Comments for BeyondApples.Org http://beyondapples.org Better ways to keep the doctor away Thu, 24 Nov 2011 20:54:34 -0700 hourly 1 http://wordpress.org/?v=3.1.3 Comment on A Young Woman With An Unpreventable Disease by Andy Kim http://beyondapples.org/2009/04/26/a-young-woman-with-an-unpreventable-disease/comment-page-1/#comment-6106 Andy Kim Thu, 24 Nov 2011 20:54:34 +0000 http://beyondapples.org/?p=7#comment-6106 Dear Dr. Nundy, Hello, my name is Andy Kim, a freshman at Emory University in Atlanta, GA, and an aspiring medical researcher and doctor. Preventative medicine and public is a passion of mine and I'm so glad to have come across something like this on a calm, November day. Although I'm just in the beginning of my long, long, long, long (did I mention long?) journey into medicine, I always enjoy looking into the future. Just my two cents worth. Again, I'm extremely grateful to have come across this site! Thanks for your contribution to human health :) Andy Kim Dear Dr. Nundy,

Hello, my name is Andy Kim, a freshman at Emory University in Atlanta, GA, and an aspiring medical researcher and doctor. Preventative medicine and public is a passion of mine and I’m so glad to have come across something like this on a calm, November day. Although I’m just in the beginning of my long, long, long, long (did I mention long?) journey into medicine, I always enjoy looking into the future.

Just my two cents worth. Again, I’m extremely grateful to have come across this site! Thanks for your contribution to human health :)

Andy Kim

]]> Comment on Reflecting on Code Status by Listra http://beyondapples.org/2010/03/13/reflecting-on-code-status/comment-page-1/#comment-6045 Listra Fri, 04 Nov 2011 03:21:04 +0000 http://beyondapples.org/?p=1212#comment-6045 I am an RN in a hospital. I experienced a very similar situation where a patient code status was somewhat unclear but the patient the day before verbalized positive intentions of going home to be with his wife of many years. He became unresponsive and presented with signs of first, drug overdose/ then Respiratoy Distress. During the episode of respiratoy distress the various disciplines resolved to spend this time "ironing out" the details of his code status and extent of intervention if any. Needless to say the patient expired after DNR status was confirmed. This death has up to this day cause me great unease. I feel due to some lack on our part we have andstill are placing patients and caregivers in critical confusion during very fragile matter of life and death moments. I am currentl raising awareness, encouraging discussions, clarifying, educating, researching code status, Full Code, DNR, and all the grey areas in between. I feel there is a superb amount of confusion in the minds of RPN,s, RN,s, MDs, Educators who teaches that intervening with antibiotics for septicimia/pneumonias: increasing low BP with hydration or otherwise administering treatment to a patient with a DNR code status is not acceptable practice. Reading your article makes me realize that this issue is one that needs to be addressed on a grand scale. Thank you. I am an RN in a hospital. I experienced a very similar situation where a patient code status was somewhat unclear but the patient the day before verbalized positive intentions of going home to be with his wife of many years. He became unresponsive and presented with signs of first, drug overdose/ then Respiratoy Distress. During the episode of respiratoy distress the various disciplines resolved to spend this time “ironing out” the details of his code status and extent of intervention if any. Needless to say the patient expired after DNR status was confirmed. This death has up to this day cause me great unease. I feel due to some lack on our part we have andstill are placing patients and caregivers in critical confusion during very fragile matter of life and death moments. I am currentl raising awareness, encouraging discussions, clarifying, educating, researching code status, Full Code, DNR, and all the grey areas in between. I feel there is a superb amount of confusion in the minds of RPN,s, RN,s, MDs, Educators who teaches that intervening with antibiotics for septicimia/pneumonias: increasing low BP with hydration or otherwise administering treatment to a patient with a DNR code status is not acceptable practice.
Reading your article makes me realize that this issue is one that needs to be addressed on a grand scale. Thank you.

]]> Comment on Eating Soup with a Fork: Reshaping Global Health Care Delivery to Meet the Challenges of NCDs by Michael McKenna http://beyondapples.org/2011/09/11/eating-soup-with-a-fork-reshaping-global-health-care-delivery-to-meet-the-challenges-of-ncds/comment-page-1/#comment-5972 Michael McKenna Thu, 29 Sep 2011 20:35:04 +0000 http://beyondapples.org/?p=1537#comment-5972 Excellent thoughts and a great summary of what primary care, medical home and preventative medicine are all about. I think the two biggest factors blocking the way is human nature (people don't like to do anything if they feel fine. This is why compliance with inhaled corticosteroids is high and there is an overreliance on albuterol in asthma) and the fact that the payer model right now pays for "doing" not "thinking". As a fellow primary care doctor (pediatrician), here's to hoping... Excellent thoughts and a great summary of what primary care, medical home and preventative medicine are all about. I think the two biggest factors blocking the way is human nature (people don’t like to do anything if they feel fine. This is why compliance with inhaled corticosteroids is high and there is an overreliance on albuterol in asthma) and the fact that the payer model right now pays for “doing” not “thinking”. As a fellow primary care doctor (pediatrician), here’s to hoping…

]]> Comment on Figuring Out What Primary Care Is All About by Kitt Klaiss http://beyondapples.org/2011/04/16/how-is-a-primary-care-doctor/comment-page-1/#comment-5752 Kitt Klaiss Sun, 17 Apr 2011 03:23:22 +0000 http://beyondapples.org/?p=1524#comment-5752 Reminds me of a story from my residency - convinced a new patient that she needed a mamogram, since she hadn't had one before and was 55. Later, I found out it was positive, and arranged for her surgery and oncology follow up. A year later, I ran into her at the surgeon's office when I was there for a rotation. The surgeon said to her, "Do you remember Dr. K?" and she said, "Yes, she's the doctor who saved my life." Those are the moments that make all the grief worthwhile. Reminds me of a story from my residency – convinced a new patient that she needed a mamogram, since she hadn’t had one before and was 55. Later, I found out it was positive, and arranged for her surgery and oncology follow up. A year later, I ran into her at the surgeon’s office when I was there for a rotation. The surgeon said to her, “Do you remember Dr. K?” and she said, “Yes, she’s the doctor who saved my life.” Those are the moments that make all the grief worthwhile.

]]> Comment on Figuring Out What Primary Care Is All About by Dr. Sean http://beyondapples.org/2011/04/16/how-is-a-primary-care-doctor/comment-page-1/#comment-5749 Dr. Sean Sun, 17 Apr 2011 01:20:31 +0000 http://beyondapples.org/?p=1524#comment-5749 You're a life coach. Your opponent is morbidity. Your strongest medicines will be motivation and support. You’re a life coach. Your opponent is morbidity. Your strongest medicines will be motivation and support.

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