Archive for the ‘– Do you feel like we do, Dr. Who?’ Category
Because health, healthcare and medicine is really about being sick.
Posted by Warm Southern Breeze on Saturday, January 17, 2015
To be certain, there’s plenty of misunderstanding about what exactly Nurses do, and who exactly Nurses are.
So, to clear the air, let’s set the record straight, and get a quick backgrounder before diving into the deep end.
In whatever state they choose to practice, all 50 states requires all Nurses to be licensed before they begin practice. Licensed Vocational Nurses (LNVs) are considered technicians, while Registered Nurses (RNs) are professionals.
The LPN (Licensed Practical Nurse), which in some states is called LVN (Licensed Vocational Nurse), most often has earned a certificate in less than a year, and has a significantly different educational track than a Registered Nurse (RN), even when the RN has an ADN (Associate Degree Nursing). The RN utilizes critical thinking skills, and the responsibilities the RN has are more complex, and therefore always supervisory in nature over the LVN/LPN. Because of the complexities and advances in healthcare, and patient care, LVNs are NOT permitted by license to do the same things as a RN. Pay, of course, comes along for the ride, and RNs are paid more.
Registered Nurses may begin practice by earning an Associate’s Degree Nursing (a two-year degree) typically at a Junior or Community College, or by earning a Bachelor of Science Nursing (BSN), a four-year degree most often earned from a University. Both the ADN & BSN must pass the NCLEX – the National Council Licensure Examination – before they can practice Registered Nursing.
Advanced Practice Nurses (APNs) are BSN-prepared RNs whom have obtained additional education and training, typically a Master of Science Nursing (MSN) in a specialty area of Nursing practice such as Gerontology (specialized care for the elderly), Family Nurse Practitioner (FNP), Acute Care Nurse Practitioner (ACNP), Pediatric Nurse Practitioner (PNP), Certified Registered Nurse Anesthetist (CRNA), etc. Frequently, following earning their MSNs, APNs have also obtained National Certification in their area of specialty, and many have prescriptive authority, depending upon the laws of the state in which they practice. Because they have more education, more experience, and more responsibility, they are also paid more. APNs may also continue education and training to the doctoral and post-doctoral levels.
In some states, APNs are allowed independent practice, and are not required by law to be supervised by a physician. Other states have laws that limit practice of APNs – even though they may be Board Certified – and require physicians to collaborate with them, or in some cases, to oversee their work. Alaska, Arizona, Colorado, Hawaii, Idaho, Iowa, Maine, Montana, New Mexico, Nevada, New Hampshire, North Dakota, Rhode Island, Oregon, Vermont, Washington, Wyoming, and the District of Columbia all allow APNs to practice independently. Alabama is one such state which does not allow Board Certified Advanced Practice Nurses independent practice. According to the American Association of Colleges of Nursing, “in at least 45 states, advanced practice nurses can prescribe medications, while 16 states have granted APNs authority to practice independently without physician collaboration or supervision.”
There’s an entirely different can of worms when comparing the practice of APNs and physicians. One of the ways they differ, are that Read the rest of this entry »
Posted in - Business... None of yours, - Do you feel like we do, Dr. Who?, - Even MORE Uncategorized! | Tagged: AACN, Advanced Practice Nurse, American Association of Nurse Anesthetists, APN, best, board certified, career, college, CRNA, degree, DNP, DNS, education, environment, Family Nurse Practitioner, FNP, health, healthcare, income, jobs, license, LPN, LVN, money, MSN, NP, Nurse, Nurse anesthetist, Nursing, opportunity, rank, ranking, report, RN, States, survey, university, work, worst | 2 Comments »
Posted by Warm Southern Breeze on Friday, December 19, 2014
McD’s began rationing French Fries Wednesday morning, December 17, at it’s 3100 Japanese locations as an emergency airlift of 1,000 tons of spuds and an extra shipment by sea from the U.S. East Coast set sail.
Industrial Food Manufacturer McDonald’s continues to spread diet-related disease internationally.
The highly processed frozen spuds are deep-fryer ready, and a leading U.S. export. Folks in the Land of The Rising Sun love their French Fried spuds, and eat more than 300k tons of the imported American tuber annually, according to USDA figures. Of particular note, most of Japan’s locally grown potatoes are eaten fresh.
McD’s continually denies any responsibility, role or contribution to increased obesity, either in America, or abroad where they conduct business. But increased rates of Japanese obesity, diabetes, and metabolic syndrome, suggest not conspiracy, but wanton disregard for, if not flagrant violation of, Japan’s Ministry of Health 2008 ‘Metabo Law’ that requires men to maintain a waist line less than 33.5 inches and women less than 35.4 inches.
A McDonald’s in Japan
The American Fast Food Industry was introduced to Japan in the 1970’s, and since then, consumption of rice in the daily Japanese diet has decreased and been replaced by bread, meat, dairy products, hamburgers, French fries, milkshakes and doughnuts.
Similarly to America, one of the time-honored Family Values of enjoying freshly prepared food at home has declined, and consumption of Industrially Prepared Food, and use of video games has risen.
Even though the Japanese diet still includes much more fish having omega-3 fatty acids, the adoption of a more ‘Western Diet’ is causing health problems. O3FAs are thought to protect against heart disease, and on average, the Japanese eat much less food high in saturated fat than Americans.
The Japanese government has quickly acknowledged the damaging health effects of Industrialized Food Production, which is known as the Standard American Diet, and has moved to disincentivize their citizens from becoming obese like Americans.
Japanese people have historically enjoyed a high life expectancy, very nearly 80 years, although in recent years, their increase in longevity has slowed to 1.2%. The Japanese health care system provides Universal Coverage primarily through local government or employer insurance, and the system is foreseeing dire financial trouble because chronic diseases like diabetes, cardiovascular disease, obesity, high blood pressure, high glucose levels and cholesterol will significantly burden the system.
As the Japanese population ages and their health begins to deteriorate, the workforce will not be large enough to cover those health costs. The government sees an opportunity to cut costs by lowering rising obesity.
Posted in - Business... None of yours, - Do you feel like we do, Dr. Who?, - Read 'em and weep: The Daily News | Tagged: agriculture, America, business, Cholesterol, commerce, costs, diabetes, export, Family Values, farm, fast food, fat, Golden Arches, grease, health, health insurance, healthcare, heart, Heart disease, import, industrial food, insurance, international, Japan, McD's, McDonald's, Micky D's, obesity, phast phood, potatoes, spuds, Standard American Diet, trade, United States, Universal Coverage, USA, USDA | 1 Comment »
Posted by Warm Southern Breeze on Saturday, November 29, 2014
It was one of the few times I have wept over others’ misfortunes – especially my patients.
I went into a closet to weep very bitter tears.
The thought of others seeing me so heartbroken was unconscionable, one which I simply could not bear.
Why? Read the rest of this entry »
Posted in - Business... None of yours, - Do you feel like we do, Dr. Who?, - Faith, Religion, Goodness - What is the Soul of a man? | Tagged: AL, Alabama, boys, cancer, Cervarix, cervical cancer, Christianity, Colonoscopy, disease, doctor, education, Expand Medicaid, faith, Gardasil, girls, governor, Governor Bentley, health, HPV, MD, Medicaid, men, Nurse, Oral cancer, ostomy, Physical examination, physician, poverty, religion, RN, Robert Bentley, sex, sexual health, sexuality, sick, surgeon, surgery, teens, throat cancer, Total Pelvic Exenteration, TPE, urostomy, vaccination, women | 1 Comment »
Posted by Warm Southern Breeze on Wednesday, November 12, 2014
Matters of relationships, marriage, or sexuality don’t often appear herein, but there are occasions in which they do. It’s somewhat like a PSA (Public Service Announcement), not often heard, but occasionally beneficial and necessary for select and interested parties. It is in that perspective that I offer the following.
How to Keep Sex Fun
by Gary and Barbara Rosberg
During an interview with Christian sex therapists Clifford and Joyce Penner, e-Harmony founder Neil Clark Warren asked, “What percentage of couples can attain a mutually satisfying sexual relationship?” The Penners responded, “100 percent of them. We’ve never worked with a single married couple whom we felt were incapable of attaining a high level of sexual satisfaction with each other.”
Couples often ask us how to keep the excitement in sex. Our answer: Stay connected. Being connected body to body and heart to heart is what makes sex fulfilling and fun. Here are 13 ways you and your spouse can have more passion.
1. Kiss deeply.
Do you remember the kind of kissing you did when you first fell in love? Do you still kiss that deeply and passionately? Rediscover passionate kissing. Take your time. Enjoy the touch and taste of each other’s lips.
2. Bask in the afterglow.
Savor the closeness you feel after having sex. Stay in each other’s arms. Tell your spouse how good it felt and how much you love him or her. This is one of the most intimate times as a couple.
3. Become a student of your spouse’s sexual zones.
One episode of the sitcom Friends dealt with the different erogenous zones. The characters were discussing Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who? | Tagged: family, help, husband, life, love, marriage, partner, relationship, sex, spouse, tips, wife | Leave a Comment »
Posted by Warm Southern Breeze on Sunday, October 12, 2014
Open Letter to Governor Bentley
October 10, 2014 at 12:45pm
I need to go to the doctor. But I can’t. For some reason I still can’t understand you turned down Federal money set aside for people like me.
On June 24, 2014, on my way to see a doctor to determine disability benefits, I had a car accident. My car was totaled and my lip busted. I had hit the steering wheel with my face.
I still almost refused the ambulance ride because I was afraid of the bill. It took a street full of people to convince me to go. I had my lip sewn up, some scans done. I was sent home with a neck brace.
I have $12,000 in bills now, and my disability was denied. I am more disabled now than before the accident. I am waiting on an appeal with no medical care and no income. That hospital bill will never get paid. I wonder how many other people in this state are in the same situation. Sometimes I think Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who?, - Faith, Religion, Goodness - What is the Soul of a man?, - My Hometown is the sweetest place I know, - Politics... that "dirty" little "game" that first begins in the home. | Tagged: AL, Alabama, Alabama Medical Marijuana Coalition, cannabis, children, Christian, compassion, Expand Medicaid, faith, GOP, Governor Bentley, health, healthcare, low income, marijuana, Medicaid, medical, medicine, mother, pain, poor, poverty, religion, Republicans, women, work | Leave a Comment »
Posted by Warm Southern Breeze on Thursday, August 14, 2014
The very fact that people care enough to attempt to prevent others’ suicide is evidence enough that 1.) People care, and; 2.) Life is worth saving.
So let’s talk about it.
According to the Centers for Disease Control and Prevention, in 2011 (the most recent year for which data are available), 39,518 suicides were reported, which makes suicide the 10th leading cause of death for Americans. That year, someone in the United States died by suicide every 13.3 minutes.
Expressed another way, 790 people in each of the 50 states died from suicide in 2011. That’s 2 per day, per state… every day, all year long.
And because of rounding to the closest whole number, 3018 are completely overlooked.
In 2005, there were more deaths by suicide than homicide.
In 2010, there were more deaths by suicide than those involving automobile wrecks.
In 2009, the United States Army identified that deaths from suicide by military veterans of the Iraq War and War in Afghanistan were Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who?, - Faith, Religion, Goodness - What is the Soul of a man?, End Of The Road | Tagged: crisis, death, depression, health, killer, mental health, Robin Williams, suicide | Leave a Comment »
Posted by Warm Southern Breeze on Monday, July 28, 2014
Let’s talk about drug abuse.
Abuse of any kind is improper use, or dependency. In some cases, so-called “recreational” use is “abuse,” for there is no other kind of use, since a drug may be already illegal.
For the greatest part, those drugs, which are sometimes mistakenly called ‘narcotics’ (technically, narcotics are derivatives of and synthetic chemical relatives to the opium plant) are already illegal, and include LSD and other hallucinogens, heroin, methamphetamine (as “crystal meth”), etc. And, at the Federal level, like it, or not, agree or disagree, marijuana is included in that list.
Further, alcohol must be included in the list of abused substances, simply because we know that people’s lives can be, and are destroyed by alcohol abuse, directly and indirectly.
There’s a database of information based upon hospital admissions related to drug abuse. It’s called the Treatment Episode Data Set, or TEDS, and the information is collected anonymously by each facility in a state that receives “State alcohol and/or drug agency funds (including Federal Block Grant funds) for the provision of substance abuse treatment.”
It is not an exhaustive data set by any means, and there are limitations upon it, yet it does provide some reliable degree of accuracy to the extent, scope and nature of the problem. Consequently, information in “the tables focus on treatment admissions for substance abusers.”
In other words, someone abuses a substance on the list to the extent that they need some degree of care, including hospitalization, and that anonymous information about their admission gets collected and reported. For the purposes of that report, anonymous information is age, sex, ethnicity/race and drug(s) which led to the need for treatment.
The TEDS list of abused drugs are: Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who? | Tagged: 420, abuse, Alcohol, Alcoholic beverage, Children and Youth, decriminalization, drug abuse, drugs, facts, figures, Legalization, marijuana, medicine, mental health, Mental Health Tax, MJ, money, policy, politics, pot, Pro-Legalization, psychosis, reefer, research, studies, tax, taxes, youth | Leave a Comment »
Posted by Warm Southern Breeze on Saturday, May 17, 2014
Rarely do I encounter something so scathing, so terrible, so atrocious that is worthy of some horrible review; but in this case, I shall make an exception.
Friends, if you are a beer drinker, if you enjoy quaffing the suds, if on occasion you like to try new and different things, or if you are a dedicated palate adventurer (like me), I
encourage WARN you to AVOID AT ALL COSTS this beer.
When I read the label upon which was printed “wheat beer,” it did not indicate anything other than “wheat beer.”
In fact, nothing on the entire label nor the bottle nor the carrier warned me, or informed me.
The description on the carrier read: “Wheat Beer Snap! You’ve just captured an unfiltered wheat beer full of refreshment and a smile-inducing flash of tart at the finish.” On the bottle, these words also appeared: “Wheat beer brewed with spices.”
Normally, I’ve found some wheat beers exceptionally tasty, while others have miles to go before they begin to perfect their craft.
This beer was from a well-known, and highly respected craft brewery, whose offerings I have come to enjoy.
I write of none other than Read the rest of this entry »
Posted in - Business... None of yours, - Do you feel like we do, Dr. Who?, - Even MORE Uncategorized! | Tagged: ale, Bacteria, Bay Area, beer, Belgium, beverage, bread, Brettanomyces, brew, Brewing, Colorado, craft beer, craft brew, culture, Dexter, drink, food, Frisco, home brew, horrible, Jolly Pumpkin, Jolly Pumpkin Artisan Ales, lactobacillus, Michigan, microbrew, New Belgium, Pediococcus, Ron Jeffries, San Francisco, sour, Sour beer, sourdough, Texas, trends | Leave a Comment »
Posted by Warm Southern Breeze on Friday, May 9, 2014
If Alabamians can’t work because they’re sick, and can’t get care because they’re poor, they can’t be productive citizens.
Should we just throw ’em to the wolves?
What will become of Alabama’s present, much less it’s future?
Alabama medical students argue for expansion of Medicaid
on May 07, 2014 at 9:39 AM, updated May 07, 2014 at 9:51 AM
By Swaroop Vitta and Davis Bradford
In medical school, our professors often show us maps of the U.S. illustrating where diseases strike hardest and where patient outcomes are the worst. Most of the time, Alabama is red, really red. Red is bad. So bad that over 600,000 Alabamians are uninsured and have limited to no access to health care.
Alabama is our home and this state’s spirit of compassion made us who we are. Every Sunday a small group of us with other medical students and volunteer physicians heads to a homeless shelter across from Regions Field that houses our free clinic. As we open our doors to many men and women that could not otherwise see a physician, we see first-hand what life without health insurance in Alabama is like.
Ms. C, a hardworking Alabamian, came into clinic with a terrible headache. It turned out that it was due to emergently high blood pressure. Ordinarily, this is easily treatable, but because Ms. C had gone without care for so long, she was now in danger of a stroke. Only the emergency room could provide relief. But for Ms. C, like so many others in Alabama, that relief was accompanied by a bill she could never pay with the risk of unsurmountable debt. Ms. C has since become our regular patient. While her health has improved, there is only so much a group of well-intentioned medical students can do.
Had Ms. C received medical care during the years before we saw her, her high blood pressure could have been controlled before it left her with permanent injuries. Despite treatment, the chronic issues from those years without care now leave her unable to work. And at 58 years of age, her options are running low.
Even when work was an option, Ms. C’s income was Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who?, - Faith, Religion, Goodness - What is the Soul of a man?, - Lost In Space: TOTALLY Discombobulated, - My Hometown is the sweetest place I know | Tagged: ACA, Affordable Care Act, Alabama, economy, governor, Governor Bentley, health, healthcare, heatlh insurance, hypocrisy, industry, insurance, jobs, law, Medicaid, medical, news, Obamacare, Patient Protection and Affordable Care Act, poor, poverty, PPACA, Robert Bentley, school, students, UAB, University of Alabama at Birmingham | Leave a Comment »
Posted by Warm Southern Breeze on Thursday, July 25, 2013
Increasingly, people express concern over medications which often have distressingly adverse, even life-threatening, side effects and negative interactions with other medications.
That’s not to mention the ongoing costs of refilling prescriptions, and Big Pharma’s never ending desire for increased profits, all which occur at patient expense.
Those are all genuinely warranted concerns.
Here is one example of how a procedure helps alleviate the problematic symptoms of overactive bladder without pills.
Stimulation of the tibial nerve helps against a hyperactive bladder
Jun 4, 2013
According to a US study, relief of symptoms caused by bladder hyperactivity can be achieved by percutaneous stimulation of the tibial nerve. This is the result of a three-year study on 29 patients, researchers report in “The Journal of Urology“.On average, the participants received one treatment per month over the course of the study. Outpatients had Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who?, - Read 'em and weep: The Daily News | Tagged: bladder leakage, health, healthcare, incontinence, Journal of Urology, Lower urinary tract symptoms, news, Nocturia, Overactive bladder, patient, Pelvic floor, spinal cord, stress incontinence, Tibial nerve, University of Adelaide, Urinary bladder | Leave a Comment »
Posted by Warm Southern Breeze on Thursday, July 25, 2013
Any time folks ooh & aah over how much advancement humanity has made, I am constantly reminded that we are, in many respects, comparatively speaking, still barbarians, for we know so little. There are unanswered questions galore. And it seems that the more we learn, the more we realize how much we truly do NOT know.
For example, we DO NOT know with certainty why folks become obese.
And yet, this may very well be just one part of a very complex puzzle.
Fertility gene that keeps body trim disappears with age
Jul 24, 2013
According to a study, neural cells in the brain that are responsible for controlling sexuality may also impact body weight. This mechanism, revealed by Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who?, - Read 'em and weep: The Daily News | Tagged: aging, Bad Nauheim, Body weight, brain, fat, fertility, Gene, genetics, health, hormones, Journal of Neuroscience, marriage, menopause, Mutation, news, nutrition, obesity, research, sex, sex drive, Weight gain | Leave a Comment »
Posted by Warm Southern Breeze on Thursday, June 27, 2013
If you had an option, would you rather pay $10/month, or $80/month for a prescription medication that accomplished/did the exact same thing?
Research shows that the results of the 2 differently priced medicines have never been shown to be any better in any way.
Which would you choose?
What if your doctor prescribed the more expensive medication for you based on the fact that Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who?, - Read 'em and weep: The Daily News | Tagged: $62 billion, abuse, ACA, Affordable Care Act, Archives of Internal Medicine, avarice, Big Pharma, biotech, blood pressure, cardiology, cheat, crime, DO, doctor, drug, elderly, ethics, Forest Laboratories, fraud, GPO, greed, group purchasing organizations, health, healthcare, honesty, kickback, law, lie, manufacturers, MD, Medicaid, Medical device, Medicare, medication, medicine, money, Obamacare, patient, pharmaceutical, physician, PPACA, ProPublica, steal, taxes, taxpayer, teaching hospital, Thomas Aquinas, waste | Leave a Comment »
Posted by Warm Southern Breeze on Wednesday, June 12, 2013
“It’s essential to wash your hands, because 50% of all food borne illness has been tied back to unclean hands, or unwashed hands, or improperly washed hands.”
–Carl Borchgrevink, Associate Professor in The School of Hospitality Business, Michigan State University
Forget washing, just take a giant spoon into the toilet, grab up a heaping helping of that stinky brown goodness & eat it.
Folks wouldn’t imagine doing that, but they won’t wash their hands, either.
What’s the difference?
The CDC (Centers for Disease Control and Prevention) says that the one thing people can do to lower the spread of infectious diseases is to Read the rest of this entry »
Posted in - Did they REALLY say that?, - Do you feel like we do, Dr. Who? | Tagged: ACA, Affordable Care Act, anal, Carl Borchgrevink, CDC, Centers for Disease Control and Prevention, dining out, disease, dung, eating out, Environmental health, Fecal-oral route, Feces, Foodborne illness, Hand washing, hands, healing, health, healthcare, Infectious disease, men, Michigan State University, nasty, Obamacare, oral, poop, professor, public health, Public toilet, restaurant, shit, sick, soap, Unclean hands, United States, Wash hands, Washing, water, women | Leave a Comment »
Posted by Warm Southern Breeze on Tuesday, May 21, 2013
Perhaps an alternate title for this would be “We’re in it for the money.”
See also another related entry entitled “Mental Health Profession has Mental Health problems.”
“We’re all mad here”
Medication misuse is out of control in the US and more psychiatric labelling in DSM-5 will not help.
by Allen Frances | Tuesday, 21 May 2013
That’s the message of the new edition of the bible for American psychiatrists, DSM-5. Diagnostic inflation is about to become hyperinflation.
“We are all mad here” explains the Cat to Alice when she wonders about the strangeness of Wonderland. Well, life is starting to follow art. If people make the mistake of following DSM-5, the new diagnostic manual in psychiatry that was published on Saturday, pretty soon all of us may be labelled mad.
When I worked on the taskforce for DSM-4, we were very concerned about taming diagnostic inflation – but we only partly succeeded. Then four years ago, I became aware of the excessive enthusiasm around all the new diagnoses being proposed for DSM-5, including many that were untested. I hate to rain on anyone’s parade, but I knew this would be disastrous for the millions of people who were likely to be mislabelled, stigmatised and given excessive treatment.
In the US, the “sick” are distinguished from the “well” by the diagnostic and statistical manuals developed by the American Psychiatric Association.
The problem is that definitions of mental disorders are already written too loosely and are applied much too carelessly by clinicians, especially by the GPs who do most of the prescribing of psychiatric drugs.
And things are about to get much worse. Under DSM-5 diagnostic inflation looks set to become hyperinflation and will lead to an even greater glut of unnecessary medication. I would qualify for a bunch of the new labels myself – and you might too.
The grief I felt when my wife died would now be called “major depressive disorder”; forgetfulness in older age “mild neurocognitive disorder”; my gluttony now “binge eating disorder”; and my hyperactivity “attention deficit disorder”. As for my twin grandsons’ temper tantrums, this could be misunderstood as “disruptive mood dysregulation disorder”. And if you have cancer and your doctor thinks you are too worried about it, there’s “somatic symptom disorder.” It goes on, but you get the idea.
About half of Americans already qualify for a mental disorder at some point in their lives and the rates keep skyrocketing, especially among kids. In the past 20 years, the prevalence of autism has increased, childhood bipolar has multiplied 40-fold and attention deficit disorder has tripled.
One consolation: the kids are not suddenly getting much sicker – human nature is pretty stable. But the way we label symptoms follows fickle fashions, changing quickly and arbitrarily. And freely giving out inaccurate diagnoses can Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who?, - Lost In Space: TOTALLY Discombobulated, - Read 'em and weep: The Daily News | Tagged: Allen Frances, American Psychiatric Association, APA, conversation, diagnoses, Diagnosis, Diagnostic and Statistical Manual of Mental Disorders, DO, doctor, DSM, DSM-5, DSM5, health, inflation, label, MD, medicine, mental, Mental disorder, mental health, Mercator, money, pharma, physician, problems, psych, psychiatry, psycho, sick, sickly, sicko, unhealthy, United States, USA, weird | Leave a Comment »
Posted by Warm Southern Breeze on Tuesday, May 21, 2013
“How hard is it to criticize an organization that seriously thinks that it’s okay to call “Internet Use Disorder” a mental illness? They’re going to take shot after shot. And the response will be ineffectual and weak. They’ll bob and weave, talk about the “living document,” and unleash their line of bullshit.”
For more than two years, author and psychotherapist Gary Greenberg has embedded himself in the war that broke out over the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders—the DSM—the American Psychiatric Association’s compendium of mental illnesses and what Greenberg calls “the book of woe.”
Since its debut in 1952, the book has been frequently revised, and with each revision, the “official” view on which psychological problems constitute mental illness. Homosexuality, for instance, was a mental illness until 1973, and Asperger’s gained recognition in 1994 only to see its status challenged nearly twenty years later. Each revision has created controversy, but the DSM-5, the newest iteration, has shaken psychiatry to its foundations. The APA has taken fire from patients, mental health practitioners, and former members for extending the reach of psychiatry into daily life by encouraging doctors to diagnose more illnesses and prescribe more therapies—often medications whose efficacy is unknown and whose side effects are severe. Critics—including Greenberg—argue that the APA should not have the naming rights to psychological pain or to the hundreds of millions of dollars the organization earns, especially when even the DSM’s staunchest defenders acknowledge that the disorders listed in the book are not real illnesses.
Greenberg’s account of the history behind the DSM, which has grown from pamphlet-sized to encyclopedic since it was first published, and his behind-the-scenes reporting of the deeply flawed process by which the DSM-5 has been revised, is both riveting and disturbing. Anyone who has received a diagnosis of mental disorder, filed a claim with an insurer, or just wondered whether daily troubles qualify as true illness should know how the DSM turns suffering into a commodity, and the APA into its own biggest beneficiary. Invaluable and informative, The Book of Woe is bound to spark intense debate among expert and casual readers alike.
The Real Problems With Psychiatry
A psychotherapist contends that the DSM, psychiatry’s “bible” that defines all mental illness, is not scientific but a product of unscrupulous politics and bureaucracy.
On May 22, the American Psychiatric Association will release the fifth Diagnostic and Statistical Manual of Mental Disorders, the DSM-5. It classifies psychiatric diagnoses and the criteria required to meet them. Gary Greenberg, one of the book’s biggest critics, claims these disorders aren’t real — they’re invented. Author of Manufacturing Depression: The Secret History of a Modern Disease and contributor to The New Yorker, Mother Jones, The New York Times and other publications, Greenberg is a practicing psychotherapist. The Book of Woe: The Making of the DSM-5 and the Unmaking of Psychiatry is his exposé of the business behind the creation of the new manual.
Can you talk about how the first DSM, published in 1952, was conceived?
One of the reasons was to count people. The first collections of diagnoses were called the “statistical manual,” not the “diagnostic and statistical manual.” There were also parochial reasons. As the rest of medicine became oriented toward diagnosing illnesses by seeking their causes in biochemistry, in the late 19th, early 20th century, the claim to authority of any medical specialty hinged on its ability to diagnose suffering. To say “okay, your sore throat and fever are strep throat.” But psychiatry was unable to do that and was in danger of being discredited. As early as 1886, prominent psychiatrists worried that they would be left behind, or written out of the medical kingdom. For reasons not entirely clear, the government turned to the American Medico-Psychological Association, (later the American Psychiatric Association, or APA), to tell them how many mentally ill people were out there. The APA used it as an opportunity to establish its credibility.
How has the DSM evolved to become seen as the “authoritative medical guide to all of mental suffering”?
The credibility of psychiatry is tied to Read the rest of this entry »
Posted in - Business... None of yours, - Do you feel like we do, Dr. Who?, - Read 'em and weep: The Daily News | 1 Comment »
Posted by Warm Southern Breeze on Saturday, May 11, 2013
Thanks to a newly introduced aspect of ObamaCare, hospitals are now mandated to publicly show how much they charge for procedures.
Aren’t you glad?
I mean really… who goes to a grocery store or gas station and doesn’t know how much they’ll pay?
Part of market-based competition includes Read the rest of this entry »
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Posted by Warm Southern Breeze on Thursday, April 18, 2013
GET THE VACCINE FOR YOURSELF & YOUR CHILDREN!
By Charles Bankhead, Staff Writer, MedPage Today
Published: April 18, 2013
- The incidence of genital warts declined by more than 90% in adolescent and teenage girls in the first 4 to 5 years after introduction of the human papillomavirus (HPV) vaccine in Australia.
- Note that the reductions in wart incidence among girls and women were accompanied by 50% to 80% decreases in the incidence of genital warts among heterosexual boys and young men although no decline in wart frequency was seen in heterosexual women or men older than 30.
The incidence of genital warts declined by more than 90% in adolescent and teenage girls in the first 4 to 5 years after introduction of the human papillomavirus (HPV) vaccine in Australia, investigators reported.
Genital warts occurred more than 70% less often among women 21 to 30, as compared with the 3 to 4 years before the vaccine became available. The reductions in wart incidence among girls and women were accompanied by 50% to 80% decreases in the incidence of genital warts among heterosexual boys and young men.
No decline in wart frequency was seen in heterosexual women or men older than 30, Basil Donovan, MD, of the University of New South Wales in Sydney, and co-authors reported online in BMJ.
“In 2011 no genital wart diagnoses were made among 235 women under 21 years of age who reported prior human papillomavirus vaccination,” the authors noted. “The significant declines in the proportion of young women found to have genital warts and the absence of genital warts in vaccinated women in 2011 suggests that the human papillomavirus vaccine has high efficacy outside the trial setting. Large declines in diagnoses of genital warts in heterosexual men are probably due to herd immunity.”
The study provided a glimpse of the impact of HPV vaccination in a real-world community setting as opposed to a clinical trial.
“It actually generated data consistent with what we hoped and predicted would happen,” said Greg Poland, MD, of Mayo Clinic in Rochester, Minn. “It showed in a large study that [the vaccine] worked and it worked fabulously.”
It is probable that the results are Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who?, - Read 'em and weep: The Daily News | Tagged: Australia, BMJ, Genital wart, GlaxoSmithKline, HPV, HPV vaccine, Human papillomavirus, Mayo Clinic, University of New South Wales | Leave a Comment »
Posted by Warm Southern Breeze on Sunday, March 3, 2013
This issue raises some very interesting questions. First, because men are a minority in Nursing, is it justifiable for them to earn more than those, who as a group, dominate the profession?
Or, is parity genuinely or truly parity?
Should men and women earn the same amount of money if they do the exact same kind of work?
Or, are there accountable differences in the pay which justify the difference, however slight – and is very slight.
Male Nurses Make More Money
- February 25, 2013, 1:17 PM
Men now comprise 10% of all Nurses in the United States, up from 3% several years ago. / Getty Images
Hospital patients are more likely than ever to see a male nurse at their bedside — and odds are he earns more than the female nurse down the hall. Men made up close to 10% of all registered nurses in 2011, according to a new Census report released today. That may not sound like much, but it’s up from less than 3% in 1970 and less than 8% in 2000.
It’s no mystery what is drawing men into nursing. Male-dominated professions such as construction and manufacturing hemorrhaged jobs during the recession and have been slow to rebound during the recovery. The health-care sector, meanwhile, actually added jobs during the recession and has continued to grow since. All told, health-care employment is up by Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who?, - Read 'em and weep: The Daily News | Tagged: Advanced Practice Nurse, Critical Care, CRNA, economics, economy, education, employment, faculty, Getty Images, health, health care, healthcare, income, jobs, license, Licensed practical nurse, LPN, Master's Degree, Men in nursing, money, MSN, news, Nurse anesthetist, Nurse Practitioner, Nursing, practice, profession, professional, recession, Registered Nurse, RN, unemployment, USA | Leave a Comment »
Posted by Warm Southern Breeze on Monday, February 11, 2013
If a container says there are a dozen eggs in it, there should be 12 eggs.
If a container says the contents are a pint, there should be 16 ounces.
If a container says the weight of a product is 5 pounds, it should weigh 5 pounds.
And if a container says that each pill has 45 milligrams of a certain ingredient, each pill should contain 45 milligrams of that ingredient.
Pretty straight forward stuff, eh?
But, were you aware that some of the vitamins and other food supplements you may take are not as highly regulated as either over-the-counter or even prescription medicines?
For example, there is so little oversight for standards in the vitamin and food supplement industry that Read the rest of this entry »
Posted in - Business... None of yours, - Do you feel like we do, Dr. Who?, - Read 'em and weep: The Daily News | Tagged: Dietary supplement, Food and Drug Administration, health, Journal of the American Medical Association, Kaiser Permanente, National Institutes of Health, Nutrient, nutrition, Portland Oregon, regulation, United States, United States Pharmacopeia, USA TODAY, Vitamin, Vitamin D | Leave a Comment »
Posted by Warm Southern Breeze on Sunday, January 13, 2013
It’s only “deadly” if it’s misused or abused.
And yet, the idea is an excellent one because it limits potential for misuse and abuse by fraud.
NYC Seeks to Curb Painkiller Abuse With Hospital Limits
New York City is seeking to curb abuse of potentially addictive and deadly painkillers such as Oxycontin and Vicodin with new limits on how widely the drugs should be prescribed.
Emergency departments at New York’s public hospitals will only prescribe a three-day supply of opioid painkillers, won’t refill lost or stolen prescriptions and shouldn’t prescribe long-acting versions of the drugs, according to voluntary guidelines the city issued today.
The move is aimed at
Read the rest of this entry »
Posted in - Did they REALLY say that?, - Do you feel like we do, Dr. Who?, - Read 'em and weep: The Daily News | Tagged: addiction, analgesic, Archives of Internal Medicine, Bellevue Hospital Center, drugs, Harlem Hospital Center, health, healthcare, Hillbilly Heroin, medicine, Michael Bloomberg, narcotics, New York, New York City, news, NYC, Oxycodone, OxyContin, pain, relief, Shannon Pettypiece | Leave a Comment »