Archive for November, 2009

Orthodontic options for straight teeth with new techniques

Monday, November 23rd, 2009

Many orthodontic options can take more than a year to work. Fortunately the use of 6 Month Smiles by an Edinburgh dentist can be helpful when it comes to getting one’s teeth to be properly aligned in a short period of time. These braces work with ease to improve the condition of the braces.

6 Month Smiles works in that instead of working with the full mouth these braces will work primarily on the front six teeth. These are the teeth that are going to be seen by more people and will be used for most dental implants activities involving one’s mouth.

Instead of using standard braces to get these front teeth to move into a proper position the braces used in 6 Month Smiles will work with nickel-titanium wires. These wires work with brackets that are white in color and are smaller than standard brackets to work properly. Every couple of weeks these braces will need to be adjusted so that they will be able to continue working to get one’s teeth to be handled properly.

Because there are fewer teeth involved in this process 6 Month Smiles will work in about six months on average. This is different from other types of braces that deal with the entire mouth and can take more than a year to work properly.

There are a few considerations to use for this orthodontic option though. For instance, while this option can be used to help with handling teeth in a short period of time it can take a couple of additional months to be able to get them to work for some of the more severe cases. It can take up to eight months for severe cases to be corrected properly. This is still a substantially shorter amount of time than that of what it would take for standard braces to work.

Also, with 6 Month Smiles a patient’s speech will be different for the first couple of days after the braces are first installed. The speech should go back to normal after an hour though.

The last thing to note is that like with other orthodontic options 6 Month Smiles can be painful for the first couple of days after they have been installed. The pain will subside over time as the teeth become more used to the braces but it is generally recommended during the first couple of days to use some mild painkillers that one’s dentist has provided.

6 Month Smiles can be very useful for anyone looking to get their teeth to look their best. This option works with the front teeth and will work to help with getting them to be straight and in their proper places. It will not take as much time for these braces to work either.

Should obese patients pay more for ambulance transport to the hospital?

Monday, November 16th, 2009

The obese are more likely to have health issues, and, subsequently require more frequent trips to the hospital. Ambulance workers say that patients weighing over 350 pounds present additional challenges to transport, and require specialized equipment and additional workers.

Where should the money come from to cover the costs of transporting extremely obese patients?

The ambulance industry wants to be able to pass on the expenses to insurance companies. It can cost 2½ times more to transport extremely heavy patients to the hospital than it costs to move non-obese patients. Customizing an ambulance with lifts and heavy-duty equipment can run up to $10,000, and it may require 3 or 4 health care workers.

In the absence of specialized equipment, ambulance crews have moved extremely overweight patients with forklifts and flat-bed trucks — which probably did the patient’s dignity no favors.

Some states already charge more for extremely overweight patients. But there are critics who argue levying additional charges on obese patients is discrimination, and passing these costs to insurers ultimately raises costs for everybody.

This issue highlights another way obesity contributes to spiraling health costs. Resources would be better spent preventing obesity in the first place — before patients reach the point of needing more costly, oversized ambulance equipment.

Who’s dying from the H1N1 flu pandemic?

Wednesday, November 11th, 2009

Although the pandemic H1N1 flu tends to strike younger people, it can be life-threatening when older people are infected, California researchers said.

Whos dying from the H1N1 flu pandemic? In the first four months of the pandemic, 1,088 people in the state needed inpatient care or died of the pandemic flu strain, according to Janice Louie, MD, of the California Department of Public Health and colleagues.

The median age of the victims was 27 — younger than is usually seen with the seasonal flu — but the highest case fatality rate was seen among those 50 and older, Louie and colleagues reported in the Nov. 4 issue of the Journal of the American Medical Association.

Those findings are based on statewide enhanced public health surveillance between April 23 and Aug. 11, the researchers said. The first cases of the pandemic flu in the U.S. were reported in Southern California on April 17.

Medicine needs to get back to hands-on basics, rather than focusing on technology

Sunday, November 1st, 2009

There is plenty to criticize in our bungling trek toward health reform. Leaders on the right, left and at 1600 Pennsylvania Avenue have sidestepped the crucial conversation of controlling the cost of care, in favor of partisan rhetoric about “death panels” and “rationing care.” Worse, the entire focus of reform has centered on spending billions of dollars on technology solutions that will only make marginal changes in the cost and quality of care Americans get.

I want to refocus the debate on what matters most: relationships. Let’s reinvest in the sitting down with, listening to, empathizing with and touching patients.

America has the most advanced healthcare system in the world. But in our haste to research, develop and invest in high-tech medicine, we have lost sight of the very basics of good doctoring. The first things we learn in medical school are: ask, listen and touch. Doctors do not do enough of this any more.

As has been made painfully clear, most doctors are rewarded for doing all manner of procedures. This is true from the earliest moments of our career . As a resident, even when faced with the most basic medical problems, I was grilled by my attending when I didn’t order the full battery of tests, or contact all the specialists available to consult on a patient. Thus, over-testing and over-treating becomes a knee-jerk response from the get go.

This is how doctors practice medicine today. Some of us do it this way because it’s how we get paid. Some of us refer our patients to specialists because we don’t have time to sit down with them ourselves. Some of us rely on tests and procedures because we’re fearful of malpractice lawsuits. And most of us have just lost sight of the most powerful tools in the doctor’s arsenal: our hands and our minds.