Your Doctor Is Wasting Your Time... and Your Money
By Rob Fannon, editor, Phase 1 Investor
I'd like nothing more than to fire my doctor...
Anyone else sick of scheduling appointments, only to wait for 30 minutes (or more) before hearing your name called? Then, if you're lucky, you get 10 minutes with a harried physician who shares nothing you didn't already know. When did doctors cease being healers? Most are nothing more than informed technicians, cranking through protocols and patient numbers to make ends meet.
I don't need a doc to check my blood pressure, take my temperature, rub my lymph nodes, and hand me an antibiotic... for whatever ails me.
I prefer the do-it-yourself model.
The secret to good health is information, discipline, and prevention – in that order. A discerning eye can gather more than enough qualified information on the web for any and all medical conditions. And of course, with enough self-discipline, diet and exercise are always the best prescription for most health-related matters. No two steps do more to prevent illness.
Still, all the web surfing, whole-grain bread, and wind sprints in the world can't trump one element of our health and wellbeing: our genes.
The next frontier for medicine is genetics. As patients, we can look forward to knowing which diseases are in our future based on a genetic fingerprint. Armed with a readout mapping our DNA and forecasting the medical conditions we'll likely encounter, we can fire the family doctor and head straight to the specialist who can actually cure us.
As investors, we've got to realize this day is coming faster than we may have thought...
Of course, not every genetics wonder-company is investable. Take my experience last summer, for example. For $1,000, I shipped my DNA to Iceland. There, scientists at deCODE Genetics (DCGN) scanned my genes to determine my risk of various cancers, heart-related disorders, brain diseases, as well as oddball tests for male pattern baldness and alcohol-flush reaction.
But the whole thing was a bit of a letdown. Most of the results were too vague. And based on my family history, I already know I have European ancestors, a thinning hairline, brown eyes, and a "slightly elevated" risk for many diseases. Obviously, I can't fire my doctor quite yet.
Without a sufficient payoff, expensive testing services like deCODE's won't attract meaningful numbers of customers. Patients – and the insurance companies that will foot the bill –need clear, definitive answers that have an immediate use in order to pay for such tests.
That is the key to making money in personalized medicine today. And that's what I look for when I make an investment in the "personalized medicine" boom...
One of my favorite companies in this sector – one I think has done it "right" – is Genomic Health (GHDX).
Genomic Health's Oncotype DX test measures the aggressiveness of breast cancer via a molecular snapshot of the tumor. Based on the results, patients and doctors make informed decisions about whether or not to pursue grueling and costly chemotherapy treatment.
Results Are in from Iceland
Why You May Never Take a Regular Drug Again
Most important, Oncotype DX offers an appealing cost-benefit proposal for insurance companies. These payers are more than willing to shell out $3,700 for the test if it reduces the number of $35,000 chemotherapy treatments they pay for.
Clear, definitive answers that result in an immediate action plan... that's the winning formula for genetic-screening services. It's why deCODE is headed for bankruptcy and why I think Genomic Health is a bargain today...
Great assessment and a hopeful future solution to the current care crisis QJ
Showing posts with label care crisis solutions. Show all posts
Showing posts with label care crisis solutions. Show all posts
Friday, June 05, 2009
Tuesday, April 28, 2009
Board Heads In Wrong Salary Direction - Chatham Daily News - Ontario, CA
Board Heads In Wrong Salary Direction - Chatham Daily News - Ontario, CA: "Board Heads In Wrong Salary Direction
Posted By
Overpaid for what they do - citizens finally speak out -QJ-- good for them "
Posted By
Overpaid for what they do - citizens finally speak out -QJ-- good for them "
Thursday, April 02, 2009
SOS wary of new hospital talk - Chatham Daily News - Ontario, CA
SOS wary of new hospital talk - Chatham Daily News - Ontario, CA: "SOS wary of new hospital talk
HEALTH CARE: Wesley believes it won't have an ER
Posted By BOB BOUGHNER, THE DAILY NEWS
Posted 4 hours ago
Despite talk of a new hospital in Wallaceburg, the Save Our Sydenham Committee is forging ahead.
'It's just more babblegap to confuse the issue,'' Jeff Wesley, SOS spokesman, said yesterday.
Wesley said he's convinced the plan is to build a 'glorified primary and urgent care clinic with no emergency room.''
Chatham-Kent Health Alliance officials said Tuesday they plan to replace the 55-year-old Sydenham campus and the 50-year-old Public General campus in Chatham."
" This illustrators what happens to those that over promise and do not deliver or has cried wolf to often. The skepticism is well earned and the vigilence by the citizen is needed ' QJ
HEALTH CARE: Wesley believes it won't have an ER
Posted By BOB BOUGHNER, THE DAILY NEWS
Posted 4 hours ago
Despite talk of a new hospital in Wallaceburg, the Save Our Sydenham Committee is forging ahead.
'It's just more babblegap to confuse the issue,'' Jeff Wesley, SOS spokesman, said yesterday.
Wesley said he's convinced the plan is to build a 'glorified primary and urgent care clinic with no emergency room.''
Chatham-Kent Health Alliance officials said Tuesday they plan to replace the 55-year-old Sydenham campus and the 50-year-old Public General campus in Chatham."
" This illustrators what happens to those that over promise and do not deliver or has cried wolf to often. The skepticism is well earned and the vigilence by the citizen is needed ' QJ
Wednesday, April 01, 2009
SOS targets trustees - Chatham Daily News - Ontario, CA
SOS targets trustees - Chatham Daily News - Ontario, CA
Volunteer hospital board of trustee members were put on the hot seat during last night's Chatham-Kent Health Alliance Tri-Board meeting.
Conrad Noel, vice-chairman of the Save Our Sydenham committee, asked trustees to vacate their seats so they can be replaced with people who are interested in representing the interests of the community.
He was one of three local residents to address hospital trustees about community concerns over the Hay report to the Erie St. Clair Local Health Integration Network, recommending the closure of the Sydenham District Hospital emergency department.
Wallaceburg Coun. Sheldon Parsons served notice there are 220 applications for membership with the SDH corporation and the number is growing.
He hopes to see that number grow to 1,000 to have voting power to elect representatives to fill what he understands is three of seven positions on the SDH board, which will be up for consideration at its annual meeting on June 22.
SOS chairman, Jeff Wesley, told the tri-board it seems like every five years Wallaceburg has to fight to keep services at SDH.
Another tool in the accountabiiity arsenal - target the public directors and trustees - So far the SoS group is adding pressure to all the right points- to be continued- QJ
"Now we're at the point where a lot of people are fed up," Wesley said.
Volunteer hospital board of trustee members were put on the hot seat during last night's Chatham-Kent Health Alliance Tri-Board meeting.
Conrad Noel, vice-chairman of the Save Our Sydenham committee, asked trustees to vacate their seats so they can be replaced with people who are interested in representing the interests of the community.
He was one of three local residents to address hospital trustees about community concerns over the Hay report to the Erie St. Clair Local Health Integration Network, recommending the closure of the Sydenham District Hospital emergency department.
Wallaceburg Coun. Sheldon Parsons served notice there are 220 applications for membership with the SDH corporation and the number is growing.
He hopes to see that number grow to 1,000 to have voting power to elect representatives to fill what he understands is three of seven positions on the SDH board, which will be up for consideration at its annual meeting on June 22.
SOS chairman, Jeff Wesley, told the tri-board it seems like every five years Wallaceburg has to fight to keep services at SDH.
Another tool in the accountabiiity arsenal - target the public directors and trustees - So far the SoS group is adding pressure to all the right points- to be continued- QJ
"Now we're at the point where a lot of people are fed up," Wesley said.
Wednesday, March 25, 2009
People are fighting to save their care system -Chatham-Kent
SOS seeks full report
HEALTH CARE: Wants report before Friday's meeting
Posted By TREVOR TERFLOTH, THE DAILY NEWS
Save Our Sydenham members want the full story on the physical condition of the Wallaceburg hospital.
The group requested a 2005 infrastructure study commissioned by the Chatham-Kent Health Alliance from Stantec Consulting.
However, CKHA CEO Ken Tremblay had denied the full report to SOS, saying a Powerpoint summary was already given to them.
SOS chairman Jeff Wesley said the group needs the information to prepare for Friday's public meeting with the Erie St. Clair Local Health Integration Network in Wallaceburg.
"We're a grassroots organization. We don't have paid staff," he said. "They've asked us for solutions -- we want to give them solutions."
Earlier this year, the LHIN received a report that recommended the closure of the Sydenham Campus emergency department.
Wallaceburg Coun. Sheldon Parsons criticized Tremblay and the hospital on the council floor during Monday's meeting, saying SOS deserved to have the Stantec information.
Yesterday, Parsons said it was his understanding that one copy of the report would be released to Rob Browning, the municipality's chief administrative officer.
As of yesterday afternoon, the councillor was still waiting for the report. He was unsure of the timeframe for its release.
"They've authorized a copy," Parsons said. "I'm going to be allowed to look at it."
Tremblay couldn't be reached for immediate comment.
four-year-old Stantec report, but hadn't seen it personally.
He gave an update on the emergency department issue at the LHIN board yesterday and said the public is providing much feedback.
Some concerns raised include rural availability of care, patient transportation and travel time.
"They're very, very valid concerns," Ganter said.
The Hay Group had recommended the Sydenham Campus become an urgent-care centre.
Ganter said the LHIN is still collecting information and also speaking with officials from such a facility in British Columbia.
"We want to understand what the pros and cons are," he said.
Friday's community meeting will take place at 7 p. m. at Wallaceburg District Secondary School.
Presentations will be made and the community will have the opportunity to share their views about the Hay Group's report.
"Comment - good for the SOS citizen group for trying to get an accounting of their public money and save their hospital and care system . The customer is King- it is good to see a demonstration of this new principle. Don't except the standard excuses for bad service or bad public decisions " Q-J--
Tuesday, March 24, 2009
Solution: Pilot proposal to improve the Ontario Health Care system
Proposal for Pilot Scale Modifications to the Ontario Healthcare System
Executive Summary
The Ontario healthcare system is in need of an overhaul. Not only are costs skyrocketing, but also the public perceives that the treatment of patients is critically ill with unacceptable waiting times. Real and needed procedures are being cut while the administrative costs of the system continue to escalate unabated.
The last two statements are keys to the puzzle. In the Brantford health catchments basin, The recent removal of beds from the Willett Hospital in Paris is a prime example. These beds have allowed the Brantford General Hospital an additional $10 million without doing anything to reduce waiting times or improve patient care. A full-fledged hospital is turned into a glorified office building. The LHIN has consequently approved a new CHC building to reduce waiting times after 2 local care facilities have been decommissioned. These are indications that the system has been bureaucratized; with internal patient delivery standards compromised and that a total collapse of the system could be imminent. The present system is financially unsustainable, the golden age of health has become tarnished with limited service, that is very expensive and that is not user friendly.
Healthcare is too critical a service to be allowed to collapse. The system needs major corrective surgery to survive. To date, successive governments appear to be "tinkering" with solutions that have little apparent positive impact to the patient or caregiver. What this means is more of same with large infusions of cash and absolutely no real improvement. The Supreme Court has deemed that Healthcare is a Section 7 Charter of Rights issue. This means that an "out of the box solution is required – sooner rather than later.
The Ontario Government is now in a bind. If delays in service provision cause damage or death, the Supreme Court's decision could put the government in the crosshairs of litigation. This proposal can form the basis of a "due diligence" defense. The government can also legitimately claim that they are trying something new and different in Ontario – something that has worked in Europe and which has a good chance of working here. It is a no-lose option.
What follows is an out of the box solution. This is somewhat similar to what the Swedish public health used to be, before it was radically reformed and competitively re-invented. Add to that some innovative revenue streams, and we may have options for the government to allow them to extricate themselves from a situation that has been brewing for 15 to 20 years.
There must be radical surgery for the business of providing healthcare systems. We can no longer afford to have unimaginative and ill-conceived tinkering. We need full blown, out of the box solutions for the system to avoid implosion and collapse.
Let us consider healthcare as a business for a moment. If a business is alienating and not delivering services to its customers, and its costs are soaring, there are really two solutions - let it die, which is not an option, or restructure and re-invent it to deliver better service. What are the reality pill options?
We propose to expand the customer and revenue base to allow the system to breathe again. To date, expanding the system revenue base has meant that the government has to cough up more public "taxpayer" money. This solution means that the people have to pay and that the administrative bureaucracy expands to "take care of" the investment, particularly at the provincial level. The spending priorities are obviously misaligned.
Our proposed solution involves a reduction in the bureaucracy. It also involves a reduction in government involvement. What would happen if healthcare became a profit centre instead of a cost centre, or an increasing sinkhole for public money? "Private Healthcare", screams the bureaucrat. No, it is just an opportunity to make money by providing service for non-Ontarians in the worldwide market place. Medical tourism is a proven and accepted practise
Executive Summary
The Ontario healthcare system is in need of an overhaul. Not only are costs skyrocketing, but also the public perceives that the treatment of patients is critically ill with unacceptable waiting times. Real and needed procedures are being cut while the administrative costs of the system continue to escalate unabated.
The last two statements are keys to the puzzle. In the Brantford health catchments basin, The recent removal of beds from the Willett Hospital in Paris is a prime example. These beds have allowed the Brantford General Hospital an additional $10 million without doing anything to reduce waiting times or improve patient care. A full-fledged hospital is turned into a glorified office building. The LHIN has consequently approved a new CHC building to reduce waiting times after 2 local care facilities have been decommissioned. These are indications that the system has been bureaucratized; with internal patient delivery standards compromised and that a total collapse of the system could be imminent. The present system is financially unsustainable, the golden age of health has become tarnished with limited service, that is very expensive and that is not user friendly.
Healthcare is too critical a service to be allowed to collapse. The system needs major corrective surgery to survive. To date, successive governments appear to be "tinkering" with solutions that have little apparent positive impact to the patient or caregiver. What this means is more of same with large infusions of cash and absolutely no real improvement. The Supreme Court has deemed that Healthcare is a Section 7 Charter of Rights issue. This means that an "out of the box solution is required – sooner rather than later.
The Ontario Government is now in a bind. If delays in service provision cause damage or death, the Supreme Court's decision could put the government in the crosshairs of litigation. This proposal can form the basis of a "due diligence" defense. The government can also legitimately claim that they are trying something new and different in Ontario – something that has worked in Europe and which has a good chance of working here. It is a no-lose option.
What follows is an out of the box solution. This is somewhat similar to what the Swedish public health used to be, before it was radically reformed and competitively re-invented. Add to that some innovative revenue streams, and we may have options for the government to allow them to extricate themselves from a situation that has been brewing for 15 to 20 years.
There must be radical surgery for the business of providing healthcare systems. We can no longer afford to have unimaginative and ill-conceived tinkering. We need full blown, out of the box solutions for the system to avoid implosion and collapse.
Let us consider healthcare as a business for a moment. If a business is alienating and not delivering services to its customers, and its costs are soaring, there are really two solutions - let it die, which is not an option, or restructure and re-invent it to deliver better service. What are the reality pill options?
We propose to expand the customer and revenue base to allow the system to breathe again. To date, expanding the system revenue base has meant that the government has to cough up more public "taxpayer" money. This solution means that the people have to pay and that the administrative bureaucracy expands to "take care of" the investment, particularly at the provincial level. The spending priorities are obviously misaligned.
Our proposed solution involves a reduction in the bureaucracy. It also involves a reduction in government involvement. What would happen if healthcare became a profit centre instead of a cost centre, or an increasing sinkhole for public money? "Private Healthcare", screams the bureaucrat. No, it is just an opportunity to make money by providing service for non-Ontarians in the worldwide market place. Medical tourism is a proven and accepted practise
"Last year Canadians spent $172 billion a year up from $79 billi0n in 1997. What accounts for these increases and how can Canadians receive better value for money? This proposal could be part of the solution." QJ
S. Holle BS MBA
backtoeden.ontario@gmail.com
http://www.backtoeden.bravehost.com/
"Building elder peer communities that are cozy,caring and comfortable" -quality 24/7 care
Saturday, March 07, 2009
New Ideas for American Healthcare
New Ideas for American Healthcare
It's easier to criticize what's wrong than to figure out how to solve just about any problem -- let alone one as massive and messy as our healthcare system. So, it seemed a pretty good idea when President Obama's Health Policy Transition Team asked for input on how to heal our sick system -- urging everyone with ideas or interest in the topic to host grassroots sessions in their own communities. Thousands of people in all 50 states volunteered. James Gordon, MD, former chairman, White House Commission on Complementary and Alternative Medicine Policy, and founder and director of The Center for Mind-Body Medicine in Washington, DC, was among those who accepted the challenge."
Prevention must become the new primary care. Dr. Gordon said this means that the "true primary care" should be a focus on wellness through the use of nutrition, exercise, stress management and mind-body approaches before resorting to symptom-suppressing tactics like drugs and surgery. As one participant, a mother of three, put it, "breathing, moving, learning how to shop [for healthy products]" should be mandated as primary care. With better wellness strategies, the cost of illness management naturally declines.
Retraining... for everyone. The group recommended lots of role-shifting and retraining in integrative approaches to healthcare in order to change the paradigm from disease-focused to wellness and prevention. They also recommended adopting a view of healthcare that combines treatment modalities for better outcomes. "Nothing will change if people remain stuck in the old model that no longer works," Dr. Gordon told me. "Surgeons ought to understand the role of self-care and group support -- people will always need surgery, but we also need to emphasize how to prepare for surgery... and how to recover in a more healthful way."
Mitigate the influence of profiteers, most notably pharmaceutical companies. The group supports banning direct-to-consumer drug advertising.
Free education, strings attached. A plan for transforming the system for the selection and education of health professionals should emphasize ideals, not economics, a "primary devotion to science in the service of people, to patients, not profits," said Dr. Gordon. The group proposes free education for healthcare professionals -- and in return, requiring compulsory public service from all physicians, nurses and other health professionals.
Change starts with children. The Department of Education should become a central agency in health promotion and disease prevention, teaching kids how to be healthy. Dr. Gordon pointed out that at present, health education to children is "largely negative -- don't smoke, don't drink, don't have sex -- and largely ineffective." Parents' responsibility to act as good role models should be reinforced.
Stop the malpractice insanity. We need a new "sane alternative to the current overpriced, counterproductive, indeed destructive system of malpractice insurance." The group proposed a national fund to fairly compensate patients in a way similar to workmen's compensation. "The practice of defensive medicine has been destructive to the delivery of quality healthcare," Dr. Gordon said.
Write a new research agenda. Expenditures for medical research should be reallocated to serve different priorities -- the budget should set an agenda for true health, rather than one that advances profit potential. Specifically, the group recommended that the $30 billion-plus budget of the National Institutes of Health be reconfigured, dedicating approximately 20% to studying the effectiveness of prevention, self-care and wellness... 20% shifted away from the single-intervention studies that now predominate and toward the study of comprehensive, integrative and individualized programs of care (e.g., mind-body therapies, nutrition and exercise interventions for arthritis and heart disease) for the chronic illnesses that beset our population (and consume healthcare dollars)... and 10% allocated to single-intervention studies for research on non-patentable approaches, such as herbal remedies and musculoskeletal manipulation. The remaining 50% would be spent, as it is now, on basic science research and the study of single interventions.
Aim higher. Healthcare should be envisioned as promoting personal, emotional, social and spiritual fulfillment -- programs should be designed to manifest this perspective.
Hire a boss. Dr. Gordon told me he believes this last recommendation is particularly urgent, and will facilitate all the others and help ensure their sustainability. A small, but powerful agency, a White House Office of Health and Wellness, should be established to ensure the government continues to respond to the ongoing and changing health needs of Americans. The mandate would be to enforce accountability of governmental bureaucracies to a vision of real healthcare for all Americans.
WHAT CAN YOU DO?
As the discussion moves into legislation, with debates already underway on what specifically needs to change about our current system, it presents an opportunity to get things right. You may agree with these ideas or not... you may have heard other plans you think are better... or you may have ideas of your own you believe strongly in. Now is the time to speak up. If you like these ideas, Dr. Gordon asked me to ask you -- readers of Daily Health News -- to pass them along to President Obama (1600 Pennsylvania Avenue, NW, Washington, DC 20500 or at www.whitehouse.gov/contact or by fax at 202-456-2461) and to Ezekiel Emanuel, MD, PhD, special advisor for health policy to the director of the Office of Management and Budget at eemanuel@omb.eop.gov or at www.fedspending.org/contact.php or fax at 202-395-1005. You can also contact Senator Tom Harkin at harkin.senate.gov/c/ and Senator Barbara A. Mikulski at mikulski.senate.gov/Contact/contact.cfm. He also asked that you forward him a copy of your communications at jgordon@cmbm.org. "If even half the people who read this do something, we can make change happen," he said
This US approach has equal merit in Camada and the world-QJ
its broken -lets fix it
It's easier to criticize what's wrong than to figure out how to solve just about any problem -- let alone one as massive and messy as our healthcare system. So, it seemed a pretty good idea when President Obama's Health Policy Transition Team asked for input on how to heal our sick system -- urging everyone with ideas or interest in the topic to host grassroots sessions in their own communities. Thousands of people in all 50 states volunteered. James Gordon, MD, former chairman, White House Commission on Complementary and Alternative Medicine Policy, and founder and director of The Center for Mind-Body Medicine in Washington, DC, was among those who accepted the challenge."
Prevention must become the new primary care. Dr. Gordon said this means that the "true primary care" should be a focus on wellness through the use of nutrition, exercise, stress management and mind-body approaches before resorting to symptom-suppressing tactics like drugs and surgery. As one participant, a mother of three, put it, "breathing, moving, learning how to shop [for healthy products]" should be mandated as primary care. With better wellness strategies, the cost of illness management naturally declines.
Retraining... for everyone. The group recommended lots of role-shifting and retraining in integrative approaches to healthcare in order to change the paradigm from disease-focused to wellness and prevention. They also recommended adopting a view of healthcare that combines treatment modalities for better outcomes. "Nothing will change if people remain stuck in the old model that no longer works," Dr. Gordon told me. "Surgeons ought to understand the role of self-care and group support -- people will always need surgery, but we also need to emphasize how to prepare for surgery... and how to recover in a more healthful way."
Mitigate the influence of profiteers, most notably pharmaceutical companies. The group supports banning direct-to-consumer drug advertising.
Free education, strings attached. A plan for transforming the system for the selection and education of health professionals should emphasize ideals, not economics, a "primary devotion to science in the service of people, to patients, not profits," said Dr. Gordon. The group proposes free education for healthcare professionals -- and in return, requiring compulsory public service from all physicians, nurses and other health professionals.
Change starts with children. The Department of Education should become a central agency in health promotion and disease prevention, teaching kids how to be healthy. Dr. Gordon pointed out that at present, health education to children is "largely negative -- don't smoke, don't drink, don't have sex -- and largely ineffective." Parents' responsibility to act as good role models should be reinforced.
Stop the malpractice insanity. We need a new "sane alternative to the current overpriced, counterproductive, indeed destructive system of malpractice insurance." The group proposed a national fund to fairly compensate patients in a way similar to workmen's compensation. "The practice of defensive medicine has been destructive to the delivery of quality healthcare," Dr. Gordon said.
Write a new research agenda. Expenditures for medical research should be reallocated to serve different priorities -- the budget should set an agenda for true health, rather than one that advances profit potential. Specifically, the group recommended that the $30 billion-plus budget of the National Institutes of Health be reconfigured, dedicating approximately 20% to studying the effectiveness of prevention, self-care and wellness... 20% shifted away from the single-intervention studies that now predominate and toward the study of comprehensive, integrative and individualized programs of care (e.g., mind-body therapies, nutrition and exercise interventions for arthritis and heart disease) for the chronic illnesses that beset our population (and consume healthcare dollars)... and 10% allocated to single-intervention studies for research on non-patentable approaches, such as herbal remedies and musculoskeletal manipulation. The remaining 50% would be spent, as it is now, on basic science research and the study of single interventions.
Aim higher. Healthcare should be envisioned as promoting personal, emotional, social and spiritual fulfillment -- programs should be designed to manifest this perspective.
Hire a boss. Dr. Gordon told me he believes this last recommendation is particularly urgent, and will facilitate all the others and help ensure their sustainability. A small, but powerful agency, a White House Office of Health and Wellness, should be established to ensure the government continues to respond to the ongoing and changing health needs of Americans. The mandate would be to enforce accountability of governmental bureaucracies to a vision of real healthcare for all Americans.
WHAT CAN YOU DO?
As the discussion moves into legislation, with debates already underway on what specifically needs to change about our current system, it presents an opportunity to get things right. You may agree with these ideas or not... you may have heard other plans you think are better... or you may have ideas of your own you believe strongly in. Now is the time to speak up. If you like these ideas, Dr. Gordon asked me to ask you -- readers of Daily Health News -- to pass them along to President Obama (1600 Pennsylvania Avenue, NW, Washington, DC 20500 or at www.whitehouse.gov/contact or by fax at 202-456-2461) and to Ezekiel Emanuel, MD, PhD, special advisor for health policy to the director of the Office of Management and Budget at eemanuel@omb.eop.gov or at www.fedspending.org/contact.php or fax at 202-395-1005. You can also contact Senator Tom Harkin at harkin.senate.gov/c/ and Senator Barbara A. Mikulski at mikulski.senate.gov/Contact/contact.cfm. He also asked that you forward him a copy of your communications at jgordon@cmbm.org. "If even half the people who read this do something, we can make change happen," he said
This US approach has equal merit in Camada and the world-QJ
Thursday, February 26, 2009
Nurse practitioner in Branttord
Nurse practitioner is back. This is welcoming news , after a 3 year service gap -where did the money and patients go -we have our nurse pratitioner back to provide a vital and needed service in the underserviced city core. "Panagiotou will work with collaborating physician, Dr. Arash Zohoor, who works at Brantford General Hospital." Welcome back we need you and more like you...... QJ
Serving health core needs By HEATHER IBBOTSON, EXPOSITOR STAFF
The downtown nurse practitioner clinic will be reborn on Monday with the return of nurse practitioner Laurie Panagiotou.
The clinic, operated by Aberdeen Health and Community Services, will run out of 220 Colborne St. in space donated by the city's social services department.
Clinic hours will be 9 a. m. to 5 p. m. on Mondays, Tuesdays, Thursdays and Fridays. Both appointments and walk-ins are accepted. Patients are welcome from the city and county.
"I'm excited. I'm really looking forward to providing what I can to the citizens of Brantford," Panagiotou said in an interview on Wednesday.
Panagiotou, who has been a nurse practitioner since 1999, was beloved by her patients when she staffed the clinic from 2003 to 2006.
The reopened clinic will help "to bridge the gap in the doctor shortage," said Amber Cowan, manager of volunteer services and community development with Aberdeen.
"We're excited to have her back," Cowan said.
The mission of the downtown clinic will be to serve the needs of patients who do not have a family physician, Cowan said.
Nurse practitioners are registered nurses with advanced education and training in primary health care nursing. This expertise allows them to diagnose and treat minor illnesses, conduct pap smears, and order diagnostic tests such as X-rays and ultrasounds. Nurse practitioners may also prescribe certain medications, but no medications or narcotics will be kept on site.
Panagiotou will work with collaborating physician, Dr. Arash Zohoor, who works at Brantford General Hospital.
When Panagiotou is presented with an illness or medical situation outside the scope of her practice, she can consult with Zohoor or transfer the case to him, she said.
The Aberdeen agency originally opened a downtown clinic in 2003 at St. Andrew's Church on Darling Street, but after the January 2006 church blaze, the clinic relocated to the city's social services office on Colborne Street. The clinic operated there, staffed by Panagiotou, until 2006, when she left the post. Another nurse practitioner was recruited, but she too left in mid-2007.
A second nurse practitioner clinic operating out of Slovak Village on Sixth Avenue closed its doors in November 2007.
The closures left hundreds of patients without anywhere to turn.
In 2006, the downtown clinic served between 500 and 700 patients, Panagiotou said.
She said she is eager to reconnect with some of her former clients and meet new ones. "I've had a soft spot for Brantford," she said.
Aberdeen is also planning for growth and a possible second local clinic by participating in the provincial government Grow Your Own Nurse Practitioner Program. A registered nurse is currently being "grown" in the nurse practitioner training program and will be on board with Aberdeen by the end of the year, Cowan said.
Serving health core needs By HEATHER IBBOTSON, EXPOSITOR STAFF
The downtown nurse practitioner clinic will be reborn on Monday with the return of nurse practitioner Laurie Panagiotou.
The clinic, operated by Aberdeen Health and Community Services, will run out of 220 Colborne St. in space donated by the city's social services department.
Clinic hours will be 9 a. m. to 5 p. m. on Mondays, Tuesdays, Thursdays and Fridays. Both appointments and walk-ins are accepted. Patients are welcome from the city and county.
"I'm excited. I'm really looking forward to providing what I can to the citizens of Brantford," Panagiotou said in an interview on Wednesday.
Panagiotou, who has been a nurse practitioner since 1999, was beloved by her patients when she staffed the clinic from 2003 to 2006.
The reopened clinic will help "to bridge the gap in the doctor shortage," said Amber Cowan, manager of volunteer services and community development with Aberdeen.
"We're excited to have her back," Cowan said.
The mission of the downtown clinic will be to serve the needs of patients who do not have a family physician, Cowan said.
Nurse practitioners are registered nurses with advanced education and training in primary health care nursing. This expertise allows them to diagnose and treat minor illnesses, conduct pap smears, and order diagnostic tests such as X-rays and ultrasounds. Nurse practitioners may also prescribe certain medications, but no medications or narcotics will be kept on site.
Panagiotou will work with collaborating physician, Dr. Arash Zohoor, who works at Brantford General Hospital.
When Panagiotou is presented with an illness or medical situation outside the scope of her practice, she can consult with Zohoor or transfer the case to him, she said.
The Aberdeen agency originally opened a downtown clinic in 2003 at St. Andrew's Church on Darling Street, but after the January 2006 church blaze, the clinic relocated to the city's social services office on Colborne Street. The clinic operated there, staffed by Panagiotou, until 2006, when she left the post. Another nurse practitioner was recruited, but she too left in mid-2007.
A second nurse practitioner clinic operating out of Slovak Village on Sixth Avenue closed its doors in November 2007.
The closures left hundreds of patients without anywhere to turn.
In 2006, the downtown clinic served between 500 and 700 patients, Panagiotou said.
She said she is eager to reconnect with some of her former clients and meet new ones. "I've had a soft spot for Brantford," she said.
Aberdeen is also planning for growth and a possible second local clinic by participating in the provincial government Grow Your Own Nurse Practitioner Program. A registered nurse is currently being "grown" in the nurse practitioner training program and will be on board with Aberdeen by the end of the year, Cowan said.
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