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Like a modern-day Sherlock Holmes in scrubs, the title character of House can solve just about any medical mystery. That's not altogether unrealistic, says Dr. Lisa Sanders, the show's technical adviser. Sanders, an internist and the author of Every Patient Tells a Story: Medical Mysteries and the Art of Diagnosis, talked to TIME about House's flesh-and-blood counterparts, how we can teach more doctors to be like them and how patients can help. (Read a TIME special report on health care...
...possible remedy, which could get funding in a federal reform bill, is a healthcare delivery model called Patient-Centered Medical Homes. PCMH links patients up with personalized healthcare teams in their communities, which in turn provide more focused, efficient and less costly medical services. An important PCMH feature is making non-emergency care - like less expensive urgent care - more 24/7 accessible to patients who really don't require emergency-level attention. (My kidney stone hit me at night, when my local urgent-care clinic was closed, leaving me with little choice but an E.R.) PCMH "is something we need...
Those rules can complicate everyday life, as Ethel Jefferson, 68, a breast-cancer patient in Philadelphia, learned firsthand. When her condition was diagnosed several months after her lumpectomy and radiation treatment, her doctor warned her against lifting more than 2 lb. with the affected arm. "Can you imagine going grocery-shopping?" she says. "I would ask someone at the store to lift my bags and then make sure someone would be home to help. You learn to compensate, but it was a challenge...
Experts also foresee significant potential health-care savings, based on the alleviation of symptoms among the study's weight-training patients. Treatment of an exacerbated case of lymphedema requires specialized attention from physical therapists - including massage and compression bandaging - expenses that many but not all insurance companies cover. For a patient with early-stage lymphedema, an eight-day course of therapy sessions can cost an average of $2,000, not including supplies and time spent by patients in daily sessions, according to the National Lymphedema Network. But if the new study leads to a shift in physicians' recommendations, perhaps...
...resources. She quotes him discussing the denial of care for people with dementia without revealing that Emanuel only mentioned dementia in a discussion of theoretical approaches, not an endorsement of a particular policy. She notes that he has criticized medical culture for trying to do everything for a patient, "regardless of the cost or effects on others," without making clear that he was not speaking of lifesaving care but of treatments with little demonstrated value. "No one who has read what I have done for 25 years would come to the conclusions that have been put out there," says Emanuel...