Browsing Tag: nathan wei

Nonadherence to Medications an Epidemic


Here’s a deadly epidemic you don’t hear about…

The Cost of Not Taking Medicine

Dr. Jack Cush writing in RheumNow reported The NY Times points out “there is is an out-of-control epidemic in the United States that costs more and affects more people than any disease Americans currently worry about. It’s called nonadherence to prescribed medications, and it is — potentially, at least — 100 percent preventable by the very individuals it afflicts.

Studies show at least 20% up to 50% percent of prescriptions are never filled.  Nearly 50% of medications for chronic disease are not taken as prescribed.

A recent Annals of Internal Medicine article estimated that nonadherence resulted in approximately 125,000 deaths and at least 10 percent of hospitalizations; costing US health care system $100 – 289 billion a year.

Comment: Totally controllable by the individual.  At some point people need to take responsibility for their health.

Heart Attacks and Strokes Lower Where Trans Fats Banned


Good news on the public health front

Rates Of Hospitalizations For Heart Attacks, Strokes Lower Where Trans Fats Are Banned

Nicholas Bakalar writing for the New York Times reported that research published in JAMA Cardiology suggests “laws that restrict adding trans fats to foods have had immediate beneficial effects on heart health.”

Comment: The more we get rid of the poisons around us, the better.

Using UBER To Go To The Emergency Room


Simple as tapping on your phone… a ride to the hospital… huh?

Some People Using Uber For Transportation To The Emergency Room

Leah Samuel writing for STAT reports there is a growing trend of people using Uber, rather than calling an ambulance, for transportation to the emergency room. The article reports that some people prefer Uber to transport themselves to the hospital, because it can be cheaper and more predictable than taking an ambulance.

Comment: Not sure I would recommend this. If you have to go to the hospital, you need an ambulance.

Physicians Spend More Time on the Computer than Seeing Patients


A frustrating problem confirmed

Physicians Spend Roughly As Many Hours On Computer Work As They Do Meeting With Patients, Researchers Find

Randy Dotinga writing for Healthday reported, “Physicians spend roughly as many hours on computer work as they do meeting with patients,” investigators found after researching “the daily habits of nearly 500 US” physicians. According to HealthDay, “the American Medical Association, the American College of Physicians and other organizations have complained about the administrative burden physicians face.” The findings were published in Health Affairs.

Comment:  Man… I get so frustrated with these electronic medical records.

Pedometers Aid In Rheumatoid Arthritis


Another Treatment Modality For Rheumatoid Arthritis… Next

Pedometers increase activity and decrease fatigue in rheumatoid arthritis patients

Wiley writing for Eureka Alert reported providing pedometers, with and without providing step targets, to individuals with rheumatoid arthritis increased activity levels and decreased fatigue in a recent study.

In control patients who did not receive pedometers, average daily steps declined and there was no significant change in fatigue.The findings are important because fatigue can have a significant impact on quality of life for individuals with rheumatoid arthritis, but effective and feasible treatments are limited.

“Because rheumatoid arthritis medications have only small effects on fatigue, it’s important for patients to have other ways to manage their fatigue,” said Dr. Patricia Katz, lead author of the Arthritis Care & Research study. “These results suggest that something as simple as increasing physical activity by walking can help.”

Comment: Exercise.  The magic sauce

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