Global health is trending. Recently I attended the 6th annual global health conference in Boston hosted by the Consortium of Universities for Global Health. This is a giant experiment in knowledge transfer. Universities in developed economies partnering with medical centres in low and middle income countries (LMICs) to exchange ideas. The objective of helping those […]
Health care is the world’s most information intensive industry. It is also plagued by uneven quality, frequent errors and rapidly accelerating costs. The logical conclusion is to computerize everything that doctors and nurses do. The evidence indicates that with computers care is better and safer. Unfortunately, our efforts at computerizing everything is not working. Many […]
Sometimes you have to get to the brain by using the body. Joaquin Farias has spent the past two decades trying to understand dystonia, a confounding and sometimes debilitating syndrome believed to be the third-most-common neurological movement disorder, after essential tremor and Parkinson’s disease. His work has been influenced by his own experience. As […]
Congestive heart patients who are not doing well on medications, now have an option. The Optimizer IVs is a minimally invasive implantable device designed to treat Chronic Heart Failure (CHF) in patients that are symptomatic despite appropriate medical treatment. The device is based on novel Cardiac Contractility Modulation (CCM) technology, and delivers non-excitatory electric pulses. The […]
The younger generation is not inclined to shop the same way as its predecessors, forcing insurance companies to rethink their sales strategy The way younger Canadians research and buy insurance is changing and that’s going to require a major shift from the companies that serve them, a new report says. Traditional insurance products are not […]
YOGA IN THE WORKPLACE AT AETNA PAYS OFF BIG TIME: Raymond Rupert MD. MBA. Rupert Case Management Inc.
Mark Bertolini is the CEO of Aetna, one of America’s 100 largest companies. He is a different sort of CEO. He has introduced yoga and mindfulness to his employees. And it has paid off big time for the employees and for the bottom line. After a near death experience skiing, Mark Bertolini was left with […]
My Own Life Oliver Sacks on Learning He Has Terminal Cancer By OLIVER SACKS FEB. 19, 2015 New York Times Photo A MONTH ago, I felt that I was in good health, even robust health. At 81, I still swim a mile a day. But my luck has run out — a few weeks ago […]
Against the ruin of the world, there is only one defense — the creative act. Disengagement: The Art Of The Beat Generation, Kenneth Rexroth 1957 Most don’t consider creativity important or essential in treating complex patients. But this decisive act is the true measure of providing value for these patients. It is easy to slip […]
We have had the privilege of working with patients who require the most sophisticated solutions available for treating cancer. Previously, these solutions were only available to those who travelled to huge cancer centres in Texas or Boston or Toronto. Now any patient with the interest and means has the option of the most sophisticated approach […]
SUPREME COURT OF CANADA RULES TO SUPPORT ASSISTED SUICIDE. Canadian adults who are mentally competent and suffering intolerably and permanently have the right to a doctor’s help in dying. Now everyone can be on the same page to help these unfortunate patients. There is now an exit strategy that provides dignity, certainty and comfort. Citation: […]
According to Elisabeth Rosenthal in the New York Times Feb 1, 2015, many patients travelling to Florida for the winter end up with medical tests that they don’t need. There is a trend of doctors in the south ordering costly and unnecessary tests for patients from the north who are wintering in the south. Medical […]
Recently, the British Psychological Association released a report that redefines mental health. The tradition in psychiatry has been to use diagnosis driven research, in which a researcher focuses on, for example, schizophrenia or anxiety. This research has not resulted in dramatic improvements in mental health. The new focus will be on a matrix of neuroscience […]
Doctors are intelligent but teams of doctors and nurses can be more intelligent. That is what patients should ask for in order to get the best outcome possible. Anita Woolley is a professor at the Tepper School of Business at Carnegie Mellon. Her area of research relates to the field of collective intelligence. What factors […]
We suggest that complex patients have a “green binder” with their medical records. We assumed that patients knew that they have a right to their medical records. A patient pointed out to us that she did not know that she had a right to her records. To reiterate, patients can ask for and have a […]
Critically ill patients and their doctors who have tried everything eventually run out of options. In order to increase their options some US states have passed new “Right To Try” laws. Patients such as Larry Kutt, age 65, of Lyon Colorado who has advanced blood cancer (multiple myeloma) has run out of options. Now under […]
Healthcare organizations can learn a lot about how to handle complexity from High Reliability Organizations (HROs). Healthcare consumers should demand that the organizations that serve them follow the modus operandi of HROs. HROs operate according to 5 basic principles: 1. track small failures by listening for early signals of failures. 2. resist oversimplification. 3. remain […]
In high velocity environments, like healthcare, speed of decision making is important. The emergency room doctor has to have an immediate response to the motor vehicle accident victim on the gurney in the trauma room. Complex patients with one or many diseases are different. They require doctors to take the time to engage and think […]
THE IMPORTANCE OF TRANSITIONS: Raymond Rupert MD. MBA. Rupert Case Management Inc. Many medical mistakes occur when a patient transitions from one part of the healthcare system to another. The green binder described previously is one technique that can be used to protect the patient as he/she transitions.
HOW TO ADVOCATE FOR YOURSELF OR A FAMILY MEMBER: Raymond Rupert MD. MBA. founder/medical director Rupert Case Management Inc. This is the start of a series of articles teaching patients how to advocate for themselves or for a family member. Advocacy is about understanding patient rights, about navigating a very complex system and about successfully […]
Using google to gather information about a specific health issue can be dangerous to your health.