Roberta Bivins
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 Instead of confronting biomedicine as an equal, complementary medicine takes either an adjunct or a subordinate role in patient care. Today, most heterodox techniques are practised in both modes—and the practices may be virtually identical in content in either mode. However, the significance and experience of heterodox practices for consumers and providers alike are substantially inflected by a complementary or alternative stance. |
Tori Hudson, N.D.
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 A health-care team of diverse practitioners—including a reproductive endocrinologist, a naturopathic physician, and perhaps an acupuncturist specializing in women's health and/or a psychotherapist—who are comfortable working collaboratively provides an optimal environment for patient care.
RESOURCES FOR PATIENTS
A number of excellent resources are available to couples that are having difficulty conceiving.
R£SOLVE. |
Benjamin H. Natelson, M.D.
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 That's too bad, because it means that doctors will not make this aspect of patient care part of their practice. But finding another professional who can be your guide on the road to wellness will be worth the effort.
PART THREE
WHAT ELSE YOU NEED TO KNOW
9
Complementary Treatments et me lay out the golden rule of academic medicine. Re-
J_I searchers work on developing treatments, eliminating the myriad possibilities that either don't work or have more negative than positive effects. |
Stephen T. Sinatra, M.D.
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 For cardiologists, the most logical and ethical approach to patient care is to incorporate these vital nutraceuticals into the treatment options they recommend to their patients. These simple, easy-to-follow "Sinatra Solutions" will improve your quality of living, reduce your suffering, and maybe even extend your life. They have added years and vitality to the lives of many of my patients, and I am convinced of their potential to do the same for you and those you hold dear.
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Adenine nucleotides. |
Bottom Line Health
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| IMPLICATIONS
The study raises the question of whether certification translates into better patient care. "There have been few studies that have looked at differences in quality of care," Freed says. "It's an important area for future research. Just as there are no randomized trials of airline pilots who get recertified in the simulator and those who don't, it's likely that the public would want their pilots to have regular certification processes to make sure they stay sharp. One should expect nothing less from physicians. |
| Baron, from Greenhouse Internists, PC, in Philadelphia, believes that revamping the certification process will lead to better patient care.
"Traditionally, we have thought about what we do as a one-patient-at-a-time approach. The new process is a way to look at the patients we take care of as a population of people, and enables us to get a sense of how we are doing taking care of the whole group," he explains. "It's a different way to look at excellence in medical care."
"The motivation behind the changes is excellent," Steinbrook says. "Whether all the goals will be achieved is hard to say. |
| The shortage looms even as the demand for prescription services rises, and pharmacists themselves call for more time to focus on patient care (such as immunization and drug counseling), beyond just dispensing medications.
THE SURVEY
Researchers reviewed written questionnaires that were completed in 2004 by 1,470 randomly chosen pharmacists throughout the United States. The surveys collected information on the pharmacists' demographic and employment status, the number of hours worked per week, the type and quality of work environment and his/her future work plans. |
| Their lack of experience can adversely affect patient care. If you can, avoid teaching hospitals during the first two weeks of July, when the new school year begins. Other points to consider...
Michael F. Roizen, MD, chief, division of anesthesiology, critical care medicine and pain management, The Cleveland Clinic. He is author of RealAge (Cliff Street) and coauthor, with Mehmet C. Oz, MD, of You: The Smart Patient (Free Press).
•Is it a "magnet" hospital? |
Too Profitable to CureBrent Hoadley, Ph.D.
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| Tight blood sugar control (at which all the new devices are directed) is not the holy grail of patient care. In fact, the downside of believing that all these new devices are the be-all, end-all of diabetic care is far from the truth. This message from the NIH confirms this: Tight control remains unattainable for many people with diabetes. In the DCCT fewer than 5% of individuals receiving intensified treatment maintained normal Ales. |
| He/she worked as an adjunct to doctors, adding his/her superior knowledge of drugs, their actions and interactions, to truly assist in patient care. Many of today's pharmacists are a new breed.
Ask a pointed question of today's pharmacist, and you are likely to be dissatisfied with the answer. "Call your doctor" or "call the drug-maker" or "it is approved by the FDA" often substitute for real, knowledgeable answers from one who should possess the desired information. |
| Bought-and-paid-for research, endorsed by once-esteemed medical publications, does not offer doctors trustworthy information worthy of use in patient care. It has been discovered that some "research" articles that educate our doctors, are nothing more than bought-and-paid-for opinions, supported by no original research.
Be wary of your doctor if he advises you to switch to the "newest" in a long line of similar drugs. Do your own research. Doctors know that the "newest" drug, even though it has FDA approval, is promoted by the pharmaceuticals as "better." Better and newest are not synonyms. |
Thomson Healthcare, Inc.
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 Laxative update: concepts in patient care. Am Druggist; April:73-84. 1992
Crowell J, Hilsenbeck S & Penneys N. Aloe vera does not affect cutaneous erythema and blood flow following ultraviolet B exposure. Photodermatology; 6(5)237-239. 1989
Davis K, Philpott S, Kumar D, et al. Randomised double-blind placebo-controlled trial of aloe vera for irritable bowel syndrome. IntJClin Pract; 60(9): 1080-1086. 2006.
Davis RH, Kabbani JM & Maro NP. Aloe vera and wound healing. J Am Podiatr Med Assoc; 77(4): 165-169. |
Shannon Brownlee
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 They made a few Wall Street entrepreneurs rich, but they failed to add value either to patient care or to doctors' incomes. One of the first PPMs to rise and then fall was Med-Partners, which went public in 1995. Within two years, the company was affiliated with thirteen thousand physicians across thirty-seven states and had grown to be a $6-billion-a-year business. With money rolling in from investors and the company's physicians, CEO Larry House built himself a twenty-one-bedroom, twenty-two-bathroom mansion with a guitar-shaped driveway and Italian white marble floors. |
| Founded in the 1990s by three family practitioners and a pharmacologist, InfoPOEMs, for Patient Oriented Evidence That Matters, sorts through more than two thousand articles published each month in a hundred medical journals, looking for the few articles that could make a real difference in patient care. The research team, all of whom are experts in dissecting clinical trials, pick apart each article to make sure the results are credible. Only about one in forty studies makes the cut. |
David Steinman
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 Today, he sees more than one thousand patients a year in his Manhattan practice and makes herbal and dietary regimens a mainstay of patient care.
If Katz's results show a benefit, New Chapter is sitting on one of the biggest blockbuster medicines—synthetic or natural?today, one that not only eases the pain of arthritis but could prevent prostate cancer in millions of men throughout the world. In addition, new, unpublished research from Dr. Robert Newman at M. D. Anderson Cancer Center in Texas shows that these same rain forest herbs are also adept at inhibiting women's breast cancer cells. |
Bottom Line Health
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| Click on "Specialties and Services" under "Patient Care and Family Services." Partners for Child Passenger Safety can be found under "Programs and Services."
Preschoolers Missing Out On Hours of Sleep
Christine Acebo, PhD, sleep researcher and assistant director, Bradley Hospital Sleep and Chronobiology Research Laboratory, and assistant professor, Brown Medical School, Providence, RI.
Irwin Benuck, MD, pediatrician, Children's Memorial Hospital, and professor of clinical pediatrics, Northwestern University Medical School, both in Chicago.
Sleep. |
Greg Critser
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 It is already changing and improving patient care. His Web site, Drug-Interactions.com, is visited by 10,000 physicians and scientists a month from around the world. Such is one very American response to the problem of separating pharma power from individual health decisions.
Ivan Illich, the prickly philosopher whose anti-medical establishment writings so inspired the originators of today's DTC advertising binge, may well be chuckling at all of this from heavenly realms. |
Jacky Law
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 The panel urges the elimination of the 15-20 year lag between the discovery of effective treatments and their wide use in routine patient care,' the report continues.16
Specifically, the Commission aims for integrated care that can screen, identify and respond to problems early. And it cites the Texas Medication Algorithm Project (TMAP) as a model treatment plan. According to the British Medical Journal, the Texas project started in 1995 as an alliance of pharma company representatives, the University of Texas, and the mental health and corrections systems of Texas. George W. |
John E. Sarno, M.D.
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 In addition to patient care, my career in medicine has encompassed clinical research and the teaching and training of medical students, medical residents, and rheumatology fellows in the setting of an academic teaching hospital. Having the responsibility of teaching someone else is the best way to learn because the job demands that one master the material completely and crystallize concepts so as to explain them to someone else. While teaching physicians in training, I found that I was often bumping up against the need to explain medical causes and therapies for numerous common disorders. |
Mike Adams, the Health Ranger
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 Cotton is credited with abolishing all forms of mechanical restraints and implementing daily staff meetings to discuss patient care."
Mysteriously, there is no mention in the journal of Dr. Cotton's barbaric methods of treatment other than calling them, "...a new era in the treatment of mental diseases." The American Journal of Psychiatry focuses instead on Dr. Cotton's exciting invention of "daily staff meetings." Wow. That's amazing stuff. Meetings? Really?
Prestigious medical institutions around the world were suckered in, too. They lined up to invite Dr. Cotton to speak at their schools. |
Russell L. Blaylock, M.D.
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 Actually applying biochemical/nutritional knowledge to patient care was and is as rare as hen's teeth. Nutrition is essentially biochemistry, and medical care devoid of nutritional considerations is like a car without wheels. It goes nowhere.
Take something as simple as a common infection. When most doctors see a patient with an infection (e.g., pneumonia), their first thought is to culture the organism, identify it, and specify an antibiotic appropriate to effectively treat it. This is basic medicine, something all doctors are taught from day one. |
Dr. Jonathan Prousky, BPHE, BSc, ND, FRSH
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 Optimal treatment of anxiety disorders. patient care 2003; May:i8-32.
3. Beck AT, Emery G, Greenberg RL. Anxiety Disorders and Phobias. New York, NY: Basic Books, 1985:4.
4. Shear MK, Schulberg HC. Anxiety disorders in primary care. Bull Menninger Clin i995;59:A73-85.
5. Ansseau M, Dierick M, Buntinkx F, et al. High prevalence of mental disorders in primary care. J Affect Disord 2004;78:49-55.
6. Sansone RA, Hendricks CM, Gaither GA, et al. Prevalence of anxiety symptoms among a sample of outpatients in an internal medicine clinic: A pilot study. Depress Anxiety 2004;19:133-36.
7. |
James Braly M.D. and Ron Hoggan M.A.
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 This very good news can only lead to promising discoveries that will improve patient care as well as point the direction for future research.
On the other hand, as in any area of innovation, there are also mistaken beliefs that persist or even gain support. The notion that "celiac disease is rare" is a classic example of this. Mistaken ideas risk poorer patient care and increase human suffering.
Nevertheless, the current state of gluten research is overwhelmingly positive, favoring rapid progress and improved patient care. Indeed, these are good times. |
Donald L. Barlett and James B. Steele
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 They devised elaborate restructuring models that would radically alter hospitals and patient care. These ideas were promoted on the basis that hospitals needed to be more efficient, to run better. To encourage more productivity and output, hospitals were told they needed to embrace management practices that other industries had adopted. The consultants borrowed heavily from manufacturing. |
James S. Gordon, M.D.
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 Money helps, but it doesn't insulate anyone against the casual callousness, the condescension of a system that devotes far more attention to insurance forms and academic discussion than to patient care. And isn't patient care an interesting, doubly meaningful phrase? |
Mark Blumenthal
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 Herbal medicine: what works, what's safe. patient care Oct 15,
1997;49-68, 77.
Dietary Supplement Health and Education Act of 1994 (DSHEA), Public Law 103-417, 21 USC § 3419.
Druss BG, Rosenheck RA. Association between use of unconventional therapies and conventional medical services. JAMA 1999;282:651-6. DSHEA. See: Dietary Supplement Health and Education Act of 1994. Eisenberg DM. Advising patients who seek alternative medical therapies. Ann Intern
Afc/1997;127(l):61-9. Eisenberg DM, Kessler RC, Van Rompay MI, Kaptchuk TJ, Wilkey SA, Appel, S,
Davis RB. |
Marcia Angell, M.D.
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 The loss came at a time when many medical schools and teaching hospitals were in financial trouble because of shrinking reimbursements from patient care and reduced support for medical education. So they began to compete with contract research organizations the only way they could—by becoming more accommodating to pharmaceutical sponsors. When companies insisted on controlling the way clinical trials were done, they met remarkably little resistance.
Furthermore, the whole context of academic-industry relations had changed. |
Donald L. Barlett and James B. Steele
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| Doctors and hospitals there were owed tens of millions of dollars, and patient care was suffering. Treatments were delayed, and patients in need of mammograms, MPJs, X-rays, and ultrasounds were turned away because no one was getting paid. Oncologists themselves paid for chemotherapy drugs. In the meantime, the MedPartners holding company in Alabama had begun to sell off some of its California assets, leaving doctors uncertain about "assignment of patients, whom to bill, and whom to call for prior authorizations. |
| The Center confirmed that "more physicians report having inadequate time to spend with their patients and are increasingly closing their practices to some new patients, despite spending more time in direct patient care activities. With extended hours and no appointment necessary, emergency departments increasingly may be viewed by many patients as more convenient sources of primary care than their regular physicians."
ER overload is further compounded by the demands of managed care. |
| But in hospitals, where a sudden spurt in costs or a drop-off in revenue might be due to factors beyond the institution's control—such as a heavier-than-usual flu season—cutting costs isn't something an administrator can do without sacrificing patient care.
Lorraine Lydon of Loxahatchee, Florida, a small town on the edge of the Everglades outside Palm Beach, considered herself a reasonably active middle-aged woman when she entered Palm Beach Gardens Medical Center for heart surgery in 2000. |
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