Antimicrobial Stewardship

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Nursing homes are preparing for Antimicrobial Stewardship to be incorporated to their infection prevention and control processes. The purpose is to ensure antibiotics are used appropriately and safely. Avoiding adverse reactions and preventing bug resistance is a positive outcome. Patients should know the facts when it comes to antibiotic use. Don’t be afraid to ask questions.

Which would you select? A cruise or a nursing home?

I came across this video on social media. What an interesting concept. I have never been on a cruise and I do not know what the cost would be to continuously live on a cruise ship in place of a nursing home. Of course this concept is interesting if you do not need continuous clinical care. But then again, why would you be in a nursing home at that point? Maybe the author meant to compare it to a Assisted Living??? In either case the concept of vacationing with clinical care is interesting. Maybe this could be the nursing home of the future? Hmmmmmmm……….

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Can the mind heal the body?

I read an article in the Wall Street Journal this week on why placebos really work. It indicated that new studies of placebo use found the brain, through neurobiological effects, releases  neuromodulators that reduce the symptoms of the illness or disease state. It also found that placebos work along the same pathway as the pharmacological agents. The directors of the study are from Beth Israel Deaconess Medical Center in Boston and a professor at Harvard Medical School.

If this is true then we may be able to significantly reduce the cost of healthcare with a sugar pill (as long as they’re not diabetic). Unfortunately, I don’t see physicians adopting this new way of treating any time soon.  It will probably take more studies and many years to support a change in treatment guidelines. A change that academia will have to adopt but one the drug companies will try to block.

How much is your health worth?

The cost of medications keeps rising at astronomical rates. Drug companies are raising their prices up to 2000% plus. Insurance companies are then forced to raise their rates and you get stuck with the bill. And if that isn’t enough we now have clinical trials that support combination medication regimens as more effective. The latest coming from the  Wall Street Journal article on combination drug therapies for cancer. Drug manufacturers are co-marketing these combinations. Many regimens run in the six digit range.

Healthcare has become a business and the government is not doing a lot to curtail it, so isn’t it about time that we focus on prevention? Lets take a good look at a few countries and their cultures.  What is it about their lifestyle that leads to good health? Sardinia, Italy; Ikaria, Greece; Okinawa, Japan; Loma Linda, California; Nicoya Peninsula, Costa Rica are a few that have the oldest and healthiest people.

What habits do we need to change? How do we change them?

Answering these questions will lead us down the path to good health. It may take more effort and time but it would cost a lot less. It is up to each and every one of us to change the business of healthcare.

Closeup Money rolled up with pills falling out, high cost, expensive healthcare
Get healthy so we can stop giving them business.