I wonder who has the most control in my health care decisions.  Is it me or the doctor or my health insurer?  I have to consider who gets to say NO the most. Here is how I see the flow.   I go to the doctor for a variety of reasons from annuals to sick visits.  [...]

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My Heart Breaks: Too Many With Cancer

by Hari on May 9, 2012

I turned on my computer and there was an email from an a past client.  As I read the email, my heart began to break.  She had breast cancer that had metastasized to the bone.  She was wondering if I could help her.  She didn’t have very good insurance as I remembered.  She had been [...]

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One Nursing Home’s Alternative To Anti-Psychotic Medications.

May 1, 2012

The Boston Globe, part two in the series on the use of anti-psychotics in nursing homes, offers a look at  alternatives.  The article focuses on a nursing home, The Life Care Center of Nashoba Valley and how they do not have anyone on these medications for behavioral issues.  According to the data released by the [...]

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Nursing Home Use Of Antipsychotics: A Boston Globe Series

April 30, 2012

I want to thank the Boston Globe writers, Kay Lasar and Matt Carroll, for doing the series on the use of anti-psychotic medications to treat Alzheimer’s disease  and persons without a mental illness called ”A Rampant Prescription, A Hidden Peril.”  I applaud them for their research and investigation into the over use of these drugs in [...]

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What Is An E-Patient?

April 26, 2012

This post is written by Erica Moss, who is the community manager for the Masters in Nursing online program at Georgetown University, offering one of the nation’s leading nurse practitioner programs. Outside of work, she’s a dog lover who enjoys photography and meeting new people. The Internet is changing almost every aspect of our lives. [...]

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Do You Have A Healthcare Proxy?

April 23, 2012

One of the first questions I ask new clients is,  Do you have a healthcare proxy ?  This is one of the most important documents you can have when going to the doctor or hospital.  A designated healthcare proxy is the person who will make medical decisions when you are incapacitated or incompetent.  It is [...]

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Why I Disagree With Dr Murray Feingold’s Medical Minute of April 2

April 11, 2012

I was listening to the WBZ 1030 Boston radio and the medical minute came on.  Dr Murray Feingold was doing a piece called “Understanding Your Doctor.” http://boston.cbslocal.com/medical-minutes/#.  Usually I like his segments but I was surprised and annoyed by his comments. In this minute, he discussed a study that examined communication between a doctor and patient. [...]

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Is the Nursing Home Model The Best Option For The Future?

April 7, 2012

I often find myself wondering, while visiting a nursing home, how our healthcare system for the elderly ended up this way.  I have become very good at ignoring the smells, sounds, cries and staff’s freguent insensitivities and focusing on my client.  I also have to help  the family with the emotional, physical, psychological and financial [...]

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The Man Who Mistook His Catheter Bag For A Phone

April 2, 2012

This was a  spouse/caregiver’s call to me for help.  ”He is trying to use his bag as a phone.” I didn’t know whether to laugh or cry.  The caregiver was unhinged, scared and confused.  What had happened to make these sudden changes?  What happened was, my client had a minor procedure for back pain that [...]

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Being Safe At The Emergency Room

March 26, 2012

I spent part of the other night with a client and his wife at the local ER.  His primary care doctor had sent him there after hours.  My client’s wife and caregiver had thought she could handle it herself but on the follow up call, she was in distress.  My client was having a difficult [...]

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