Managing Managed Care

Our inequitable, inefficient, oftentimes uncaring health care "system," revealed. -- Jeffrey G. Kaplan, M.D., M.S.

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Medical Community: Stop Your Whining!

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A New York Times article portrays physicians' frustration stemming from having to deal with the underpayment of primary care. "There is no doubt that the system for providing medical care in the country is in need of major reformation, and that the system of training the providers of that care is in need of major transformation, but the medical community needs to get a grip on their whining." Remember, the primary care physician is an advocate and not insensitive to the costs of care.

Eczema, The Common Rash

Eczema is, briefly, the "itch that rashes." It is also called "Atopic Dermatitis." And, it has other names as well. Online eczema support & information community --   Thank you very much doctor  My son slept true the night for the first time in a long time; the cream* works wonders  Joel * Unfortunately, this was a short course steroid cream, mid-potency  

Antibiotic Harm - MRSA, the Super Bug

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What's the Relationship Between Using Antibiotics and Then Getting MRSA? RE: Community-acquired methicillin-resistant Staphylococcus aureus (MRSA) such as in an abscess or cellulitis–- the more the antibiotic exposure prior to getting MRSA, the more likely it was you would get MRSA. Setting and Study Design  A population-based case-control study in children, 1 to 19 years of age using a primary care, General Practice Research Database, United Kingdom, 1994-2007.

Obesity/Overweight Prevention/Treatment

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Obesity is a contributor to or a cause of chronic medical and/or surgical conditions including diabetes, hypertension, hyperlipidemia, heart disease, stroke, certain cancers, recurrent trauma and arthritis. Here are a few of the more ponderous facts: The apparent rise in the incidence of hypertension and diabetes worldwide is concerning.  Certain populations, non-Hispanic blacks, for instance are at higher risk, but it is getting scary for all of society!

Vitamin Insufficiency or Expensive Urine

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You want the best health and well-being for yourself and loved ones, but vitamins and supplements, are no panacea.  Furthermore, know that the law does not require proof they work. And, overdoses and conflicts with real medicines do occur (so they cannot be taken with impunity).  Nevertheless, well-designed studies do indicate a modest benefit.  Here's one, for instance, that states:

nursemaid's elbow, babysitter's elbow, pulled elbow

Fri, 2014-02-14 09:08 -- fitdoc

A Nursemaid's Elbow can be reduced simply through manual reduction, if you know the technique. In the management of radial head subluxation, two methods for reducing a subluxed radial head are popular: the supination-flexion technique and the hyperpronation or forced pronation technique.  Some parents or caretakers can be taught how to reduce this condition, but I'd rater an experienced practitioner handle it.