viernes, 29 de agosto de 2014

Family Health: Guide Yourself to Quality Healthcare

Consumer demand, new drugs and medical technologies, litigation, higher insurance premiums, and other factors have all been fueling rising healthcare costs. At the same time, many patients justifiably feel that medical services have become increasingly impersonal. Too often, quality attention from the proverbial family doctor has been replaced by the “assembly line” approach of faceless bureaucracies. How is a patient to successfully navigate this modern maze of providers, specialists, insurers, and so forth and at the same time get the attention they need to maintain personal (not to mention financial) health? 

Patient Handbook to Medical Care: Your Personal Health Guide
offers an overview of the healthcare system from a different point of view and advises patients on how they can take their health into their own hands by becoming both informed and proactive.


As Dr. Richardson eloquently puts it:

In our society we are accustomed to taking a doctor’s word on the state of our medical condition and treatment whether or not we understand it and either without asking any questions or without getting adequate answers to the questions we might pose. Today that might not be a healthy situation. It is necessary to be informed to get the most from your health plan and to get the best medical care from the medical resources available in the healthcare system. By reading this book, you will find out how to take charge of your most important asset—you.

This philosophical perspective is that the patient, insofar as it is possible, needs to take charge of his or her health care self care. 

The book is structured in a logical, reader-friendly manner, providing overviews of all the major topics related to healthcare, from effective record keeping to obtaining quality health coverage.
The first step toward taking charge of your health is keeping accurate medical records and a medical diary. Patients are offered a detailed overview of how their doctor visit should go educating readers about all the various aspects of a routine physical or checkup.  Patients will recognize whether they are receiving quality, comprehensive care, and will know what they should be getting.  The core philosophy is that knowledge offers patients more health options and better health.  Subsequent chapters educate patients about the importance of preventive checkups, common medical tests, the various kinds of doctors and specialists, and healthcare quality.

Patient Handbook to Medical Care: Your Personal Health Guide is essential knowledge in an easy-to-assimilate large print format bound paperback book (adjustable print on e-books). Readers will walk away from the book with a much clearer idea of what to expect from the healthcare system, and what to do to ensure the preservation of their own health.  Best health!


viernes, 22 de agosto de 2014

Family Health: How to Keep Your Health History


Your medical history is the cornerstone of your medical record.
Use it to keep up with your health. Update your medical history often especially as new treatment plans and healthcare issues arise.  Copy and complete the following assessment to keep up with your family's health and medical history. 


MEDICAL HISTORY

 

NAME____________________________

DATE OF BIRTH_____________________________

 

INSURANCE COMPANY___________________

INSURANCE ID #________________________

PHONE______________   FAX__________________

ADDRESS__________________________

CITY_____________STATE___________

ZIP________________COUNTRY__________

EMAIL___________________________

 

PAST MEDICAL HISTORY

ALLERGIES______________________________________________________________________________________

_______________________________________________________________________________________________

DRUGREACTIONS________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

DIAGNOSES & MEDICAL CONDITIONS (include year diagnosed)

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

SURGERY/ OPERATIONS (include year done)

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

MEDICATIONS (list prescription, over-the-counter, foods, herbs
also write dosage and how often taken)

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

PAST MEDICATIONS (list anything you have taken and stopped – note why it was stopped)

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

FAMILY HISTORY (list medical conditions in family members – list ages, list if deceased and reason)

MOTHER____AGE________
LIVING: YES___NO____

FATHER____AGE_________

LIVING: YES___NO____

______________________________________________________________________________________________

SISTERS_____AGES_________

LIVING: YES___NO____
_______________________________________________________________________________________________

BROTHERS __AGES_________

LIVING: YES___NO___

_______________________________________________________________________________________________

GRANDMOTHER (Mother’s mother) AGE__________LIVING: YES___NO___

_______________________________________________________________________________________________

GRANDMOTHER (Father’s mother)  AGE__________LIVING: YES__ NO___

_______________________________________________________________________________________________

GRANDFATHER (Mother’s father)    AGE__________LIVING: YES___NO___
 

GRANDFATHER (Father’s father)    AGE___________LIVING: YES___NO___
______________________________________________________________________________________________

 

OTHER RELATIVES (list any more sisters, brothers, great grandparents, etc. especially those with medical conditions)_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

OTHER MEDICAL TREATMENTS (list any other treatments like prayer, massage, chiropractor, exercise, physical therapy, etc.)___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

SOCIAL HISTORY

Home:  lives alone___ 

             lives with family___

             lives with friend____

             lives in facility_____facility name, address____________________year moved in____________

Marital: Single___Married____Divorced___Widow/Widower_____

Use of cane___ walker___ wheelchair___prosthetic_____

Other___________________________________________

Alcohol consumption: 

   How many times per day/week/year?________________

   How much per drink?____________________________

Cigarette use: Yes___ No___

   How many per day?________

   At what age did you start?_______

Sexual:  Are you active? Yes___No___

Drug use: Yes___ No___

 

OCCUPATIONS/ JOBS/SCHOOLING

___________________________________________________________________________________________________________________________________

 

MY MEDICAL NOTES

Use extra page to list any other medical history

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

lunes, 11 de agosto de 2014

Your Choice: Medication or Food?


As health care costs rise everyone is looking for ways to save and cut costs. Recent studies and polls reveal that many are foregoing their medicine for other necessities of life like food and shelter.  Patient compliance has dropped to a new low.  Patients are taking their medication as needed when their budget allows.  This means less to none on a daily basis. Many are finding this indeed saves money, and possibly affects their health outcome minimally.

As food is the sustenance of life, many are making healthier choices.  This helps their medical maladies as well.  For hypertension and diabetes proper food choices can often alleviate the need for “stronger” treatment with medication. As more patients learn about dietary management and adhere to it, they find that they can indeed save money.

Talk to your healthcare provider if you are noncompliant with your medication because of the cost, or side effects that may cause other conditions requiring more medication, more money.  Be sure to get formal diet and nutrition counseling.  This will help make the right choices when you shop for food.  Contrary to popular myth, healthy food is actually affordable.  Shop smart to save your money and your health!     

lunes, 28 de julio de 2014

How To Connect With Your Inner Doctor - You

Studies and common sense have shown that doctors who listen to their patients receive the proper care and diagnosis over 90% of the time.  Self care is very important as are routine check ups on yourself. It is time for you to take responsibility for your health. It is time for you to know what your health numbers are. It is time for you to know your medical conditions, risk factors, and family medical history.

Give yourself a medical checkup. Start by writing or typing or recording your medical history - medical conditions, surgery, treatments, family history. Add your medication. Save it. Update it. Add to it. Correct it. Keep it current. Keep a copy in a secure place.

Examine as much of yourself as you can. Look at your skin, hair, nails, eyes, teeth, and every part of your body that is visible to you. Make note of any abnormalities. Make note of any symptoms you have - new, old and ongoing. Go through each body system. Add this information to your medical history.

Add to this your doctors' and health care providers' names, phone number, land address, and email address.

Call your doctor for an appointment for a comprehensive CPE (complete physical exam).  Get it done routinely (yearly, every other year, etc. ). Take your information and notes with you on your appointment. Review everything with your doctor. Take notes.

Sign a medical record release to obtain a copy of your medical record from each doctor you see at the time of the visit.

Be sure to schedule a follow-up appointment within a month or less to go over everything with your doctor. Get copies of your information including blood tests, and any other tests as well as medical notes.

Take charge. Care for your health is good health care. Be the healthiest you can be. Best health!

Details on all of the above are explained simply in Patient Handbook to Medical Care: Your Personal Health Guide http://amzn.to/13m51UU 
 

miércoles, 9 de julio de 2014

Sun Safety Saves Your Skin

The incidence of melanoma is rising.  Cancer statistics estimate that the incidence doubles every 10 to 20 years.  It is one of several skin cancers that may result from repeated exposure to harmful ultraviolet radiation (UVR), natural (sun) or artificial (tanning bed, phototherapy lamp). UVA, UVB, and UVC rays cause irreparable skin damage which leads to wrinkles, premature aging, and pre-cancerous lesions. Sunburn during childhood as well as frequent bouts of sunburn increase the risk, too.

Of course total avoidance of the sun would be ideal; however, it is a good source of natural Vitamin D, and should be taken in moderation. Avoiding the painful peril of sunburn is one of the best ways to prevent skin cancer.  Simple, easy ways to do this are:
  • Limit sun exposure – avoid 10AM to 4PM, spend less than one hour in direct sun - less if burn easily, prone to skin cancer.
  • Wear protective clothing – wide brim hats, long sleeves, long pants, skirts and/ or clothes made with sun protection fabric.
  • Umbrella and shade.
  • Use sunscreen SPF 15 or greater. Put on every hour if sweating or swimming. Put on every area exposed to sun, and be sure to remember behind the ears and on the neck. Stay well hydrated by drinking lots of water.
  • Be aware of medication that you take that causes photosensitivity (medication interacts with the light to induce sunburn).
Symptoms of sunburn include redness and pain over the skin (even through clothes especially if wet).  This may be accompanied by fever, chills, nausea, vomiting, and blistering. Seek medical attention as soon as possible. Use of cool compresses/bath/shower, non-steroidal anti-inflammatory drug (NSAID), hydration, and rest should help ease symptoms of mild sunburn.  Oatmeal baths, milk baths, aloe vera plant/products and honey are also useful.

Best health!

by J. L. Richardson, MD, family practice physician, patient advocate, and author of Patient Handbook to Medical Care: Your Personal Health Guide.