Monday, May 7, 2018

Walmart limits opioids to 7-day supply for some

Retailer says its actions to limit access to pain drugs are part of "fight against the nation's opioid epidemic"

From: http://www.cbsnews.com/news/walmart-to-restrict-opioids-to-7-day-supply-for-some/

Americans are more anxious than a year ago, survey finds

One generation experienced a particularly sharp increase in anxiety levels, a new survey finds

From: http://www.cbsnews.com/news/americans-are-more-anxious-than-a-year-ago-survey-finds/

CME Preview: Physician Assistant Board Review 2018



From: Mayo Clinic https://www.youtube.com/watch?v=5MOqpep2HrM

Doctor pleads guilty in woman's botched abortion death

Dr. Robert Rho's attorney reached a plea deal with prosecutors Friday after jurors said they were deadlocked

From: http://www.cbsnews.com/news/new-york-doctor-pleads-guilty-in-womans-botched-abortion-death/

Mayo Clinic Minute: Which sugars won't pack on pounds



From: Mayo Clinic https://www.youtube.com/watch?v=guDk7xr-NH0

#MayoClinicNeuroChat with Mayo Clinic Neurosurgery Chairs - AANS2018



From: Mayo Clinic https://www.youtube.com/watch?v=pO3qBNfFoPw

How air pollution contributes to 8 million deaths each year

Is air pollution making you sick? An environmental health scientist answers 4 common questions about this stealthy killer

From: http://www.cbsnews.com/news/how-air-pollution-makes-people-sick-8-million-early-deaths-each-year/

U.S. abortion clinics face surge of "emboldened" protesters

A new report chronicles a litany of actions that ranged from coordinated trespassing efforts by abortion opponents, repeated brick-throwing at windows and an attempted bombing

From: http://www.cbsnews.com/news/us-abortion-clinics-face-surge-of-trespassing-and-blockades/

Teens Swap Sugary Sodas For Sugary Sports Drinks

Sports drinks, in addition to sugars and flavorings, contain electrolytes and carbohydrates, and are designed to restore energy and fluids.



From: https://www.webmd.com/children/news/20180507/teens-swap-sugary-sodas-for-sugary-sports-drinks?src=RSS_PUBLIC

Eating Nuts Linked to Lower Odds of Having AFib

mixed nuts on wooden table

In a large study, Swedish researchers found that eating nuts three or more times a week was associated with an 18% lower chance of having AFib. It also helped cut the odds of heart failure.



From: https://www.webmd.com/heart-disease/atrial-fibrillation/news/20180507/eating-nuts-linked-to-lower-odds-of-having-afib?src=RSS_PUBLIC

Melanoma Monday: Protecting your family from skin cancer

Dermatologist Dr. Elizabeth Hale discusses the risks for melanoma and the right way to apply sunscreen

From: http://www.cbsnews.com/news/melanoma-monday-protecting-your-family-from-skin-cancer/

Mayo Clinic Minute: Stop sharing your lip balm



From: Mayo Clinic https://www.youtube.com/watch?v=jG_MLjE0nvk

Take control of your health care (exert your patient autonomy)

Autonomy means being in control of your own decisions without outside influence — in other words, that you are in charge of yourself. It is considered an essential development step toward maturity. We all make decisions about how to live our lives, although sometimes we have less choice than we might like.

When it comes to your health care, how much autonomy is the right amount?

There’s lots of interest in what the term means. Here’s a definition from MedicineNet:

Patient autonomy: The right of patients to make decisions about their medical care without their health care provider trying to influence the decision. Patient autonomy does allow for health care providers to educate the patient but does not allow the health care provider to make the decision for the patient.

This can be a hard line to navigate. In the past, physicians made all the decisions for their patients. They would plan the care, prescribe the treatment, and the patient would either comply or not. The word “comply” is itself pejorative. We have moved into a much more enlightened era of care, and many physicians seek to involve patients, to help them understand treatment options, and to work collaboratively to achieve goals of wellness.

When you and your doctor don’t see eye to eye on the best health care for you

But what if you and your physician don’t agree on the best course of care for you? What if your doctor insists that she knows best, and that your health will be at risk if you don’t follow her advice? Maybe your physician has discouraged you from researching your medical condition yourself. From the physician’s angle, most of us want our patients to understand their illness, be educated on goals of wellness, and be active participants in their own healthcare. But here’s where it gets tricky: physicians study for years to become doctors and bring their scientific knowledge and clinical acumen to the office and the bedside. Patients may not have those skills, but they know their own bodies, tolerance for treatment, and the manner in which they are comfortable receiving care.

Finding the right doctor

It’s sometimes hard to find a doctor you’re comfortable with, whether it’s for you or your child. Making a list of what’s important to you — whether you have a physician you like now, are uncomfortable in your current treating situation, or are in the process of looking for a new provider — can really help. Ask yourself these questions:

  • What is my style about health care? Do I want my doctor to tell me what to do, list the options but give me the final choice, or let me describe the medication and plan that I have researched first?
  • Would I like someone who is more relational or more boundaried? Do I want a physician who has the style of sharing his own life with me, asks about my life and tries to incorporate who I am as a person as well as a patient, or would I prefer a more businesslike approach? Do I want my physician to tell me if she has the same illness I do, and what it’s like for her, or would I prefer my doctor keep this to herself?
  • How much do I want my doctor to know about me as a person? Is that important in the way I want to receive my health care?
  • What might happen if I disagree with my doctor? Would that end the treating relationship right there, or could we work through a difference?

The right doctor will naturally support your patient autonomy

Figuring out how you want your physician to work with you lets you maintain your patient autonomy, whatever that autonomy might be. Receiving the kind of care that is comfortable for you is exercising your autonomy. There will always be blips along the way. One woman told me about a primary care doctor she had worked with for years who became enraged with her at a visit, seemingly out of the blue. She felt he was attacking her health care behavior without asking appropriate questions. She offered him several opportunities during the visit to re-evaluate his comments. When he couldn’t do so, she used her autonomy to fire him. Another patient described being told that if he did not take a specific medication, the outcome could be devastating for his health. This may have been true, but perhaps a more collaborative discussion would have allowed this patient to feel less bullied into a treatment. Feeling comfortable with your right to get the answers you need to understand your treatment reflects your patient autonomy. Make sure your doctor’s style matches your own. How the treating relationship works is an essential part of the treatment. If it works, everything is enhanced. If your autonomy is not respected, your health care will suffer.

The post Take control of your health care (exert your patient autonomy) appeared first on Harvard Health Blog.



From: Carolyn A. Bernstein, MD, FAHS https://www.health.harvard.edu/blog/take-control-of-your-health-care-exert-your-patient-autonomy-2018050713784

CBD Oil: All the Rage, But Is It Safe & Effective?

Last month, a U.S. Food and Drug Administration advisory panel unanimously recommended approval of the CBD medication Epidiolex to treat two rare forms of childhood epilepsy.



From: https://www.webmd.com/pain-management/news/20180507/cbd-oil-all-the-rage-but-is-it-safe-effective?src=RSS_PUBLIC

Pre-Admission Video for Mayo Clinic in Florida Epilepsy Monitoring Unit



From: Mayo Clinic https://www.youtube.com/watch?v=1Sb2MAjclW4

Volunteers provide care to more than 2,000 at California event

More than 2,000 people in April received over $1.5 million in dental services during the California Dental Association Foundation's two-day volunteer clinic, CDA Cares, in Anaheim.

From: https://www.ada.org/en/publications/ada-news/2018-archive/may/volunteers-provide-care-to-more-than-2000-at-california-event

How to minimize your risk of melanoma

It's Skin Cancer Awareness Month and today is "Melanoma Monday." One in five people will develop skin cancer by age 70. Melanoma is the most dangerous form of skin cancer. Dr. Elizabeth Hale, associate professor of dermatology at NYU Langone Medical Center, joins "CBS This Morning" to offer advice on how to minimize your risk factors.

From: http://www.cbsnews.com/video/how-to-minimize-your-risk-of-melanoma/

El minuto de Mayo Clinic: Tratamiento de la caída del cabello masculina



From: Mayo Clinic https://www.youtube.com/watch?v=qJ9VS5UwTP4

ADA 2018 to shine spotlight on antibiotics

Three continuing education courses at ADA 2018 – America's Dental Meeting will focus on treatment involving antibiotics.

From: By David Burger
https://www.ada.org/en/publications/ada-news/2018-archive/may/ada-2018-to-shine-spotlight-on-antibiotics

ADA Foundation honors dental student-led programs helping the underserved

Dental care for Hurricane Harvey victims and a student-run clinic for disadvantaged children: These are some of the examples of the recipients of the ADA Foundation's E. "Bud" Tarrson Dental School Student Community Leadership Awards for the 2017-18 school year.

From: By Kelly Ganski
https://www.ada.org/en/publications/ada-news/2018-archive/may/ada-foundation-honors-dental-student-led-programs-helping-the-underserved

Dental plan portals pave paths to patient benefit data

This is the 12th story in the Decoding Dental Benefits series featuring answers and solutions for dentists when it comes to the world of dental benefits and plans. The series is intended to help untangle many of the issues that can potentially befuddle dentists and their teams so that they can focus on patient care.

From: By Michelle Manchir
https://www.ada.org/en/publications/ada-news/2018-archive/may/dental-plan-portals-pave-paths-to-patient-benefit-data

Dentists contribute to Smithsonian exhibit, book on narwhal

With its famous gigantic tooth — a spiral ivory tusk jutting from its upper lip — most people will never set eyes on a narwhal, the near mythical creature known affectionately as the unicorn of the sea.

From: By Jean Williams
https://www.ada.org/en/publications/ada-news/2018-archive/may/dentists-contribute-to-smithsonian-exhibit-book-on-narwhal

Just the Facts — May 7, 2018

Patient volume in 2016.

From: https://www.ada.org/en/publications/ada-news/2018-archive/may/just-the-facts-may-7-2018

Two dental schools earn ADA Foundation Zwemer awards

Two dental schools earned the ADA Foundation Zwemer awards for 2017 — Indiana University School of Dentistry for its Global Service Learning Program, and the University of Michigan School of Dentistry for its program, Global Initiatives in Oral and Craniofacial Health in Meru, Kenya.

From: By Jean Williams
https://www.ada.org/en/publications/ada-news/2018-archive/may/two-dental-schools-earn-ada-foundation-zwemer-awards