Since the federal government is putting huge sums of money into the expansion of the use of electronic health records in the United States it seems like doctors would be jumping on the bandwagon. But this isn't the case although the monetary incentives are great and the cost has been one of the reasons that more haven't already adopted this record keeping and maintaining system.
The costs that would be abated by the stimulus money include upgrading computers, new software, and employing technicians. But it looks like many doctors think it is a good idea on paper or in theory, but taking the time out of their busy schedules to learn how-to and then to input the information doesn't appeal to some doctors because they would not see the number of patients as usual and would lose money. Jason Millman reported this response in Hartford Business Journal Online in his article Even With Incentives, Doctors Resist Electronic Records. According to that article a lot of doctors in Connecticutt aren't ready to change to electronic health records. But they are probably no different than many doctors in other states.
There is a learning curve for doctors that want to be ready for the funding must undergo: prescribing electronically, exchanging data via a health information exchange, and showing that they are trying to utilize the electronic health system to gain better and more economical results.
Among those that are pushing for use of electronic health records are some doctors but also Wal-Mart who has announced a deal with eClinicalWorks. The partners will sell hardware, software, installation, maintenance and training directly to physicians, according to Jason Millman.
The forum EMR (EHR) and HIPPA has a post that is most interesting that is about implementing electronic health records, otherwise known as electronic medical records. Someone named John, who sounds like a doctor discusses the importance of EMR to medical practices. He doesn't discourage the use of EMR, but wants doctors to be meticulous about which technology company they go with in order to get a better system. He says that just as paper systems have been the center of a doctor's practice, EMR will be the center holding the practice together when it is implemented. All of the personnel like nurses, billing, and front desk will be affected by how the doctor or doctors implement the EMR system.
He says the time spent imputing data to an EMR will be an exchange for the time spent writing handwritten records. Like he explains unless doctors go back to the days when records weren't kept, some time will always be devoted to keeping and maintaining records.
Hating paperwork or in this case computer record keeping isn't something only doctors dislike, but medical records are of ultimate importance. It has to be done and the government, many doctors, and technology companies are urging the use of electronic health records. It is only a matter of time until paper records are totally obsolete and that is something reluctant doctors can't change.
How many times have you heard the phrase: "You are What You Eat?" as the chances are good you have heard it at least once a week for the past 15 years but it is very true as renowned cardiologist Dr. William Davis demonstrates.
Dr. Davis' central thesis is this: the agribusiness has changed wheat so much in the last 20 years that wheat is no longer the "good grain" that it once was (the line from "America" which says "... amber waves of grain" refers to the old-fashioned four-foot variety of non-enhanced grain from which we made our bread for the last several millennia).
In the last half-century or so that has changed as agribusiness has taken over the "development" of wheat to bring higher yields. By playing with the chemistry of the wheat plant, the size is about half of what it was and its nutritional value is nowhere near as good as one might think.
Today, wheat is a storehouse of sugar and other ingredients that give Americans everything from what Dr. Davis terms "wheat belly." It's also not the result of an American eating binge where we stuff our faces from morning to night with sugar-bearing, fattening foods. The way today's wheat plant has developed and the chemicals used not only to increase a field's yield has resulted in everything from minor rashes to high blood sugar to the "wheat bellies," as Dr. Davis terms them.
The only way to beat the problem, then, is not by dieting along, because it won't work unless we are willing to make significant changes in our lifestyles, most significantly giving up the processed grains we eat during the day. For example, that "healthy" lunchtime sandwich wrap that contains "good" protein - lean turnkey, soy beans dressing and such - is surrounded by genetically engineered bread that encourages sugar retention and fat.
As an example, one reviewer went over his first week using Dr. Davis' suggestions for changing one's lifestyle and the writer experienced a seven-pound weight lost, the first in many years, as well as an increase in energy levels. Further, his body has naturally decreased its blood pressure so that the reviewer had to continue taking the blood pressure medication to ensure that his body's blood pressure didn't drop too quickly.
Time and time again, Dr. Davis' hypothesis has turned out to be correct as reviewer after reviewer and bloggers report similar results.
Dr. Davis' work shows just what can happen when we commit to the changes that big business and the huge agribusiness estate/farms strive for yield and output and profit at the expense of the patient. Dr. Davis' work also shows that while there is an epidemic of obesity going on around us it has a root cause that is far different than one might think.
Here's a very interesting case especially if you are interested in pharmaceutical sales careers. Dr. W. was a senior physician who had a huge practice which consisted mainly of elderly patients. So when a new drug which protected elderly patients from stomach ulcers was launched, he quickly put the drug to the test by putting himself and three of his best friends on it since they were all in the same age group that was prone to stomach ulcers.
Unfortunately, this drug was initially launched with a four times per day dosing schedule and at this dosage, a significant percentage of patients experienced a very nasty side effect, namely diarrhea.
The next day after taking the drug, Dr. W. and his three buddies went out to play their favorite game which was golf. At the ninth hole, all four men suddenly experienced the diarrhea side effect from taking the drug. Their golf game was certainly cut short.
When the new pharmaceutical sales rep responsible for promoting this drug visited Dr. W., the doctor told the him that based on his awful experience with the drug, he will never prescribe the product again.
This was a major setback for the pharmaceutical sales rep because Dr. W. was potentially one of the most important customers in the entire territory due to his mainly senior age patients who were all candidates for the drug. This was not a good way for this rookie to start his brand new career.
Fortunately, Dr. W. did like another one of this drug rep's products so the he wasn't thrown out of the office. So what this he did was to continue supporting Dr. W.'s use of this other drug in order to slowly build up a good business relationship with the physician.
Over the next couple of months, he visited Dr. W. every other month making sure that his office was always stocked with an adequate supply of drug samples since the doctor liked using them for his patients. The rep kept Dr. W. up to date on all of the company's products in terms of the latest published clinical studies.
He also took Dr. W. to a few medical conferences featuring some very high level medical specialists which furthered the doctor's own education on the latest medical treatments.
Dr. W. learned during one of these medical education events that top specialists were experiencing great success with the rep's product without the diarrhea side effect by using a twice per day dosage rather than four times daily. At this lower dosage, patients were still adequately protected from stomach ulcers but didn't get the nasty side effect.
The pharmaceutical sales rep gently encouraged Dr. W. to try the drug out on a few patients at the lower dosage as reported at the medical conference. It took an entire year before Dr. W. did eventually try the drug again but when he did, patients came back reporting good results without side effects.
Dr. W. put the drug on more patients including himself again. No side effects were noticed this time. Over the next few months, he prescribed the drug to a huge portion of his elderly patients with success.
He became one of the rep's biggest supporters in the sales territory. With similar support from other physicians, this rep grew the sales level of this drug significantly beyond budgeted expectations.
As a result of his performance, the rep was promoted to a senior hospital specialist position in the country's most important medical market.
The lesson from this case is that selling pharmaceuticals sometimes require the building of long term business relationships over time rather than going for the quick sales as in retail.
The pharmaceutical sales rep took the time to build Dr. W.'s trust and provided good service over an entire year by such activities as keeping the doctor up to date with clinical information and drug samples as well as bringing him to high level medical educational events. Consistent service was the key in building long term business
Dr. W. was initially a worse case scenario since he personally experienced the drug's side effect himself but the rep was able to eventually turn him around and made him into one of the biggest users of the product.
The new drug rep in this case was in fact me and this was one of my most memorable stories from out in the field.
Building business relationships in your own network with the goal of landing jobs in pharmaceutical sales careers is also important. Rather than being one of the nameless hundreds of candidates who apply for each job opening, it is much better to be the first one to be recommended for positions when they come up.
I show people how to build such a network. With so much competition for jobs these days, you can't afford NOT to build a network if you are indeed serious about pharmaceutical sales careers, check out my webinar on it.
As money continues to get tighter and tighter for the average family, many "extras" are being cut to make room in the budget for the necessities. One item that some people may consider overlooking is insurance. Life and health insurance may seem like an unnecessary expense when they are not being used, but rest assured that there are very important and sound financial investments.
The Importance of Life Insurance
Life insurance is one of those things you hope you never use, but need nonetheless. Life insurance is insurance that pays a benefit to your designated beneficiaries if you die while the coverage is in place. The money can be use to pay your funeral expenses, which average close to $10,000, and then help your beneficiaries maintain their normal quality of life if they depended on your income.
For instance, if you are married and have children at home, your death would greatly impact your family. Not only would they be left paying the thousands of dollars due for your funeral, but they would also suddenly be without your income. They could lose their home, car, and other valuable possessions, just trying to make ends meet.
If, however, you have life insurance, your family will have a way to pay your funeral expenses. They may also be able to pay off their mortgage, and then put the rest of the money into a fund to grow over time, thus allowing them to have some income off of the interest. Your life insurance policy could also ensure that your children are able to attend college some day.
You may be thinking that you are young and healthy, so there is no need to buy life insurance. You may even be single, so your family is not a concern. This is the best time to buy life insurance, however, because your premiums are going to be quite low. Your age and health are factors that determine how much your premiums cost, so the younger and healthier you are, the less you will pay for a life insurance policy.
The Need for Health Insurance
Health insurance is not cheap, and many people feel they can get by without it. After all, they are going to be paying out of pocket for many of their medical bills anyways, because most policies have deductibles and co-pays. Health insurance, like life insurance, is one of those products that you do not realize the need for until it is too late.
Health insurance may help with day-to-day medical expenses, such as checkups and vaccinations, but many policies are designed more to help with catastrophic illnesses or injuries. If you are suddenly diagnosed with cancer or some other life-threatening illness, having health insurance is the only way to ensure that you will be able to access the treatment that you need. Without health insurance, you will have to pay out of your own pocket for your treatment, and some hospitals and doctors will demand a portion of the payment upfront.
Another reason that you need health insurance, even if you pay a high deductible and end up paying many of your medical bills yourself, is the fact that you will pay less for medical care if you are insured. Health insurance companies negotiate discounts with medical providers that you cannot receive if you are not insured.
Health insurance helps provide the assurance that you will be able to afford the care you need when you or a member of your family becomes ill. You may be required to have insurance to work certain jobs or attend school, including college. It is simply a wise investment, because you never know what your future health may be. Living without either life or health insurance is a risk that is not worth taking.
One thing that we all know is that we live in an ever changing- world that is filled with stress. There is no way that we can escape it no matter what we do or where we go, there are pressures in life that we all must learn to deal with.
These things can raise your blood pressure, increase your heart rate and cause you to lose your cool. Stress will affect you in one way or another, but it doesn't have to conquer you and take a toll on your health.
Recent studies that have been conducted by scientists have shown that stress is the root cause of most of the deadly diseases that are killing men and women. The good news is that even though stress is unavoidable, there are steps that you can take to put it at a level that will not affect your health in a negative way. There are some unusual ways that you can use to control stress so you can carry on with your everyday life.
One of the main causes of stress is lack of sleep. When you do not get a good night's sleep, you wake up cranky and grumpy and that is because while you are sleeping, your body is repairing itself. If you cheat yourself on sleep there is a good chance that your bodily organs will not function properly and your head will become clouded and you will lose your focus and you will easily get stressed. You can easily avoid this by getting to bed early. It is a proven fact that the best times for your body to repair damaged tissues and cells is between the hours of 10pm and 6am. Make a habit of being in bed by 10pm so your body will get enough sleep and rest.
Diet is another factor that affects how you deal with stress. There are certain foods that can help ease stress. Having an omelet for breakfast can help clear your brain so you can focus and concentrate better. The reason for this being that these foods are high in tyrosine which is an amino acid that helps to improve focus and alertness along with helping you with the ability to do multiple tasks at the same time. Sesame seeds are another food that helps to fight stress because they contain a form of amino acid called L-arginine. This type of acid works to help the blood vessels to relax, so if you are not having a good day, try some sesame seeds or some other type of nuts such as cashews, soybeans or peanuts as all of these also contain L-arginine.
Apples are another way to fight stress and keep it away. They are not only a healthy food that will boost your body's health, they will also combat stress and fatigue. They are very rich in antioxidants and they can help to jump- start your system when you are feeling tired and stressed and best of all, they taste good!
Along with getting the proper amount of sleep and eating a nutritious diet, perhaps the most important way of fighting stress is through exercise. Even though exercising is not a pleasing thing to do, it has many benefits besides burning fat and building muscles. Most important of all, it is the quickest way to improve your mood and to eliminate your stress. When you exercise, your brain releases a form of chemical called endorphins. They have the ability to give your mood a boost so you will remain positive throughout the day.
The best thing that you can do is to not let stress rule your life and by applying these methods, you can achieve the upper hand and live a healthier life.
I hope that you enjoyed this article and if you would like some great free tips on eating healthy, than please visit my site where you will find some great information to help you live a long and healthy life.
High blood pressure, or hypertension, is one of those diseases, if left untreated, can kill you. It is the result of your blood trying to flow through arteries and blood vessels that have been constricted. To relieve the pressure, the blood vessels sometimes rupture.
When they do, this can cause pain or even death. That's why it's so vitally important that you look for ways of reducing your blood pressure. You can live a healthy and satisfying life, even with this disease, if you are willing to do those things that will help you control it.
There are many causes of high blood pressure. Knowing these factors can help you reduce your risk or even avoid getting this deadly disease.
These factors include: genetic predisposition, weight, age, other medications you may be taking, and your sex. Below I'll briefly explain how each of these factors can affect you.
Genetic predisposition is one of those things you can't control. If you have family members who have had this disease, then of course you are more likely to get it than if you didn't.
That doesn't mean you will get it; what it does mean is that you have a higher likelihood of getting it. Just be aware of this factor, but again, remember it doesn't mean you will get it.
Weight is one of those factors you can control. By staying at a healthy weight, you are less likely to get high blood pressure than if you don't. This also means eating healthy, as well as exercising and reducing your stress.
Although not mentioned here per se as a factor, stress can kill. If you have any of the factors listed here, adding stress to it will compound your problems and make your likelihood, as well as your propensity to this disease.
Age, as well as gender, is a factor we can't control. Men are more likely to suffer from high blood pressure than women are. Older people are more likely to suffer than younger people.
However, much of this can be negated simply by living a healthier lifestyle and eating a better diet. Not only will this improve your blood pressure, but it will also improve your overall health and give you more energy. Although it's not a cure for this deadly disease, it's still worth considering if you want to feel better.
The last factor is medications. Now, if you have asthma, you may not be able to stop taking your medication. If you have a cold though, you will want to carefully consider whatever you take so you don't cause a reaction. Your doctor, as well as your pharmacist, can make sure you don't take anything that conflicts.
That's one reason why it's so important you use the same pharmacy for all your medications. This will help you avoid any conflicts. If your pharmacist knows about everything you're taking, he/she can check all your medications to help you avoid problems.
Now that you understand what the problems are, and what you have control of, you can start with those factors and adjust your life accordingly. Discuss possible treatments with your doctor and ask him/her for the best advice on this issue. This doesn't mean you shouldn't educate yourself.
If you weren't trying to educate yourself, you wouldn't be reading this article. Here's what you need to understand: if you aren't willing to take control of your disease and make changes in your life, you will continue to suffer.
Another way to educate yourself, as well as find a solution to your treatment here is to consider alternative medicine. If you prefer a more natural approach to your health, instead of medications, you may want to consider it.
Reducing your blood pressure is not a simple process. However, if you work diligently with your doctor, you can feel better quickly and reduce your risk of illness and death from this deadly disease.
High blood pressure doesn't have to be a death sentence. Get treatment, and get it immediately, and you'll avoid many of the associated problems.