Showing posts with label future health care. Show all posts
Showing posts with label future health care. Show all posts

Friday, May 08, 2009

A Way to Improve Health Wait Times, etc.

Improve our own health habits!

There are many preventative health measures we can take to avoid visits to the hospital, and ease the demand on the health care system. Exercising, be it walking, which is excellent, other cardio, and/or increasing omega3 fatty acid oils (from salmon/seal or other fish oils), or decreasing harmful fat intakes. Even if our rich society promotes the idea that there is less wealth circulating to provide adequate health care, we need to just avoid personal health problems anyway.

So, let's take a typical summer's barbecue. It's a common habit, a typical summer tradition. Well, consider, you are eating more portions of red meat, more artificial bbq sauce, and possibly more fries, or even "skin-on" chicken. It may sound good, but it is speeding up your own death clock. Look, the food, and bbq-related industries will keep advertising their products to be associated with fun, happy and traditional times. It is to their benefit for Certain!! They will be making big bucks whether you live or die. Your clogged arteries is their success. But, you should think about whose interests they are looking after. Think about your own first. Keep away from health-causing fats, and protect yourself first. It's cool when you are the winner in the end.

Life does not have to be the same every day. You can improve the ol' diet, increase your own years to live, while increasing your own bank accounts!

Your own health determines what the good life is for you, not how some food company portends it to be.

It's interesting to note that a few generations ago, while people fished the most nutritious foods, and grew their own veges, they also exercised at the same time, which helped keep harmful fats in check, and reduce heart problems. Today, exercise is much more artificial and unnaturally incorporated into the daily life routine.

Makes you wonder if it has been a forward or a backward evolution increment.
Take charge of your own health, your life and future!!

Thursday, January 15, 2009

Surgery Checklists Could Save Lives: "Did Anyone Remember to Stitch the Patient Back Up?"

In teamwork, silence isn’t golden, it’s deadly. - Mark Sanborn

That quote fits this story. An international study showed that "surgical staff can dramatically curb the amount of harm they inadvertently do to patients simply by working through checklists before, during and after operations."

Incredibly, by using a checklists, like those used by airline pilots, over a third of serious complications as well as deaths, could be avoided.

The rate of serious complications -- from cardiac arrest to acute kidney failure and septic shock -- dropped to 7% of operations from 11%, a reduction of more than a third. The fatality rate fell by almost half, to .8% of surgeries, or 31 deaths.

That is kinda nice to know, especially if you're worried about whether or not they took out the bad kidney and not the good one, or when you wake up, and hear one of the staff say, "now where did I leave my forceps?"

Dr. Bryce Taylor, chief surgeon at Toronto's University Health Network, said that there was a reluctance to implement the checklists, as there was a "surgeons are Gods" mentality, similar to the attitude of pilots of older days.

If one of the nurses in the OR is afraid to speak up, then the team is in trouble ... When the junior person could speak up, they discovered they could have a much safer environment.

The surgery checklists costs nothing, and could just be coming to a hospital near you. Out of the 2 million plus surgeries performed in Canada each year, implementing the checklist could prevent over 60,000 serious complications - and that's nothing to sneeze at.

Wednesday, July 30, 2008

Tanning Beds Could be Put to Rest for Teens

The Canadian Cancer Society wants provincial governments to outlaw the use of tanning beds for teens 18 and under. (CTV News just reported this) The reasoning is health-related - a recent Cancer Society survey showed that young people are most likely to spend time in the sun and least likely to be protected, i.e., only "42 per cent of young men and 58 per cent of young women protect themselves from overexposure to the sun – much lower than in older populations."

This is a good move to help teens avoid skin cancers, and deadly types like melanoma. Currently, according to the survey, skin cancer rates are still rising in Canada, particularly among young people. The message of uv rays and skin cancer needs to get stronger, as teens are exposed to a couple of hours of sunlight each day. About only half use sun protection so they are currently deterioting skin cells, and with each passing year, accumulates the damaged and broken-down skin cells, thus exposing them to increased radiation. It raises future cancer risks.

A significant percentage of youth use tanning beds to tan - "27 per cent of young women use tanning equipment, which is higher than use among young men or older adults".

There is no safe way to tan from the sun or from tanning beds. Both tanning methods release ultra violet (UV) rays into the skin, not just turning it brown, but has immediate and long term consequences, causing skin damage, such as sunburns, premature aging and cataracts.

Being sun tanned is not healthy, it has risks, and will negatively affect your skin. The Canadian Cancer Society do say that if people want to look tanned, to use tanning creams - as of now, there no known risks associated with that - but keep in mind it is manufactured with chemicals of some sort.

In the meantime, keep skin covered, either with clothes, hat or with plenty of sunscreen, preferably with spf 30 or higher. Here's more info on indoor tanning and skin cancer - who's at risk and the myths of being tanned.

This is another way to cut personal health problems, risks, costs, and demand on the health care system in terms of labour and costs. Preventing problems from occurring is very doable. More health prevention is needed, and there will be more topics to come on this.

Other links on preventing health problems:
  • Teenage Waist Land
  • Our Health, and Future Health Care
  • Our Health, and Future Health Care II
  • Tuesday, June 24, 2008

    Japan's Preventative Medicine and Social Ills

    With an aging population of "over 60s" making up 21.5% of the nation, and more high fat Western restaurants like McDonalds popping up, Japan's health care costs are growing and it's taking steps to trim it. There are some things about Japan's health philosophy that are good, and other things that may be seen as warnings.

    For years there have been many reports of Japanese work place employee exercise time. Often there is a group exercise at the very work site, like next to a desk. Now that is getting much more focused national attention and an already slim population, compared to us, are being encouraged to trim more.

    Fitness programs at Japanese companies save on medical costs ... by preventing illnesses. And now they are getting strengthened with legislation that adds financial incentives for companies to have healthier workers.

    Many corporations have lunchtime aerobics sessions and cafeterias with low-calorie food, are handing out free pedometers and taking other measures to fight the latest imported buzzword: "metaboh," short for "metabolic syndrome" - the cluster of symptoms linked with obesity, high cholesterol and blood sugar, large waistlines and risks of heart disease. (source: AP)

    That's the good part of Japan's preventative medicine initiative, and they can offer some lessons to us in that way.

    On the other hand, the most recent government supported employee health program would not go over very well here, certainly not very quickly.
    The government initiative, which kicked in April 1, requires companies to have workers aged 40 to 74 take up the battle of the bulge by requiring waist measurements at health checkups ..

    Those exceeding government limits — 33.5 inches for men and 35.4 inches for women, which are identical to thresholds established in 2005 for Japan by the International Diabetes Federation as an easy guideline for identifying health risks — and having a weight-related ailment will be given dieting guidance if after three months they do not lose weight. If necessary, those people will be steered toward further re-education after six more months. (source: NY Times)

    The dieting guidance and nutrition education is definitely good, though it's hard to imagine an employer approaching you with a measuring tape to get your circumference. But it is an extension of the fit for work mentality in Japan.

    While Japan has made itself an economic powerhouse with it's emphasis on work devotion, it is negative in other ways. Many workers' time are so consumed with the demands of work that eating quick, more fattening meals at the desk is common. In addition, those who are chubby, may get labelled a "metaboh", short for metabolic syndrone, and lose respect from co-workers.

    Preventative medicine good, sensei, but workaholic corporate culture may be connected to more problems outside the work place as well.

    Being a valued productive and contributing worker is so very important for the Japanese culture, but sadly, there is also a record high suicide rate among Japanese elderly. The rate jumped by 9% last year (over 33,000), with health and economic worries being the main reasons. This AP writer reported that economic and health problems were closely related.

    In a report by the National Police Agency, depression alone was believed to cause nearly 20 percent of Japan's suicides last year. That is so very sad. Could there be that much time and concentration with work that there is a lesser and lesser amount of personal time spent with seniors? If so, then that is very lonely for them. People of all ages need to feel worthwhile, that's why we want to live.

    Perhaps the time is right for international sharing of health ideas, and perhaps a definition of balance.

    Friday, June 13, 2008

    Our Health, and Future Health Care II

    Better health can be tackled through a multi-pronged approach.

    Back in April I did a post related to problems in the overall health care system. At the Cameron Inquiry yesterday, Robert Ritter, executive director of the Newfoundland and Labrador Medical Association, described the strain and stress of overworked medical personnel in all areas of care, besides the current area of focus now, Pathology. He says the pay increase has created anger among the medical association. That's a problem that NLMA are pressuring government to address. If my hearing is normal I think he also mentioned prevention (of illness) in his post inquiry press interview. In the meantime, what can the general publc do to relieve health strain?

    As I mentioned in the April post, there are plenty of things we can do, like help prevent health problems that are within our control. We know that exercise helps. Avoiding foods, habits and environments that we know will lead to serious problems is another way. Last fall I was interviewed by Deanne Fleet about health care and the emergency room crisis at the time. Though only a small part of my chat with her was played, I mentioned a few ideas about how society has a role in how well the system runs. One was, why not have general health telethons each year to raise money not just for the Janeway, but for senior's care, or ER for example. How about putting more focus on healthier lifestyles and eating by an aggressive long term campaign of education? Emphasize taking control of our own health destinies.

    And to reiterate briefly a few other suggestions regarding how government and health decision makers can affect future health care, there needs to be more stringent regulating of harmful food ingredients. The food industry has so much influence on what gets labeled as healthy. The health check symbol program is a good example. That program is misleading - many foods that are very high in sugars and sodiums are approved for the health check symbol. Let nutrition experts alone, not food industry reps determine Canada's food guide, and nutrition criteria for programs like the health check symbol.

    One more, junk food advertising to children under 13 could be banned. That idea was introduced in the Ontario legislature in April. With obesity and type 2 diabetes on the rise in young people, there will be more chronic care required for younger people, unless this situation is analysed, and thoughtful preventative measures are put in place.

    Friday, May 23, 2008

    Health is Everyone's Foundation

    Premier Danny Williams has made a decent offer to Pathologists that puts them on salary par with those in other parts of Canada. Thankfully, oil money allows for more compensation for these critical people and will be an incentive for current Drs. to stay, and to entice others here.

    There is still much healing left to take place in hospital ERs, and with nursing staff shortages. While the salary incentive is being dealt with we are reminded to look at our own society as a whole.

    We all are responsible for how we live, and to a great extent, many health ailments. Disease beyond our control happens, old age, and deterioration happens. What can also happen is less strain being put on health care because of individual choices on lifestyle. The better we take care of ourselves, the greater the chance of good health, less hospital visits, and less stress on health workers. It's common sense but personal habits are a factor in the current health crisis. Newfoundland and Labrador has the highest nurse per capita ratio in Canada, yet they are extremely stressed, overworked, and still understaffed. It's the demand the general public makes of health care. However, this situation like many, does not have to remain the same. The better we eat, the more active, and the more educated about food and environmental toxins we become, the greater the chances of better health inside and outside of hospitals for all concerned.

    Sunday, May 11, 2008

    3 Mom's Stories: 1 Good, 1 Not Good, 1 Very Sad

    Brenda Martin is Free and Reunited with her Mother

    Brenda Martin, the Canadian who was imprisoned for two years in a Mexican jail, was freed Friday. What a mother's day gift! Could there be a better gift for a mom than to have her own child (a 50+ woman) back in her arms? Good timing, and it's good to hear a positive story out of the near wasteland of sad, bad media stories.

    Martin was held by Mexican authorities on fraud charges, which she vehemently denies, saying there is no actual evidence of her involvement. She was sent to a Canadian prison over a week ago, and now, paroled. For a while in media reports, it sounded like, as she looked, a desperate situation - one which would leave Martin on the brink of her sanity. But after a bleak guilty sentencing, and expected additional jail time, Martin has been swiftly released into the normal world that she was blinded from for two years. Her ordeal was so dismal that now it seems we've witnessed a person's resurrection, and a new life again. It's safe to bet that it probably made her mom's day.
    Hillary Clington Could Use a Mother's Prayer Right About Now

    With superdelegates slipping over to Obama (he is tied in superdelegates), Hillary, the formerly presumed, second Clinton Presidential incarnation, must be thinking that what really matters is family. She should, because it isn't going to be the Democratic nomination that will matter more. On the contrary, it is becoming less realistic with each passing day, as Obama has gotten bandaged up from his campaign-busting bruises, received from the slum landlord asociations, and connections with the Wright-winged Reverend who meant right but sounded wrong.

    Only a small miracle can bring Clinton from the barely radar-perceptible second position, to catch, then pass Obama in what would have to be a photo-finish by that time. He can start to coast now, as superdelegates are beginning to pledge allegiance to his campaign, while former Hillary supporters are doing likewise. The small miracle that could help Hillary would have to be a huge piece of bad press surfacing about something connected to Obama, or a brilliant, Clinton idea on perhaps economic policy, foreign policy, or health care. You never know, but she's been attacking at many opportune times, and he has risen from the bruises. He is cool and sportmanlike in his confidence now - "I don't mind Hillary continuing to stay in the race" - as he knows the ultimate outcome. It's ok Hillary, you were/are a successful mother, it appears, and that's a pride that last forever.
    Mothers and Motherless Children of Burma

    Poor Burma, the poor mothers, fathers, and mourners. There are an estimated 100,000 lives lost from Thursday's cyclone. The country's people, their homes, belongings, have been destroyed. Mother's lost children, and vice-versa. Their government shamefully interfered with international aid to suffering people, while people are scared to complain. It now is allowing aid supplies, but not international relief teams, experienced in helping people in emergency situations, when well over 1 million are clinging to life. Now that's a nightmarish, unfathomable hardship to endure. When you consider that our original birth fate was random, out of our control, then it makes you think how lucky we are to be living in a place with rights, food, access to health services, freedom, and just to be alive. The best gifts for Burma's people right now are food, water, and medicine.

    Thursday, April 10, 2008

    Our Health, and Future Health Care

    Our health care system healthiness is to a degree approached from a number of angles - government, community groups, fundraisers, individuals, health ads, and in schools. That degree is going to have to increase if we want to sustain and improve health care in this province.

    Right now there's not nearly enough nutrition education being communicated to youth and adults. The idea that society needs the best nutrition and health information should be the foundation for people to make the best choices in food and lifestyle.

    The Cameron Inquiry into the botched hormone receptor testing is starting to highlight some of the problem areas in our health care system - investment in staff training and reliable equipment. This is everyone's concern, and as baby boomers age, there will be more challenges to an already burdened health system. Challenging yes, and it can improve. Here are some ideas to consider for improving future health care and personal health.

  • Disseminating more health information via schools, hospitals, public service announcements.
  • Enforcing policies for the food industry to make nutrition guides more readily available. Last year Marketplace covered this very topic and found that it was difficult to get nutrition information at many restaurants. People were shocked to see how high calorie and sodium levels were in many of the food items.
  • Industrial companies which have negligent safety practices should be inspected to ensure they strictly adhere to safety guidelines; to make work environments more conducive to employees to wear proper safety apparel like masks where there are toxic fumes, or materials like asbestos. There are companies here in St. John's and probably everywhere else where employee safety is secondary. When many cancers alone are caused by environmental factors, more stringent safety regulations needs enforcing.

  • Whether it's started in elementary school, or in public service announcements, there needs to be more of an emphasis on taking more personal responsibility for one's health, i.e., seeking out nutrition information, healthier habits, hence, staying away from hospitals and doctors to a greater degree, and therefore, taking some stress away from health workers. Bad habits don't easily change overnight but self-inflicted good health is a goal worthy of a reminder anytime!

  • It's often said that religion should be kept out of politics. How about keeping business out of real health discussions. Their interests are in profit not some altruistic hope for individual's well being. The closest they come to that is in advertising - their concern is how well it works to make it appear that food products are beneficial to your health.

  • Much more can be done by the food industry to help. As we have seen, the food industry is in the pocket of influential agencies like Canada's Food Guide, and programs like the Health Check Symbol. They sit on boards that define criteria for determining what is healthy. It's been said here previously that the Heart and Stroke Foundation actually promotes food products that contribute to heart attacks and strokes.

  • Ban junk food advertising to children under 13. In fact, that is currently being considered in Ontario, after a private member's bill was introduced April 8.

    With a few words you can put a positive tone on anything. It's easy, especially when you're talking about the Ooey-gooey and chewy FanTaste-ic Goodness of the Chocolate Chippers, and other "fun" foods. There are people who like to sarcastically joke about the "corporate bogeyman". Well, there are thousands of reasons to be weary of insidious advertisers.

  • Completely wipe out the use of trans fats. Again, the bottom line of industry is to make profit, which includes cutting expenses, and making a product as cheaply as possible. That's a big reason for using trans fat. It kills people, but it's a cheap way to preserve products for a longer shelf life.

    Here's a nice example. The innocence of young girls is used to sell Girl Guide cookies. Who can resist! Unfortunately, 3 of these innocent cookies are laced with 1.5 grams of trans fat. It could have been removed but isn't. And why not? Voortman's can remove all trans fat from their cookies, so ..?

  • One more suggestion: Hospitals ought to set a better example for healthy eating by not allowing cafeterias to serve stuff like poutine, or allowing junk food giants like Tim Horton's set up in cafeterias.

    Many patients are in the hospital because they have had heart attacks, strokes and other coronary problems. Often, they are advised to stay away from salt, not to mention foods high in sugar. Check out the Tim Horton's nutrition guide here. Notice that their sandwiches are very high in sodium. Three (the Turkey Bacon Club, the Deli Trio, and the beloved Ham & Swiss) have sodium levels that are above the daily recommended limit of 1500 mg per day - and that's just one food item, not including the "meal deals" which include donut and beverage.

    The St. John's Health Sciences Centre has a Tim Hortons. After hours it's the only place to eat. The irony is obvious, a hospital with a "fun food" vender, and the cycle continues.

  • A general health care Telethon. The Janeway Telethons have been very successful, and we have a brand new hospital for kids. However, one suggestion is to have a telethon this year and/or the next, for the ER, or for the elderly care, for example.

    These are one observer's assessment of current health care and where it needs to go in the future. At the very least more discussion and analysis of societal health practices is a place to begin nursing our overall health and health care system to a better level.