Tag: Injury

Preventing Medical Errors

With the increasing complexities of the health systems today it may be easier for some medical errors to occur. This may worry some people and rightly so. Unexpected and unwanted results may happen and may be caused by a medical or computer error. Planned medical care procedures may not go exactly as planned. Errors can and will occur anywhere in the health care system and can do with medication, treatments, identity, or as simple as being given the wrong meal. One of the leading causes of death and injury is medical errors with at least as many as 50,000 people dying in American hospitals each year. With more people dying from medical error than car crashes or AIDS; this is a problem that deserves everyones attention.

Medical error refers to overwrought doctors or nurses who accidentally do something lethal when dealing with a patient. This could be an excessive dosage of drugs, or accidentally snipping a blood vessel required to live. Believe it or not, there have been many cases of patients having the wrong leg or arm operated on, which has led to the practice of writing NOT THIS LEG or NOT THIS ARM on the limb that does not need an operation.

Of course while doctors and government agencies work towards a safer and more effective healthcare system there are things that you can do to help. Form a partnership with your healthcare providers. Get to know them and let them get to know you. Become as involved with your own healthcare as you expect the physician handling your case to be. Take part in all decisions relating to your health care. Better results are achieved when you can communicate openly with your doctor to clear up misunderstandings and relay your wishes. Making sure that you receive the proper care is also your responsibility, so dont let a little embarrassment get in the way of good accurate medical care. A little embarrassment is worth it when it comes to you or your loved ones health and the care that you receive. This kind of good communication can save your life.

The U.S. Agency for Healthcare Research and Quality recommend that if you are a patient in a hospital you should speak up for yourself if you notice something that you dont understand. Know your medications, what they are for, when to take them, and how to take them and bring a list of them with you to the visit. Understand what is expected to occur, how, where, and when. Making sure someone knows what your name is and repeat information to all that you feel needs to know about your visit. Dont just assume that everyone involved in your care knows what is going on with you. Find out what your tests results are and dont assume that just because you dont hear anything that everything is ok. Dont get forgotten in the hospital. If you have a private physician then make sure that doctor is the one in charge of your care to reduce identity errors.

So if you need the services of a medical professional or are admitted to a hospital, or having to visit outpatient clinic, emergency rooms, please take the time to make it known that you mean business when it comes to your health. Make sure that you build a partnership with your medical professionals as they are the ones that will be caring for you in possibly your most vulnerable moments. Teamwork in this area is the key to reducing some of the medical errors that occur in hospitals today. That team includes you, your doctor, healthcare staff, nurses, and clerical worker. Just be patient with the crew as they are trying their best to keep you alive. While being patient, also be cautious. Eventually you will figure out the best combination so as to be the perfect patient.

Am I a Good Candidate for Lasik?

So many people are interested in the Lasik vision correction procedure, and want to know the benefits, the risks, and how the Lasik procedure works. One of the first things to consider is what requirements a person should meet in order to have a successful Lasik procedure. Though each individual case should be discussed with a qualified Lasik physician, here are some guidelines to see if you are a good candidate for Lasik vision correction.

First, the eye should be properly matured. This means that anyone under the age of 18 really needs to wait before a Lasik procedure is done, for it is likely that the shape of their eye will continue to change for several years. If the eye shape changes after the Lasik operation is done, the clarity of vision will be affected. Some Lasik physicians recommend waiting until age 25 in some cases.

In addition to an age cutoff, the vision prescription for the Lasik candidate should be stable for at least one year, and preferably for longer than that. This is for the same reason as above, that the Lasik procedure will only continue to be effective if the eye shape remains constant after surgery.

One comment about age cutoffs should be made with regard to Lasik surgery. There is no maximum age, as many patients in their fifties to their eighties have had a very successful Lasik procedure. The main consideration in these cases is enough tear production for successful healing and lubrication after the Lasik vision correction.

The eyes of the Lasik candidate should be healthy. This means that any person undergoing a Lasik procedure should have had no eye infection or injury for at least a year, and must have no scarring on the cornea of the eye. In addition, they must not have any recurring eye problem, such as a history of herpes infection in the eyes.

The medical history of a prospective Lasik client also plays an important part. Some chronic conditions, such as autoimmune disorders like Lupus, will prevent some people from being able to schedule a Lasik procedure. You should be very clear about any and all medical conditions that are current, or even completed ones in the past. Also, women who are pregnant or nursing should wait to have a Lasik procedure scheduled.

A good Lasik physician will also not schedule people with dry eye syndrome for Lasik vision correction. Having sufficient tear production is important, though for minor problems this may be aided by medication during the healing process. In addition, those people with eyes that dilate very widely are not good candidates for Lasik.

These are most of the most common reasons that a person should look at some other eye improvement choice other than Lasik. Most generally healthy people with standard vision problems benefit greatly from a Lasik procedure done by a trained, professional Lasik physician. Look for a good Lasik center in your area and discuss your individual case in detail.

Orthopedic Problems in Adolescents

Physical health problems encountered during adolescence can affect the development of the body, if not treated. There are few anatomic regions, such as spine, knee and ankle, in adolescents which can get orthopedic problems such as Osgood-Schlatter disease, and Slipped Capital Femoral Epiphysis.

Osgood-Schlatter disease is caused due to injury or overuse of the knee which causes swelling and pain in the area below the knee, above the shin bone. The patellar tendon and the soft tissues surrounding it gets inflamed, because of the constant pulling of the area where the tendon joins the below knee. Usually, adolescents who participate in sports actively and are athletic, such as football, basketball, soccer, ballet and gymnastics, tend to get the Osgood-Schlatter disease. Boys of age eleven to fifteen and girls of age eight to thirteen are at greater risk. The reason why adolescents get this problem is that their bones grow faster when compared to the tendons and muscles in this age and because of this the muscles and tendons stretch and become tight.

The symptoms of Osgood-Schlatter disease are swelling of knee, tenderness below knee area and limping. The doctor will check the medical history of the patient and will conduct physical examination and diagnostic procedures such as taking an X-ray. The physician will decide on the treatment to be done by studying the overall health, age, medical history, tolerance for certain medications and extent of the disease. Treatment will include medications, rest, compression, elevation, neoprene knee sleeve and physical therapy. The main aim will be to control and limit the knee pain by cutting down on the adolescents physical activities. Usually the Osgood-Schlatter disease gets healed over a period of time and in very rare cases is a surgery required.

Slipped capital femoral epiphysis is a problem which affects the hip joint. The ball or head of the thigh bone, also known as femoral head slips from the thigh bones neck. Because of this the hip joint becomes stiff and painful. Slipped capital femoral epiphysis is the most common disorder of the hip which can happen in both the hips or one and it is more common in boys when compared to girls. Basically, adolescents of the age ten to eighteen years and who are overweight can be affected by this condition. The condition can arise over a time interval of few weeks or years. The condition, if resulted because of trauma and is also called acute slip and if results after a period of time is called chronic slip. Slipped capital femoral epiphysis is caused because of medications, radiation treatment, thyroid problems, and chemotherapy.

There are three degrees of intensity of slipped capital femoral epiphysis, mild, moderate and severe. In mild slipped capital femoral epiphysis, only one third of femoral head slips from the thigh bone. In moderate, one third to half slips and in severe, more than half of the femoral head slips. The symptoms of this condition are pain in hip which increases upon movement, pain in thigh, knee & groin and limpness in the leg. When an adolescent walks there will be a clicking sound in the hip and his/her legs will be turned outwards.

Apart from studying the medical history of the patient, the doctor will recommend diagnostic procedures such as bone scans, X-ray, magnetic resonance imaging and blood test. The bone scans will determine the arthritic changes and degenerative changes in the joints, which helps to detect tumors & bone diseases and the cause of pain and inflammation. The X-ray will give the inside picture of the bones, tissues and organs. The magnetic resonance imaging provide detailed image of the structures within the body with the help of large magnets. It is best if slipped capital femoral epiphysis is determined in the early stages, so that the femur bones head doesnt slip off any further. The adolescent may need to undergo a surgery along with physical therapy.

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What is Sports Medicine?

Sports medicine is a sub specialty of the medical field that is somewhat confusing to some people. Because of the fact that sports is not medicine, it is a bit of a misleading term however the term is intended to represent the doctors and other medical staff who are in the practice of treating and diagnosing athletes and sports related injuries.

The professionals who are actively involved in the sports medicine field ranges from standard doctors, physical therapists, surgeons, and even athletic trainers and other similar careers. Sports tend to be a highly competitive field, and as such most emphasis is placed upon speedy as well as complete recoveries from any injuries. This could mean that an injury that would take normally 3 months to heal can be reduced to only 2 months using the appropriate sports medicine techniques under a qualified doctors care.

Most doctors who practice sports medicine treat athletes both professional, amateur and often children for the various injuries that occur while playing any sport imaginable. The human body is designed to quickly heal following most injuries if an appropriate treatment is followed, and sports medicine is intended to speed the recovery process as much as possible. Many sports medicine doctors are also actively involved in giving athletes preventive care as well which is designed to reduce the occurrence of many common injuries.

Doctors who are interested in sports medicine come from a wide range of fields including cardiology, orthopedic surgery, biomechanics and even pulmonology just to name a few. The exact specialty of the doctor is often quite focused while the majority of patients are all involved in sports in one capacity or another. The roll of the doctor is often to work with the athlete to adjust training procedures to reduce the risk of injury while increasing the skill level of the athlete as much as safely possible.

There are some sports medicine doctors who are specializing in treating female athletes while others will treat both female as well as male athletes. Deciding upon the best sports medicine doctor for your needs can involve meeting several doctors before finding someone whom you are comfortable with. Many athletes develop a close relationship with their doctor so that the best possible athletic results are achievable.

By working together with training coaches and other athletic professionals doctors in the sports medicine field are able to help athletes achieve the best possible results performance wise, while still maintaining healthy standards in terms of overall health. Achieving spectacular sports results is often meaningless if the athlete is always injured in the process, or if the overall health is neglected and the athlete is unable to continue in their chosen sport.

As you can imagine, the number of athletes who only work with a single sports medicine doctor are very slim. Most athletes work with a team of doctors that comprise of various sub-specialties such as surgical, dietary, cardiogologist and anything else that may be needed. Each doctor is responsible for helping the athlete, and this helps to ensure that each doctor is well trained in their specialty. Using a single doctor as opposed to the entire team can greatly limit the options that you have for treatment.

However, while an entire team is generally used to treat patients in sports medicine, there is usually a general care doctor who is given the task of heading the team and sending each patient to the specific additional doctors that they need to see based upon their individual needs. This helps to avoid confusion, chaos and other problems from occurring. Over all sports medicine is a fascinating and very necessary field that most can agree is quite helpful for athletes.

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