Tag: Healthcare

  • Reducing Presurgery Jitters

    Medical Care

    Image of older women looking nervous.

    Knowing what to expect prior to surgery can reduce pre-operation stress and make you feel more comfortable.

    *  The hospital will have you sign a surgical consent form. Take the time to read it over. Ask your doctor any questions you may have.

    *  Expect a visit from the anesthesiologist or the surgeon (or both). They will review the surgical plans with you. This includes the time and length of surgery, estimated recovery room time, and the type of anesthesia being used. The anesthesiologist will need to know about any previous surgeries, any medical conditions, and any allergies to medications. Ask him or her what time you can expect to return to your room.

    *  Eating in the hours prior to surgery can cause life-threatening vomiting during the operation, so there are usually a prescribed number of hours prior to surgery when no food should be eaten. If a meal is brought to you, don’t eat it until you’ve double-checked with a nurse. It may be a mistake that could cause your surgery to be canceled. Your patient chart should read NPO or non per os (nothing by mouth).

    *  Depending on the nature of the operation, some surgical “preps” may be ordered. This may include a special liquids-only diet, cleaning and shaving of the surgical area, placing a catheter into the bladder, giving an enema, or putting drops into the eyes.

    *  A sleeping pill may be offered the night prior to surgery. Most people will feel anxious about the surgery and find the medication helpful. You are not required to accept it, however, and your patient chart should indicate your preference.

    *  Before surgery, give all valuables or possessions to a friend or relative. These would include jewelry, watches, and eyeglasses. If you wear contact lenses, remove them.

    Page from A Year of Health Hints book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • The Id Card That Can Save Your Life

    Medical Care

    Image of a medical alert tag.

    Heart attacks, car accidents, and other emergencies that leave you unconscious or in a state of shock make it impossible to communicate with health professionals. This is why carrying some sort of medical identification is so important. Three options to consider:

    *  Medic Alert tags. These medical tags alert others to the fact that you have a medical condition that might deserve immediate attention. The tags are given for such conditions as epilepsy or diabetes. To obtain one, contact the MedicAlert Foundation International, 2323 Colorado Ave., Turlock, CA 95382, 1.888.633.4298 orwww.medicalert.org.

    *  Microfilm ID cards. Many hospitals give their patients special cards that contain a small piece of film called microfiche. The film contains extensive medical history information that you provide when the card is issued. During an emergency, the card is read with the use of a microfilm machine.

    *  Nonmedical ID cards. Medical information can be written on a card that is provided by a variety of health organizations or one that is “homemade.” Because there is no official record of this information, health professionals may be reluctant to use some of it.

    Medical ID cards should include the following information.

    *  Name.

    *  Address.

    *  Phone number.

    *  Person to call in an emergency.

    *  Physician’s name and phone number.

    *  Blood type.

    *  Allergies.

    *  Medical conditions.

    *  Required medication.

    *  Pharmacy name and phone number.

    *  Poison control phone number (1.800.222.1222).

    Page from A Year of Health Hints book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Choose Benefit Options With Both Cost And Care In Mind

    Medical Care

    Wooden blocks with medical icons.

    *  Signing up for the same plan as the one you have is easy, but spending time to find out about all options could be worth it. Ask your employer for written materials for your options or how to access the information online.

    *  Estimate what your costs for the coming year will be using each option. Your company’s or insurance company’s website may have tools to help you do this.

    *  Consider a flexible spending account (FSA) to help pay for health care expenses. It also offers tax advantages. To determine how much to put into an FSA, add up out-of-pocket costs you expect to pay for the coming year. These include co-pays, deductibles, cost for eyeglasses, contact lenses, etc.

    *  The best deal may not be the cheapest plan, but the one that gives the best price for the benefits you are most likely to use.

    *  Find out if you can lower your health care premium costs by taking part in certain wellness and disease management programs offered through work.

    A Year of Health Hints book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Long-Term Care Insurance

    Medical Care

    Image of couple talking to an insurance agent.

    Long-term care insurance is meant to cover the cost of nursing home care and long-term  home health care. Medicare and private health insurances do not cover these costs. This kind of insurance is not government regulated. You may want to purchase this for yourself. Your children may want to purchase it for you to protect themselves from having to pay for your long-term care or to protect their future inheritance.

    Find out more about long-term care insurance from:

    *  LongTermCare.gov athttp://longtermcare.gov. Learn the basics of long-term care and ways to pay for it. Use the LTC PathFinder tool to get information on long-term care insurance that is most relevant and useful to you now.

    *  National Advisory Center for Long-Term Care Insurance atwww.longtermcareinsurance.org. Get help from an unbiased long-term care insurance advisor. Ask for multi-company comparative quotes  for long-term care insurance.

    *  Consider a policy that starts paying on the 90th day instead of day 1. The difference in price can be 30%. Do this only if you can afford the long-term care center’s cost for the first 3 months on your own.

    *  Check Moody’s and Standard & Poors at your local library. Look for insurers rated “A” or better.

    *  Read the complete policy coverage. Consult an attorney or knowledgeable person to review it with you.

    *  Pay premiums, by check, directly to the insurance company. Never pay in cash.

    *  Fill out the policy application yourself or with a friend or relative. Don’t allow someone to do it for you.

    *  Be cautious of companies advertised by celebrities.

    *  Insist on coverage that does not require a hospital stay before going to a nursing home.

    *  Resist high pressure insurance agents or claims that their long-term care insurance is endorsed by the government.

    Be cautious before you purchase a policy. Ask the following questions:

    *  Will the policy cover home health care? Does this include “aides” or housekeeping coverage or just “skilled” care?

    *  Does the policy cover Alzheimer’s disease, specifically?

    *  Must you be medically ill to receive benefits? What about custodial care?

    *  Does the coverage include nursing home custodial care, adult day care, or other community-based services?

    *  Does the policy require a prior hospital stay before entering a nursing home?

    *  Are there exclusions for “pre-existing” illnesses? Are there waiting periods?

    *  How long is a stay in a nursing home covered? (The average stay is just under 4 years.)

    *  How much will the nursing home be paid on a daily basis from this policy? What is the daily charge of the nursing home? You will have to pay the difference between the insurance coverage and what the nursing home charges.

    *  If premiums are being paid, is there a guarantee that the policy can be renewed?

    *  Is the policy one that can’t be canceled?

    *  Will your coverage keep up with inflation?

    *  Are premiums waived while getting benefits?

    Page from the Health at Home Lifetime book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Review Your Patient Chart

    Medical Care

    Guess what every patient in a hospital has? No, we’re not speaking of those less-than-attractive hospital gowns or the plastic ID bracelets. The answer is a patient chart. Although the chart is legally the property of the hospital and generally kept at a nursing station, the patient should be aware of its content. Ask your doctor for an explanation. The chart may contain the following:

    *  Your medical history.

    *  Hospital laboratory results.

    *  Lists of medications (doses and schedules).

    *  Special treatments or therapy.

    *  Dietary restrictions or recommendations (low-sodium diet, for example).

    *  Scheduled diagnostic procedures (such as X-rays).

    *  Surgical notes (length of operation, assisting medical staff, type of anesthesia administered, recovery notes).

    If you suspect a problem or error-in how often you are being given medication, for instance-ask a nurse or your doctor to show you your chart and explain what is written there.

    Page from A Year of Health Hints book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Types Of Surgery

    Medical Care

    Image of doctors performing surgery.

    It’s funny. People think of surgery as “major” when it happens to them and “minor” when it’s being done to someone else! In reality, surgery is thought to be major when it involves any vital organs and/or requires a long time period to perform. The following words classify various surgeries:

    Curative

    A procedure that rids the body of a problem or corrects a condition.

    Diagnostic

    A procedure that helps in making a diagnosis about a suspected problem.

    Elective

    A procedure that may or may not be done, depending upon the patient’s wishes.

    Emergency

    An immediate operation to save a life or maintain the use of a body part.

    Exploratory

    A surgery that explores a body organ or body area for a suspected disorder.

    Palliative

    A surgery that eases bodily pain but doesn’t cure the problem.

    Planned

    A surgery set up well in advance of the actual operation date.

    Urgent

    An operation that must be done within a matter of hours.

    Page from Health at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Do Genetic Tests Really Work?

    MEDICAL NEWS

    Women holding a swab near her mouth.

    You may have seen ads for genetic tests. These tests claim to tell you about your health. They might tell you if you’re at risk for a certain disease or if you should eat a certain diet.

    Big promises from companies

    At-home genetic tests may sound exciting, and companies advertise them as “the answer” to many health issues. But the Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC) say you should be careful about using these tests.

    Before you spend a lot of money on one, keep in mind that the test may not have any science to back up its claims. Others may give you some good information, but the information is only useful if you also have a complete medical exam.

    The FDA and CDC say that genetic tests are complex. They say that the results can be hard to understand without having appropriate medical knowledge.

    Just a snapshot

    Many genetic tests look at a few of your body’s genes. But you have more than 20,000 genes in your body. If you get a “positive result” for certain genes, it could mean:

    *  You have a certain disease.

    *  You have a higher risk of getting certain diseases.

    *  You are a carrier for a certain disease.

    But even a positive result doesn’t tell the whole story. You may never get the disease that comes back “positive.” Or if you do, it may not be severe enough to cause any serious health problems.

    A negative result means the lab didn’t find any unusual changes in your genes. While this can be good news for certain diseases, it’s not foolproof. It doesn’t mean you’ll never get a disease or have health problems. It’s also possible that the test didn’t look at other genes that could be important.

    Many factors at play

    Genes are only one piece of each person’s health story. Your environment and your lifestyle also play huge parts in your physical and mental health. Don’t rely on genetic tests to make any health promises. Instead, see your doctor regularly and follow a healthy lifestyle. That can mean more than a few genes.

    When genetic tests are part of a medical exam, they can be helpful. Your doctor can help you decide if you need genetic tests. If you do need them, make sure a medical professional reads your results.

    Source: Federal Trade Commission

    © American Institute for Preventive Medicine

  • Choosing A Doctor Or Health Care Provider

    Medical Care

    Finding the right doctor or health care provider for you is a big part of your medical care. Don’t wait until you get sick to find one. When you look for or change doctors, follow these tips:

    *  Look for one who accepts your health plan. Check with the plan. Ask the person at work who handles employee benefits.

    *  If you belong to a managed care plan, get a list of providers who work with the plan. Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs) are two types of managed care plans. The doctor(s) you see now may be on your HMO or PPO list.

    *  Ask relatives and friends for doctors they trust and have given them good medical care.

    *  Find out if a doctor is taking new patients. Check with your health plan. Call the doctor’s office.

    *  Look for a doctor you can relate to. How do you want medical decisions to be made? The doctor alone? You and the doctor together? Find one that meets your needs.

    *  Ask about office hours and staffing. Ask how many patients are scheduled to be seen in an hour and how long they usually wait to see the doctor.

    *  Ask how payment is handled. Must you pay at the time of your visit or can you be billed?

    *  Find out what other providers serve as backups when the doctor is away. Ask what you should do at non-office hour times.

    *  Find out which hospital(s) the doctor or provider sends patients to.

    *  Look for a doctor who is competent and can care for all your general health needs. Ask if and who the doctor will refer you to for any special health needs.

    Resources

    American Board of Medical Specialties (ABMS)

    866.ASK.ABMS (275.2267)

    www.abms.org

    Federation of State Medical Boards

    888.ASK.FCVS (275.3287)

    www.fsmb.org

    Health Grades

    www.healthgrades.com

    U.S. Department of Health & Human Services

    www.healthfinder.gov

    Page from the Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Major Illness Warning Signs

    Medical Care

    It is better to prevent an illness than to get it. The next best thing is to detect and treat an illness early.

    Prevention

    *  Maintain a healthy body weight.

    *  Do regular exercise.

    *  Eat healthy.

    – Eat 5 or more servings of fruits and vegetables a day. Eat whole-grain breads, cereals, and bran. Eat kidney and other beans, peas, and soy foods, such as tofu.

    – Have 20 to 35 grams of dietary fiber a day.

    – Follow a low saturated fat diet. Strictly limit trans fats.

    – Limit cholesterol to 300 milligrams per day.

    – Eat salt-cured, salt-pickled, and smoked foods only once in a while, if at all.

    *  Limit alcohol to 2 drinks per day for men; 1 drink per day for women and persons age 65 and older.

    *  Don’t smoke or use tobacco products. Avoid secondhand smoke.

    *  Limit exposure to cancer causing agents, such as asbestos, pesticides, etc.

    *  Have X-rays only when needed.

    *  Limit your exposure to the sun, sun lamps, and tanning booths. When you are in the sun, protect your skin.

    *  Manage stress.

    *  Take the medicines your doctor prescribes.

    *  Talk to your doctor about taking vitamins, minerals, and other supplements.

    *  Have regular health screenings.

    *  Ask your doctor if there are other things you can do to lower your risk for health problems, especially if you are at a high risk for them. Examples include:

    – Breast cancer

    – Diabetes

    – Heart disease

    – High blood pressure

    – Osteoporosis

    – Stroke

    * Adults should also be screened for alcohol misuse, depression, obesity, and tobacco use. If you are at an increased risk for an illness, tests may need to be done sooner. Extra tests, such as screenings for diabetes, may also be needed. Follow your doctor’s advice.

    1. Screening guidelines vary with different health groups. For ages 40-49 and 75+, discuss your risk for breast cancer and the pros and cons of screening with your doctor. If you are at a high risk for breast cancer, seek expert medical advice about screening and prevention.

    2. Prostate-specific antigen (PSA) blood test screening guidelines vary with different health groups. Ask your doctor if and at what age you should start discussing the benefits and risks of getting PSA blood tests.

    Cancer

    When cancer first develops, there may be no pain or other signs. That’s why screening tests are important. As different types of cancers grow, warning signs may be present. These signs may be due to problems other than cancer, too. See your doctor to find out. In many cases, the sooner cancer is found and treated, the better the chances for a full recovery.

    For Bladder Cancer

    *  Blood in the urine. The color of the urine can be deep red or it can be a faint rust or smokey color.

    *  Pain when you urinate.

    *  The need to urinate often or urgently.

    For Breast Cancer

    *  A lump or thickening: In the breast; in the surrounding area; along the collar bone and below the breast; or in the underarm area.

    *  A change in the size or shape of the breast.

    *  A nonmilky or bloody discharge from the nipple.

    *  A change in the color or feel of the skin of the breast, nipple, or areola (the brown or pink area around the nipple). Dimpled, puckered, or scaly skin.

    For Colon and Rectal Cancers

    *  A change in bowel habits.

    *  Constipation. Having stools more often and/or loose stools.

    *  A feeling that the bowel does not empty all the way.

    *  Blood in or on the stool. This can be bright red or very dark in color.

    *  Stools that are more narrow than usual.

    *  Stomach bloating, fullness, and/or cramps.

    *  Frequent gas pains.

    *  Weight loss for no known reason.

    *  Constant tiredness.

    For Kidney Cancer

    *  Blood in the urine.

    *  A lump or mass that can be felt in the kidney area.

    *  A dull ache or pain in the back or side.

    *  An unexplained cough for more than 3 weeks.

    For Lung Cancer

    *  A cough that doesn’t go away. This could be a “smoker’s cough” that gets worse.

    *  Constant chest pain. Back pain in some persons.

    *  Hoarseness.

    *  Shortness of breath and wheezing.

    *  Recurring pneumonia or bronchitis.

    *  Coughing up blood.

    *  Fatigue, appetite loss and weight loss.

    *  Weakness in your shoulder, arm, or hand.

    For Ovarian Cancer

    Often, there are no early symptoms. When symptoms appear, they include:

    *  Swelling, bloated feeling, or discomfort in the lower abdomen.

    *  Feeling full even after a light meal. Loss of appetite and weight.

    *  Gas. Indigestion. Nausea.

    *  Diarrhea, constipation, or frequent urination.

    *  Bleeding from the vagina.

    Often, the cancer has spread by the time it is found.

    For Prostate Cancer

    Early prostate cancer often does not cause symptoms. When symptoms occur, they may include:

    *  A need to pass urine often, especially at night.

    *  A hard time starting to urinate, holding back urine, or not being able to pass urine.

    *  Weak or interrupted flow of urine.

    *  Pain or burning feeling when you pass urine.

    *  Pain when you ejaculate.

    *  Blood in the urine or semen.

    *  Frequent pain or stiffness in the lower back, hips, or upper thighs.

    For Testicular Cancer

    *  A lump in a testicle

    *  A feeling of heaviness in the scrotum

    *  A dull ache in the lower abdomen or groin

    *  A sudden build up of fluid in the scrotum

    *  Pain or discomfort in a testicle or the scrotum

    *  Enlarged or tender breasts

    Males aged 15 and older should do a testicular self-exam (TSE) if and as often as advised by their doctors to look for any lumps or changes in the size or shape of a testicle.

    For Throat Cancer

    *  Hoarseness or other changes in the voice

    *  A lump on the neck or feeling of a lump in the throat

    *  A cough that doesn’t go away

    *  A hard time swallowing. A feeling of fullness, pressure, or burning when swallowing.

    *  Repeated cases of indigestion and heartburn. Frequent vomiting or choking on food.

    *  Pain behind the breastbone or in the throat

    Basal and Squamous Cell Cancers

    *  Basal cell. More than 90% of all skin cancers in the U.S. are this type. It grows slowly. It seldom spreads to other parts of the body.

    *  Squamous cell. This type of skin cancer spreads more often than the basal cell type. It is still rare for it to spread, though.

    Basal and squamous cell cancers are found mainly on areas of the skin that are exposed to the sun, like the head, face, neck, hands, and arms. These skin cancers can occur anywhere, though.

    Early Warning Signs of Basal and Squamous Cell Cancers

    Small, smooth, shiny, pale, or waxy lump.

    Firm red lump.

    A lump that bleeds or develops a crust.

    A flat, red spot that is rough, dry, or scaly.

    Warning Signs of Melanoma

    The first sign can be a change in an existing mole or a new or “ugly-looking” mole. The letters “ABCDE” can identify signs.

    Skin Self-Exam

    *  Do an exam monthly, after a shower or bath. To check your skin, use:

    – A well-lit room

    – A full-length mirror

    – A hand-held mirror

    *  Locate your birthmarks, moles, and blemishes. Check for a change in the size, texture, or color of a mole. Check for a sore that does not heal.

    Check all areas.

    1.  Look at the front and back of your body in the mirror. Raise your arms and look at your left and right sides.

    2.  Bend your elbows and look carefully at the palms of your hands. Look at both sides of your forearms and upper arms.

    3.  Look at the back and front of your legs. Look between the buttocks and around the genital area.

    4.  Sit and closely examine your feet. Look at the soles and between the toes.

    5.  Look at your face, neck, and scalp. Use a comb to move your hair so you can see your scalp.

    See your doctor if you find anything unusual.

    Diabetes

    One in three people who have diabetes do not know they have it. See your doctor if you have one or more of the signs listed below.

    Signs of Diabetes:

    * Frequent urination

    * Excessive thirst

    * Extreme hunger

    * Unusual weight loss

    * Increased fatigue

    * Irritability

    * Blurry vision

    In type 1 diabetes, symptoms tend to come on quickly. With this type, the body either makes no insulin or only very small amounts.

    In type 2 diabetes, symptoms tend to come on more slowly. The body does not make enough insulin or can’t use it the right way. This type most often occurs in persons who are over age 40, are overweight, and who don’t exercise.

    Pre-diabetes occurs before type 2 diabetes. Getting diagnosed and treated for this can keep you from getting type 2 diabetes.

    Diabetes can be present without symptoms. Follow your doctor’s advice to screen for diabetes. Early detection and treatment lower the chances of diabetes complications.

    Heart Attack

    Heart Attack Warning Signs

    If heart attack warning signs occur, call 9-1-1 or your local rescue squad right away!

    See your doctor if you have one or more of these signs and symptoms:

    *  Chest discomfort. Most heart attacks involve discomfort in the center of the chest that lasts for more than a few minutes or goes away and comes back. The discomfort feels like pressure, fullness, squeezing or pain.

    *  Discomfort in other areas of the upper body. This can include pain or discomfort in one or both arms or in the back, neck, jaw, or stomach.

    *  Shortness of breath. Often, this comes with chest discomfort. But it can also come before the chest discomfort.

    *  Other symptoms. These can include breaking out in a cold sweat, nausea, or being lightheaded.

    The most common heart attack symptom for both men and women is chest pain or discomfort. But women are more likely than men to have some of the other common signs, especially shortness of breath, nausea or vomiting, and back or jaw pain.

    Lupus

    Lupus is an immune system disorder. It can affect the skin, joints, kidneys, and nervous system.

    Warning signs of lupus:

    *  Joints ache and swell for more than 3 months.

    *  Fingers get pale, numb, or ache in the cold temperatures.

    *  Mouth sores last for more than 2 weeks.

    *  Blood tests show: Anemia; low white cell count, or low platelet count; and/or protein in the urine.

    *  A rash occurs across the nose and cheeks. It lasts for more than 1 month.

    *  Skin rash (not sunburn) occurs after being in the sun.

    *  Pain lasts for more than 2 days when taking deep breaths.

    *  A seizure or convulsion occurs.

    Let your doctor know if you have or have had any of these warning signs. Having 3 or more of these signs may suggest lupus.

    Stroke

    Stroke Warning Signs

    *  Sudden numbness or weakness of the face, arm or leg, especially on one side of the body

    *  Sudden confusion, trouble speaking or understanding

    *  Sudden trouble seeing in one or both eyes

    *  Sudden trouble walking, dizziness, loss of balance or coordination

    *  Sudden severe headache with no known cause

    If stroke warning signs occur, call 9-1-1 or your local rescue squad right away!

    Cover image to the Major Illness Warnings brochure by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • A Routine Checkup

    Medical Exams

    A routine checkup from a doctor or health care provider is a way to find out your health status. It allows you to ask questions, too. It also helps you find out if you have a health problem you don’t know about. Some diseases, such as high blood pressure and some cancers, may not have symptoms in the early stages. Tests and exams can help detect these.

    The Basic Parts of a Checkup

    *  A complete medical history. This includes family health history, past illnesses, and current problems.

    *  A check on how well your eyes, ears, heart, bowels, etc. function.

    *  A check of your blood pressure, pulse, temperature, etc.

    *  A medical exam.

    *  Possible routine tests for your conditions, gender, or age, such as blood tests or X-rays.

    *  A check of specific health concerns.

    *  Vaccinations, as needed.

    Page from the Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine