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Monthly Archive for June, 2008

Opinion

Vaccines – A Two-Edged Sword

June 30, 2008 | By Nirupama Shankar, PT, MHS | 78 Comments

Recently, I accompanied my sister to a pediatrician's office -- for the first (of many) vaccination appointment for her twin 8-week old girls. Fortunately for my sister, the nightmare ended after a few pokes of the needle and a few throaty bawls of protest. Sadly, not every parent's ordeal ends the same way. Each day, parents around the world take their children on this routine with faith that this will protect their children against deadly and potentially life threatening infections. But what if this very tool that is intended to protect becomes a lethal source of disability?

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Drugs & Clinical Trials

Prescriptive Authority – Are Pharmacists “Write”?

June 29, 2008 | By Jennifer Gibson, PharmD | 8 Comments

Pharmacists are integral members of the health care team in the US. The profession is composed of highly-educated, well-trained health-care providers. Pharmacists promote themselves as "drug experts" for good reason: the four-years of education required to obtain the Doctor of Pharmacy (PharmD) degree encompasses the etiology, pathophysiology, clinical manifestations, prevention, and management of human disease states. Pharmacists study the clinical application of pharmacology, biopharmaceutics, pharmacokinetics, therapeutics, adverse drug reactions, laboratory data, and drug information to the management of disease states. This training enables pharmacists to identify and prevent drug interactions, plan patient evaluation of drug-related problems and recommend changes in pharmaceutical care plans, and evaluate and interpret pharmaceutical data.

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Psychology & Psychiatry

Should Patients with Schizophrenia Receive Free Medication?

June 28, 2008 | By Jennifer Bunn, RN | 1 Comment

A recent study from Harvard Medical School found that restrictive drug programs might cause schizophrenia patients to stop taking their meds. Nearly 80% of patients without antipsychotic medication will have a serious recurrence of their illness within a year.The study focused on Medicare beneficiaries with schizophrenia in the state of Maine and a policy (step program) that required schizophrenia patients to use a Medicare-approved medication before they were allowed to be prescribed drugs not on the "approved" list. In comparison with patients in states with no such restriction, schizophrenia patients in Maine were 29% more likely to stop taking their meds.

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Health & Healthcare

Should Doctors Unionize?

June 27, 2008 | By JC, MD | 10 Comments

In this time of financial strain on physicians and the government reimbursement system we once again need to address the question -- should doctors unionize?Recently, a group of physician picketed Capitol Hill to denounce continue reimbursement cuts. This results in a temporary stay of a planned 20% cut for next year. As many doctors will agree, we are facing difficult times and many physicians are looking at other ways to create income to support their practice and their families.

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