By JOHN JAMES, ROBERT R. SCULLY, CASEY QUINLAN, BILL ADAMS, HELEN HASKELL, and POPPY ARFORD
Political forces trying to shape and reshape American healthcare without hearing the voice of patients provided the rationale for this work. Our experiences as patients, caregivers, and users of media sources cause us to worry. The Patient Council of the Right Care Alliance developed 6 questions to form a national survey of Americans to guide policy makers. The questions and our rationale were as follows:
1) Finding a doctor I can trust. Trust in our doctors is not as high as it once was. There are stories of serious patient abuse that appear in the media; two of the more notorious examples include a neurosurgeon harming many patients before being stopped and an oncologist who was deliberately misdiagnosing cancer to sell chemotherapy. Patients perceive this as the reluctance of the physician community to effectively ‘police their own.’
2) I will be misdiagnosed. Misdiagnosis happens far too often at all levels of healthcare. The problem is so common that the National Academy of Medicine turned its attention to the problem and published Improving Diagnosis in Health Care in 2015. The solution to the misdiagnosis problem is complex and has yet to arrive at the clinician-patient interface.
3) I will get an infection while receiving treatment. Healthcare-associated infections have dropped somewhat in the past decade, yet there are still about 720,000 infections and 75,000 deaths per year from healthcare-associated infections. Many of these are becoming nearly impossible to effectively treat. The improper use of ordinary antibiotics continues to be a problem in clinical settings.
4) I will get unnecessary treatment or treatment that will harm me. Harmful overuse of procedures in the U.S. healthcare system is not uncommon. The idea that ‘more is better’ is not easy to displace. Fee-for-service invites perverse incentives to do more than the patient actually needs.
5) I will be denied needed care. Necessary care is sometimes denied to patients, often by medical insurance companies. Treatment may also be effectively denied because of the high costs of drugs that patients cannot afford. For example, one-third of patients without health insurance cannot pay for their drugs as prescribed. Likewise, fear of high medical bills, especially from out-of-network billing, may cause enough fear in a person that he or she does not seek necessary medical care.
6) I will not be given all the information I need to make a good medical decision. Incomplete informed consent is commonplace in healthcare and typically falls short of what a reasonable or prudent patient would expect to know before agreeing to an invasive procedure. Although shared-decision making is slowly replacing informed consent as the benchmark for clinicians to engage patients, time constraints on busy clinicians may make this ideal a challenge to achieve, especially in patients with several comorbidities.
Our survey was initiated via email on November 24, 2018 and closed on March 1, 2019. Our demographics included age, gender, and type of health insurance. The 1133 responses to six questions were analyzed using non-parametric Kruskal-Wallis one-way analysis of variance by rank sum. Locations within the U.S. from which responses were received based on zip codes were well dispersed. For all questions, more than 50% of the responders indicated that they were somewhat worried or very worried about a quality factor (range 54 % to 59 %). Statistical analyses revealed several significant differences. Across all questions, women were more worried than men, and those who did not want to reveal their sex were most worried of all. People without health insurance were consistently more worried than other insurance groups, especially when it came to being denied needed care.
People don’t see results in their health because results the a mirror of what is on the outside. If we want to loose weight, become more flexible, or have more energy and we have set that as our goal but we are not reaching it, it’s because there is something wrong on the inside. Becoming Flexible… are all the fruits of what we do, but where do the fruits come from ,.. the roots. So if we want to change the fruits, we must first change the roots. And how do we do that.
Well we can start by becoming aware of how we think. Do a little exercise with me. Write down or think about feelings that come to your mind when you think of diet, nutrition and exercise. Perhaps thoughts like “this is going to be to hard” or “people will think I’m weird for eating like that” or ” I could never do that”. IF those thoughts are coming .. then these are signs that there is something wrong with the roots. So we need to learn to become aware of our negative thoughts about the our health goals. The first step is become aware of them. That will be the first step to change. And I will continue this more in the lessons to come. But for now when you have a non-supportive thought regarding your health goals, just stop and say to your mind “thank you for sharing”. And then let it be. Feel the feelings around those thoughts and carry on with your day. Don’t believe it and don’t fight it. Actually one of the most important things you can do is the following. Really listen to this as it will change your life.
Don’t believe a word you say. Actually don’t believe a thought you think either. Our thoughts are made up of our past experiences and modeling that we received from those around us when we were young. Perhaps we were raised with unhealthy habits and we have now adapted those. So become aware of your thoughts but don’t believe them. They are neither right nor wrong , bad nor good. They just are. And so are you. So give yourself a little break.
To finish up I want to give you one more thing to chew on.. excuse the pun. If you are not growing you are dying. This is the same in the world of nature as it is in our mental, spiritual and physical world. So in our health, we should always be striving to grow. We are either growing or dying but it has to be one or the other. Do you know the three most dangerous words in the English language? What are they? I will tell you.. The three most dangerous words in the English language are . ” I KNOW THAT” . So many people think they know something cause they read it or someone told them, or they saw it on TV. In actuality, you don’t know something unless you’ve done it and are living in it. If you are healthy and have lost lots of weight then you can say that you know something.. but until you do .. you don’t. The only thing that is standing between you and your goals is that you don’t know something yet. So go out.. Grow.. learn… read, go to a seminar.. and your health will follow. The more you grow on the inside, the more your physical appearance will change. A great place to start is The Healthy Dancer Blog. This is full of free info and recipes that can help you with your health goals.
1.- Parsley and abortion risk during pregnancy
Parsley is an herb that is used in many recipes, and has many health benefits. However, it is not safe to consume high amounts of parsley during pregnancy because it contains oils that have effects on the uterus.
It is not known what the safe limit of parsley for pregnant women, although the levels normally found in food appear to be safe. Some possible problems include:
Parsley oils contain hazardous substances such as pregnant women and apiol miristicina. Consuming large amounts of these substances can cause uterine muscle contractions, which can cause an abortion. Historically, the herb has been used to promote the onset of menstruation, which also involves uterine contractions.
3.- Heart problems in the baby.
The miristicina can affect the baby, to travel through the placenta to the baby’s body. Once you have entered the baby’s body, the substance can increase the rate at which the heart beats baby.
Sometimes parsley in pregnancy can cause allergic reactions, especially if the woman is already sensitive to some plants like carrots and fennel.
5.- Fluid loss.
Another possible effect of parsley during pregnancy is that women can suffer diuretic effects, which may result in the loss of more water than usual during urination.
6.- When to see a doctor.
Ask a doctor about taking parsley during pregnancy. Foods like tabbouleh, which can often contain very high levels of parsley, may be inadequate during pregnancy.
Parsley is available in several forms, such as oil, seeds and juice, and these substances can be more dangerous than the natural form of the leaf. Herbal teas containing parsley can also give women too high a dose of apiol and miristicina.
Warts are small tumors that can appear on a person’s hands or feet.? Warts are most commonly known as verruca or the Human Papilloma Virus.? They are contagious and are spread through human contact.?
There are several classifications of warts.? Warts can be classified as foot warts, flat warts, common warts, and genital warts.? They can appear anywhere.? They can be found on the skin such as a person’s fingers, elbows, their knees, or face.
They can also grow in the person’s mouth, on their genitalia or a person’s rectum.? Warts are caused by a viral infection.? This article discusses the causes and symptoms of warts as well as some simple home remedies to treat them.
What causes warts?
Warts are primarily caused by the Human Papilloma Virus. This virus has about one hundred variations of the Human Papilloma Virus.? The most common forms of HPV warts are classified into three kinds.
Type 1 warts are a viral infection that causes plantar and palmar warts.? Type 2 HPV is the cause of common warts such as plantar warts. The third kind of HPV is a viral infection that causes flat warts.
What are symptoms of warts?
Warts are found on the skin in a variety of sizes.? They are a three-dimensional elevation of the skin.? They are most commonly found on a person’s hands and fingers, on the bottom of their feet, and on their elbows, knees and face.
Common warts typically form on the back of a person’s hands and on their fingers.? Foot warts, as the name implies, grow on the bottom of a person’s foot.? Flat warts grow in large clusters and can form anywhere on the body.? Genital warts are a sexually transmitted disease affecting many people.
The treatment of warts at home involves many different types of poultices.? One is a combination of ground flaxseeds with flaxseed oil and raw honey.? Apply this mixture to the warts and keep them bandaged.
Change the poultice and bandages on a daily basis.? Another remedy is to crush garlic cloves and apply them to the warts.? Again, bandage the infected area and change it daily. Consult your local general practitioner for a professional opinion if the home remedies are not successful.
Since you’re growing a baby inside of your body, you know how important every aspect of your diet, your activity levels, wellness, and just about anything you’re surrounded with is.
It’s incredibly important to take care of your body. That means getting enough sleep, opting for water instead of processed drinks, cutting alcohol and caffeine from your diet, eating more nutrient-dense foods, rather than choosing to eat processed food, and keep your body active and responsibly strong so that it can support your pregnancy, as well as support you during birth. Just don’t overdo it. Regular visits to your local doctor and nutritionist will help you with any concerns or questions you may have.
The Best Diet Tips During Pregnancy
Eat the right foods
Again, and most importantly. If you really want to get the best out of your diet and make a healthy baby, you must increase your food intake with at least 300 calories, which isn’t too much at all. A scarier number is the fact that you need to consume 55,000 calories extra, during your entire pregnancy, to be able to give birth to the healthiest baby possible.
You also must ensure you’re consuming the right foods, which means a lot of greens, fruits and vegetables. Sometimes, it’s even helpful to drink a multi-vitamin, along with your nutrient-infused diet, to ensure you’re getting a proper balance of every essential nutrient.
Consume the right amount of fluids
Another essential tip of sustaining yourself, and your baby, during pregnancy, is to drink enough water. It’s essential to stay hydrated during pregnancy, as this will help your body stay healthy and prevent any health issues that you may be prone to during pregnancy, such as constipation, high blood pressure, and just about anything related to fatigue. Be sure to drink water every hour during the day and carry a water bottle with you.
Eat calcium-rich foods
Since calcium is required to build strong and healthy bones, as well as prevent you from losing bone mass during pregnancy, consuming the right amount of calcium is very important for all the nerves and muscles in your body to function properly. To maintain calcium levels, you’ll need about three to five servings of calcium per day.
Eat your iron-rich foods
It is something you can’t slack on, whatsoever. Ensure you consume proper protein-rich foods, such as chicken, fish, legumes and lean meat. This will help you to have healthy skin and bones. Skincare is crucial to maintaining a youthful appearance.
When you’re pregnant, iron is literally the one mineral your body cannot afford to get enough of, so keep eating your spinach, as well as your beans.
Given that a lack of iron in our bodies, causes us to feel weak, or causes so much fatigue, that we even struggle to focus at all. It is critical for maintaining the oxygen supply to your baby, which adds to the endless reasons why you should consume a healthy, balanced diet.