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Facts About Hospital Errors

May 4, 2011 by drburt

HOSPITAL ERRORS

Studies show that medical errors can occur in about one-third of hospital admissions. It is really scary to admit but the facts point out that medical errors are about 10 times more common than what was previously estimated. One study is authored by David C. Classen, MD who is an associate professor of the Salt Lake City’s University of Utah in medicine. Dr. Classen used a new tracking tool to be able to accurately determine where and what areas the common medical errors happen and for them to focus on improving these areas. He doesn’t want to ruin his profession by exposing these medical errors but his main goal is to promote awareness with his fellow physicians with what they need to improve in these areas. Through voluntary reporting and other methods, Dr. Classen was able to develop a new tracking method for determining medical errors.

Protecting Patients From Common Hospital Errors
To name a few most common hospital errors include some medication related issues, hospital acquired infection and procedure mistakes. These are the most common ones which Dr. Classen’s procedure was able to determine. But according to him, proper knowledge by asking question and talking with the physician could reduce the risk of medical errors.It is very important for a patients to know why they are taking certain medication and what effects does it bring to their body when they start taking it. And talking to the physician that would be responsible for the patient’s surgery is also very important. Talking with the physician about all the steps involved and asking questions that might be difficult for a patient to understand are just some of the important procedures that are sometimes taken for granted. A patient should also make sure that when they will undergo certain surgery they should bring an advocate, either a family or a friend that could watch over things and can also help them get a clearer view of things.There are times when a surgery needs to use certain devices like urinary catheter. A patient should ask their physician daily of when they will remove it. Because sometimes infection might develop through this and it should be removed as soon as it is no longer necessary.
Looking For A Second Opinion
It is very important that a patient should seek for a second opinion if they are not satisfied with the findings of their first physician. Some conditions has numerous ways of treatment and there are also several conditions which have the same symptoms and different physicians might have different findings.Another patient safety expert Peter Pronovost, MD believes that the new tracking tool is way too far from fail-safe. He is a professor at Baltimore’s Johns Hopkins University School of Medicine on anesthesiology and critical care medicine. According to him this tool is not really a good measure of the hospital errors problem.Though patients should be very careful in choosing where they will have their surgeries, like researching about the hospital’s bloodstream infection rate and such. And they should make sure that the physician that would handle the operation has a lot of experience in that area. Even in the medical field practice really makes it perfect says Dr. Pronovost. Though he doesn’t deny the fact that this new tracking tool shows the need for patient awareness and system improvement on the medical field, it is just another call to action to raise awareness on hospital errors.

If you have anything to add to this post, please feel free to Post a comment or share your thoughts through Facebook, Twitter or comment section below to join the conversation.


 

Filed Under: Advice, Opinion Tagged With: admit, commons medical, david c. classen, error, errors, evidence based medicine, facts about, hospital, hospital acquired infection, hospital admission, hospitals, medical error, medical errors, medical school, medical terms, medicine, occur, patient safety, patient safety and nursing, peter pronovost, preventable medical error, safety, salt lake, Study, surgery

Antibiotic Resisting Bacteria The Rise Of Superbugs

April 29, 2011 by drburt

VIRUSThe dangers of having a new breed of antibiotic resistant bacteria

Alexander Fleming’s great discovery of the mould Penicillium led the way to the discovery of the antibiotic known as penicillin.  Even then, Fleming was well aware of the danger of misusing the drugs especially when a person would under dose his prescription. During his lecture on December 11th 1945 he included a warning at the end of his Nobel lecture about his very important discovery. Under dosing would expose the disease causing bacteria into a non-lethal amount of antibiotic that would eventually make them resistant to the drug they have been exposed to.

The penicillin is a very important discovery in the field of medical science alongside with the other antibiotics and vaccination drugs. But Fleming’s warning of the side effects of the under dosed drugs has never left their mind. The danger of starting a new strain of a resistant bacterium that would eventually cause the start of an epidemic which has no known treatment available is really scary.

Irresistible

The most common causes of antibiotic resistance are through convenience and laziness. People who often misuse these antibiotics do not realize the impact of their action. Bacterias are not similar to viruses and antibiotics only work against bacteria. Most patients would insist on taking antibiotics for a viral infection. And there are also some doctors who write unnecessary prescriptions. But this would eventually lead to a breeding ground for resistant bacteria that would infect other individuals. Wrong intake or under taking the prescribed drug would also cause bacterial resistance.

Creating a new strain of bacteria could cause a new form of dangerous illness that has no known cure. This will result to the long stay of infected people at the hospital and might also result in complicating their treatment. The worst case scenario, patients would die due to limited treatment methods. There was once a research done at Chicago’s Cook County Hospital. Samples were taken from the 1,400 patients where they found a resistant strain that infected 188 people and 12 died from it because of the limited treatment done to the patients. The new bacteria usually infects children and the old ones. People with cancer and already suffering from other illnesses are also more likely to be infected with the new strain of bacteria.

Developing a new drug would cost a lot and it will not be ready in an instant. A series of research and experiments are needed to prove that the drug is safe and that it really can fight the new disease-causing bacteria. In America alone about 1% or $17- $26 billion a year from their health care goes to spending on studying for cure on the resistance antibiotics. Other countries would only result to buying certain alternative but doesn’t promise the same effectiveness as the actual drug and might cause another new strain of bacteria in the process.

Action and not panic

Doing nothing is one option or probably the easiest way of dealing with the new strain of bacteria. Since it will cost a lot and there is no certainty of being able to discover a cure. One best example is during the mid-1940s when penicillin was not invented, dying from bacterial infection was just normal. But when the antibiotics and vaccines have been discovered, a large number of patients were saved because of the available treatment. And this inspires our medical physician and researchers to study and discover drugs and cure for certain diseases caused by the antibiotic resistant bacteria.

Thinking that resistance might be self-limiting is one of the most basic biological reasons that people often believes in. There are several studies which show that it would be hard or impossible for a certain bacteria to change or adjust its characteristic or physiological traits to become resistant to a certain drug. It often requires a lot of energy that most of the microorganism cannot do.

Several experiments and studies show that most of the antibiotic resistance resulted from inappropriate or unnecessary use of the drugs. Misuse, overuse or improper dosing and even using substandard or much diluted medicines are major causes of the increasing cases of antibiotic resistance. If there won’t be any strict policy against the misuse of antibiotics and a certain system that would monitor the proper usage of antibiotics, this practice would never be corrected.

All involved sectors like the government, drug companies and health-care providers should work hand in hand to educate and help the people learn the proper way to treat themselves. Poor countries should ask and be able to avail of the right drugs freely from charitable agencies.

Agencies that regulate the distribution of these drugs should also strictly be monitored so that substandard and counterfeit drugs will not be given to clueless patients. And certain methods should be taken so that antibiotics are only administered properly to patients who badly need it.

Patient should also follow the prescription from their doctor. They should drink the exact amount of antibiotic given by their doctor and not stop when they started to feel better. Doctors should make sure that their patients followed their prescribed drug dosage.

Smart microbes against ignorant humans

Making new antibiotics is another approach in dealing the resistance problem. Making a new drug that the resistant bacteria are not familiar of, will probably be able to fight and get rid of it.

Each year the World Health Organization celebrates a World Health Day on the 7th day of April.  Each year they create a slogan that would summarize the goal of the organization for the whole year. They are able to use the slogan “No action today, no cure tomorrow” this completely mirrors their efforts in discovering new drugs that would fight the new strain of bacteria that are developing.

Researchers now faced with the challenge unlike what those researchers have to do before penicillin was created. And most drug makers today are not being successful in creating new line of medicine that would fight the resistant bacteria. They mostly give funds to the study of how proteins behave but did not really help in solving the continuing problems they face. And there are other signs that show large drug companies such as Pfizer are running low with their funding which have resulted to budget cutting in their research area.

Bad luck might also be the reason why there is lack of new antibiotics in the market. Most companies and medical experts would agree that there is a need for discovering new medicine for the developing new resistant strain of bacteria but most of their research and funding is not enough to be able to successfully create a new drug.

But experts are not giving up in researching and experimenting for the new cure. Though most are just done under a private funding that would mean that they sometimes lack all the necessary tools to make their work faster and more efficient.

The side effect of common antibiotic usage

All of the problems which is caused by the resistant strain of bacteria are because of the over usage of the antibiotic drugs. Ramanan Laxminarayan of the Princeton University is considered one of the major professional that still continues researching about the presence of the resistance bacteria is trying to answer all the common questions relating to it. And he believes that with a mixture of incentives and scourges they will be able to produce a perfect solution to the resistant strain. They must insure that there are enough prize funds or even just a guaranteed-purchase arrangement for the new antibiotic or drugs that would help speed up the process into creating certain cure. Companies will only develop drugs where they can get a large profit. And developing a system that would help in properly deploying the new drugs would mean that more patients would be able to afford taking the necessary prescription their doctor advised. He also believes the positive effect of having stricter dispensing guidelines for medical physicians and also pharmacists of antibiotics that would help in lessening the hazard of overtreatment on patients though this perfect system would take a lot of effort and financial aid to fulfill this into reality.

A little realistic solution is also better according to Derrick Crook, an Oxford microbiologist consultant, who thinks this is the right solution. He believes that it is very difficult to massively restrict or prohibit the use of antibiotic or antimicrobials if the patient feels or thinks that it is doing well. Ignorance with the proper use and effects of the drugs is also a big factor in the difficulty of restricting the use of antibiotics.

Tim Peto one of Dr. Crook’s colleagues at Oxford is very skeptical of the idea that the resistance might cause certain catastrophic effect to humans. He even points out that in modern surgery the risk of infection is really low and it is close to zero at this moment. And if a certain resistant strain would raise most of the orthopedic, discretionary but life-enhancing procedures and cataract replacement would simply stop. Not necessarily the end of the world but just a step backward for the medical field.

 

Filed Under: Opinion Tagged With: alexander fleming, antibiotic, antibiotic drugs, antibiotic resistance, antibiotic resistant bacteria, antibiotics, antimicrobial, bacteria, biology, clinical pathology, discovery, disease caused bacterium, drugs, medicine, microbiology, penicillin, phage therapy, resistant, rise, staphylococcus aureus, superbug

Menopause, Weight Gain and Solution

April 27, 2011 by drburt

MENOPAUSEWhen women reach a menopause age their bodies have a tendency to gain weight. Gaining 10-15 pounds during pre-menopause and menopause stage is very common. Some studies have pointed out that weight gain during this period of time can also be the cause of increased risk of breast cancer.

Several factors are playing a major role in weight gain during menopause. One of the factors is hormonal changes, such as increased level of estrogen in the body. Increased level of this hormone has been scientifically proven to have menopausal women gain weight and decrease the amount of testosterone in the body.

The second factor is the insulin resistance. During menopausal period calories should be seriously taken into consideration. Every extra calorie that is not metabolized will be converted into fat. Stay away from processed and refined foods. These foods will cause weight gain in women after the age of forty years of age.

A third factor is stress. During stressful time the hormones lead the body into thinking that it won’t be getting food again for a long time so that it shifts to storing every calorie it takes in, thus causing weight gain.

It is possible for women to keep their weight during menopause under control. Balanced diet is the key. As mentioned above stay away from refined sugars and processed foods and instead consume lots of fruits and vegetables.

Women undergoing menopause and weight gain should also try to avoid crash diets. It will only makes things even worse as starving the body will only cause one’s metabolism to slow down and cause even more weight to be gained in the process. In the same way women during this stage in their lives should avoid losing large amounts of weight.

Do not try to loose too much weight in a short period of time during menopause. It can lead to increased risk of osteoporosis later on in life. It is a must that women during this transition stay physically active. Exercise is the best way to burn extra calories.

If you have anything to add to this post, please feel free to Post a comment or share your thoughts through Facebook, Twitter or comment section below to join the conversation.

 

Filed Under: Health Tagged With: breast cancer, endocrine system, endocrinology, estrogen, fertility, Gain, gain weight, gynecology, human reproduction, medicine, Menopause, menopause age, menopause stages, menstrual cycle, middle age, osteoporosis, pre menopause, Solution, tendencies, weight gain, weight gain during menopause

Foods That Are Good For Your Bones

April 25, 2011 by drburt

BONESThe secret foods to having Strong bones

As we age, our bones become stronger. But as we grow older or reach middle age they begin to thin out and become fragile than they used to be. Women often feel it or would suddenly feel the change in their bones after reaching the menopausal stage. And we can prevent this from happening or we can prepare our body for it by eating right. Proper diet could help you prevent a lot of conditions that may develop as a person age. Knowing the right foodsto eat will definitely give a positive result. Here are some of the good foods you should include in your diet every day.

Sardines

Sardines are good source of calcium, a mineral that is important in developing your bones and making it stronger. Just by eating 3 ounces of sardines has more than enough source of calcium you need a day.

Drink your Milk

Milk is the most common source of calcium and everybody should at least drink an 8 ounce glass of milk every day. Not only kids need their milk as adults should also drink a single glass of it for their bones.

Other dairy products are good

If you can’t stand drinking milk every day then why not try out other dairy products which are also a good source of calcium? A cup of yogurt or an ounce of swiss cheese is as good as a cup of milk. There are a lot of dairy products that are lactose free for those people who are lactose intolerant.

Fortified Foods

When you do your groceries try to check the nutritional level of the food that you are buying. That way you can still enjoy the food you love to eat but you are also helping your bones get the minerals they need to stay strong. There are a lot of fortified foods in the market which contains a good amount of calcium per serving.

Going Vegetarian

Eating green vegetables have a lot of benefits and having strong bones is one of them. There are a lot of vegetables which naturally contains calcium like Chinese cabbage and kale. Turnip and collard also has a lot of calcium.

Supplements

Calcium supplements are probably one of the easiest ways to increase your calcium intake. But remember taking too much can also bring harm to your body so never exceed the 1,000 milligrams of calcium per day. If you can already eat foods that are rich in calcium then there’s no need for you to take supplements.

Salmon

Aside from sardines, salmon is also a good source of calcium. It also has a lot of vitamin D which helps in calcium absorption.

Soy Foods

Eating a little amount of tofu a day will make your bones stronger. Just about half a cup of tofu contains 258 milligrams of calcium.

Just a little salt

Salt and calcium don’t go too well inside your body. The more salt you take the less calcium gets absorbed by your system. Calcium tends to be washed away by urine when you take too much salty foods.

Nuts and Seeds

Having nuts and seeds like almonds and sunflowers seeds for snacks are a healthy way of eating. This food can help in strengthening your bones with their high calcium content.

Things you can do for your bones

Performing weight-bearing exercises

Doing fun activities such as brisk walking, tennis, dancing and yoga can help make your bones and muscles stronger. Studies show that the more stress you put in your bones and muscles the more material your body would supply to your bones to develop.

Sunshine

It’s free and abundant. Though sunshine is not food but you need it for your body to be able to absorb all the calcium you have taken. Vitamin D that your body will be produced in response to exposure to sunlight will help make your bones stronger.

If you have anything to add to this post, please feel free to Post a comment or share your thoughts through Facebook, Twitter or comment section below to join the conversation.

Filed Under: Advice Tagged With: aging, best foods, bones, calcium, calcium supplements, cheese, Diets, eating food, food, food and drink, for your, fortified food, lactose intolerance, middle ages, milk, nature, nutrition, sardine, soy foods, Strong, stronger bones, tofu, vegetarianism

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Burt Chiropractic Rehabilitation Center

15200 Hesperian Blvd #104

San Leandro, CA. 94578

(510) 481-2225

drburt@burtchiropractic.com

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