December 29th, 2010 by eDocAmerica in Better Health Network, Opinion
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Recently, I was involved in a discussion on an email list serve and decided to takes some of my comments on patient autonomy and blog about them. This arose following a debate about whether the term “patient” engendered a sense of passivity and, therefore, whether the term should be dropped in favor of something else, like “client” or something similar.
Having participated in the preparation and dissemination of the white paper on e-patients, I don’t see the need for “factions” or disagreements in the service of advancing Participatory Medicine. As Alan Greene aptly stated: “This is a big tent, with room for all.”
I want all of my patients to be as autonomous as possible. In my view, their autonomy is independent of the doctor-patient relationship that I have with them. They make the choice to enter into, or to activate or deactivate, the relationship with me. They may ignore my input, seek a second opinion, or fire me and seek the care of another physician at any time. They truly are in control in that sense. The only thing I have control over and am responsible for is trying to provide the best advice or consultation I can. Read more »
*This blog post was originally published at eDocAmerica*
December 30th, 2009 by eDocAmerica in Better Health Network, Health Policy, Opinion
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As 2009 draws to a close, the US health care system is ailing and quasi-reform proposals are frantically being debated and voted on. Although some type of reform is likely in 2010, we will have only scratched the surface of what still needs to be changed.
One particular aspect relates to the ease with which patients can use the internet to improve their health care. At eDocAmerica, we’ve been using the internet to improve the health of our users for over a decade. Ten years ago, I predicted that patients would routinely use internet messaging to interact with the health care industry by now, but I was wrong. Although, increasingly, web 2.0 approaches are providing innovative communication and health management tools for patients, the growth of interaction between patients and doctors has been much slower than I predicted it would be. And the future still remains cloudy. The issues are nothing new and include: Read more »
*This blog post was originally published at eDocAmerica*
September 26th, 2009 by eDocAmerica in Better Health Network, Opinion
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By Charles Smith, MD
This post is adapted from one I wrote last week on e-Patients.net Blog.
Matthew Herper’s post about thalidomide treatment of Myeloma is a good example of how patients will contribute to medical knowledge in the future, and may form a cautionary tale for patients who get involved to this degree in formulating new treatment approaches.
Read more »
*This blog post was originally published at eDocAmerica*
July 20th, 2009 by eDocAmerica in Better Health Network, Health Policy
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Beginning July 1st, eDocAmerica began offering eDoc services to Medicaid recipients and their families in Arkansas. Since there are about 800,000 Arkansas Medicaid recipients, when added to our previously covered clients, this program takes us a long way towards offering the benefit to the majority of Arkansans.
It is especially exciting to begin offering a cost effective health care benefit to this large, underserved population. eDoc services can help with so many of this patient population’s needs, including whether a child needs to be taken to see a doctor for acute care needs, to provide information that can help a patient determine if a second opinion needs to be sought for a given care situation, to provide information about medications that patients are on, to provide information to families of nursing home patients that they can use to ask intelligent questions about their family member’s care, and many others. For nursing home patients, we encourage family members to log on and ask our professionals questions about their family members anytime, for any reason.
It is a daunting task to effectively communicate the availability of this benefit to this group of patients. We’ll be working diligently over the coming weeks and months with the Arkansas Minority Affairs Commission, the Arkansas State Health Department, the Community Health Centers of Arkansas, Area Health Education Centers and Arkansas State government agents to increase awareness of this program and encourage its use.
One of the barriers to this program’s success is that many patients either won’t have a computer, or won’t have access to the internet. We have addressed this with a toll free number (877-581-3362) that Medicaid recipients can call to ask their question. Our call center is staffed by trained nursing personnel who will relay the message to the professional staff and then call the patient back after the answer has been posted.
In addition, we are finalizing an iPhone application that should be ready to go within a short time. We hope to use this new initiative to begin to address some of the health care disparities that exist in the state.
I hope that we will soon see the day that every single resident in our State, insured or not, will be able to log on ask one of our professionals a question that will, in some small way, improve their health!
*This blog post was originally published at eDocAmerica*
May 10th, 2009 by Joseph Banken, Ph.D. in Better Health Network, Health Tips
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Web pages and blogs are full of gift idea do’s and don’ts for your mother. I won’t go there. I think the topic has been covered quite nicely by better shoppers than I could ever hope to be.
You’ve also, no doubt, been bombarded with the plethora of tear jerker emails cautioning you to spend time with your mother while you can. She’s older than you, you know, and may not last until next year for you to make it up to her if you miss this Mother’s Day. That topic’s been covered too.
I’d like to talk with you a little bit about how to get through Mother’s Day after you’ve lost your mother. And I especially don’t want to forget the reverse situation; how to cope with Mother’s Day if you have lost a child, the hardest pain of all to overcome.
So how do you survive this Sunday if half of the equation is missing? You could hide under the covers until Monday. The protective property of the blanket works for monsters under the bed, why not against monsters of the heart as well? You could ignore that the day has any other meaning and treat it like any other Sunday, but that tends to backfire with a nasty trap of emotions smacking you back into reality the hard way at the worst possible time. Don’t let it catch you off guard; the day is coming whether you are ready for it or not. Or you could cry in your beer (over 21, please), but that just makes your eyes red and dilutes the beer.
Here are some coping strategies for bereavement:
- Talk about it with a friend or family member you trust to handle the sensitive and powerful emotions you feel towards Mother’s Day
- Realize that Mother’s Day is only one day out of the year and it has been commercially blown out of proportion and this too shall quickly pass
- Be around friends who understand and can help you cope with the day
- Acknowledge it can be a hard day and distract yourself with a movie or something that has a positive and endearing memory of what this day was initially designed to represent
And remember that your mother will always be your mother no matter where she is. And the same goes for mothers who have lost children. Once a mother, you will always be a mother even if you can no longer hold them in your arms.
If you are an eDocAmerica participant, you can send a message to the ePsych Psychologist for individualized coping strategies. Many people use this helpful option with good results whether it’s Mother’s Day or not.
All comments welcome.
*This blog post was originally published at eDocAmerica*
