June 18, 1995 |
Like many other expectant mothers in northern Appalachia, Janice Hay drove 100 miles to see her obstetrician. But on the winter night that her baby was born at home, 15 weeks prematurely, the drive to Burlington, Vt., would have been fatal. By the time Hay, a 37-year-old fitness instructor, got to the local hospital in an ambulance, the 1.8-pound infant wasn't breathing. Dr. Hemant Pandhi, a new general practitioner from India, began mouth-to-mouth resuscitation. In 10 minutes, Hay's newborn son, Blake, let out his first cry. "That's why I came here," said Pandhi, 46, who passed up a higher-paying offer in Albany, N.Y., to practice medicine in Ticonderoga, a logging town of 4,600 people on the Vermont border.
February 25, 2013 |
You're more likely to get a doctor's appointment in Canada if you're rich than if you're poor, even though the government pays the bills, according to a new study. In the spring and summer of 2011, a team of Canadian researchers posing as prospective patients cold-called 375 doctors offices in Ontario to schedule a check-up. The researchers posed in each call as one of four types: a wealthy banker in good health, a wealthy banker with diabetes and back problems, a welfare recipient in good health, or a welfare recipient with diabetes and back problems.
September 18, 2013 |
This year, 36.6 million people will be admitted to U.S. hospitals. Each patient will stay an average of 4.8 days, and the cost for all those hospitalizations will reach into the billions. Is all that time spent in hospitals good for patients? Hospitals, of course, are vital institutions that save lives. When someone needs intensive, around-the-clock care, there is no substitute. But as physicians and hospital staffs know well, the longer a patient stays in a hospital, the more perilous the hospitalization can become.
CALIFORNIA | LOCAL
November 21, 2013 |
A growing minority of Americans believes that doctors should do anything possible to save a life, no matter what, instead of saying there are some situations in which a patient should be allowed to pass away, the Pew Research Center found in a survey of nearly 2,000 adults. In addition, an increasing number of people say that even if they were suffering an incurable disease and were in severe pain, they would not ask their doctors to halt treatment. The surge in such attitudes surprises bioethicists who want physicians and families to carefully weigh aggressive medical treatments for patients near death.
March 13, 2011 |
After the surging ocean waters spawned by Japan's magnitude 8.9 earthquake receded, the drowned were only the first victims to be counted. In the coming days, physicians and public health officials along Japan's hard-hit eastern coast can expect a second wave of tsunami victims with aspiration-related illnesses, trauma and crush wounds, as well as the threat of disease spread by contaminated water. As they tend to survivors, Japanese officials can look to the experience of health workers who ministered to victims after the massive tsunami that inundated Indian Ocean nations on Dec. 26, 2004.
October 24, 2011 |
Some of the most daunting challenges to the expansion of palliative care come down to payments and people. Despite early research suggesting there are eventual cost savings in palliative care, setting up a palliative care team does require an investment. And in a medical care system that largely rewards doctors and hospitals for performing procedures, many financially strapped hospitals ask whether and how palliative care teams will pay for themselves. Currently, they are largely paid for by philanthropic funds and are most likely to exist in not-for-profit hospitals.
May 12, 1991
Please pass on a hearty "well done" to Shari Roan for her revealing articles on factitious disorders, ("Playing for Sympathy" and "The Factitious Career: Faking the Faces of Illness," April 21). Her accuracy and research do her credit. These cases test the acumen and patience of any physician and will even set physicians at odds with each other over diagnosis and treatment. The cases we have discovered in our hospital are known to all floors and are well known to the emergency room, where they often come at night to test the discernment of almost every new physicians on call.