Weekly Roundup – August 30, 2013
We hope you have enjoyed what most consider this to have been the last week of summer! In honor of the end of summer Disruptive Women is raffling off “Women Know Everything! 3,241 Quips, Quotes and Brilliant Remarks.” To enter click here. Below are some of this week’s interesting health care stories. According to the Washington Post Americans should expect a shortage of caregivers for the aging population. AARP’s “The Aging of the Baby Boom and the Growing Care Gap,” projected that by 2030 there will be only four potential caregivers for each person 80 or older. This is down from a more than seven in 2010. Even...
Source: Disruptive Women in Health Care - August 30, 2013 Category: Health Medicine and Bioethics Commentators Authors: dw at disruptivewomen.net Tags: Roundup Kaiser Health News new york times NPR Washington Post Source Type: blogs

FFL: The Hard Stuff
When J was being born, amid the crazyness of water breaking and contractions and epidurals and hourly blood glucose checks and being dragged off to the OR at 2:30 am for a C-Section,we made sure everyone we came in contact with knew about this kit. Because, you only get one chance to tap this resource, and you better not miss that boat.   Yes, it made for a rather stressful time, but the hospital staff handled things just fine,and hand delivered it (that morning)to the courier person who rushed it off to the depths of some cryogenic safe to be stored, hopefully never to be used, but there, nonetheless. Primarily, st...
Source: The D-Log Cabin - August 19, 2013 Category: Diabetes Authors: HVS Source Type: blogs

Halfway to Heaven
I’ve spent the past hour helping a young lady fill out online job applications. McDonald’s now has a very lengthy exam to take after you apply -- real common sense questions. I took the test for the lady at her request and aced it. “Will they call me?” the lady asked me apprehensively. “They will call you to come in and fill out the employment paperwork and to be fitted for your uniform,” I told her. “You will need your driver’s license and social security card.” I am a regular eager beaver this morning and feeling abnormally good. It is so good to feel this way. I just looked at the clock and it said 10p...
Source: The 4th Avenue Blues - July 22, 2013 Category: Mental Illness Authors: Andrew Quixote Source Type: blogs

Surgeons and perverse incentives
There is a lot of criticism that surgeons do too many unnecessary operations and that all this overtreatment increases the cost of healthcare . Even worse, all this surgery doesn't help to improve patient outcomes – and can actually result in harm. While there is truth in this criticism, we also need to understand that society itself is partly responsible for the sad state of affairs. After all, if you teach and train surgeons how to do surgery , and then you pay them to perform surgery, it’s very irrational to expect them not to do surgery ! After all surgeons are homo economicus as well and will maximize their pe...
Source: The Patient's Doctor - July 8, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

Summa Time
Most years involve some sort of surgery/body organ failure. (It's just how I roll, apparently) In 2012 it was my thyroid(6 months post C-Section). Nothing in 2011. In 2010, it was ulnar nerve surgery on my left arm,& the year before that I think was the Tonsillectomy. And the year before that I had an intestinal intussesseption & spent the later part of the year A.twice in the hospital and B.getting magnesium 2-3x a week.So it comes as no surprise to me that something else has popped up. I've had lower right abdominal pain issues for a month...and my doc sent me in for a CT scan with contrast die. The results of that were ...
Source: The D-Log Cabin - June 26, 2013 Category: Diabetes Authors: HVS Source Type: blogs

Choosing wisely and delivering value in obstetrics and gynecology
The pressure on physicians to provide better care at lower costs is coming from all directions – top down from policymakers who want more accountability in how healthcare resources are being used and bottom up from patients who want more transparency in how their money is being spent.  Obstetrician and gynecologists have not been spared any scrutiny. As primary care providers for many women we are in thick of the debate on appropriate use of pap and mammography screening. As surgeons we also find ourselves increasingly answering for the expense and morbidity of unacceptably high c-section rates. Continue reading ... Yo...
Source: Kevin, M.D. - Medical Weblog - June 12, 2013 Category: Family Physicians Tags: Physician Medications OB/GYN Source Type: blogs

New Survey on Childbirth Details Experiences, Problems with Hospital-Based Births
Childbirth Connection, a nonprofit organization that produces evidence-based information and resources on pregnancy, labor and birth, and the postpartum period, has released its third major survey on the experiences of childbearing women in hospitals across the United States. The results of Listening to Mothers III provide insights into numerous issues, including childbirth education; the use and need of government services such as the Special Supplemental Nutrition Program for Women, Infants and Children (WIC); medical interventions during birth; provider choice; and health disparities. The 2,400 women who completed the...
Source: Our Bodies Our Blog - June 4, 2013 Category: Health Medicine and Bioethics Commentators Authors: Rachel Tags: Activism & Resources Pregnancy & Childbirth Research & Studies Source Type: blogs

What Explains Variation in Cesarean Rates Between Hospitals?
While cesarean rates (which reached an all-time high in 2007) are known to vary widely by state, they also vary quite a bit by hospital. One common explanation for this has been that different hospitals have different c-section rates because they see different types of patients – patients who are sicker or healthier, or more likely to have complications requiring cesarean. In an article published in PLOS ONE, researchers report findings from a study designed to look at other factors that influence cesarean rates. The authors looked at birth certificate and hospital discharge data in Massachusetts to determine which ...
Source: Our Bodies Our Blog - March 27, 2013 Category: Health Medicine and Bioethics Commentators Authors: Rachel Tags: Pregnancy & Childbirth Research & Studies cesarean Source Type: blogs

Sunday News Round-Up, Gloomy Sunday Edition
Some interesting and important resources and stories that have caught my eye over the past week: Reviews of sports bras for big boobs. A couple of my recent Our Bodies Ourselves posts: Are Right-to-Know Breast Density Laws Good for Women’s Health? Rally at the Supreme Court – Breast Cancer Gene Case to be Heard Next Month Also of interest: FDA Approves Silicone Gel Breast Implant Without Public Meeting Also Supreme Court-related, gay marriage is up this week. Lots of wonky coverage on SCOTUSblog, if you’re not familiar with that source. Steubenville’s Jane Doe asked people to do something This is just…no...
Source: Women's Health News - March 24, 2013 Category: Medical Librarians Authors: Rachel Tags: Abortion Abuse, Rape, & Safety Access, Rights, & Choice Adolescent Health Birth Boobs Cancer Contraception Drugs Ethics Events & Observances Global Issues Government HIV/AIDS Laws, Legislation, & Courts Miscellaneous News R Source Type: blogs

10 minute Workout for pregnant women ( who don’t have a lot of time!)
  We asked three fitness experts to recommend three workouts you can fit in while baby’s snoozin’ in the afternoon or kicking away in her bouncy seat. Each mini routine is a series of three simple moves that shape up your entire body, especially the core and back muscles you need to strengthen for toting baby around. If you only have 10 minutes, do just a set or two of each exercise and then gradually add sets until you’ve worked up to a 20- or 30-minute workout. Before you move, get into the groove: • Check with your doctor or midwife first before starting to exercise postpartum. Most will recommend that you ...
Source: Cord Blood News - March 22, 2013 Category: Health Medicine and Bioethics Commentators Authors: joyce at mazelabs.com Tags: babies brain development Cord Blood medical research parents pregnancy stem cells Uncategorized affordable cord blood banking bone marrow transplant cord blood cost cord blood stem cells exercise while pregnancy new baby parent Source Type: blogs

Healthcare Update — 02-27-2013
Knowledgeable and honest. Yeah, that’s me. Study shows that doctors wearing white coats were most likely to be judged by patients as being the “best” physicians. Doctors wearing scrubs were also more likely to be highly rated. Of course my widespread appeal could also come from my stunning good looks or my debonaire personality … Interesting dilemma. A patient in Washington DC called an ambulance at 1:26 AM when he was having trouble breathing. Just so happens that it was New Years Eve and about 25% of the entire DC firefighting force had called off sick that day. An ambulance arrived 30 minutes later and the patie...
Source: WhiteCoat's Call Room - February 27, 2013 Category: Emergency Medicine Doctors Authors: WhiteCoat Tags: Healthcare Update Source Type: blogs

Memorial Hermann Hospital Live-Tweets C-Section: It’s a Boy!
Women’s Memorial Hermann Hospital in Houston, Texas has been live-tweeting major operations before, including open-heart surgery and a brain operation, and it looks like they have got another premiere: the world’s first live-tweeted Caesarean section. Yesterday, an unnamed 39-year-old mother delivered a son by C-section while the whole procedure was being live-tweeted with accompanying pictures and videos.The whole procedure was covered, from pre-operative preparations, through the operation itself, to the child being wheeled out of the OR. All went as hoped, and both mother and son are doing well. For the full...
Source: Medgadget - February 21, 2013 Category: Technology Consultants Authors: Wouter Stomp Tags: Informatics Ob/Gyn Source Type: blogs

The LITFL Review 095
Welcome to the challenging 95th edition! The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around. The Most Fair Dinkum Ripper Beaut of the Week emimdoc Top spot this week heads over to David at emimdoc with his post on A Note to Conference Organiz...
Source: Life in the Fast Lane - February 18, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review LITFL R/V Source Type: blogs

The LITFL Review 095
Welcome to the challenging 95th edition! The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around. The Most Fair Dinkum Ripper Beaut of the Week emimdoc Top spot this week heads over to David at emimdoc with his post on A Note to Conference Organiz...
Source: Life in the Fast Lane - February 18, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review LITFL R/V Source Type: blogs

How a Laparotomy Is Nothing Like a C-Section
Oophorectomy is a word describing the removal of one or both ovaries. In my case, it was just one... and a bunch of other stuff. The healing is no where near what the doctors said it would be. It goes to show that all expectations hinder healing.Contributor: Willa CampbellPublished: Feb 14, 2013 (Source: Most Recent Health Wellness - Associated Content)
Source: Most Recent Health Wellness - Associated Content - February 14, 2013 Category: Other Conditions Source Type: blogs