30 Eylül 2012 Pazar

Can We Trust Retail Clinik?


Target, Walgreens and CVS have recently started clinics in their stores. The opening of "retail clinics" seems both potentially profitable and at first sight, somehow pushes the lines of our tradition view, should be located where medical services. Giving the concept of retail clinics might reveal some thought store-based providers to easily and cost-effectively, or alternatively full of conflicts of interest and possible damage. Should we turn make retail clinics in the Walmart of medical concerns?
The retail clinic industry seems to grow in recent years. Most of these clinics are from three major chain Target, Walgreens and CVS carry but there are also a mix of smaller providers branch of the existing chains such as the Mayo Clinic. Their primary use seems to be the treatment of acute "urgent care" conditions be as symptomatic treatment of infections of the upper respiratory tract (many sore throat), or providing simple precaution such as vaccinations. Most patients who visit these retail clinics to see a nurse. According to a recent study that tracked the growth of these clinics from 2007 to 2009, there was a fourfold increase in the number of these clinics so that it now see more than 1,200 retail clinics that nearly 6 million visits per year.

Danger in Electromedical


There is a great debate in the health tech community on a controversial keynote by Vinod Khosla at the Health Innovation Summit (HIS), in which he stated that 80% will be replaced by machines of what doctors could do given.
If you have a doc like me, who have no idea who the hell is Vinod Khosla (he is a venture capitalist and co-founder of Sun Microsystems), why he has to be a keynote speaker at a medical meeting and what the hell HIS is, well yes, that's the point of this post. You see, there are a lot of people out there like Khosla - investors, entrepreneurs, tech-types - who are trying to redefine health care are by their own personal vision. Where we see a health system in crisis, they see an opportunity - just another problem with a technological solution. Computer-driven algorithms are the answer to mis-diagnosis and medical errors, IPhone apps can replace doctor visits, video connectivity can increase access.
Where we see disease and misery, they see a market.
And what business people call as to disrupt the market. Think about what happened in the downtown small town USA after the first shopping center opened. Or what cinema when Netflix offers online since DVD rental. Or where did all the independent bookstores, as the first open borders, and what happens when the boundaries Kindle hit the market.
Out with the old, in with the new.
If Khosla is right that we docs are in our offices and hospitals, the old downtown department stores, bookstores, and the brick and mortar businesses in an online revolution. We are interchangeable. At least most of us.

Cancer Country



Diagnosed with metastatic esophageal cancer on 8 June saw, 2011 Christopher Hitchens, he was transported to a strange place. Until his death 18 months later, the award-winning author picked up pen and wrote about his travels in a "new country" where everyone, "smiled encouragingly," "where the cuisine is the worst of any destination" and where one language is spoken, that "it is possible to both boring and difficult." The recently published book "mortality" is his journey in "sick country," a place we call Cancer country.
The idea of ​​moving away is "described cancer land." In Chet Skibinski's 2012 diary-like book "On 15 May 2008 I went to a foreign country" with freakish rules and annoying habits. Skibinski takes the reader on his journey though several years of complex care and metamorphosis, not only medical but also social, spiritual and personal.
Cancer Country is a place not only visited by a body, hospitals, clinics, undergone knives, drugs, x-rays and deconstruction of machines, but it is an object of the mind, where confusion know to transform isolation and fear grows, and comfort in a bizarre, painful, spinning world that tries to break the mental suffering result. As a patient, authors note that it is a transit of which it is difficult to return.
Cancer patients throw from safety, stability and control in a state of danger, chaos and subjugation. Understanding of the disease process as an independent site, with foreign language offers, morals and goals Notes on the survival of the body and mind. Cancer see land as unwelcome Kafkaesque journey can help us in the fight against the disease and adapt to the changes that occur.