Children and Dental Care

Children and Dental Care

As a new parent, it can sometimes be challenging to know if you’re doing it right! While there are an infinite number of decisions to be made, one that will impact your child’s life will be your selection of a pediatric dentist. In addition to asking for referrals from friends and family, you will want to find a dentist in Midwest City who is gentle and makes going to the dentist a fun, learning adventure!

No matter the age of your child, from toddler to teen, the beginning of a great smile begins with the first visit. A soothing and relaxed environment will put your child at ease. Oftentimes, pediatric dentists will offer fun themes or incentives for their young patients, from jungle motifs to treasure boxes to video games, for older kids. While these items shouldn’t be the most important aspect of your child’s dental care, they can certainly go a long way to making your child feel comfortable in his or her surroundings, and that always makes for a better dental appointment! Some pediatric dental offices offer a “kids zone” or a “no cavity club” or a “brushing bonus” to reward children for proper oral hygiene. Finding a “dental home” where your child feels content is often the first step on the path to your child’s lifetime of oral health care.

How can parents help young children maintain a healthy attitude about dental care? First, children will follow your lead. If you are apprehensive about going to the dentist, your child will be, too. No one is born being afraid of the dentist; it is an acquired fear that can be quashed early on in a child’s life. Next, helping a child to brush at least twice a day and help with routine flossing will help maintain a healthy mouth. Children as young as age 2 or 3 can begin to use toothpaste when brushing, as long as they’re supervised to avoid ingestion of large amounts of toothpaste.   Parents must work with children to teach good oral health habits. Tooth discoloration can also occur – sometimes caused from prolonged use of antibiotics or medications that contain a large amount of sugar. Parents should encourage children to brush after they take their medicine, particularly if the prescription will be long-term. Additionally, regular exams by a pediatric dentist are a critical part of maintaining your child’s oral health… but follow-up at home plays an equally important role.

So what is the difference between a regular dentist and a pediatric dentist? A pediatric dentist offers specialized services, just for children. A pediatric dentist is a medical specialist dedicated to the oral health of children from infancy through the teen-age years. These doctors have had special pediatric dental training, which allows him or her to provide the most up-to-date and thorough treatment for a wide variety of children’s dental problems. When searching for a dentist for your child, ask if they offer pediatric services such as restorative dentistry, as well as interceptive orthodontic treatments to help straighten your child’s smile before the actual braces phase. Because preventive dentistry helps avoid future dental problems, it’s important that the doctor regularly monitor the development of your child’s teeth. Building a relationship with your dental professional is key in assuring long term benefits for your child.

As a new parent, when do you start taking your child to the dentist? What are some of the possible problems your child can encounter? According to the American Dental Association, the recommendation is that a child’s first visit take place by his or her first birthday. It may vary from office to office, but generally, at the first visit, the dentist will conduct a modified exam while your baby sits on your lap. He or she will explain proper brushing and flossing techniques and answer any other questions you may have. Such visits can help in the early detection of potential problems, and help kids become accustomed to visiting the dentist so they’ll have less fear about going as they grow older. Many parents know they want to prevent cavities, but they don’t always know the best way to maintain their baby’s dental health. Proper dental care begins even before a baby’s first tooth appears. Running a damp washcloth over your baby’s gums following feedings can prevent buildup of damaging bacteria. Once your child has a few teeth showing, you can brush them with a soft child’s toothbrush. Putting a baby to sleep with a bottle in his or her mouth can harm the baby’s teeth, creating a condition known as bottle mouth. Severe cases result in cavities and the need to pull baby teeth. Care should be taken to avoid damage and to provide babies with the oral care necessary for overall health. Good oral hygiene and regular dental visits are the most important part of cavity prevention. Your child’s dental visits may include preventative treatments such as the application of fluoride and tooth sealants. Fluoride hardens the tooth enamel, helping to ward off the most common childhood oral disease – dental cavities. Keeping kids’ teeth healthy requires more than just daily brushing. During a routine well-child exam, you may be surprised to find the doctor examining your child’s teeth and asking you about your water supply. That’s because fluoride, a substance that’s found naturally in water, plays an important role in healthy tooth development and cavity prevention. Fluoride exists naturally in water sources and is derived from fluorine, the thirteenth most common element in the earth’s crust. It is well known that fluoride helps prevent and even reverse the early stages of tooth decay. If you have any questions fluoride, talk to your doctor for more information. In addition, as your child’s permanent teeth grow in, the dentist can help seal out decay by applying a sealant to the back teeth, where most chewing occurs. This protective coating keeps bacteria from settling in the hard-to-reach crevices of the molars. With regular dental visits and good oral health habits at home, your child will have the best chance to avoid cavities in the future.

Selecting the right pediatric dentist for your child can set the foundation for a lifetime of excellent oral health. Make sure to research your doctor and to find a dental home where you and your child feel welcome and comfortable. Your child’s beautiful smile will be worth it!

Which Level of Government Is Responsible for Public Health?

Which Level of Government Is Responsible for Public Health?

Public health is the responsibility of the federal, state, and local governments. Many federal agencies address public health. Similarly, state and local governments have specific bodies to deal with public health. You will find multiple agencies working at every level of government. Anyone can reach out to concerned bodies for a public health solution.

As stated above, there are many agencies for public health at the federal level. Some well-known organizations are Medicaid, Medicare, CDC, Children’s Health Insurance Program, and Marketplace. You will find all these solutions under Health and Human Services. In addition, there are similar agencies at the State and municipal levels. The National public health resources can extend assistance for most health issues, especially for seniors. However, there will be some specific requirements to get benefits from these organizations. 

Federal, state, and local governments have defined roles for public health. However, most are population-based. Even if community health boards and local health departments offer individual-centric services, the approach will be specific depending on the population. The public health services will vary based on the resource and community needs at the local level.

Federal Responsibility 

Local and state departments work with many federal agencies within the US Department of Health and Human Services. We can take the example of the Centers for Disease Control and Prevention. It works to control the outbreak of infectious diseases and promote mass immunization. Public health technology is now more accessible to people in different forms.

The federal government extends assistance as funds and guidance for emergency preparedness. Both state and local governments rely on the federal government during emergencies. They get financial support and manage the health crisis in a better way.

National Public Health Standards 

Standardization between health departments needs improvement. The concerned bodies must identify the services the local and state health departments can offer to the public. They must set standards that the local and state health department can put into practice to provide the best service to the communities. With better solutions, they can make the communities healthy and safe.

The PHAB has a national voluntary accreditation program for the local, state, tribal, and territorial public health departments. It inspires public health departments to improve consistently and deliver quality services.

How to Find Support for Health 

Federal, state, and local governments are indeed responsible for public health. They share responsibilities to offer better health solutions to the public. They have a hybrid system to serve all those who need assistance to deal with health issues. 

The federal, state, and local organizations cover different areas of health. They address most health issues together. However, you must understand different types of organizations and fulfill the requirements to get benefits.

There will be specific types of health solutions in every state. While looking for a health solution, you can start with your local organization. The local bodies will have community-centric health services. Also, you can get an idea about the healthcare system once you start looking for help. There are different organizations to support public health.  You can find one with proper research.

Resources: https://app.yottled.com/maximusrestonva

Contact Us:

Maximus

Address: 1891 Metro Center Drive, Reston, VA 20190
Phone: 703-251-8500

Lead Water Filters: Their Types And Uses

Lead Water Filters: Their Types And Uses

Lead is both a useful and harmful substance, depending upon its exposure or intake quantity. A high degree of exposure to lead can cause weakness, brain and kidney trauma, anemia, and sometimes death. Nowadays, lead has become a part of our intake as it comes dissolved in our tap water.

Lead doesn’t naturally occur in water usually but gets into the water through lead water pipes and jointures which are the primary contributor to a high degree of lead levels in the tap water.  Therefore, willingly or unwillingly we all consume lead.

There are several types of filters available in the market which can effectively reduce lead levels from water but before using them you should check NSF certification given to filters after checking their quality and standards. Below are given the top six types of water filters which can help you to get lead free tap water in your house, these are as follows :

  1. RO Filters

Reverse Osmosis (RO) filters can eliminate 94%to 97%  of lead contaminants from water. This percent of lead removal is enough but not perfect to use as some amount of leaves will still be left. You can add some activated carbon cartridges to the RO filtered water to get 100% lead-free water.

  1. Filter Pitchers

Regular filter pitchers also lessen the Infection control water in the water to a great extent. These use activated carbon based on coconut and ion exchange wax, thus being cheaper, portable, and energy-efficient.

  1. Faucet Mount Units

Faucet mountain units not only remove lead contaminants from water but also remove other contaminants like a microbiological cyst, disinfection byproducts, mercury, chlorine, and many pharmaceutical pollutants.  These units run on the pressure of the water running out from the tap.  The pressure per gallon should be a nice 50 scale for the filter to operate otherwise you will need to install a water pump across the main water line to increase the pressure.

  1. Complete House Filters

These filters are installed at the main entry point of the mainline which supplies water to the entire house’s taps. These purifiers are very effective and reduce essential levels of both lead and iron pollutants from water.

  1. Showerhead Filters

Lead doesn’t harm the body internally but also affects externally. It can damage your hair, skin, and nails badly. Dialyzer filters special methods to remove lead from the hot water and thus you can bathe freely without worrying about the lead getting into your skin and scalp.

  1. Inline Water Purifiers

Under-counter, purifiers use a unique filtration method and not the reverse osmosis process. These can remove almost all the lead pollutants from water and have the facility of temperature control which restricts the lead to concentrate in the vessels or pipes. These are cheap and easy to install because of their inline features.

There are many traditional ways with which you can filter lead but they aren’t as effective as these Dialysis Quality Water. Traditional methods are so much time taking. Lead is a serious health and environmental hazard, it should not be taken up lightly!

Contact Us:

Nephros Inc.

Address:380 Lackawanna Pl, South Orange, NJ
Phone: (201) 343-5202

Importance of Chiropractic Treatment for Vertigo

Importance of Chiropractic Treatment for Vertigo

The feeling of sudden nausea, dizziness, and physical imbalance can happen anytime, which means you can have issues of vertigo. However, if you suffer from chronic symptoms of dizziness and other symptoms it might be from an inner ear infection, BPPV, or Meniere’s disease to have vertigo.

Vertigo is also linked to tumors, strokes, head or neck injuries, and migraines. The actual cause is hard to tell until you check with a doctor. However, vertigo itself is not dangerous, and if a person is suffering from it, this can be a symptom of other diseases, and it won’t last for hours. If you are suffering from this issue from time to time, you can try out Chiropractic Treatment for Vertigo. Let’s know the process in brief.

 

Common symptoms

The most common symptoms of this feeling of dizziness start with spinning and lack of balance in your body. It will feel like your body is pulled in one side and you will be swaying. This can add to the abnormal movements of the eyes, hearing loss, nausea, headache, ringing in the ears, sweating, and vomiting. If you are feeling all of these or some of them, you can try out chiropractic treatment.

 

Treatment of vertigo 

There are several treatments available for this health issue but getting help from a chiropractor for vertigo is one of the best. This has no risk of side effects like the other options, and you will get rid of the symptoms quickly. As you already know that vertigo is connected with inner ear issues, with chiropractic treatment this can be solved easily. With the help of the same you will get a solution for your hearing problems, and ear infections. Once these issues are resolved you will get rid of vertigo chiropractic manipulation.

When a chiropractor carefully and gently adjusts your upper neck to subside subluxations, the build-up fluid inside of your ears gets proper drainage. This brings relief to the patients. If you opt for regular chiro treatment, your upper cervical vertebrae will settle to an adjustable alignment, and this ceases the issue of vertigo. You will get better sleep and freedom from dizziness.

 

Chiropractic Care has resolved vertigo

This is a proven method of curing vertigo, and so many people have got a proper solution from it. This practice reduces and even eliminates the symptoms. The efficiency was proved in so many studies made on patients with vertigo. For a study done on eight people, they were given three months of practice with a chiropractor, and all of them got a better solution for their dizziness issue. Their symptoms reduced visibly after three months. In another study which was held for eight weeks, People in this one fully recovered from neck pain and headaches.

 

Chiro treatment is not just for vertigo; it also helps you have a natural recovery from these health issues. Whereas there are other treatments but they require medications, injections, or surgery. With chiropractic care, your body will heal naturally. As it reduces ear infections, you won’t get vertigo symptoms. As a treatment from a chiro treatment for vertigo has been proven the best it also reduces digestion issues and improves sleep, if you are having a hard time with that. You will feel more energized with regular chiro practices, and it will normalize your blood pressure.

 

Contact US:

Elledge Chiropractic & Acupuncture

Address: 5715 N Western Ave #B Oklahoma City, OK
Phone: (405) 858-2225

TIPS TO FIND A CHIROPRACTOR FOR PREGNANT MOTHERS

TIPS TO FIND A CHIROPRACTOR FOR PREGNANT MOTHERS

FINDING a chiropractor may not be hard, but it can be tough when you need a specific care solution such as for a pregnant woman. Chiropractors are helpful when you have spine misalignment, or any other neuro system and musculoskeletal issues. For a pregnant woman, a chiropractor can bring her relief from morning sickness and other pain-related issues.

You will find many chiropractic cares nearby but it’s important to find a specialist who can take care of a pregnant woman. To find one, you need to get referrals, check the credentials of the therapist, and so on. Let’s find out more tips on finding the best chiropractic care for a pregnant woman.

Get referrals

The first thing you do is to find a clinic or an individual professional based on the references you got from other people. You can ask your friends, or other family members if they have gone through pregnancy recently. After getting the references you can contact the professionals and know about their fees, and services.

Check the credentials of the practitioner

When you are looking for services of North OKC chiropractic, if they have a general experience which they demand will work for a pregnant mother, then look into other places, because the one you called isn’t a specialist. You can find out about their education, certificates, the places they have worked in, their malpractices, and if they have a website.

Look for an experienced chiropractor

An experienced chiropractor will be able to cure your pregnancy symptoms. If you go for a cheap solution, you will get what you have paid for. As pregnancy is a huge thing, you must not compromise and look for the best-experienced chiropractor near you. When you find one, their experience will tell you about their work and success rates.

Consider gender

Women might not feel comfortable with a male chiropractor, so it’s important to find a female professional. Toddler Chiropractors are available in both genders so it will not be hard to find a female professional. Just check their credentials before hiring their services.

Ask about telehealth solutions

Sometimes it’s hard to reach the chiropractor because of the distance, weather, or any other situation. So, when you need a professional to help you, ask the person if they can offer assistance by telephone. Based on that a family member of yours can help you.

Check the communications style

You have to be comfortable talking to the chiropractor. If you are uncomfortable communicating with them then your health will go unaddressed. Check the response of the professional when you call them. If they sound busy whenever you call them and are unable to give you time, they look for another option. Find a maternity chiropractor that can not only address your issue but can communicate with you properly.

Read patient reviews

If the chiropractic clinic has a website or online presence, you must go through their patient reviews. This will help you know about the types of patients they have tended and if they have ever cured the health issues of pregnant women.

Finding the best chiropractic in North OKC can be a bit complex task. So check out the above-mentioned tips to find a solution for pregnant mothers only.

Contact US:

Elledge Chiropractic & Acupuncture

Address: 5715 N Western Ave #B Oklahoma City, OK
Phone: (405) 858-2225

Visiting a Chiropractor in Longview TX – Things to Consider

Visiting a Chiropractor in Longview TX – Things to Consider

Chiropractic treatment can mend numerous sicknesses, but it is critical in choosing a chiropractor to discover the correct professional who advocates not only your treatment but also your general wellbeing. Your muscles, spine and back are all in the hands of the chiropractor. One wrong decision can harm your body. This article will cover the things that you should keep in mind when going to a best chiropractor in Longview TX.

Factors to consider when going to a Chiropractor  

There are some things to consider when it comes to choosing a chiropractor.

Referrals

Begin by asking your care specialist. Ask them for a referral list of chiropractors. Other things could be asking your family, companions and other healthcare suppliers for suggestions. Take time to investigate the chiropractors’ qualifications and involvement on sites available online. As you limit down your list of chiropractors, call each of their offices to see in case they are accepting new patients. You can also ask for an arrangement to meet and ask the chiropractor your queries.

 

Investigate about the Chiropractor

Licensure is the foremost important thing to consider once you start choosing a chiropractor. Having a licence shows that the chiropractor has all the vital training, abilities and involvement to supply carpal Tunnel Therapy Chiropractic in longview TX. Moreover, make sure that the chiropractor bears no history of negligence or disciplinary activities. You should also discover the chiropractor’s school, training clinic, certifications, mis behaviour and disciplinary history. There are a lot of sources online that can help you in doing so.

 

Experience                         

Experience matters when a person is confronting musculoskeletal or issues related to the spine. The more involvement and experience a chiropractor possesses with a procedure or condition, the better the results. Inquire how the numerous patients that have the same condition as you that the chiropractor has treated. In the event that you would like a particular method, inquire how many methods the chiropractor has learned and performed. Discover about complication rate that is the complications the chiropractor experienced and what risks does that complication bear for you.

Patient Reviews

Reading what the patients of the chiropractor have to say about him is also quite helpful.  The reviews of the previous patients show how good and experienced the person is. You will get to know about the behaviour and methods of the chiropractor. You will know if the doctor is trustworthy or not. You may even contact his or her previous patients if you have more questions about the ways the chiropractic works.

 

Insurance Coverage

Insurance is another factor to take into consideration. You will have to search for a chiropractor who is comfortable with your insurance plan. But this does not mean that you should choose solely on this fact. No matter what the doctor has to be experienced as this is the question of your wellbeing.

Conclusion

You should consider all the above factors to find a suitable at east Texas family chiropractor for yourself. There are a lot of options available in Longview TX to consider from. Take a decision after considering everything.

Contact US:

Woods Chiropractic Center

Address:111 Community Blvd
Longview, TX
Phone: 903-668-2787

Auto Accidents and Chiropractic Care

Auto Accidents and Chiropractic Care

Have you ever suffered a car accident? If could be extremely traumatic and painful and it could be a very bad mix of emotional and physical trauma. You could have been fine one moment only to find that the next moment you might be lying unconscious in the car or even on the road. The main objective after any car accident is to try and save the life of the person concerned. He or she should be rushed to a hospital without any delay because every second matters quite a bit. The next important thing is to find out the criticality of the injury and start treatment accordingly. Doctors will be able to do this part and the injuries are treated on an emergency basis. While a patient can suffer different types of injuries involving the skin, muscles, tissues, bones and also the brain, neck and spinal cord injuries are most common in a car accident. This requires special attention and this is where the role of professional chiropractor comes into play. If you are from Oklahoma City and if you or your close members are victims of an unwanted auto accident, you must understand the importance of hiring a good Oklahoma City chiropractor once the emergency processes have been gone through.

 How These Professionals Can Help

 There are many ways and means by which these Auto Accidents Injuries Chiropractor professionals can help. They will be able to assess the damage caused to your neck and spine and take corrective action accordingly. While serious damages are taken care of by neurological experts and bone and joint experts, chiropractors can help as far as the other things are concerned. They will be able to play a big role in managing headaches, neck pain and also back pain that are often caused by automobile accidents. They have the best methods of doing it. They do so, without resorting to any surgery or external intervention. They just manipulate the spine carefully but firmly.

 Treating Whiplash Injuries

 There is no doubt that whiplash injuries are one of the most common problems with automobile injuries. This leads to pain in the back, shoulder, arms, neck and also a pain in the arms and other parts of the body. A chiropractor takes care of the level of damage. He or she depends on the x rays, scans, MRIs and other such tests to find out the exact area where the damage to the spine may have been caused. Their role is to try and reduce pain and also address issues regarding stiffness and also loss of range of motion. However, this is a slow process and both the chiropractor and the patient have to be careful about it. They must give the required time for the spine to heal and these adjustments are avenues that could hasten the process of healing.

 They Help In Recuperating 

 One of the biggest challenges for accident victims is that they may not be able to get back to their normal strength again. Here the role of chiropractors becomes crucial because they use their experience and expertise in strengthening the muscles, tissues, and ligaments apart from getting the spine back to its normal strength and functionality.

Elledge Chiropractic & Acupuncture Offers Following Services :

Back Doctor OKC

Chiropractor in OKC

Chiropractor For Vertigo

Chiropractors For Pregnant Mothers

Upper Cervical Chiropractic OKC

Children’s Chiropractor

Toddler Chiropractor

Chiropractor And Acupuncture

Contact US:

Elledge Chiropractic & Acupuncture
Address: 5715 N Western Ave #B, Oklahoma City, OK
Phone: (405) 858-2225

Why To Visit Dentist On A Regular Basis?

Why To Visit Dentist On A Regular Basis?

Just like you have to take care of your physical and mental health, it is important to take the dental health seriously. Teeth and gums are important parts which can help you in different ways. Whether it is chewing or smiling, beautiful and healthy teeth is always important. Hence, you need to look for one of the best dentists in Oklahoma City and visit him/her. Many people ask why it is essential to visit the dentist on a regular basis. There are many reasons behind visiting the dentist on a regular basis.

Benefits of visiting dentist regularly

Here are some of the benefits of visiting dentists on regular basis:

  1. Early detection of dental problems

You may not have signs or symptoms for diseases or dental problems. But if you are visiting your dentist regularly, you can be sure of detecting any issues. As soon as you visit the sedation dentist in Oklahoma City, he/she will examine your oral health first. So, it gets easier to diagnose or detect any dental issues such as cavities, oral cancer and gum diseases. The dentist will check for cavities, examine your gums and check for plaque.

  1. Better and beautiful smile

When you visit the dentist, he/she will perform all the regular cleaning processes. It is important to ensure that your teeth and gums are completely safe. Regular dental visit will help you to keep your teeth whiter and healthier which will make your smile better and beautiful. Also, this can increase your self-esteem and make you more confident.

  1. Prevents bad breathe

Another reason to visit the dentist regularly is to prevent bad breathe which can be caused due to poor oral hygiene, stuck food morsels and gum diseases. With regular checkups and professional teeth cleaning, you can prevent any kind of bacteria buildup. When the bacteria increases, you can have a bad breathe.

  1. Avoid teeth loss

Decaying of teeth or gum problems can lead to teeth loss. You need to be very careful about this problem. The decaying teeth problem or the gum problems can lead to several problems including loss of teeth. You can avoid this by simply visiting the implant dentist on a regular basis.

  1. Overall wellbeing

One thing that you may not know is that the oral health is linked to the overall health. Poor dental health can cause a lot of other health issues such as osteoporosis (fragile bones), heart diseases, cancer and diabetes. A professional experienced dentist can help you to have a healthier oral condition.

Last words

These are some of the reasons why you need to visit dentist in Oklahoma City. Maintaining a healthy dental condition is very important. It is not possible to keep your teeth in the right condition without proper care. Besides brushing and flossing regularly, it is also important to make sure that you are visiting the dentist regularly. It can help you to keep your dental problems away and keep your overall health perfect. You need to find an experience dentist and visit him/her once in every month.

Reflections Dental Care Also Offers Following Services :
Invisalign In Oklahoma City
Teeth Whitening OKC
Cosmetic Dentistry Oklahoma City OK

Contact US:

Reflections Dental Care
Address: 10924 Hefner Pointe Dr ,Oklahoma City, OK
Phone: (405) 563-7097

Young Health Leaders Unite! | Alex Maiersperger & Antwan Williams, Advancement League

Young Health Leaders Unite! | Alex Maiersperger & Antwan Williams, Advancement League

BY JESSICA DAMASSA, WTF HEALTH

While the “healthcare ecosystem” sounds like a nice place to begin a career, the day-to-day can often make it feel like the industry is about survival of the fittest — especially for young professionals who are just starting out. Enter The Advancement League, an organization-slash-support-system for young leaders and entrepreneurs. Co-founders Alex Maiersperger and Antwan Williams started the organization as a way to unite bright-eyed, up-and-comers from health systems, health plans, and startups who not only want to build big careers in health, but who also want to apply their youthful optimism, new ideas, and tech to changing the experience of healthcare for the better. How can you get involved? Tune in for all the details about the organization’s events, especially their “big one,” the Young Health Leader’s Summit.

Filmed at HLTH 2019 in Las Vegas, October 2019.

Jessica DaMassa is the host of the WTF Health show & stars in Health in 2 Point 00 with Matthew HoltGet a glimpse of the future of healthcare by meeting the people who are going to change it. Find more WTF Health interviews here or check out www.wtf.health.

The post Young Health Leaders Unite! | Alex Maiersperger & Antwan Williams, Advancement League appeared first on The Health Care Blog.

Revisiting the Concept of Burnout Skills

Revisiting the Concept of Burnout Skills

By HANS DUVEFELT, MD

I looked at a free book chapter from Harvard Businesses Review today and saw a striking graph illustrating what we’re up against in primary care today and I remembered a post I wrote eight years ago about burnout skills.

Some things we do, some challenges we overcome, energize us or even feed our souls because of how they resonate with our true selves. Think of mastering something like a challenging hobby. We feel how each success or step forward gives us more energy.

Other things we do are more like rescuing a situation that was starting to fall apart and making a heroic effort to set things right. That might feed our ego, but not really our soul, and it can exhaust us if we do this more than once in a very great while.

In medicine these days, we seem to do more rescuing difficult situations than mastering an art that inspires and rewards us: The very skills that make us good at our jobs can be the ones that make us burn out.

Doctors are so good at solving problems and handling emergencies that we often fall into a trap of doing more and more of that just because we are able to, even though it’s not always the right thing to do – even though it costs us energy and consumes a little bit of life force every time we do it. And it’s not always the case that we are asked to do this. We are pretty good at putting ourselves in such situations because of what we call our work ethic.

The Harvard Business Review piece listed four pitfalls and described two types of leaders, which in our case would be clinical leaders: Leader A and Leader B.

Dr. B is a walking recipe for burnout and Dr. A may be the one whose job feeds his soul, at least to some degree (you still have to like people and medicine):

These four pitfalls run through the minds and daily realities of primary care doctors constantly, I dare say:

Just do more: The future reimbursement model is said to be based on value, loosely speaking. But clinics’ quarterly cash flow is largely determined by patient volume. Doctors have patient quotas, and any quality related incentives or requirements are typically tacked on top of the productivity targets without much infrastructure or time set aside for figuring out how to reach those targets in any kind of systematic way.

Just do it now: We certainly are operating in a constant state of emergency to at least some degree. Particularly the addition of quality targets is done in a not very proactive fashion, but much more reactive, with short term “fixes” that tend to be disjointed, as if we are all trying to make improvements to a moving vehicle while also trying to keep an eye on the road.

Just do it myself: Oh, yes, we have all heard about every staff member practicing to the top of their license, but everyone seems so busy, so how many times a day do we think “It’ll take me longer to get this done if I delegate it to someone else, I’ll have to tell them I need this done, how to do it and then – will I trust that it actually got done?”

Just do it later: Sometimes now is the right time, and sometimes later is the right time. But who decides?Physicians tend to put what the HBR calls “value add” work on the back burner, because changing how we work requires detaching from the short sighted thinking of getting through the piecework of the day. We don’t take enough time to think about what we’re doing and why.

Burnout happens when you work hard without seeing real alignment between your efforts and your goals and values, if you get right down to it. I have read and written much lengthier definitions, but the graph in this article made me shorten mine.


Hans Duvefelt is a Swedish-born rural Family Physician in Maine. This post originally appeared on his blog, A Country Doctor Writes, here.

The post Revisiting the Concept of Burnout Skills appeared first on The Health Care Blog.

Reference Manuals May Be Facing Obsolescence

Reference Manuals May Be Facing Obsolescence

We must ensure their relevance to contemporary patient care

By LONNY REISMAN, MD

It’s 1992 and disruptive technologies of the day are making headlines: AT&T releases the first color videophone; scientists start accessing the World Wide Web; Apple launches the PowerBook Duo.

In healthcare, with less fanfare, a Harvard physician named Dr. Burton “Bud” Rose converts his entire nephrology textbook onto a floppy disk, launching the clinical tool that would ultimately become UpToDate. Instead of flipping through voluminous medical reference texts, such as the Washington Manual, doctors could for the first time input keywords to find the clinical guidance they needed to make better treatment decisions.

The medical community embraced UpToDate’s unique ability to put knowledge at their fingertips. Today more than 1.7 million clinicians around the world use UpToDate to provide evidence-based patient care with confidence. For many, it along with other reference sources has become foundational to providing high quality medical care.

More than just an easy-to-use reference, UpToDate has gone on to improve patient outcomes, according to the Journal of Hospital Medicine.

In the new era of 21st century digital medicine, however, there are opportunities to go further in support of clinicians and patients. Reference tools must be powered by predictive and prescriptive analytics, be personalized to individual patient circumstances, and be integrated into clinician workflow. In some cases, clinicians may be unaware of which questions to ask of a computerized reference manual, or how to incorporate the nuances of an individual patient’s case into the general insights of a reference. Searching for heart failure treatment, for example, may be too broad a query and the resulting recommendations therefore may not provide optimal care for a specific patient’s unique medical circumstances. New digital health solutions that consider patients’ co-illnesses, contraindications, symptomatology, current treatment regimens, and hereditary risks are essential.

Additionally, the pace of change in medical science continues to accelerate, and with it, the proliferation of life-saving treatments and diagnosis. When I enrolled in med school in the 1970s, medical knowledge was doubling every seven years; now it’s closer to every two months. That makes it virtually impossible for clinicians to truly be informed regarding the latest studies and guidelines – therefore making it ever more challenging to effectively query medical reference materials.

This heightened pace of evidentiary change has exacerbated the historically slow diffusion of new medical knowledge into general practice, to the detriment of patients. As a member of the American College of Cardiology’s Science and Quality Committee, I spend countless hours each year reviewing the guidelines for cardiac care, knowing full well that it will be years before these new evidentiary approaches become adopted into mainstream practice.

We need 21st century solutions to support increasingly complex medical care. Just as we made the leap from paper to floppy disks to apps, we must now take advantage of recent developments in clinical AI to make another leap: this time to a dynamic and proactive approach to applying medical guidelines to individual patients.

Here’s how clinicians can bring the reference manual truly “UpToDate” for our modern medical times:

1. Personalize for Every Patient

Historically, clinical decision support tools have been used for universal, population level alerts or gaps in care based on simplistic quality measures that apply to all patients…smoking cessation, healthy diets, and exercise. With the advances in AI, nuanced medical guidelines can now follow each patient.

For example, clinical AI tools now exist that can interrogate a variety of patient data – such as electronic health records (EHRs), insurance claims, and patient-generated data – and drill down into clinical, genomic, social and behavioral factors to align patient care with the individualized guideline-directed treatment. This individualized approach ensures each patient receives optimal diagnostic and therapeutic care that is designed to improve outcomes.

2. Dynamically  and Proactively Deliver within Clinical Workflow

Today, most clinicians live their daily lives toggling between their EHR, reference apps like UpToDate and a myriad of other portals. Have a question about the best treatment for your patient with atrial fibrillation and a high bleeding risk? Open a reference app and you will find a multitude of articles to read which may not provide all pertinent information. For example, you may not know to search for “non-pharmacologic treatment” to find information on Left Atrial Appendage Closure (LAAC) device alternatives for a particular patient who is unsuitable for long-term oral anticoagulation. A clinician cannot know to query what they don’t know exists as an alternative for a patient.

Clinical AI tools can proactively deliver these patient-specific recommendations based on the latest medical guidelines directly within a clinician’s workflow, thereby eliminating the need to go searching for the optimal treatment for patients with complex medical needs.

 3. Apply the Guidelines for On-Demand Care

Clinical decision support tools have largely been limited to use at the point of visit, but traditionally offer little insight into recommended patient care outside the four walls of an office visit. Today’s technology can continually analyze new patient data, identify rising health risks,  and promote opportunities to provide optimal care. When lab results, new medications, EHR orders, or third-party data from wearable devices indicate an alteration in patient health status that warrants consideration of a guideline-directed diagnostic or treatment intervention, new guidance can be proactively sent to the clinician and patient – driving purposeful virtual or in-person engagement.

Digitized reference materials have come a long way, but clinicians and health systems today must evolve these capabilities to continually and efficiently apply the medical guidelines – the bedrock of medicine – for the patients they serve.

Dr. Lonny Reisman is the founder and CEO of HealthReveal, and former chief medical officer of Aetna

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