Managing Managed Care

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

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Are bones stronger after a fracture?

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Take care of yourself!  Know that muscle, the bones and the brain, as you might expect, weaken when not used.  Also, there's the other side of the coin: it's a myth to say healed bones are stronger then they were before the injury!

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.

Head Size - Infants

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The infant's head is enlarging, but the doctor observes that the fontanelles are not bulging, and the infant is intact, neurologically speaking; s/he has no symptoms, i.e., is neither irritable, nor unusually sleepy -- then, follow carefully.   In the Case of Macrocephally, How Is The Diagnosis of Hydrocephalus Typically Made? Presentation "The various types of hydrocephalus can present differently in different age groups."

Shut That Damnable Drip: Controlling Healthcare Waste

To make health care reasonably profitable for private payers and more affordable for patients, those who manage health care must focus on reducing cost, which is far easier than increasing the health benefit or medical loss ratio. See: "How the U.S. Health-Care System Wastes $750 Billion Annually," by Brian Fung, pub. Atlantic Mobile, 9/7/12

Not Just an Apple a Day...

Complementary and Alternative Medicine (CAM) is inviting and has such promise but it is unproved and it can be dangerous. As Paul Offit (Chief Infectious Diseases, Children’s Hospital of Philadelphia) states, “There’s no such thing as alternative medicine. There’s only medicine that works and medicine that doesn’t.” Offit PA. “Do You Believe in Magic? The Sense and Nonsense of Alternative Medicine.”

Hunched Backs (Kyphosis)

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Exercises Can Help Kyphosis, But.... Certain exercises may prevent or delay the progression of hyper-kyphosis or hunched back, but that cannot completely correct it; it normally progresses with age. For example, here's a YOGA pose that is recommended by Dr. Loren Fishman, a Physiatrist who is well-published on this and related topics. Locust Pose – Shalabasana: How to do it by Ann Pizer []

Healthcare Reform in the U.S.

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The United States is the only wealthy, industrialized country that does not ensure that all of its citizens have healthcare coverage. Insuring America's Health: Principles and Recommendations, Institute of Medicine at the National Academies of Science, January 14, 2004, last accessed Tuesday, February 2, 2010