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Browsing these 155+ linked article titles gives a good grasp of the range of professional discussion, research, controversy, argument and opinion on obesity, diabetes, hypertension (high blood pressure) and other cardiovascular topics, statins and other med/drug concerns, kidney issues, medic/patient communication, and so on. These free mostly-plain-English med journal articles also illustrate how healthcare professionals speak with each other, as distinct from how they talk to patients. Some titles apply to professionals, patients and the general public alike, e.g., GET UP, STAND UP: SITTING FOR TOO LONG DOUBLES RISK FOR DIABETES, CARDIOVASCULAR EVENTS, & DEATH. After this introductory section, order is alphabetical by title and numbered as a convenience for reference in this thread or elsewhere. ▼ indicates a blockquoted exerpt after the article title/link, and ▲ means subordinated items are directly related to the preceding. Exerpts are not necessarily summaries, and exerpted articles no more important than unexerpted ones. See free Medscape registration info here. All sources are free, and freely browsable for almost any health/med topic. This editor's views are indicated by this font.
[1] Girl Power: [Pancreas] Islet Transplants from Women Donors Work Better In what way this makes sense as "girl power" is inexplicable, since the donors are of course dead and powerless, and not girls but women. It was a relief to find that a commenter at this article gave recognition to the dangerous stupidity of such a title (which makes the term "harvest" in this transplant context sound like the worst sociopathic gender exploitation in human history).
[2] Becoming the Patient: Not as Easy as It Looks A remarkably advanced physician puts himself on a diabetic self-care/self-regulation regimen (complete with simulated insulin pump) to experience the learning-curve demand and taskload. He finds it steep going, even without having the actual disease impact as the basic burden. Printer-friendly (see near the top right corner below the title/author/date lines).
KosAbility is a Sunday 7pm eastkost/4pm leftkost volunteer diarist series, as a community for people living with disabilities, who love someone with a disability, or who want to know more about the issues. Our use of "disability" includes temporary as well as permanent conditions, from small, gnawing problems to major, life-threatening health/medical ones. Our use of "love someone" extends to beloved members of other species.
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But first for a little oh-wow therapy: Startup Launches First Wearable Health Records
THE LINKS
[3] The 'A' Word: Are Doctors Arrogant?
...how did the arrogant doctor epithet arise? In the past, doctors were considered authorities who told...patients what to do and treated them with a paternalistic attitude. Some doctors may retain those behaviors today...
Could the confidence that comes with being accomplished and successful make someone arrogant? Typically no, says Dr. Stuart. The trait of arrogance develops or resides within a person at a much earlier stage, arising from one of two paths:
"I am indeed better." Someone who has always lived a privileged life, feels entitled to all of the finer things, or has always been looked up to may take it as a given that he or she is better than others. "People who had a sheltered, protected existence with no perception of what the real world is like for other people may consider themselves an elite group, entitled to feel superior," says Dr. Stuart.
"I made it, so why can't you?" By contrast, a person who was deprived as a child and worked very hard to pull himself up by the bootstraps may then look down on others who don't have the same perseverance or initiative to take charge of their life and create similar success. [the writer errs slightly in needing to have phrased it "...others who appear not to have the same perseverance..." rather than exhibit mildly amusing evidence of protesting a bit too much.
[Doctors are pressured; patients are more demanding.] Some doctors have admitted that at times it's hard to maintain their patience [or their patients], and frustration triggers a snappish response. Throw into the mix the fact that doctors may have less time to see each patient and answer questions, and you have the ingredients for a negative interaction.
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[4] Patients: 'Difficult,' 'Tough' or Just Misunderstood?
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[5] How Can I Deal With 'Difficult' Patients and Families?
[6] ADA (American Diabetes Association) 74th Scientific Sessions® June 13 - 17, 2014; San Francisco, California Medscape independent coverage articles linked here include: ■ Could Hepatitis B Vaccination Prevent Diabetes? ■ More on Heart Failure Hospitalization With Gliptins in Type 2 Diabetes ■ TEENs: Most Youth with Type 1 Diabetes Miss Glycemic Goals ■ Diabetic Foot...Needs a Team Approach ■ Web-Based Tool Prevents Diabetes-Related Driving Mishaps ■ Long-term Success With Pancreas Transplant Alone in Diabetes ■ Islet-Cell Transplants...in Type 1 Diabetes ■ Low-Density Lipoprotein-C May Not Be Best Predictor of CVD Risk in Type 1 Diabetes ■ First-Ever ADA Guidance Specifically for Type 1 Diabetes ■ Lifestyle, Metformin, Can Delay Diabetes, 15-Year DPP Data Show ■ Improved Glycemic Control in T2CM Cuts Major Adverse Cardiac Event Risk ■ Is Celiac Screening for Kids With Type 1 Diabetes Adequate? ■ Improve Your Diet, Drop Your Diabetes Risk, and Vice Versa ■ Usual BMI Cut Point May Miss Diabetes in Thin Asian Americans ■ Statins Not Cost-Effective for Many Newly Eligible Patients ■ No Change in Retinopathy [Risks] in T2DM 2 Years After Bariatric Surgery ■ Improve Your Diet, Drop Your Diabetes Risk and [Worsen the Diet, Worsen the Risk] ■ Fascinating Discoveries in Type 2 Diabetes ■
[7] Adapting your practice: treatment and recommendations for patients who are homeless with diabetes mellitus. National Guideline Clearing House, Agency for Health Research & Quality, U.S. Dept of Health & Human Services from National Health Care for the Homeless Council, Inc. - nhchc.org,
[8] ▼ Adding Dapagliflozin to Usual Diabetes Drugs May Improve [glycemic] Control ...
...without significant weight gain, especially when glycemic control has been inadequate, according to a new meta-analysis. ... Principal investigator Dr. Siu-wai Leung [University of Macau, China, and School of Informatics of the University of Edinburgh, Scotland, said] in an email to Reuters Health, "The consistency found in this study strengthens our confidence in the available medical evidence... The findings surprised us because dapagliflozin [trade name Farxiga in the US and Forxiga in the EU] was not so effective when used alone to treat type 2 diabetes mellitus (T2DM) and because all the eligible randomized controlled trials (RCTs) were sponsored by pharmaceutical companies. While the RCTs looked all right, their results and conclusions should be interpreted carefully for potential competing interest."...
The [meta-analysis covers 12 studies found eligible (out of 380 considered) involving close to 4,000] adults with T2DM who received dapagliflozin plus conventional anti-diabetic drugs and were followed for at least eight weeks. Control groups had to take a combination of placebo plus conventional drugs (not just placebo); trial outcomes had to include HbA1c, fasting plasma glucose, and body weight. Results were analyzed using a random effects model, with meta-regression, to project long-term (greater than 24 weeks) effects on controlling fasting plasma glucose and body weight...
Dr. Lawrence Phillips [Emory University School of Medicine, Atlanta, Georgia] told Reuters Health in a phone interview, "This is a well-done meta-analysis that tells us that, in general, these drugs, when given to people at various stages in their natural history as judged by using different kinds of drugs, are beneficial to lower glucose levels."
As to whether industry-funded trials are less reliable than independent trials,emphasis added --ed. Dr. Phillips, who was not involved in the study, pointed out another issue. "It's not so much whether it's done by industry or not, because we've gotten better at requiring universal reporting and quality of design," he said.
"The problem is that sometimes in industry-supported trials, patients are paid to take part. In some countries, paying people to take part can be a big deal, so patients are very reluctant to drop out because of side effects that might be a problem in other circumstances."
[9] Albuminuria Predicts Cognitive Decline in Diabetes Articles linked at the page: ■ High Blood Glucose Linked to Dementia Even Without Diabetes ■ Albuminuria Predicts Cognitive Decline Independent of Kidney Function ■
[10] Are You Monitoring Diabetes Patients' Kidney Function? Half of Type 2 Diabetes Patients May Be at Risk
[11] ▼ Antihypertensive Treatment and Risk of Atrial Fibrillation: A Nationwide Study, Denmark 1995 through 2010.
Aims: To examine the associations between antihypertensive treatment with angiotensin-converting enzyme inhibitors (ACEis) or angiotensin receptor blockers (ARBs), β-blockers, diuretics, or calcium-antagonists, and risk of atrial fibrillation...
...Conclusion: Use of ACEis and ARBs compared with β-blockers and diuretics associates with a reduced risk of atrial fibrillation, but not stroke, within the limitations of a retrospective study reporting associations. This suggests that controlling activation of the renin-angiotensin system in addition to controlling blood pressure is associated with a reduced risk of atrial fibrillation.
[12] Better Diabetes Self-Management With Cognitive Therapy
[13] Biological Age, Not Years Alone, Should Guide BP Treatment in Elderly
[14] Breakfast Like a King: 2 Large Meals Benefit Diabetes
[15] Calcium and Vitamin D Supplements May Be Too Much
[16] Cardiovascular Disease in Chronic Kidney Disease
[17] Care for Obese Women Should Be Nonjudgmental
[18] Chocolate? Coffee? Diet Rich in Polyphenols Improves Glucose Metabolism
[19] ▼ Chronic (CareGiving) Stress (+) Poor Diet May Up Metabolic Risk (More Than Poor Diet Alone)
...a small study has shown [for the first time] that chronically stressed women [who eat] high-fat and high-sugar foods are more vulnerable to metabolic health risks, including abdominal fat and insulin resistance, than [are] low-stressed women who eat the same foods.
... The study, [19a]published online April 12, 2014 in the journal PsychoNeuroEndocrinology", compared 33 postmenopausal ...women caring for a spouse or parent with dementia for an average of 4.7 years... with 28 age-matched, low-stress women. Participant characteristics included a mean age of 62 years... median income of $70,000 to $79,000... 66% had a bachelor's or advanced degree... 80% were white, [and the] high-stress group reported a mean time of caregiving of 13.6 hours a day.
The participants self-reported their dietary consumption on... questionnaires, and both groups reported eating high-fat/high-sugar foods. Researchers took fasting blood samples from participants... [administered] a 3-hour oral glucose test immediately after their fasting blood draws ...measured abdominal fat through dual-energy X-ray absorptiometry [and] measured NPY levels in plasma.
"Our data are the first to demonstrate in humans that the synergistic combination of chronic stress along with consuming more high-fat/high-sugar foods was associated with significantly worse metabolic outcomes and greater waist circumference," the researchers write...
[Independent expert] A. Janet Tomiyama, PhD, assistant professor of psychology at the University of California, Los Angeles, told Medscape Medical News that much of prior research focused on one issue at a time. "This kind of tie-in that looks at the interaction of all of these factors is so important."
[20] Circadian Misalignment Augments Markers of Insulin Resistance and Inflammation, Independently of Sleep Loss [Does shift work increase the risk of diabetes?]
[21] Compromised Gut Microbiota Networks in Children With Anti-islet Cell Autoimmunity [Does the microbiome play a role in pathogenesis of type 1 diabetes?]
[22] Dark Chocolate May Relieve Walking Pain in PAD Articles linked at this page include: ■ Dark Chocolate 'Treats' Vasculature, but Added Flavanols Don't Help ■ More evidence dark chocolate is cardioprotective ■ Chocolate Good for the Heart and Brain ■
[23] ▼ Deceased-Donor Kidney Transplant Inequity Causes Vary by Ethnicity 2011
[American Indians/Alaska natives are most affected by socioeconomic factors; Hispanics, Asians, and Pacific Islanders are most affected by linguistic ...]
[23a] Demand for Endocrinologists Outweighs Supply
▲ ▼ [23a] Record Number of Med Students, but More Needed...Physician Shortage
Despite record numbers of students [enrolling in] medical schools in [2013], the U.S still faces an impending physician shortage if Congress does not [lift the 16-year-old ban on the number of training positions/]residency funding...emphasis added
[24] Diabetic Peripheral Neuropathy: An Unmet Clinical Need
[25] Diabetes Better Controlled With Legume-Rich Diet 2012 article includes link to study published online accessible as of June 2014.
[26] Diabetes Drug Metformin May Impair Cognition, Study Finds
[27] Diabetes Prevention Programs: A Waste of Money?
[28] Dr Reddy's [Laboratories Ltd., India] Recalls Over 13,000 Bottles of Hypertension Drug [metoprolol succinate] in the United States "...Metoprolol succinate extended release is a cheaper generic form of AstraZeneca Plc's Toprol XL. Wockhardt Ltd also recalled 109,744 bottles of the same drug last month... [May 23, 2014]"
[29] Early Trial Shows New Hydrogel Promising for Weight Loss
[30] Economic Slowdown Tied to Rise in Obesity in Richer Nations Articles linked at the page: ■ When Tribes Build Casinos, Obesity Falls in Youth ■ Scientific Statement: Socioecological Determinants of Prediabetes and Type 2 Diabetes ■ Obesity in Childhood Linked to Later Migraine ■
[31] Elderly Patients With New-Onset Diabetes Form a Unique Group
[32] Environmental Toxins Associated With Diabetes, Obesity Article linked at the page: ■ Obesity in Children Linked to Higher Urinary Bisphenol A ■
[33] ▼ (21st) European Congress on Obesity (ECO), Sofia, Bulgaria, May 28 - 31, 2014. Medscape independent coverage articles include: ■ Weight Stigma: Doctors Guilty of Prejudice Against Obese, Too ■ Hope on Horizon for Newer Obesity Drugs in Europe? ■ Waist-to-Height Ratio Plus BMI Identifies Obese at Highest CVD Risk ■ Eating Nuts May Help Pause Path to Type 2 Diabetes:
...Mònica Bulló, MD, of the human nutrition unit at Virgili University, Reus, Spain, [was] senior author on [a] pistachio study [of] 49 overweight or obese prediabetic subjects [that] showed that 57 g of pistachios daily for 4 months significantly reduced fasting glucose, insulin, and insulin resistance. Importantly, there was no change in body weight after eating the nuts.
[Purdue University (Indiana) Department of Nutrition Science's] Sze Yen Tan, PhD, ...reported on 137 adults at elevated risk for diabetes who were randomized to consume 43 g of almonds per day — either with meals or as a snack — or to no almonds, for 4 weeks. Those who ate the nuts felt less hungry and fuller than those who didn't, and they had lower postprandial blood glucose levels, without experiencing any weight gain.
Dr. Bulló added that nuts in general have been found to be associated with a reduced risk for coronary heart disease through moderation of LDL cholesterol, triglycerides, and circulating glucose concentrations. And in studies in type 2 diabetes, they have been shown to reduce postmeal glucose and insulin levels...
[She cautioned that although] nuts are "a rich, dense food with a healthy lipid profile," and pistachios in particular are rich in antioxidant carotenoids... findings have been "mixed" in this patient population [and] Dr. Richard Elliott, research communications officer at Diabetes UK, told Medscape Medical News that until full reports of these studies have been published, "We would not be able to make a definitive judgement….We are not aware of any strong evidence that eating nuts reduces the risk of type 2 diabetes.
[34] Even Moderate Exercise Cuts Mortality in Diabetes
[35] FDA Advisory Panel Endorses Inhaled-Insulin Product Afrezza (April 02, 2014)
▲ [36] FDA Panel Will Probe Lung Effects of Inhaled Insulin (March 30, 2014)
▲ [37] Experimental Diabetes Therapy Succeeds in Late-Stage Studies (August 14, 2013)
[38] ▼ Fitness vs Fatness in Diabetes Prevention. "Stable Overweight vs Persistent Obesity: Does It Matter?" discusses [39] Patterns of Obesity Development Before the Diagnosis of Type 2 Diabetes: The Whitehall II Cohort Study ■ "Is Exercise the Answer?" discusses [40] Fitness, fatness, and survival in adults with prediabetes. ■ "Analysis and Commentary" offers further critique and suggests info-tech by which to measure, follow, and chart exercise engaged in by patients as a prescribed treatment modality [if without touching on co-morbidities that may affect what actually constitutes exercise and what constitutes hazardous over-exertion for any given patient, and other problems with conventional concepts of exercise], and concludes:
...from these 2 studies that improving cardiorespiratory function, which is a by-product of exercise, is more important than how much a patient weighs.emphasis added We have long measured laboratory values as a by-product of pharmacotherapy. Why not exercise?
[41] Fluid Intake and Good Health: Not as Simple as You May Think
[42] Get Up, Stand Up: Sitting for Too Long Doubles Risk for Diabetes, Cardiovascular Events, and Death
[43] GLP-1 Receptor Agonists vs. DPP-4 Inhibitors for Type 2 Diabetes: Is One Approach More Successful or Preferable Than the Other?
[44] GFR (glomerular filtration rate) Estimation: From Physiology to Public Health
[45] 'Healthy People 2020' Kidney Disease Numbers Worry Researchers Articles linked on the page: ■ Chronic Kidney Disease: Holistic Care May Improve Low Quality of Life in Young Patients ■
[46] High Estrogen, Diabetes Linked to Dementia in Women
[47] Hypertension Debate Continues, As JNC 8 'Minority' Speaks Out
[48] Hypertension Guidelines: But Wait, There's More! Articles linked on the page: ■ ASH/ISH Issue Separate Hypertension Guidelines From JNC 8, Hinting at Discord ■ AHA/ACC/CDC Issue 'Science Advisory' on Treating BP ■ JNC 8 at Last! Guidelines Ease Up on BP Thresholds, Drug Choices ■
[49] Hypoglycemia in Insulin-Treated Patients Article linked at this page: ■ Hypoglycemia a Greater Threat Than Hyperglycemia in Elderly ■
[50] Impaired Kidney Function Linked to Higher Renal Cancer Risk
[51] Improvements in Blood Pressure Among Undiagnosed Hypertensive Participants in a Community-based Lifestyle Intervention. (2014) The 2010 Mississippi Hub City Steps program.
[52] In Kidney Risk Patients, Primary Care Discussions Miss the Mark. Articles linked on the page: ■ Dialysis Stinks: Dealing With Our Patients' Depression ■ Medicinal Use of Water in Renal Disease ■
[53] In Utero Exposure to SSRI May Up Obesity, Diabetes Risk
[54] Increased Burden of Cardiovascular Disease in Carriers of APOL1 Genetic Variants / APOL1, Cardiovascular, and Chronic Kidney Disease "...APOL1 plays a protective role in cardiovascular disease and confers an increased risk for chronic kidney disease (CKD) ... within the African American community..."
[55] Inflammation and Obesity (Informative list of contents of this only-for-purchase publication: ■ Unresolved, chronic inflammation as a mediator of diverse disease risks in insulin-resistant obesity ■ Lack of platelet-activating factor receptor protects mice against diet-induced adipose inflammation and insulin-resistance despite fat pad expansion ■ CXCR3 modulates obesity-induced visceral adipose inflammation and systemic insulin resistance ■ Macrophages and fibrosis in adipose tissue are linked to liver damage and metabolic risk in obese children ■ Pro-Inflammatory macrophages increase in skeletal muscle of high fat-Fed mice and correlate with metabolic risk markers in humans ■ Effects of a 1-year exercise and lifestyle intervention on irisin, adipokines, and inflammatory markers in obese children ■ Race modifies the association between adiposity and inflammation in patients with chronic kidney disease: Findings from the chronic renal insufficiency cohort study ■ Inflammatory biomarker pentraxin 3 (PTX3) in relation to obesity, body fat depots, and weight loss ■ Human intestinal microbiota composition is associated with local and systemic inflammation in obesity ■)
[56] Inflammation May Help Explain Depression, Diabetes Link Articles linked at the page: ■ More Research Needed on Antidepressants, Diabetes Link ■ Depression Accelerates Cognitive Decline in Type 2 Diabetes ■
[57] Insulin Analogs: Is Benefit Worth Cost in Type 2 Diabetes?
[58] Insulin Continues to Bedevil Us
[58a] ▼ Insulin Resistance and Environmental Pollutants: Experimental Evidence and Future Perspectives Full Text.
Abstract (Background section):... The metabolic disruptor hypothesis postulates that environmental pollutants may be risk factors for metabolic diseases. Because insulin resistance is involved in most metabolic diseases and current health care prevention programs predominantly target insulin resistance or risk factors thereof, a critical analysis of the role of pollutants in insulin resistance might be important for future management of metabolic diseases.
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[58b] Plastic-additive bisphenol A linked to diabetes and cardiovascular events in NHANES analysis. 2008
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[58b] Patients Losing Weight After Bariatric Surgery Excrete More Bisphenol A in Their Urine
[59] Interval Walking Improves Glycemic Control in Type 2 Diabetes
[60] Iodine Content of US Weight-loss Food (Note: this is the correct title; article headline just has a typo.)
[61] Joint Meeting of the European Society of Hypertension (ESH) and International Society of Hypertension (ISH): HYPERTENSION 2014 June 13 - 16, 2014; Athens, Greece Medscape independent coverage articles include: ■ Calling All Physicians: The Salt 'Debate' Must Stop ■ Which New Hypertension Guidelines Are the Best? ■ Drug Adherence in Hypertension: The Challenge and Opportunity ■ ABPM Beats Office and Home BP Tests for Predicting CVD ■ Biological Age, Not Years Alone, Should Guide BP Treatment in Elderly ■ Europe's Hypertension Strategy: Charting a Different Course? ■ Conflicting Data on Sitagliptin and Heart Failure in Diabetes ■
[62] Key Points in the ADA's New Diabetes Guidelines - January 21, 2014
▲ ▼ [63] New ADA Guidelines Focus on 'Eating Patterns,' not 'Diet'
"Nutrition Therapy Recommendations for the Management of Adults With Diabetes," published online October 9 in Diabetes Care ✱, reviews the evidence for several popular eating plans, including Mediterranean style, vegetarian, low fat, low carbohydrate, and Dietary Approaches to Stop Hypertension (DASH), [without recommending] any specific one...
[This new Position Statement replaces the the ADA's 2008 "Nutritional Recommendations and Interventions for Diabetes", and emphasizes that] "personal preferences (eg, tradition, culture, religion, health beliefs and goals, economics) and metabolic goals should be considered when recommending one eating pattern over another."
[Lead author Alison Evert, MS, RD, CDE, coordinator of diabetes education programs at the University of Washington Medical Center, Seattle, advises] early referral to a registered dietician for nutrition therapy...as soon as possible following the diabetes diagnosis. "What we know from the research is that when a patient is referred soon after diabetes has been diagnosed, nutrition therapy can be effective. Unfortunately, that referral is often delayed, sometimes for years."
...talking points [for] time-limited clinical scenarios [when] a clinician has less than a minute devoted to lifestyle intervention topics, [include] ensuring that the patient knows which foods contain carbohydrates [and which of those are] nutrient-dense, high-fiber foods as opposed to processed foods with added sodium, fat, and sugars... [and advise that] foods with unsaturated fats (liquid oils) be substituted for those higher in trans- or saturated fat and...leaner protein sources and meat alternatives ... [and that evidence doesn't support] the use of any specific vitamin or mineral supplement or herbs ...low-carb and low-glycemic-index eating [or] omega-3 supplements for people with diabetes as a way of preventing or treating cardiovascular disease...
...in a change from 2008... the guidelines specifically call for the avoidance of sugar-sweetened beverages... [and] the limit for sodium is given as 2300 mg/day, the same as for the general population [unless the patient also has hypertension].
..."There's no evidence at this point beyond eating healthy… Unfortunately, findings from small clinical and animal studies are frequently extrapolated to clinical practice," Evert noted... she hopes that the new statement will encourage providers to focus more attention on food as a critical element of diabetes management [and] pointed out that nutrition therapy has been shown to produce cost savings and improve glycemic control. "Often, nutrition therapy isn't given the priority that it should have [even though] it's often a covered benefit for many patients… [Although it's] a lot easier to write a prescription than to have a dialog with the patient about eating behaviors... [nutrition counseling] is an underutilized therapy."
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The patient-centered approach of this document contracts sharply with its title, "...Recommendations for the Management of Adults..." i.e., the patient is to be managed/controlled, a common wording in titles of medical guidelines and journal articles, reflecting the issue in [#3] above. How counterproductive this disrespect and infantilization of patients really is is underlined by physician complaints embodied in [#4], [#5] and in [64] Why Are So Many Patients Noncompliant? in terms like those of a parent toward a child's disobedience or an employer toward a poorly performing subordinate. Realistically, the nearest reasonably comparable relationship is that between teacher and student: [65] "Doctors have a responsibility to enhance the health literacy of their patients...".
Too often, an over-privileged or oblivious physician is under-qualified to take daily survival needs and burdens into account when devising a treatment plan — in other words, has not devised the treatment plan for (far less with) the patient, who is, after all, the one who must live (or not) with the consequences.
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[65a]Compliance (medicine)
In medicine, compliance...describes the degree to which a patient correctly follows medical advice. Most commonly, it refers to medication or drug compliance, but it can also apply to other situations such as medical device use, self care, self-directed exercises, or therapy sessions. Both the patient and the health-care provider affect compliance, and a positive physician-patient relationship is the most important factor...
Compliance is commonly confused with concordance. Concordance is the process by which a patient and clinician make decisions together about treatment...
...Major barriers to compliance are thought to include the complexity of modern medication regimens...the occurrence of undiscussed side effects, the cost of prescription medicine, and poor communication or lack of trust between...patient and ...health-care provider.
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[66] For Noncompliant Patients, a Fix That Works PARTNERING WITH THE PATIENT
[67] Kidney Function and the Risk of Cardiovascular Disease in Patients With Type 2 Diabetes
[68] Limited Recovery of α-Cell Function After Gastric Bypass Despite Clinical Diabetes Remission Is improvement in beta-cell function after gastric bypass mediated by the GI tract?
[69] Low Serum Potassium Concentration As a Predictor of Chronic Kidney Disease
[70] Measuring the Quality of Diabetes Care for Older American Indians and Alaska Natives 2004
[71] Moderate-Intensity Physical Activity and Fasting Insulin Levels in Women: The Cross-Cultural Activity Participation Study 2000 [What effect does physical activity have on fasting insulin levels in African American, Native American, and Caucasian women?]
[72] Moderate Wine-Drinking Benefits Extend to Type 2 Diabetes Articles linked at the page: ■ Fruit, Tea, and Wine Could Guard Against Type 2 Diabetes ■ Mediterranean Diets Cuts Type 2 Diabetes Risk by a Third ■
[72a] More Evidence That [antihypertensive therapy with angiotensin-receptor blockers (ARBs) has] Cognitive Benefits
[73] ▼ Multiple Chronic Conditions Among US Adults: A 2012 Update (i.e., updated since 2012)
The objective of this research was to update earlier estimates of prevalence rates of single chronic conditions and multiple [(greater than 2)] chronic conditions (MCC) among the noninstitutionalized, civilian US adult population. Data from the 2012 National Health Interview Survey (NHIS) were used to generate estimates of MCC for US adults and by select demographic characteristics. Approximately half (117 million) of US adults have at least one of the 10 chronic conditions examined (ie, hypertension, coronary heart disease, stroke, diabetes, cancer, arthritis, hepatitis, weak or failing kidneys, current asthma, or chronic obstructive pulmonary disease [COPD]). Furthermore, 1 in 4 adults has MCC.
[73a] Neighborhood Food Environment and Walkability Predict Obesity in New York City
[74] A New Equation to Estimate the Glomerular Filtration Rate in Children, Adolescents and Young Adults
[75] New International Diabetes Federation (IDF) Guidelines Target Diabetes Care in the Elderly
[76] New Weight-Loss Drugs: When to Prescribe?
[76a] Newest Study Confirms a Soda a Day Ups Diabetes Risk by 20%
▲ [76b]Obesity in Children Linked to Higher Urinary Bisphenol A
[77] No CV Risk With Olmesartan in Diabetics, Says FDA Review
[78] Nutrition for Patients With Diabetes
[79] Obesity Gene Variants Linked to Memory Decline [in white, middle-aged adults]
[80] Obesity Rates: A Glimmer of Hope?
[81] Obesity Redefined by New AACE 'Advanced Framework'
[81a] Obesity Week 2013: The American Society for Metabolic and Bariatric Surgery and the Obesity Society Joint Annual Scientific Meeting November 11 - 16, 2013; Atlanta, Georgia Articles linked at this page: ■ Broad Spectrum Antibiotic Use in Infancy Tied to Obesity ■ Weight Loss Bonus:Costs for Obesity-Related Meds Drop ■ ■ Current BMI Cutoffs May Miss Metabolic Disease Risk ■ [Several articles enthusing about bariatric surgery] ■
[82] ▼ Off the 'Lifestyle' Hook? Statins Study Shows Weight Gain, More Calories Consumed
Presenting their findings April 24, 2014 here at the Society of General Internal Medicine Meeting, the researchers say the study showed that statin users were consuming an extra 192 kcal per day in 2009–2010 than they were in 1999–2000... over a recent 10-year period, while no changes in eating habits have been observed among statin nonusers...individuals prescribed a statin had a larger increase in body-mass index (BMI) than those who weren't taking the lipid-lowering medication...the increase in BMI...was the equivalent of a 3- to 5-kg weight gain.
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[83] But the spectre of BigPharma may loom behind New Guidelines Extend Statins to 13 Million More Americans
Presented and published [November 2013], the new cholesterol guidelines caused quite a stir ("Love 'Em or Leave 'Em: Experts on Both Sides Debate the New Lipid Guidelines") given their departure from previous iterations. As reported by heartwire previously, the guidelines abandoned the LDL- and non–HDL-cholesterol [treatment] targets...of less than 100 mg/dL (or the optional goal of less than 70 mg/dL).
Instead of these targets, which the guideline authors said were not grounded in randomized, controlled clinical-trial data, the new guidelines identify four groups of primary- and secondary-prevention patients for physicians to focus their efforts to reduce cardiovascular disease events [by] appropriate "intensity" of statin therapy [to achieve] relative reductions in LDL cholesterol.
These four groups include individuals with clinical atherosclerotic cardiovascular disease, individuals with LDL-cholesterol levels >190 mg/dL, diabetic patients without cardiovascular disease aged 40 to 75 years old with LDL-cholesterol levels between 70 and 189 mg/dL, and those without evidence of cardiovascular disease, an LDL cholesterol level 70–189 mg/dL, and a 10-year risk of atherosclerotic cardiovascular disease >7.5%.
...The guidelines...would increase the number of individuals eligible for statin therapy by nearly 13 million people...largely older patients and...individuals without cardiovascular disease, according to a new analysis... The increase, say investigators, is...based on their 10-year risk of cardiovascular disease...
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[84]Statins Not Cost-Effective for Many Newly Eligible Patients "...especially in low-risk individuals who would be newly eligible for statins, among them some diabetes patients, researchers predict."
[85] Palliative Care: It's for Caregivers Too, Says Study (Generalizing from Benefits of immediate versus delayed palliative care to informal family caregivers of persons with advanced cancer: Outcomes from the ENABLE III randomized clinical trial, abstract by Marie Bakitas, DNSc, University of Alabama School of Nursing in Birmingham.) "The burden of family caregiving is an under-recognized public health crisis..."
[86] Peripheral Neuropathy Common in Youth With Type 2 Diabetes. Articles linked at this page: ■ Tear Film Dysfunction a Marker of Diabetic Neuropathy (i.e., "teers", not rips) ■ The Diabetic Neuropathies: Practical and Rational Therapy ■
[87] pH of Drinking Water Influences the Composition of Gut Microbiome and Type 1 Diabetes Incidence Can the water you drink affect your risk for diabetes?
[88] Pharmacotherapy for Obesity: Novel Agents and Paradigms
[89] Pill Identifier at Medscape uses imprint, color, shape, form, and scoring to identify meds in hand as to generic and brand name prescription drugs, OTCs, and supplements, from among over 10,000 tablets and capsules; and to access specific information verifying drug name, strength, and detailed pill characteristics, dosing, interactions, adverse effects, warnings, etc.
▲ [90] Pill Identifier at Drugs.com
▲ [91] Pill Identifier at AARP.com
▲ [91a]rxlist.com pill identifier
▲ [91b] Pill Identifier at WebMd.com
[92] ▼ The Prevalence of Metabolic Syndrome and Metabolically Healthy Obesity in Europe: A Collaborative Analysis of Ten Large Cohort Studies
Background: Not all obese subjects have an adverse metabolic profile predisposing them to developing type 2 diabetes or cardiovascular disease. The BioSHaRE-EU Healthy Obese Project aims to gain insights into the consequences of (healthy) obesity using data on risk factors and phenotypes across several large-scale cohort studies. Aim of this study was to describe the prevalence of obesity, metabolic syndrome (MetS) and metabolically healthy obesity (MHO) in ten participating studies.
...All participants were of European origin, with age 18–80 years. ...MHO was defined as obesity, having none of the MetS components, and no previous diagnosis of cardiovascular disease.
Conclusion: Through a rigorous harmonization process, the BioSHaRE-EU consortium was able to compare key characteristics defining the metabolically healthy obese phenotype across ten cohort studies. There is considerable variability in the prevalence of MHO (metabolically healthy obesity) across the different European populations studied, even when unified criteria were used to classify this phenotype.
[93] Prevention and management of obesity for children and adolescents. AHRQ Guideline, US Dept of Health & Human Services.
[94] ▼ PREVENTION of Type 2 Diabetes in Subjects With Prediabetes and Metabolic Syndrome Treated With Phentermine and Topiramate Extended Release Fulltext Conclusion section is a full page. Brief Conclusion from the abstract is:
PHEN/TPM ER plus lifestyle modification produced significant weight loss and markedly reduced progression to type 2 diabetes in overweight/obese patients with prediabetes and/or MetS, accompanied by improvements in multiple cardiometabolic disease risk factors.
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[95] Topiramate[-Induced] Effects on Cognition in Patients With Epilepsy, Migraine Headache and Obesity
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[96] Wikipedia Phentermine/topiramate safety and effectiveness section
[97] Quick Postmeal Walks Better Than Once-Daily Longer Ones
[98] ▼ The 'Real' Side-Effect Cost of Statins: Sorting Fact from Fiction
...In primary prevention, the risk of developing diabetes with statins is real, but just one in five cases of new-onset diabetes suspected to be caused by statins is likely caused by the drugs, while the risk of developing diabetes in secondary prevention is offset by the reduction in cardiovascular deaths, report investigators.
...in clinical practice, patients frequently report side effects such as muscle aches, fatigue, and gastrointestinal distress when started with statin therapy, and this poses a problem for doctors looking to keep patients on the drugs. ...physicians have no way to determine whether those side effects are caused by the medication, would have happened anyway, or are derived from the nocebo effect, a term given to side effects experienced by patients if they anticipate a medication might be harmful
[99] Remote Monitoring Could Be Cost-Effective in Diabetes Care
[100] Risk of Cardiac Arrhythmias During Hypoglycemia in Patients With Type 2 Diabetes and Cardiovascular Risk [Why does hypoglycemia trigger arrhythmias, and who is at risk?]
[101] ▼ A Simple and Inexpensive Way to Predict Microalbuminuria Articles linked at this page: ■ Albuminuria Predicts Cognitive Decline in Diabetes ■ "Proteinuria is undetected and untreated in many patients, according to a study presented April 23 at the National Kidney Foundation's 2014 Spring Clinical Meeting" ■
Proteinuria at any level is associated with an increased risk for morbidity and mortality. The strength of this association surpasses that of both low-density lipoprotein (LDL) cholesterol and blood pressure. Yet, studies in the general practice setting suggest that proteinuria is measured only a fraction of the time, even in patients who are at highest risk for kidney disease.
[102] ▼ SIMPLE Solution to Antipsychotic-Related Weight Gain
...[an] easy-to-use, free program [that] appears to stop antipsychotic-related weight gain and delivers durable weight loss in patients with schizophrenia... "The problem of overweight and obesity in these patients has always been there, but it was accentuated after the introduction of new generation of antipsychotic medications, which caused an incredible amount of weight gain," said principal investigator Cenk Tek, MD, director of the psychosis program at the Connecticut Mental Health Center, Yale School of Medicine in New Haven.
...Previously tested in a proof-of-concept study in individuals without schizophrenia, the tenets of SIMPLE include rule simplicity, frequent repetition, cognitive-behavioral techniques...how to calculate the calories and read labels, [etc.] One of the biggest hurdles, said Dr. Tek, is the high cost of healthy food, so patients are taught strategies such as purchasing frozen vegetables, which are nutritionally equivalent to their fresh counterparts but are much less expensive. They are also taught how to prepare and cook foods in a healthy manner.
...Dr. Tek noted that the "easiest weight to lose is the weight you never gain," and he cautioned physicians to be highly selective about which antipsychotics they prescribe. "If at all possible, do not prescribe an antipsychotic, but if you do, be familiar with the side effect profile of specific agents you chose and their potential for weight gain," he said. The SIMPLE program is ready for prime time, and physicians can access it by visiting www.simpleprogram.org.
...Commenting on the findings for Medscape Medical News, Donna T. Anthony, MD, PhD, program director for the Psychotic Disorders Continuum at New York-Presbyterian Hospital in Westchester, said antipsychotic-related weight gain is a "serious problem... "Unfortunately, some of the most effective antipsychotics tend to have the highest risk of weight gain and other metabolic effects"
[103] Sleep Apnea-Diabetes Link Confirmed in Large Study
[103a] The State of Senior Health: It Depends on Your State
[104] ▼ The Strong Heart Study -- Association of Prehypertension by Joint National Committee 7 Criteria with LV Structure and Function
An analysis of data from the Strong Heart Study (SHS), designed to assess cardiovascular disease morbidity and mortality and its risk factors among Native American men and women, suggests that people considered "prehypertensive" according to the criteria set by the seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7)[1] have abnormalities in cardiac geometry, an increased prevalence of left ventricular hypertrophy (LVH), and increased arterial stiffness.[2] In people with a high rate of comorbidities, such as the SHS population, a prehypertensive condition increases their already high cardiovascular risk, the SHS investigators concluded...
[105] Study Finds Metformin Works Better in African Americans Articles linked on this page: ■ Does Race Affect Outcomes in Diabetes and Coronary Artery Disease? ■ Black Race, Diabetes With Complications CRVO [Central Retinal Vein Occlusion] Risk Factors ■ Race, Diabetes Influence Weight Loss After Gastric Bypass ■
[106] ▼ [Myocardial] Stunning Consequences of Thrice-Weekly In-center Dialysis
...Recent studies examining cardiac function during thrice-weekly in-center hemodialysis have exposed some of the dangers of hemodialysis as well as potential strategies to reduce these risks.
A series of interesting studies on the nature and sequelae of dialysis-induced myocardial dysfunction reveal a silent killer that occurs all too frequently during hemodialysis. During this treatment, patients with normal coronary arteries experience regional wall-motion abnormalities and myocardial stunning that are associated with a decrease in myocardial blood flow.[3] A study using positron emission tomography demonstrated that dialysis induced regional wall-motion abnormalities even in nondiabetic, relatively young adults (average age of 45 years). Even though ultrafiltration volume and intradialytic hypotension were determinants of myocardial stunning, significant decreases in myocardial blood flow could be detected within 30 minutes of initiation of dialysis when ultrafiltration was only 100 mL...
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[106a] Keys to a Successful Home Dialysis Program
[107] Taking Small Steps Towards Targets: Perspectives for Clinical Practice in Diabetes, Cardiometabolic Disorders and Beyond
[107a] Target Sleep Loss to Prevent and Treat Diabetes and Obesity? Articles linked at the page: ■ Inadequate Sleep May in Itself Up Odds of Diabetes Onset ■ http://www.medscape.com/... ■
[108] Taste Buds Decline With Age; Is There a Link With Diabetes? "Researchers have made an intriguing observation: that the number of taste buds on the human tongue declines with age and is associated with higher blood glucose levels."
[109] Therapeutic Use of Traditional Chinese Herbal Medications for Chronic Kidney Diseases
[110] Therapy Shifts Diabetic Microbiome, Improves Glucose Control "Microbiome modulator is taken twice a day, 15 to 60 minutes prior to a meal and shows encouraging results in pilot trial, improving glucose tolerance while reducing cholesterol and markers of inflammation."
[111] Thermogenesis-Based Interventions for Obesity and Type 2 Diabetes Mellitus
[112] ▼ Three-Month Delay in US for Bupropion/Naltrexone for Obesity
The US Food and Drug Administration (FDA) has extended, by 3 months, its review of the combination of bupropion/naltrexone, developed by Orexigen Therapeutics, for the treatment of obesity. A decision is now expected by September 11, 2014. The FDA first rejected the drug combination in February 2011, asking the company to conduct a cardiovascular-outcomes trial...
[112a] Toddler Obesity Risk Highest in Hispanics, Native Americans
[113] Treating the Obese Diabetic Expert Review of Clinical Pharmacology 2013.
[113a] Using the Gut Microbiome Genome to Predict Type 2 Diabetes
[114] Viewpoint Sheds Light on Metabolically Healthy Obesity Articles linked at the page include: ■ Healthy Obesity a Myth When It Comes to Cognition ■ Slim Is Not Necessarily Always Healthy in Heart Failure Risk ■
[115] Why All the Fuss About Brown Fat?
[116] World Congress of Cardiology (WCC) Scientific Sessions 2014 May 4 - 7, 2014; Melbourne, Australia. Medscape independent coverage articles include: ■ Salt and Battery: Debate on Sodium Targets Gets Feisty ■ Use of Community Health Workers Improves Adherence ■ Global Study Finds 10 Risk Factors Explain Almost 90% of Stroke Risk ■
[117] World Diabetes Congress, Dec 2 - 6,2013 Melbourne, Australia. Medscape independent coverage articles include: ■ Replace White Rice With Brown to Cut Obesity and Diabetes ■ New International Diabetes Federation Guidelines Target Diabetes Care in the Elderly ■ Diabetes: A 21st Century Global Challenge ■ What Price Diabetes Care? Affordability Is New Buzzword ■ Diabetes and TB are 2 Converging Pandemics ■
SOME LATE ENTRIES
[118] ACEIs and ARBs in CKD: Should Anyone Not Receive Them? (Angiotensin-converting enzyme inhibitors & angiotensin II receptor blockers)
[119] Adding Sufficient Sleep to Four Healthy Habits Further Lowers CVD Risk
[120] Agreement Between Self-Reported and General Practitioner-Reported Chronic Conditions Among Multimorbid Patients in Primary Care Results of the Multicare Cohort Study
[121] ▼ Almost 10% of US Adults Have Diabetes, 1 in 4 Is Unaware, Says CDC
At least 29 million people in the United States — about 9% of the population — now have diabetes, and 1 in 4 does not know it, according to new data from the Centers for Disease Control and Prevention (CDC)...based on 2012 data from the National Health and Nutrition Examination Survey (NHANES), the National Health Interview Survey (NHIS), the Indian Health Service, and 2012 US resident population estimates, [representing] an increase of 3 million since 2010.
...Age-adjusted percentages of people aged 20 and older with diagnosed diabetes were 7.6% of non-Hispanic whites, 9.0% of Asian-Americans, 12.8% of Hispanics, 13.2% of non-Hispanic blacks, and 15.9% of American Indians/Alaska Natives.
[122] Angiotensin-Converting Enzyme Inhibitor, Angiotensin Receptor Blocker Use, and Mortality in Patients With Chronic Kidney Disease
[123] Animal Protein Intake is Associated With Higher-level Functional Capacity in Elderly Adults: The Ohasama Study
[124] Assessment of the Cardiovascular Safety of Saxagliptin in Patients With Type 2 Diabetes Mellitus Pooled Analysis of 20 Clinical Trials
[125] BMC Public Health Associations Between Inadequate Sleep and Obesity in the US Adult Population Analysis of the National Health Interview Survey (1977-2009)
[126] Beta-Blockers Beat ACE Inhibitors in Dialysis Patients Nephrology Community 'Spun on Its Head' by Surprise Findings (for blood pressure control)
[127] Cardiovascular microRNAs: As Modulators and Diagnostic Biomarkers of Diabetic Heart Disease
[128] CardioVascular Risk and Saturated Fats: The Debate Roils On
[128a] Chronic Kidney Disease and the Aging Population
[12] Coffee Break: Studies Don't Tell Whole Story in Diabetes
[130] Diagnostic Errors & Misses Affect 1 in 20 Outpatient Adults or about 12 million per year (not counting inpatient adults and all youngsters)
[131] Doctors, Not Just Patients, Use Wikipedia, Too: IMS Report
[131a] The Effects of Diabetes on the Brain
[132] Epigenetic Changes in Childhood Predict Risk of Obesity
[133] The Fight Against Type 2 Diabetes: The Promise of Genomics
[134] For Preventive Care, Women Need More Than an OB/GYN "Women who see primary care doctors for their annual checkup tend to receive a broader range of services than women who see obstetrician/gynecologists (OB/GYNs), a recent study suggests."
[135] Genetic Basis of Mitochondrial Disorders Revealed
[136] Glaucoma May Involve Entire Visual Pathway, Not Just Eye
[136a] Heart Failure Can No Longer Be Ignored in Diabetes, Say Experts Articles linked at the page: ■ 'Heart Failure Is Killing Your Diabetes Patients,' Experts Warn at [European Association for the Study of Diabetes (EASD) 49th Annual Meeting September 23 - 27, 2013; Barcelona, Spainthe European Association for the Study of Diabetes (EASD) 2013 Meeting] ■ Withhold Gliptins From Diabetics With Heart Failure? ■
[137] Higher levels of both short-term and long-term blood glucose markers are significantly associated with poorer memory and with decreased volume and microstructure of the hippocampus in persons without diabetes or impaired glucose tolerance, according to a new study.
[138] How Common Are Drug and Gene Interactions? Prevalence in a Sample of 1143 Patients With CYP2C9, CYP2C19 and CYP2D6 Genotyping
[139] Hypoglycemia Can Be Proarrhythmic in High-CV-Risk Diabetics, Especially During Sleep
[140] Is Hypertension Associated With Job Strain? A Meta-analysis of Observational Studies
[141] Land of Confusion: New Reviews Sorts Through the Cholesterol Guidelines to Make Sense of It All
[142] Less Nutritious Foods Take Heavier Environmental Toll: Study "Foods with the largest environmental footprint tend to also provide less nutrition and cost more per unit than foods with a smaller impact on the environment..."
[143] "Less than 8% of people w/Kidney Disease Know They Have It: 'Healthy People 2020..."
[144] Lifetime Incidence of CKD Stages 3-5 in the United States
[145] Microalbuminuria as a Risk Predictor in Diabetes: The Continuing Saga
[145a] Medicinal Use of Water in Renal Disease
[146] Obesity Linked to Increased Risk for MS (American Academy of Neurology (AAN) 66th Annual Meeting, April 26 - May 3, 2014; Philadelphia, Pennsylvania)
[146a Obesity's Genetic Trick Might Protect Against Its Ills
[147] One Bout of Exercise Alters Free-Living Postprandial Glycemia in Type 2 Diabetes
[148] Painful Diabetic Neuropathy [is associated with higher nocturnal blood pressure (BP) independent of pain-related comorbidities, a new study finds]
[149] Postmenopausal Estrogen May Slightly Lower Risk for Glaucoma
[150] Racial and Ethnic Differences in Physical Activity and Bone Density National Health and Nutrition Examination Survey, 2007-2008
[151] Risk of Thiazide-induced Metabolic Adverse Events in Older Adults (Hypertension/ high blood pressure treatment)
[151a] SEVERE OBESITY HAS DECREASED IN NEW YORK CITY SCHOOLKIDS
[152] Stigma as a (Dis)incentive for Weight Loss and Healthy Lifestyle Behaviors
[153] Understanding the Relationship Between Stress, Distress and Healthy Lifestyle Behaviour: A Qualitative Study of Patients and General Practitioners
[154] An Unmet Need in Medical Training: Addressing WEIGHT BIAS
[155] Vitamin D Cut Point Linked to Normal Glucose Metabolism Articles linked at the page include: ■ Vitamin D and Glycemic Control in Diabetes Mellitus Type 2 ■ Vitamin D Replacement Improves Insulin Sensitivity in Obese Adolescents ■ Higher Vitamin D Levels Linked to Lower Diabetes Risk ■
[156] Weekend Cheating Might Help Dieters Succeed
[157 Yoga in the Management of Overweight and Obesity
[158] 23andMe CEO on Her Mission to Shake Up Preventive Care
AND WE END TODAY'S BROADCAST WITH THIS FINAL NOTE:
▼ Patient (and Provider) Experience Are Underrated
...Patients have something important to tell us about the care we provide, and we can do better. ...The Hospital Value-Based Purchasing (VBP) program and the Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys have brought attention to the patient's perspective on healthcare. Just because it is hard to move the needle does not mean that the needle is not worth moving.
Letting doctors off the hook is probably not the right answer for us or our patients. Consider the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, which asks 3 questions about physician communication in the inpatient setting:
• How often do doctors treat you with courtesy and respect?
• How often do doctors listen carefully to you?
• How often do doctors explain things in a way you can understand?
To say that these are unreasonable expectations of physicians on the part of patients and families is like a grocery store saying of their customers, "Why do they want food when they come here?"...
Improvement in patient experience elements like communication has the potential to reap great rewards, not the least of which is reconnecting ourselves to the human and healing part of medicine. That reconnection reminds us that what we do as clinicians matters to people in a very profound way, every minute of every day. When we become better listeners to patients, not only can we diagnose and treat better, but tensions increasingly morph into authentic gratitude, a powerful antidote to the burnout that so many of us experience in the current healthcare environment...
READ MORE AT THE LINK/TITLE ABOVE THIS BLOCKQUOTE
Thu Jul 24, 2014 at 4:21 PM PT: Language and Obesity: Putting the Person Before the Disease - July 24, 2014
Renowned Obesity Researcher, Psychiatrist 'Mickey' Stunkard Dies -
July 23, 2014
Obesity's Genetic Trick Might Protect Against Its Ills - March 13, 2014
New Study Finds Diabetes Risk Rises With Statin Adherence -
July 17, 2014
Multifactorial Approach to Prevent Cardiovascular Disease in Type 2 Diabetes - Michel Marre, MD, PhD - July 21, 2014
Novel Eye Measure Finds Neuropathy in Prediabetes - July 09, 2014