Friday, September 22, 2017
Each hour of social jet lag(staying up late and sleeping in on the weekends) overtime increases the risk of hear disease by 11% according to preliminary research suggests. Your body runs on a 24-hour cycle. This routine takes it out of this rhythm. It throws everything off. A suggestion is set go-to-bed and wake-alarms and stick to them. In another research, it shows that people in their 40's with strong hearts live longer. They are also healthier in old age. Also, it has been found that carrying weight everywhere is safer than carrying it in your belly.
Thursday, September 21, 2017
PSYCHIATRY AUTOPSY DICTIONARY VERSION: A procedure for investigating a person's death by reconstructing what the person thought, felt and did before death, based on information gathered from personal documents, police reports, medical and coroner's records and face-to-face interviews with families, friends and others who had contact with the person before the death. PSYCHIATRY DEFINITION: An autopsy that analyzes the cause(s) of death, examining the body and the circumstances-natural or unnatural that led to death; in the "usual" death a person suffers from a known set of morbid condition(s) and dies as a natural consequences of the terminal progression of those conditions; in "unnatural" death- homicide or suicide, determination of cause of death is more difficult and requires analysis of circumstances preceding death; a psychiatry autopsy focuses on the descendant's intention relating to his own death, especially suicide. ANOTHER PSYCHIATRY VERSION: An attempt to determine what, if any, emotional or psychological factors caused or contributed to an individual's suicide
Saturday, September 9, 2017
It is confirmed by members of law enforcement and a review of court cases that retirement-age Americans have become a new source of prescription painkillers sold on the open market. To make ends meet or due to a financial crisis are why some sell their pills. Others are victims of drug dealers. The dealers target seniors for their prescriptions. In some cases, family members and caregivers are taking the medication for profit or to feed their own addictions. Poverty is not only what keeps this troubling trend growing. Also, it is the ability to easily obtain prescriptions from doctors. It becomes a temptation to supplement their income when they discover they can get $20 a pill on the street. Seniors who sell their medication do not operate like traditional dealers. Instead, they sell and share their pills through a network of family members and friends. Often they do not have a good understanding of the dangers of potential legal consequences. According to Sharon Walsh, director of the University of Kentucky Center for Drug and Alcohol Research in Lexington,"It's a culturally accepted thing to supply medication to a person who is in pain. People, especially in rural communities, they don't see anything wrong with selling prescription medications". While there are no precise statics to gauge the size of the problem, law enforcement officials say that older people selling prescription medication is a real issue. Federal prosecutors focus their efforts on large-scale opioid pushers. This is the reason for the lack of data. Local prosecutors say it is hard to prosecute older people for selling their small supply of prescription drugs. Law enforcement officials say judges are reluctant to give jail time. It is often the older drug sellers' first brush with the law. Most of the time they get probation. Sometimes, these individuals do not set out to sell drugs. Drug dealers, either with threats or promises of money, recruit them to get prescriptions. The drug dealers later sell the drugs at a steep markup. And in some cases older patients were left with more opioid pills than they need. This is due to fraudulent or careless prescribing. The opioids are not always a profit. Pills are often stolen by home health workers. They have been taken by family members and visitors from medicine cabinets. Sometimes the pills are just given away.
Monday, September 4, 2017
HOW SAFE IS THE HEALTH CARE SYSTEM? WRONG DIAGNOSIS,SLOPPY PRACTICES,LAX HYGIENE,DRUG BLUNDERS AND DANGEROUS DOCTORS
(1)WRONG DIAGNOSIS: According to a recent analysis, doctors often fail to catch common problems like pneumonia, congestive heart failure and cancer. 10% of patients deaths and up to 17% of all episodes of preventable harm in hospitals were contributed by diagnostic errors. This information was found by autopsy and medical-record reviews. According to a 2015 Institute of Medicine report, misdiagnosis is the top cause of malpractice payouts. Many were mistakes from misunderstandings or collaboration among clinicians, patients and families. Also, a variety of biases and fallacies. Among those are stereotyping, gender bias and being swayed by independent events. An example of that is, assuming that if 5 patients just came in with the flu, the 6th has it too. On-target diagnosis is not a priority for the medical system. Doctors often do not even find out later if they are proved wrong. MAKE YOUR CARE SAFER: Make sure you understand what your doctor thinks you have. Ask for medical terminology. Look it up at home. If you are unsure, get a second opinion. This time preferably from a specialist. Ask about results if you get a test. Test sometimes get lost or overlooked. Do not assume if you do not hear anything it is good news. Consider taking the test again if results don't add up. Results are not always 100% accurate. (2)SLOPPY PRACTICES: In 12 U.S. cities, one study found that 45% of patients did not receive recommended care for their conditions. 4.5% of Medicare patients developed pressure ulcers-bedsores while in the hospital. This information came from a first of-its-kind study. These patients were more likely to stay in the hospital longer than others, to die in the hospital or to be readmitted soon after the discharge. A lot of blunders have been eliminated by surgical teams huddling before a procedure to agree on what they are doing. MAKE YOUR CARE SAFER: If your doctor looks at you funny because you asked for details on your treatment, it might be time to get another doctor. (3)LAX HYGIENE: In a 2016 report by the Centers for Disease Control, shows progress in reducing infections acquired during a medical treatment. There has been a 50% drop in bloodstream infections from IV lines, a 17% decrease in surgical-site infections and an 8% drop in hospital-acquired infections. There are still an estimated 121,800 infections a year. Other major contributors are pneumonia, gastrointestinal illness and urinary tract infections. On any given day, about 1 in 25 hospital patients are fighting a bug that they acquired from treatment. About 75,000 of them die each year. MAKE YOUR CARE SAFER: Patients need to speak up! If you don't see doctors wash their hands before touching you or administrating your care, ask them to do so. (4)DRUG BLUNDERS: The most common type of preventable health care harm is adverse drug events. 700,000 emergency room visits and 120,000 hospitalizations a year are contributed to errors with medications. Half of drug administrations during or around the time of surgeries involved a mistake of some kind. This was found in a 2015 study. These mistakes were all harmful or potentially so. Almost 80% of them were preventable. MAKE YOUR CARE SAFER: Make sure all of your doctors know about each medication you take. This includes supplements. Bring them to your doctor's appointments. In the hospital, get to know what your meds look like. Ask why if a nurse brings you something different. Before giving you anything, make sure care-providers check your hospital wristband. (5)DANGEROUS DOCTORS: Recently, Consumer Report filed a public records request for California's entire database of doctors on probation. The analysts found several hundred doctors in that state alone had been disciplined. They were often not barred from practice. The doctors were on probation for problems like blatant negligence, practicing under the influence, dealing narcotics and engaging in sexual misconduct with patients. MAKE YOUR CARE SAFER: Choose a surgeon who has done your procedure many times. Look up doctors on Surgeon score card, a searchable database from the investigative reporting center ProPublica. It shows complications and rates physicians.
The Institute of Medicine published a report in the 1990's that estimated nearly 100,000 hospitalized people die each year from preventable errors. More than 250,000 deaths a year were caused by mistakes by the American health care system according to a study released earlier this year. The study was done by John Hopkins University. It analyzed data over an eight year period. After heart disease and cancer, medical errors would be the third-leading cause of death in the U.S. In a report released in late July, federal government investigators discovered nearly 1 in 3 patients in America's rehabilitation facilities suffered care they received. This ranged from getting the wrong medication to picking up an infection or bedsores.