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Large Healthcare Systems: Are They Gouging Patients?

With patients having to pay more of what’s charged for their healthcare, comparisons between medical systems like this one in Pennsylvania make us wonder if bigger necessarily means better. From the Times-Tribune:

The Pennsylvania Health Care Cost Containment Council study looked at four regional hospitals that offer cardiac surgery: Geisinger Wyoming Valley, Plains Twp.; Community Medical Center and Mercy Hospital, Scranton; and Pocono Medical Center, East Stroudsburg.

Among the four, Geisinger Wyoming Valley carries the biggest price tag. In 2008, the average hospital charge for a coronary artery bypass graft surgery was $108,029 and the average hospital charge for valve surgery was $132,740, according to information in the report. Read more »

*This blog post was originally published at Dr. Wes*

Phylicia Rashad Discusses Peripheral Artery Disease

Many members of Phylicia Rashad’s* family have had peripheral artery disease (P.A.D.), strokes, and heart attacks. In a candid interview with me, she describes how her healthy lifestyle (regular exercise, no smoking, and a Mediterranean diet) has helped her to beat the odds and avoid the disease.

Dr. Val: I’m so sorry to hear that 8 of your relatives have suffered stokes or heart attacks. What was that like for you?

Ms. Rashad: All of these relatives of mine had diabetes. At the time of their deaths, P.A.D. was not a recognized condition. It wasn’t regularly diagnosed until the 1990s. I remember my father complaining of his legs cramping a lot. At the time we chalked it up to him being on his feet all day as a dentist, but I wish we had known that it was a sign of something much more serious. Things were different back then – people just accepted that if you had diabetes, you were going to lose toes or limbs. They accepted that as we age, we’d likely have a stroke or a heart attack. No one thought about preventing that from occurring.

Dr. Val: What do you do differently to help insure that you don’t follow in their footsteps?

Ms. Rashad: I eat differently, and have done so for decades. I also get regular exercise. Unfortunately, my hard working family was in the habit of coming home, having dinner and relaxing on the couch after work. This contributed to their diabetes and P.A.D. issues. Interestingly, my relatives who worked on a farm lived into a ripe old age with no chronic disease. Read more »

Peripheral Artery Disease: Phylicia Rashad’s Story

Many members of Phylicia Rashad’s family have had peripheral artery disease (P.A.D.), strokes, and heart attacks. In a candid interview with me, she describes how her healthy lifestyle (regular exercise, no smoking, and a Mediterranean diet) has helped her to beat the odds and avoid the disease. To listen to our conversation, please click here. Ms. Rashad begins speaking at about minute 10:30 of the podcast.

Dr. Val: I’m so sorry to hear that 8 of your relatives have suffered stokes or heart attacks. What was that like for you?

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Peripheral Artery Disease: Red Flag For Stroke and Heart Attack Risks

Peripheral Artery (Arterial) Disease (P.A.D.) is an under-recognized and under-diagnosed condition, yet it serves as an important warning sign for those at high risk for stroke and heart attack. Even though we have an inexpensive and non-invasive test for P.A.D. very few people have the test done. I interviewed Dr. Gary Schaer, Director of the Cardiac Cath Lab at Rush University Medical Center in Chicago, about P.A.D. and also spoke with actor Phylicia Rashad about her family’s trials and tribulations with P.A.D. This post is devoted to Dr. Schaer’s insights on the medical aspects of the disease, and the next post focuses on Ms. Rashad’s personal story.  To listen to the entire podcast of our interview, please click here.

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Latest Interviews

The Surprising Economic Burden Of ADHD (Attention-Deficit Hyperactivity Disorder)

If you can read this you need to download a more recent browser It is estimated that as many as million U.S. adults have ADHD Attention-Deficit Hyperactivity Disorder A recent research study publication-pending suggests that the economic burden of ADHD on America could be as high as billion annually. I…

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Is The Adderall Shortage A Harbinger Of Future Drug Supply Problems?

If you can read this you need to download a more recent browser Today most- if not all- Doctor’s offices are strained by the shortage of some prescription medication or vaccine. A month ago President Obama signed his executive order directing the FDA to take steps to reduce drug shortages…

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Latest Book Reviews

Book Review: The First Step To Improve Health Care Is A Close Examination Of How It’s Delivered

My friend and former Chair of the CFAH Board of Trustees Doug Kamerow has written a book that I think you will like. Besides being a mensch and witty as heck Doug is a family doctor and a preventive medicine specialist. In his new book Dissecting American Health Care Commentaries…

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“Your Medical Mind” Explores Factors That Influence A Patient’s Medical Decisions

Recently I had a conversation with Shannon Brownlee the widely respected science journalist and acting director of the Health Policy Program at the New America Foundation about whether men should continue to have access to the PSA test for prostate cancer screening despite the overwhelming evidence that it extends few…

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Book Review: Food Truths, Food Lies

Food Truths Food Lies written by family physician Eric Marcotte M.D. may be the most refreshingly evidence-based diet book of the decade. You will not find a single mention of super-foods magical berries or supplement must-haves in the entire book. What you will find is the cold hard truth about…

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