and telephone care management + psychotherapy. People in the treatment as usual group continued to receive any treatments normally available... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2865730 Tue, 06 Oct 2009 14:53:49 +0100 2865730 http://www.medworm.com/index.php?rid=814190&cid=t_295761_87_f&fid=34866&url=http%3A%2F%2Fwww.thecardioblog.com%2F2007%2F08%2F21%2Fis-our-healthcare-system-heartless%2F Filed under: Mind Body medicineIs our health care system lacking heart? I think most people would agree, and that sadly the trend seems to be towards colder and even more clinical approaches. Although I agree that health and science is largely scientific, we can't completely ignore the fact that we're emotional beings. Most medical professionals are trained to suppress their feelings and just focus on the facts, and in some cases that's a good thing but not always. The best doctors, the ones you really remember, are the ones who find a way to keep that sensitive side and really connect with their patients. How many doctors have you met that had that quality? They're few and far between.Read | Permalink | Email this | Linking Blogs | Comments (So... The Cardio Blog blogs http://www.medworm.com/rss/comments.php?id=814190 Tue, 21 Aug 2007 04:00:00 +0100 814190 http://www.medworm.com/index.php?rid=628948&cid=t_295761_117_f&fid=34612&url=http%3A%2F%2Fwww.thedoctorweighsin.com%2Fjournal%2F2007%2F5%2F20%2Fhow-doctors-think.html Conclusions from first impression, or “gestalt”, are supposed to be the mark of good training. Indeed, many radiologists rely heavily on gestalt, rapidly distinguishing normal from abnormal, drawing conclusions within seconds of viewing an image.To compound the problem, another human foible enters into the equation: the seduction of search satisfaction. If a patient is referred with the typical findings of fever, cough and yellow sputum, the radiologist’s attention is quite humanly focused on the lungs in his search for the expected pneumonia. Once the radiologist determines that the image indeed confirms the clinical findings—the temptation is to declare victory and move on.The results.These are not just theoretical concerns. In an interesting, and quite alarming, ... The Doctor Weighs In blogs http://www.medworm.com/rss/comments.php?id=628948 Mon, 21 May 2007 06:15:08 +0100 628948 http://www.medworm.com/index.php?rid=474150&cid=t_295761_117_f&fid=34612&url=http%3A%2F%2Fwww.thedoctorweighsin.com%2Fjournal%2F2007%2F3%2F15%2Famericans-are-saying-thanks-but-no-thanks-to-their-doctors.html This is an interesting story to follow yesterday’s post on supply-driven demand in healthcare. The results of a WSJ Online/Harris Interactive Health-care Poll are in and they show that many Americans don’t follow their doctors’ advice. It is pretty interesting stuff.Seventy-two percent (72%) of folks polled answered “often” or “sometimes” to the questions “based on what you know or have heard, how often do you think patients who have medical conditions experience problems because of being over-treated, for example, by getting too many treatments or by getting more aggressive treatment than is appropriate.” Only 5% of people said it never happens.Eighty-three percent (83%) of people said patients are often/sometimes under-treated. The po... The Doctor Weighs In blogs http://www.medworm.com/rss/comments.php?id=474150 Thu, 15 Mar 2007 19:09:43 +0100 474150