christian-drug-rehab

What is Comprehensive Medication Management? The standard of care that ensures each patient’s medications (whether they are prescription, nonprescription, alter. The accuracy of prescribing for patients has improved remarkably during the past decade. Much of this due to the requirement for e-prescribing and it's integration with electronic health records. This has eliminated unrecognizable physician penmanship as a barrier to accidental errors.  The semi-automation of entering a prescription coupled with pill size and dosages minimizes accidental errors from poor memory on the part of physicians Many electronic health records also ask what other medications a patient is taking, listing cross-reactions and side effects of the medication.  Your physician can now send your eRx directly to your pharmacy of choice and by the time your stop at your drugstore it may be ready... GTMRx (Get the medicine right) has other plans to improve things and assure the continuity of 'getting it ...

Guns have become a public health problem in the U.S.A.  Perhaps it is not the guns but the people who own and use them in nefarious and/or dangerous ways. Americans have had a fascination with weapons since the American Revolution.  However, it is not a uniquely American way of life. Why has it persisted in the U.S.A. and not elsewhere?  There are many countries where people do not feel compelled to arm themselves for safety.  Why are these weapons so ubiquitous in the U.S.A. The increase in the use of guns seems to fit the definition of a public health epidemic.   Is there something we are missing?  Modern news media broadcasts events much more quickly and there are many more avenues for news distribution now in addition to newspapers radio and television. The dawn of the internet occurred over twenty years ago, and social media platforms (twitter, facebook, Instagram have been in existence for over ten years. Much of social media content would not be fit ...

There is a new sheriff in town, and she is a woman.  Under the guidance of the administrator of CMS,  Seema Verma  and the Secretary of Health and Human Services, Alex Azar,  a large number of innovations are being proposed at CMS . Follow along here , here , here, here, and here. The categories of innovation are organized into seven categories. Categories Accountable Care Accountable Care Organizations and similar care models are designed to incentivize health care providers to become accountable for a patient population and to invest in infrastructure and redesigned care processes that provide for coordinated care, high quality and efficient service delivery. Episode-based Payment Initiatives (bundled care/payments) Under these models, health care providers are held accountable for the cost and quality of care beneficiaries receive during an episode of care, which usually begins with a triggering health care event (such as a hospitalization or chemotherapy ...

D r. Emilie Scott was only a few months into her first job when she started hearing the complaint: She was spending too much time with each patient. Like many primary care doctors working in large medical systems, Scott was encouraged to see a new patient every 20 minutes. But that was barely enough time to talk and do a physical. She eventually quit her job to try a new approach aimed at eliminating many of the headaches of traditional health care: tight schedules, short appointments, and piles of insurance paperwork. Instead of billing insurers, Scott now charges patients a $79 monthly fee that covers office visits, phone calls, emails, texts, and certain medical tests and procedures. Scott typically sees six patients a day, down from around 30, and spends more time at each appointment. She hired two assistants to help handle paperwork compared with working with a department of billing specialists. This approach — direct primary care — aims to leverage the extra time and money from ...

New WHO-led study says a majority of adolescents worldwide are not sufficiently physically active, putting their current and future health at risk. The first-ever global trends for adolescent insufficient physical activity show that urgent action is needed to increase physical activity levels in girls and boys aged 11 to 17 years. The study, published in The Lancet Child & Adolescent Health journal and produced by researchers from the World Health Organization (WHO), finds that more than 80% of school-going adolescents globally did not meet current recommendations of at least one hour of physical activity per day – including 85% of girls and 78% of boys. The study – which is based on data reported by 1.6 million 11 to 17-year-old students – finds that across all 146 countries studied between 2001-2016 girls were less active than boys in all but four (Tonga, Samoa, Afghanistan, and Zambia). The difference in the proportion of boys and girls meeting the recommendations was greater th...

The social determinants of health are often the primary contributing factor to a lack of wellness. A lack of adequate housing with running water, toilets, heating or air conditioning can cause or exacerbate illness. Living in a developed country does not rule out third-world conditions. Some of health care costs from recurrent emergency room visits are due to homelessness. United Health Group, the nation's largest health insurer, is trying a new strategy -- improving care for Medicaid enrollees with complex medical problems by providing social assistance, including housing. The Residences at Camelback West in Phoenix has 500 rental units ranging from studios to two-bedroom apartments, of which 100 are set aside for homeless UnitedHealth Medicaid members. Photo: Tiempo Development & Management In its home base of Oakland, California, health system Kaiser Permanente has invested $200 million in an affordable housing project, Hannah Norman reported in the San Francisco Business T...

The Path to a Cure for Cystic Fibrosis  Plenary I Plenary II Looking back to 1988 when my second son was born and diagnosed with cystic fibrosis from a vantage point over thirty years ago the path has been clear.  He was born fortuitously around the time when the CFTR gene was localized after the human genome was analyzed.  The future looks bright, and hopeful.    The Cystic Fibrosis Foundation is committing 500 million dollars over the next five years (2025) for future developments in treatment for CF. Please watch and join Francis T. Collins, M.D., Ph.D., the Director of the National Institutes of Health and one of the discoverers of the double helix of DNA. Please go to the time slot at 1:24:00/1:34 for his musical rendering of two songs dedicated to patients with cystic fibrosis

There is no science that proves ill-health impacts from 4G or 5G, Telstra chair John Mullen has said. There is no magic about 5G. It uses a higher portion of the electromagnetic spectrum (radiofrequency). The 4G LTE spectrum has just about run out of spectrum. Rumors about the safety of 5G coming from Australia are not scientifically valid. Other rumors such as 5G being more hazardous in the northern hemisphere due to a shift in the magnetic poles and anti 5Gers have joined the likes of anti-vaxxers.  5G is not required to enter kindergarten. Health care It is anticipated that 5G will have effects on healthcare, but not due to any effect on human health or wellness. Ultra-reliable low latency communications (URLLC) component of 5G could fundamentally change health care. Since URLLC reduces 5G latency even further than what you’ll see with enhanced mobile broadband, a world of new possibilities opens up. Expect to see improvements in telemedicine, remote recovery, and physical the...

Physician burnout has become the 21st Century indicator for physician dissatisfaction. How accurate is that statement comparing physician burnout with executive burnout, CEOs, and the military command structure? For one thing, the different professions attract far different personalities. The personality traits of a physician are far different than those of attornies or corporate executives. In the past patients were aware of the challenge of being a 'doctor'.  Today in the 21st century there are now measurements and data points to prove the vulnerability of a physician. When a patient enters the examination room, how often does the patient wonder, "Is my doctor burned out?" A normal-appearing doctor may be compensating by substance abuse and/or self-medication and may appear to function quite well. In a study by  Tait D. Shanafelt, MD Stanford University, Palo Alto, CA Christine Sinsky, MD American Medical Association, Chicago, IL Lotte N. Dyrbye, MD, MHPE Mayo Clini...

It is important for patients and providers to know what nutritional supplements, vitamins and other health foods you consume.  Many cross-react with other medications, and/or interfere with standard blood tests. Some of these reactions, side effects are uncommon. You should also consult with your pharmacist. Bring the actual bottle or container to your pharmacy. The ingredients are listed on the container label.. The FDA released a safety communication alerting patients and physicians about the possible reaction from Biotin to laboratory tests. Biotin The U.S. Food and Drug Administration (FDA) is updating our 2017 safety communication to remind the public, health care providers, lab personnel, and lab test developers that biotin, often found in dietary supplements, can significantly interfere with certain lab tests and cause incorrect results that may go undetected. The FDA wants to make the public and health care providers aware about biotin interference with lab tests so that p...

Recent concerns about opioid misuse and abuse have led payors, policymakers and retail pharmacies to attempt to restrict the dispensing of prescribed opioid dosage and duration. One such policy of great concern is Walmart’s corporate policy that limits opioid prescriptions to seven days or 50 morphine milligram equivalents, which is causing harm to patients with acute, palliative, cancer-related, chronic pain and other medical conditions requiring amounts or doses greater than the policy allows.  Walmart is inappropriately interpreting the Center for Disease Control (CDC) guidelines for prescribing opioids to set these policies. Such arbitrary prescribing thresholds interfere with the patient-physician relationship, physician practice and patients’ access to quality care and treatment. In some cases, physicians have been inexplicably “blacklisted” where Walmart refuses to fill their prescriptions for controlled substances without explanation, and the physicians are left without a...

The suicide rate among children aged 10 through 14 has nearly tripled from 2007 to 2017, while the suicide rate among older teenagers has increased by 76% between 2007 and 2017, new federal data show. Meanwhile, homicide ranked as the third most common cause of death for teens aged 15-19 and adults aged 20-24, and the fifth most common cause for children aged 10-14. “After a stable period from 2000 to 2007, suicide rates for persons aged 10-24 increased from 2007 to 2017, while homicide rates increased from 2014 to 2017,” the report explains. “The pace of increase for suicide was greater from 2013 to 2017 (7 percent annually, on average) than from 2007 to 2013 (3 percent annually).” Although it declined from 2000 to 2007, the suicide rate for children ages 10 through 14 has nearly tripled from 2007 (0.9 deaths per 100,000 persons) to 2017 (2.5 deaths per 100,000 persons). Though stable from 2000 to 2007, the suicide rate for U.S. adolescents aged 15 to 19 increased from 6.7 per 100,000...