Showing posts with label Medical Advice. Show all posts
Showing posts with label Medical Advice. Show all posts

Friday, December 31, 2010

Primary care needs more than 15 minutes for patients, KevinMD.com

Psychotherapy appointments have traditionally lasted 50 minutes with 10 minutes for paperwork. This has lead to the expression, “the 50-minute hour”.

More recently there has been talk of incorporating psychotherapy techniques in brief visits in primary care. The provoking title “The Fifteen Minute Hour” is from a book about addressing the emotional aspects of disease in primary care during brief appointments. The title and the concept seem relevant to much of what we do in my specialty.

In primary care we seldom spend more than 15 minutes at a time with an established patient. Yet we are required to cover infinitely more details and consider more outside authorities in every visit today than when I first started practicing medicine. Between health insurance and office administration, there are now many more mouths to feed from the office charges than there were then. Sometimes it feels like we are not alone in the exam room even for the short time we do have.

Except for doctors in concierge medicine or micropactices, most of us cannot change the amount of time we have with each patient. Even if we hope to change the system, the patients we see today deserve the best we can give them in today’s 15-minute visits.

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

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Saturday, December 18, 2010

How an antidepressant can hurt your patient, KevinMD.com

Patients still have shame about seeking help from a psychiatrist or other mental health professional. So they ask help for their depression from their primary care physician. The PCP feels an emotional pressure to provide the quick fix in that 15-minute appointment – the same pressure that he responds to when prescribing antibiotics to a adequately squeaky wheel of a patient with a common cold.

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

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Sunday, December 5, 2010

Most Americans Take Doctor's Advice Without Second Opinion

Despite the advent of health websites and other widely available sources providing medical research and information, 70% of Americans feel confident in the accuracy of their doctor's advice, and don't feel the need to check for a second opinion or do additional research. Americans' confidence in their doctor is up slightly from eight years ago.

November 2010: When Your Doctor Gives You Important Medical Advice, Which Comes Closer to Your View -- You Usually Feel Confident in the Accuracy of Your Doctor's Advice, or You Usually Feel It Is Necessary to Check for Second Opinions or Do Your Own Research on the Subject?

The latest results are from Gallup's annual Health and Healthcare Survey, conducted Nov. 4-7, 2010.

Older Americans are the most likely to be confident in their doctor's advice, with 85% of those 65 and older expressing confidence. This compares with 67% among those 50 to 64 and 65% among those under 50.

While one might expect that interest in a second opinion and doing additional research would be higher among Americans with college degrees or postgraduate education, that is not the case. There is little difference in confidence in one's doctor across the educational spectrum.

Follow the Gallup.com link for the full article.
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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

Monday, November 22, 2010

COPD (Chronic Obstructive Pulmonary Disease): MedlinePlus


   Other Topics: A B C D E F G H I J K L M N O P Q R S T U V W XYZ All Topics

MedlinePlus Trusted Health Information for You

COPD (Chronic Obstructive Pulmonary Disease)

 

Chronic Obstructive Pulmonary Disease (COPD) makes it hard for you to breathe. Coughing up mucus is often the first sign of COPD. Chronic bronchitis and emphysema are common COPDs.

Your airways branch out inside your lungs like an upside-down tree. At the end of each branch are small, balloon-like air sacs. In healthy people, both the airways and air sacs are springy and elastic. When you breathe in, each air sac fills with air like a small balloon. The balloon deflates when you exhale. In COPD, your airways and air sacs lose their shape and become floppy, like a stretched-out rubber band.

Cigarette smoking is the most common cause of COPD. Breathing in other kinds of irritants, like pollution, dust or chemicals, may also cause or contribute to COPD. Quitting smoking is the best way to avoid developing COPD.

Treatment can make you more comfortable, but there is no cure.

NIH: National Heart, Lung, and Blood Institute

Chronic Obstructive Pulmonary Disease (COPD) makes it hard for you to breathe. Coughing up mucus is often the first sign of COPD. Chronic bronchitis and emphysema are common COPDs.

Your airways branch out inside your lungs like an upside-down tree. At the end of each branch are small, balloon-like air sacs. In healthy people, both the airways and air sacs are springy and elastic. When you breathe in, each air sac fills with air like a small balloon. The balloon deflates when you exhale. In COPD, your airways and air sacs lose their shape and become floppy, like a stretched-out rubber band.

Cigarette smoking is the most common cause of COPD. Breathing in other kinds of irritants, like pollution, dust or chemicals, may also cause or contribute to COPD. Quitting smoking is the best way to avoid developing COPD.

Treatment can make you more comfortable, but there is no cure.

NIH: National Heart, Lung, and Blood Institute


 

The top row in the table of contents box contains the following groups: Basics , Learn More , and Multimedia & Cool Tools .

The bottom row in the table of contents box contains the following groups: Research , Reference Shelf , and For You .

 

 

You may also be interested in these related encyclopedia pages:

The primary NIH organization for research on COPD (Chronic Obstructive Pulmonary Disease) is the National Heart, Lung, and Blood Institute - http://www.nhlbi.nih.gov/

COPD (Chronic Obstructive Pulmonary Disease) - Multiple Languages - http://www.nlm.nih.gov/medlineplus/languages/copdchronicobstructivepulmonarydisease.html

Date last updated: 03 November 2010
Topic last reviewed: 04 October 2010

 

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

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Sunday, November 14, 2010

Doctors' house calls making a comeback - USATODAY.com

Dr. Ina Li walked down the seventh-floor hallway of a local apartment building recently, pausing at each door to check the number.

She finally found the one of her patient, Katherine Talmo.

It's easier for Talmo if Li, a geriatrician, comes to her. The 90-year-old doesn't get out nearly as much since she stopped driving nine years ago. But she is determined to stay in her home.

"If I was in a nursing home, I'd only live for one more year," she said. "But if I live at home, I'll live to be 100."

The notion of doctors making house calls harkens back to an era before HMOs, medical centers and outpatient surgery centers.

Those visits offer insights not available during a 15-minute office visit. Doctors learn more about a patient's lifestyle, eating habits, their ability to take medicine and exercise.

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.howtostartanursingagency.com
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Consult-A-Nurse - HCA Hospitals, Florida

Consult-a-Nurse is a FREE community service from the HCA hospitals in your area, designed to help you find a physician, obtain health information, or register for an HCA hospital sponsored event in your community.

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.howtostartanursingagency.com
http://www.jocularity.com
http://www.nursinghumor.com
http://www.nursefriendly.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Friday, November 12, 2010

Walk with a Doc

"Just Walk" is a free, non-profit  program for anyone interested in taking steps for their health. Bring friends and loved ones or come alone, and enjoy a refreshing, rejuvenating walk in the park. Physicians, specialists and healthcare professionals from your community will provide support and answer questions. Come out and see what is happening in your community.

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Newsletter Archive

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.howtostartanursingagency.com
http://www.jocularity.com
http://www.nursinghumor.com
http://www.nursefriendly.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Wednesday, November 10, 2010

Independent Medical Examinations, Examiners, IMEs, Legal Nurse Consultant Resources, Medical, Legal, Malpractice - Law Consulting

New!

Donna M. Post, RN, BSN, MBA / HCM, CLNC, LNCP-C , Mid-Valley Legal Nurse Consulting, Inc., California Nurse Entrepreneurs, Legal Nurse Consultants:"Mid-Valley Legal Nurse Consulting has over 24 years of experience clinically and administratively, in cardiac, adult and pediatric critical care, and dialysis. Our experience extends to both the inpatient and outpatient settings. MVLNC provides effective identification of practice standards, regulatory standards, adherence and/or deviations to these standards. Our background provides our clients the added benefit of understanding healthcare infrastructure, budgets, and healthcare labor issues. This extensive experience allows for identification of medical and nursing issues in any case that involves health, illness and injury. The clients we serve are attorneys, insurance companies, healthcare facilities and others. At Mid-Valley Legal Nurse Consulting, our goal is to provide our clients with cost-effective, efficient, review and analysis – providing you with winning services while critically defending your bottom-line.
2491 Alluvial #7
Clovis, Ca 93611
Phone: 559-294-7580 or 877-532-5676
Email: midvalleylegalnurseconsulting@gmail.com
http://www.mvlnc.com
http://www.nursingentrepreneurs.com/post/

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See also:

Forensics Nursing, Forensic Nurses http://www.nursingexperts.com/forensics/
Personal Injury Claims Assistance, Legal Nurse Consultants http://www.nursingexperts.com/pi
Darlene Norton, RN, CLNC, Verum Dictum, Inc., Michigan Legal Nurse Consultants:"Legal Nurse Consulting in the areas of: Medical Malpractice, Personal Injury, Toxic Tort and Environmental, Criminal, Products Liability and Class Action Suits."
964 Sugarbush Lane Beulah, Michigan 49617

Contact person: Darleen Norton, President
Phone number: (231) 590-3123
E-mail Address: NurseNorton@hotmail.com
http://www.legalnursingconsultant.org/norton

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American Board of Independent Medical Examiners (ABIME):"The foundation of mission of the American Board of Independent Medical Examiners (ABIME) is the belief that certification of independent medical examiners benefits the public good. This belief is based on the tenet that credentialed physicians have demonstrated that they possess the knowledge, skills, experience, and abilities required for the attainment of their certification as a Certified Independent Medical Examiners, (CIME)TM. Credentials, therefore, are reliable indicators of the professional’s capacity to perform independent medical and impairment evaluations according to the profession’s performance standards. Certification enables the public to make informed decisions regarding the selection and use of independent medical examiners."
111 Lions Drive, Suite 217 Barrington, IL 60010 USA
Telephone: (800) 234-3490 (847) 277-7902 Facsimile: (847) 277-7912, info@ABIME.org
http://www.abime.org/

Sample Independent Medical Examiner Report:
http://www.jurissolutions.com/form3a.shtml

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The "Independent" Medical Examination, Evan K. Aidman, Esq.:"The insurance company has the right in every personal injury case to have you examined by a doctor it chooses. This examination represents the third stage of the discovery process. The insurance lawyers like to refer to this as an "independent medical exam" or an IME. The IME is anything but independent and no insurance lawyer will claim otherwise outside the courtroom, that is, not with a straight face. The doctors paid by the insurance company strain to offer opinions that help the insurance company. Also, the IME doctor’s medical skills may be secondary in importance to his skills at testifying in a compelling and convincing manner."
Evan K. Aidman, Esq.
326 West Lancaster Avenue Ardmore, PA 19003
Phone: (610) 645-0100, Fax: (610) 645-0111.
info@legalaidman.com
http://www.legalaidman.com/9d_indep.htm

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David A. Goodman, M.D., M.P.H., C.I.M.E.:"Certified Independent Medical Examiner by the American Board of Independent Medical Examiners (ABIME). Doctor Goodman has been actively involved in the clinical practice of Urgent Care, Primary Care, and Occupational Medicine in Madison, Wisconsin. He is a pioneer in the field of ambulatory care and opened up Madison’s first Walk-in Medical Clinic in 1983. Over the years he has diagnosed and treated tens of thousands of patients for a variety of injuries and illnesses. He is Board Certified by the American Board of Preventive Medicine and as such is a specialist in the causes of illness and injury. He is dedicated to promoting the health and well-being of our communities."
Dr. Dave Goodman
1658 Sherman Ave., Madison, WI 53704
Phone: (608) 241-0087, Fax: (608) 241-0358
Email: drdave@drdavegoodman.com
http://www.drdavegoodman.com/

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InMedical, Inc.:"InMedical, Inc. is a national provider of Independent Medical Evaluations. Our Independent Medical Evaluations (IME's) are provided with exceptional service, turnaround time and the highest degree of quality. Our personnel are committed to our clients to deliver efficient and accurate medical examination reports under strict time constraints. IME's are provided in association with workers' compensation, personal injury, disability and malpractice claims throughout the United States. We will find any physician specialty you need for your IME."
InMedical, Inc.
405 North Calhoun Road Suite 107 Brookfield, WI 53005
Tel: 262-785-1510 Fax: 262-785-8009 IME: 877-785-1510
info@inmedical.com
http://www.inmedical.com/companyinfo.html

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Why JurisSolutions for Independent Medical Examinations? JurisSolutions.com:"Most Attorneys and Claims Adjusters today simply don't have the time and resources to spend researching the proper physicians and scheduling Independent Medical Examinations (IMEs). With your demanding workload, why not let other attorneys who have years of experience in the IME and expert witness fields handle this burden for you? FAQs on IMEs. Welcome to JurisSolutions, Inc., the most professional and personal IME Company in the field of medical-legal expert witness consulting. We concentrate on liability cases and, as attorneys, we embrace your IME referrals with a thorough understanding of the meaning of a defense-oriented IME. IME Request Form."
JurisSolutions
550 Old Country Road, Suite 407, Hicksville, NY 11801.
Phone: 516.93.JURIS (516.935.8747), Toll Free: 877.935.8750, Fax: 516.935.8748
General email: legalstaff@jurissolutions.com
IME email: ime@jurissolutions.com
http://www.jurissolutions.com/ime.shtml

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FAQs for Independent Medical Evaluations, Jurissolutions.com:"What sets JurisSolutions apart from other IME companies? How do I request an Independent Medical Examination? Do you have Physicians who perform Independent Medical Exams Nationwide? How do you screen your Independent Medical Evaluation physicians? Who notifies Plaintiff’s counsel of the Independent Medical Examination? How soon will you schedule the IME after I make the request? What about testimony? Are your doctors available to testify concerning the Independent Medical Exam if my case reaches trail? Where are you located? Do you conduct seminars? Can I request certain physicians to be used for my IMEs?"
JurisSolutions
550 Old Country Road, Suite 407, Hicksville, NY 11801.
Phone: 516.93.JURIS (516.935.8747), Toll Free: 877.935.8750, Fax: 516.935.8748
General email: legalstaff@jurissolutions.com
IME email: ime@jurissolutions.com
http://www.jurissolutions.com/faq.shtml

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Independent Medical Examinations (IME), Medisys:"Medisys assists corporations and insurance companies in their assessment and management of disability claims. Medisys facilitates decision-making regarding a claimant’s entitlement to benefits and the extent of disability for high cost categories such as Chronic Pain, Fatigue and Fibromyalgia, Heart Disease and Arthritis. In addition, Medbytel’s program of customized questionnaires offers claims examiners the opportunity to supplement the Independent Medical Evaluation process. Medisys’ professional focus ensures that all evaluations are impartial, objective and optimize efficient gathering to decrease turnaround time. Medisys’ Independent Medical Evaluations present a one-stop solution to many of the services required by the Insurance Industry. With service available throughout North America and file review within twenty-four hours, Medisys offers services that are at the forefront of this industry."
Medisys
500 Sherbrooke Street West, 11th Floor Montreal, Quebec H3A 3C6
Tel: (514) 845-1211 Toll free: (800) 499-1394 Fax: (514) 845-4842
E-mail: info@medisys.ca
http://www.medisys.ca/en/independent-medical-examinations.htm

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Unjust Treatment: 'Independent' Medical Examinations & Workers Compensation in New York State, York Committee for Occupational Safety and Health:"Each year approximately 500,000 occupational illnesses and injuries are reported to the New York State Workers' Compensation Board. Of these, several thousand claims for occupational disease are challenged by workers' compensation insurance carriers for reasons that frequently defy close medical analysis and too often defy common sense. With millions of dollars in profit at stake, insurance carriers: challenge valid occupational disease claims, which results in workers often failing to pursue their cases or eventually settling for less than they are entitled to;"
New York Committee for Occupational Safety and Health (NYCOSH)
275 7th Avenue, New York, NY 10001
tel: 212-627-3900; fax: 212-627-9812
email: nycosh@nycosh.org
http://www.nycosh.org/IME_Report1.html

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Independent Medical Examinations, Dr. Samuel M. Rock:"Independent Medical Examinations concentrate on the patient's progress in psychotherapy (whether in the No-Fault arena or the Workmen's Compensation area). I was asked to do an Independent Medical Examination for a law firm. (Usually, IME companies ask for causality connections- which exist between the accident and the mental problems of the claimants. In addition, they usually require the provider to evaluate Maximum Medical Improvement and to determine whether there is a psychological disability.) In this legal case, I was asked to determine if a psychological condition continued to exist within the claimant."
Dr. Samuel M. Rock
96 Old Country Road Melville, NY 11747
(Voice) 631-367-3460 (Toll Free) 877-367-3460 (Fax) 631-424-9627
http://www.docrock.com/IME/ime.html

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Independent Medical Examinations, By Attorney James A. Pitts, Schoone, Leuck, Kelley, Pitts & Knurr, S.C.:"Whenever any person puts his or her mental or physical condition at issue in any case in which compensation is sought, the insurance company or other responsible party defending the case has a right to have a physician of its own choice examine the claimant. The logic of this general rule cannot be questioned. The manner in which so-called "independent medical examinations" are carried out is often fraught with controversy. If the claimant is not properly prepared for what lies ahead, the claim can be lost or seriously damaged. The procedural rules governing independent medical examinations vary among federal and state jurisdictions for tort cases, as well as for cases involving statutory claims such as workers compensation. Several general requirements are universal."
Schoone, Leuck, Kelley, Pitts & Knurr, S.C.
6800 Washington Avenue P.O. Box 085600 Racine, WI 53408-5600
262-886-8240, or e-mail japitts@pittslaw.com
http://my.execpc.com/~japitts/ten.htm

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Independent Medical Examinations (IME), State of Wyoming, Department of Employment:"(a) Medical examinations may be requested by either the Division or your employer. The examination is a medical evaluation of your condition. If an assessment of your permanent physical impairment is required, you will receive an impairment rating. However, the doctor providing this examination/assessment will not be taking over your medical care. You should continue to see your primary health care provider."
Gary W. Child, Administrator
1510 E. Pershing Blvd. Cheyenne, WY 82002
Phone: (307) 777-7441 Fax: (307) 777-6552
http://wydoe.state.wy.us/doe.asp?ID=91

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See also:

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Any questions, please drop me a line.

******************************************************
Follow us on:

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Nursing Entrepreneurs, Nurses In Business
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Twitter!
http://www.nursefriendly.com/twitter

StumbleUpon,
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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.howtostartanursingagency.com
http://www.jocularity.com
http://www.nursinghumor.com
http://www.nursefriendly.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com