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Grand Rounds 5:12 — Healthcare Reform Q&A

If Dr. Rob can inter­view San­ta, why can’t I inter­view a select group of health & med­ical blog­gers? They will have some good ideas to share”.

So did Pres­i­dent-elect Oba­ma came to real­ize a few days ago. After his peo­ple kind­ly con­tact­ed our peo­ple, we felt com­pelled to grant him open access to our col­lec­tive wis­dom. With­out fur­ther ado, below you have Grand Rounds 5:12 — a Q&A ses­sion led by the incom­ing Pres­i­dent on how to reform (for the bet­ter, we hope) health­care.

On Health Insur­ance

Q:  How does the blo­gos­phere per­ceive the prob­lem of hav­ing a sig­nif­i­cant group of peo­ple unin­sured?

Health Insur­ance Col­orado: a grow­ing eco­nom­ic bur­den, which may lead to emer­gency rooms turn­ing peo­ple away if they are unable to pro­vide proof of health insur­ance.

Dr Rich: well, a recent arti­cle in the Jour­nal of the Amer­i­can Med­ical Asso­ci­a­tion showed how over­crowd­ing in Amer­i­can emer­gency rooms is NOT due to the unin­sured. Rather, it is due to insured Amer­i­cans who can­not get in to see their pri­ma­ry care physi­cians. We may need improved care both for the insured and unin­sured groups.

Insure­Blog: I’d sec­ond that. Lack of health insur­ance is a major prob­lem but is it real­ly our Biggest Prob­lem?

It’s All about Atti­tude

Q: You may have heard my cam­paign mantra, “Yes We Can”. Can I count on your sup­port?

ButY­ouDont­Look­Sick: Yes. If Leslie Hunt can talk so open­ly about her chron­ic ill­ness (Lupus) yet ful­fill her Amer­i­can Idol dreams, we can ful­fill our dreams too.

Notes of an Anes­the­sioboist: you are talk­ing to the group of pro­fes­sion­als will­ing to self-exper­i­ment with our own body for the ben­e­fit of sci­ence and our patients.

Med­views: My wife, son, and I signed up to work as med­ical vol­un­teers for your upcom­ing inau­gu­ra­tion.

Emergi­Blog: I am on board too. But, please, remem­ber that car­ing is the essence of nurs­ing. And that is why my patients will always be my patients and nev­er my  clients.

Neu­roan­thro­pol­o­gy: Mr. Pres­i­dent-elect, it seems to me that, despite all our good inten­tions, bal­anc­ing the bud­get and mul­ti­ple com­pet­ing pri­or­i­ties will be a chal­lenge. May I sug­gest you start prac­tic­ing some capoeira for equi­lib­ri­um train­ing?

Shrink Rap: Hap­py to help. Now, we will need to pro­tect some time for qual­i­ty sleep time.

Train­ing

Q: I am encour­aged by your words. How can my team and I bet­ter sup­port you in your dai­ly activ­i­ties?

Aequa­nim­i­tas: we need more role mod­els for us to “learn to think, observe, and com­pare” and that the patient is our “first, last, and only teacher”.

Mud­phud­der: Couldn’t agree more. We need Read the rest of this entry »

Memory Problems? Perhaps you are Multi-tasking

Today’s kids are into mul­ti-task­ing. This is the gen­er­a­tion hooked on iPods, IM’ing, video games — not to men­tion TV! Many peo­ple in my gen­er­a­tion think it is won­der­ful that kids can do all these things simul­ta­ne­ous­ly and are impressed with their com­pe­tence.

Well, as a teacher of such kids when they reach col­lege, I am not impressed. Col­lege stu­dents these days have short atten­tion spans and have trou­ble con­cen­trat­ing. They got this way in sec­ondary school. I see this in the mid­dle-school out­reach pro­gram I help run. At this age kids are real­ly wrapped up in mul­ti-task­ing at the expense of focus.

Accord­ing to a Kaiser Fam­i­ly Foun­da­tion study last year, school kids in all grades beyond the sec­ond grade com­mit­ted, on aver­age, more than six hours per day to TV or videos, music, video games, and com­put­ers. Almost one-third report­ed that “most of the time” they did their home­work while chat­ting on the phone, surf­ing the Web, send­ing instant mes­sages, watch­ing TV, or lis­ten­ing to music.

Kids think that this enter­tain­ment while study­ing helps their learn­ing. It prob­a­bly does make learn­ing less tedious, but it clear­ly makes learn­ing less effi­cient and less effec­tive. Mul­ti-task­ing vio­lates every­thing we know about how mem­o­ry works. Now we have objec­tive sci­en­tif­ic evi­dence that Read the rest of this entry »

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