All Articles by JC, MD
Dr. JC is a medical doctor who has a passion for health promotion and education.
Patient Manifesto: Communication and Accessibility
This is the second post in my Patient Manifesto series. In my first post I tried to outline some broad categories of things patients want and expect from their doctor. One comment addressed two points that I didn't focus much on but that in hindsight should not have escaped me -- communication and accessibility.For communication, the issue that was brought up was how important it is for your doctor to communicate effectively with you. Many doctors do not speak English as a first language and thus language or even culture may be a barrier to good medical care. When it comes to women's health this may be even more important as some cultures do not respect women's rights as we do in the United States.
Conflicts of Interest Among Physicians
Business Week magazine has an interesting article regarding conflicts of interest among physicians, in particular cardiologists and those who publish clinical data regarding medicines or devices. I've alluded to such conflicts in previous posts, but it clearly is gaining national attention, particular in the fields of cardiology and orthopedics. The issue in cardiology is that many studies regarding stents are sponsored by stent-producing companies. Additionally, many cardiologists have a vested interest in the stent industry via board seats, stock, or consulting compensation in stent companies. The issue in orthopedics is that the federal government is investigating whether device companies have been compensating surgeons for device or implant use, a form of "kickbacks".
Patient Manifesto: What Do You Want & Expect From Your Doctor?
My last post about Doctors and Guns definitely generated some interesting comments. I really enjoyed reading the different perspectives and want to thank all readers for their comments. It has made me realize that this blog can be much more interactive and thus I will try to provide more stimulating posts. It has also made me realize that I need to watch carefully what I write here -- so many of you quoted the post verbatim it's a good thing I did not say anything too stupid!
Medicine and the Law – Part 3: Causation
Our series on Medicine and the Law continues. Previously, I wrote about what is necessary for a physician-patient relationship to exist -- contract and consent. Then I went on to discuss medical malpractice and that a legitimate grievance from a patient must show that the physician has a duty to the patient, violated that duty by departing from the standard of care, and that the violation caused harm to the patient. Causation is not a simple cut and dry thing to show.
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