Why Is The Doctor/Patient Relationship Deteriorating

Visits to the doctor are always stressful. Yet lately more and more Americans are complaining about their doctor’s visit. The most common complaints are that they are waiting to long to see the doctor and then the doctor rushes them in and doesn’t listen to them. The relationship that patients and doctors have is no longer the strong and trusting one of years ago. Indeed more Americans switch doctors than ever before. Why is this? Why has public perception towards doctors changes so much?

“Your Doctors’ Manners Matter” will assist you, the patient, in identifying those physicians and other medical professionals who practice medicine in a way that exhibits compassion, empathy, and respect for the dignity of their patients. In this book, you will learn what to do if you are not satisfied with the care you are receiving in the hospital. You will understand why your physician interrupts you while you are describing your illness and what to do in response. You will discover how to work with your physician to incorporate your medical treatments into your daily routine.

Consumer Perception of Risk: Shaping Insurance-Buying Decisions

Keeping savings insuredConsumers bemoan insurance planning and shopping. It’s confusing, and budgets are seemingly not roomy enough for additional insurance expenses. Paying for insurance feels like an unfair exchange, and what you’re paying for can’t immediately be enjoyed or valued. Years of paying more than a thousand dollars for auto insurance annually without a single car knick can feel like a waste. Preparing for the long-term, unforeseeable future by paying for life or long-term care insurance can feel like a monetary nuisance.

Emotion-Based Thinking

Consumers acknowledge the value of protecting possible future financial loss with insurance. Often the feeling of risk-free invincibility and financial burden trumps the reason of responsible rationality. Risk plays an integral role in this insurance-buying process. People who perceive themselves as low-risk for sustaining a major injury, accident or illness will rationalize having poor or no insurance. This person takes a huge risk by forgoing coverage altogether to avoid paying for high premiums. As an insurance agent, the challenge is to convince a consumer that following an emotional “feeling” over factual “thinking” can result in monumental financial loss.

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Waiting to Live: Fighting an Insurance Company for a Life-Saving Surgery

Photos: Maria Palladino, Our Labor of Love, Maria Palladino

Photos: Maria Palladino, Our Labor of Love, Maria Palladino

By Kirsten Ott Palladino

I felt a lump in my throat as I padded down the stairs, having just kissed my darling twin toddlers goodnight. “I love you, Mommy,” my youngest called after me. “I love you, too, sweet boy. Get some rest,” I replied rather hoarsely, as my throat was swelling with a wail I couldn’t let out. “I’ll see you boys in the morning.” But would I live that long?

That is the question I lay awake with until the wee hours of the morning, unless I self-medicate with over-the-counter sleeping aids. And even then, I toss and turn, sitting upright to check my pulse on the heart rate monitor my wife insisted we purchase the day our insurance company decided it wasn’t going to cover my life- saving surgery.

On Jan. 2, I was diagnosed with Brugada syndrome, an incredibly rare genetic heart disease that sharply increases my chances of dropping dead from sudden cardiac arrest. That’s when your heart suddenly stops beating—not like a heart attack, where blood stops pumping to your heart and you’ve got some time for someone to bring you back to life. With cardiac arrest, someone must be performing CPR within mere seconds for you to have a remote chance to survive. That’s a lot of pressure for my twin 2- year-olds and my graphic designer wife to live under. And it’s quite a heavy wet blanket of fear for me to try to exist under. Though I’ve managed to face most days optimistically, I must admit that it’s been a struggle to keep that oft-seen smile throughout this ordeal.
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Two-to-One: Americans Surveyed by RMU Would Have Preferred A Bipartisan Effort on ObamaCare

More than half of Americans surveyed by Robert Morris University would have preferred that the Affordable Care Act – aka ObamaCare – be passed into law with bipartisan support. The survey of 1,003 adults was conducted by the RMU Polling Institute Powered by Trib Total Media.

Sixty percent of those who responded said they do not anticipate having to get a new doctor or specialist as a result of the law, and more than half (53.3 percent) do not expect that they will have to change health insurance plans.

“Considering the Affordable Care Act is a market-based reform with key elements like the individual mandate taken directly from conservative proposals developed two decades ago, I think the majority of respondents wishing there had been more bipartisanship in the process may reflect dissatisfaction with how the polarized debate played out in the media during the law’s passage,” said Joseph Angelelli, director of the Health Services Administration program at Robert Morris University.
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Partners in Self-Health

Headshot 1_dr_fabrizio_mancini_01_LoResEnlist Your Doctor, Your Family and Yourself for Wellness

By Dr. Fabrizio Mancini

In our society, we are bombarded with messages that healing comes from sources outside ourselves. Patients are told that taking these drugs or having these medical procedures will make them well. As a result, many people have turned over responsibility for their health, to a large extent, to medical professionals.

Fortunately, a growing number of people are taking responsibility for their health, acknowledging that true healthcare begins with each person. This does not mean turning away from healthcare providers, but making them partners, along with ourselves and our families, as we unlock our bodies’ natural healing powers.

A new study from the University of Oregon shows that patients who take an active role in their health have lower medical costs. Researchers found that the average health care costs of those with the highest levels of motivation, knowledge, skills and confidence to manage their own healthcare were 8 percent to 21 percent lower than those with the lowest levels.
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More Than 400 Innovative Medicines in Development For Top Chronic Diseases Affecting Older Americans

John J. Castellani

John J. Castellani

Two Reports Show Progress in Treatment Options for Chronic Disease

America’s biopharmaceutical research companies are developing 465 new medicines that target the 10 leading chronic conditions affecting seniors, according to a new report and overview released today by the Pharmaceutical Research and Manufacturers of America (PhRMA).

With the population of Americans over 65 on the rise and life expectancy climbing, chronic diseases remain a principal threat to the health and productivity of older Americans, as well as to rising health care costs. Innovative medicines have led to major advances against many chronic diseases – and the robust discovery pipeline of new medicines portends continued progress for seniors and our health care system.

“Our ability to prevent, manage and treat chronic diseases has progressed dramatically in recent years, due in large part to the discovery and availability of new innovative medicines,” said PhRMA President and CEO John J. Castellani. “But we can’t rest on our laurels. The more than 400 medicines in the pipeline for diseases prevalent among older Americans have tremendous potential to improve and extend the lives of seniors, and reduce costly emergency room visits, hospitalizations and surgical procedures.”

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Fear of Speaking Up in the Doctor’s Office Costs Lives, and Money

Evan Falchuk, Best DoctorsBy Evan Falchuk, Vice Chairman, Best Doctors

“Shy” isn’t a word you associate with Americans, but when it comes to talking with our doctors, it seems like it’s the best word for what we are.  A 2012 study in Health Affairs found that patients were afraid to ask questions – and often regretted not being more assertive with their doctors about their concerns.

Now, we could dismiss this finding as an odd quirk of American culture, or maybe an example of how doctors sometimes are seen as intimidating.  But this isn’t what really matters. Published studies show that anywhere from 15-28% of patients in developed countries end up misdiagnosed in that office visit – causing needless suffering and wasted dollars.  Importantly, this same research shows that asking questions – the thing patients seem most reluctant to do – can have some of the greatest impact on getting a diagnosis right in the first place.

You can understand the dilemma facing a patient and his or her doctor.  Our healthcare system is designed in a way where doctors often see a hundred or more patients a week, and are able to spend just a few minutes with each.  Studies – and common sense – tell us in many cases that this isn’t enough time.  The sad irony is that doctors today are the best trained and educated that they have ever been, and yet our system values their insights so little they are unable to practice the medicine they were trained to do.

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Consider the Conversation: A Documentary About Unintended Consequences

Consider the Conversation, a documentary about unintended consequences, takes a hard look at how we treat people at the end of life.

Inspired by the Wisconsin Medical Society, the producers of Consider the Conversation, a documentary on a taboo subject, zero in on the doctor patient relationship.

The film will focus on the tension between patients wanting their doctor to inspire them to believe that they can beat the odds while also wanting their doctor to be honest that this may be the end and that they should consider thinking about how they want to live at the end of their life.

Watch the video below.

Are You At Risk for Heart Disease?

Watch MDTV Medical News Now to learn if you are at risk of Heart Disease. What can you do to detect and treat Heart Disease?

Diabetes – The Link Between Periodontal Disease and Diabetes

By P., Piero D.D.S.

Diabetes affects about 24 million Americans or about 8% of the population. It is a disease that is characterized by high levels of blood sugar caused by malfunctioning insulin production. An insulin resistant individual becomes diabetic when the pancreas can no longer put out sufficient insulin to lower the blood sugar and the organ becomes exhausted.

The pancreas is controlled by hormonal feedback mechanisms. Acute and chronic infections create hormonal chaos in the body. Periodontal disease is the most widespread infectious disease on the planet, consequently provokes a great deal of chaos.

The sugars found in the mouth aid in gum disease. The constant introduction and presence of sugar in the mouth (like a sippy cup with juice), feed the bacteria that leads to periodontal disease.

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