Comments for BeyondApples.Org http://beyondapples.org Better ways to keep the doctor away Wed, 03 Mar 2010 18:48:49 -0700 http://wordpress.org/?v=2.9.2 hourly 1 Comment on My Mini-”Checklist Manifesto” by Raj Cheruvu http://beyondapples.org/2010/02/25/my-mini-checklist-manifesto/comment-page-1/#comment-4204 Raj Cheruvu Wed, 03 Mar 2010 18:48:49 +0000 http://beyondapples.org/?p=1165#comment-4204 I graduated almost dead last in my class of 150. Using checklists made my experience in the hospital much easier. I read the entire article and saw the link, but missed your checklist at the bottom of the page. I think a checklist like that can be given to anyone in health care- teachers and doctors. Using checklists you can 'dumb down' information, and make complex tasks very specific. Great checklist... I will send it to my alma mater in India. I graduated almost dead last in my class of 150. Using checklists made my experience in the hospital much easier. I read the entire article and saw the link, but missed your checklist at the bottom of the page. I think a checklist like that can be given to anyone in health care- teachers and doctors. Using checklists you can ‘dumb down’ information, and make complex tasks very specific. Great checklist… I will send it to my alma mater in India.

]]> Comment on My Mini-”Checklist Manifesto” by Raj Cheruvu http://beyondapples.org/2010/02/25/my-mini-checklist-manifesto/comment-page-1/#comment-3988 Raj Cheruvu Mon, 01 Mar 2010 02:12:03 +0000 http://beyondapples.org/?p=1165#comment-3988 Great article. I used checklists in India. It made a huge difference. I used the Oxford Handbook on Clinical Medicine (OHCM) as a outline, then kept modifying my checklist for India. I had 1 checklist for each system and 1 checklist for the procedures. I would give the checklist to the nurses, or keep them with me depending on the issue. The OP in India is much different than here. We have to go through 40-60 patients in 3 hours on some days. I would use a different checklist to make sure that I could coordinate the general examination and system examination to save time. In the inpatient wards, I would talk to some patients about preventive medicine, the reason for being admitted, etc. Great article. I used checklists in India. It made a huge difference. I used the Oxford Handbook on Clinical Medicine (OHCM) as a outline, then kept modifying my checklist for India. I had 1 checklist for each system and 1 checklist for the procedures. I would give the checklist to the nurses, or keep them with me depending on the issue.

The OP in India is much different than here. We have to go through 40-60 patients in 3 hours on some days. I would use a different checklist to make sure that I could coordinate the general examination and system examination to save time. In the inpatient wards, I would talk to some patients about preventive medicine, the reason for being admitted, etc.

]]> Comment on The Heart Health Checklist by admin http://beyondapples.org/2010/02/01/the-heart-health-checklist/comment-page-1/#comment-3936 admin Mon, 22 Feb 2010 03:58:33 +0000 http://beyondapples.org/?p=1090#comment-3936 Hi, thanks for reading. Because the Heart Health Checklist was a team effort, I will talk to my colleagues here and ask them if I may post the checklist online. I anticipate that they will be excited to share our work with others. The art vs science notion is something I've only begun to think about lately. In medical training we largely leave learning about doctor-patient communication to chance. When taught, it is largely by example. I wonder though if there is a role for a complementary scientific approach, specifically the use of formalized tools for educating patients, soliciting preferences, decision-making. The Heart Heart Checklist, if proven to be effective, would be a "science" approach to patient education. For breast cancer screening, I've been thinking about using standardized templates to convey the risks and benefits of screening, which would be most relevant for women 40-50 under the new USPSTF guidelines, for example. These are all rough ideas. Eager to hear your input. Hi, thanks for reading. Because the Heart Health Checklist was a team effort, I will talk to my colleagues here and ask them if I may post the checklist online. I anticipate that they will be excited to share our work with others.

The art vs science notion is something I’ve only begun to think about lately. In medical training we largely leave learning about doctor-patient communication to chance. When taught, it is largely by example. I wonder though if there is a role for a complementary scientific approach, specifically the use of formalized tools for educating patients, soliciting preferences, decision-making. The Heart Heart Checklist, if proven to be effective, would be a “science” approach to patient education. For breast cancer screening, I’ve been thinking about using standardized templates to convey the risks and benefits of screening, which would be most relevant for women 40-50 under the new USPSTF guidelines, for example.

These are all rough ideas. Eager to hear your input.

]]> Comment on The Heart Health Checklist by Steve Wilkins http://beyondapples.org/2010/02/01/the-heart-health-checklist/comment-page-1/#comment-3927 Steve Wilkins Sun, 21 Feb 2010 03:48:09 +0000 http://beyondapples.org/?p=1090#comment-3927 I too would be interested in learning more about you Heart Health Check list. I am also curious on how you differentiate between the "art" of doctor-patient communication and the "science" of said communications? I've never heard it referenced that way before... Great work by the way. Steve Wilkins Mind the Gap I too would be interested in learning more about you Heart Health Check list.

I am also curious on how you differentiate between the “art” of doctor-patient communication and the “science” of said communications? I’ve never heard it referenced that way before…

Great work by the way.

Steve Wilkins
Mind the Gap

]]> Comment on Quitting Smoking on Facebook by RRT http://beyondapples.org/2010/02/13/quitting-smoking-on-facebook/comment-page-1/#comment-3900 RRT Tue, 16 Feb 2010 16:26:19 +0000 http://beyondapples.org/?p=1149#comment-3900 Excellent article and excellent point. As technology evolves our uses for it also evolve and this seems to me to be a fascinating and supremely positive use of online social networks. Excellent article and excellent point. As technology evolves our uses for it also evolve and this seems to me to be a fascinating and supremely positive use of online social networks.

]]> Comment on World Diabetes Day 2009 by Diagnosing Diabetes Easier | BeyondApples.Org http://beyondapples.org/2009/11/14/world-diabetes-day-2009/comment-page-1/#comment-3798 Diagnosing Diabetes Easier | BeyondApples.Org Mon, 08 Feb 2010 04:22:33 +0000 http://beyondapples.org/?p=871#comment-3798 [...] World Diabetes Day 2009 [...] [...] World Diabetes Day 2009 [...]

]]> Comment on The Heart Health Checklist by RK http://beyondapples.org/2010/02/01/the-heart-health-checklist/comment-page-1/#comment-3784 RK Thu, 04 Feb 2010 00:57:00 +0000 http://beyondapples.org/?p=1090#comment-3784 Such a great idea! Wonder if you would like to share the Checklist with the readers here? Such a great idea! Wonder if you would like to share the Checklist with the readers here?

]]> Comment on A New Diagnosis of Colon Cancer by admin http://beyondapples.org/2010/01/18/a-new-diagnosis-of-colon-cancer/comment-page-1/#comment-3689 admin Thu, 21 Jan 2010 15:52:42 +0000 http://beyondapples.org/?p=1053#comment-3689 Hi, thank you for your kind note. All things considered we are doing ok, trying to figure out the next steps. Best wishes. Hi, thank you for your kind note. All things considered we are doing ok, trying to figure out the next steps. Best wishes.

]]> Comment on A New Diagnosis of Colon Cancer by Chrysalis http://beyondapples.org/2010/01/18/a-new-diagnosis-of-colon-cancer/comment-page-1/#comment-3675 Chrysalis Mon, 18 Jan 2010 15:20:39 +0000 http://beyondapples.org/?p=1053#comment-3675 I am so sorry to read of your family member's illness. My grandfather had colon cancer, and I was diagnosed when I was 36, with breast cancer. I am a survivor. It's a very hard thing to deal with. My heart goes out to all of you. I am so sorry to read of your family member’s illness. My grandfather had colon cancer, and I was diagnosed when I was 36, with breast cancer. I am a survivor. It’s a very hard thing to deal with. My heart goes out to all of you.

]]> Comment on A Teachable Moment by Sonya Tang http://beyondapples.org/2010/01/06/a-teachable-moment/comment-page-1/#comment-3627 Sonya Tang Thu, 07 Jan 2010 17:54:37 +0000 http://beyondapples.org/?p=993#comment-3627 great and encouraging story. great and encouraging story.

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