Your Medical Records Belong To You

I've been engaging a lot recently with the notion of an electronic health record. For those of you who don't know, this is usually an online version of collated data to do with your health. Simply - your pathology, your doc notes, all the hospital visits, illnesses and drug usage are kept in one secure place. You can access it and most of the time, so can a healthcare provider.

For those of you that are not in tune with the medical world - this is something you have to know about as it is the backbone of the Obama administration. By having an electronic health record, there is a saving on administration as well as all the good things a centralised database brings. eg. Less duplication of tests and better management of healthcare.

Discovery Health in South Africa is launching one next year. It'll be interesting to see how the "population" engages with it.

This blog is very interesting in that it clearly outlines the fact that your medical records belong to YOU. Many people are under the misconception that your doctor owns your medical records - and that the only way to access them is via that doctor. This is not true. Your health. Your body. Your money spent to purchase medication/tests etc.

It belongs to you.

GUEST POST: How to Ensure Healthy Babies For HIV Mothers

It’s a problem that still plagues most third world countries because the level of awareness is pretty low, because the people are not educated enough, and because HIV/AIDS is still rampant. The most important thing on an HIV positive pregnant woman’s mind is the fear that she will pass on the dreaded disease to her unborn child, and most women opt for an abortion rather than put their child through the same torment that they undergo every day. But the truth is, if you follow the right precautions, babies with HIV mothers are unaffected by this virus.

Combination antiretroviral therapy must be provided to the mother during pregnancy and during labor, and to the child after birth.

Breastfeeding must be avoided as much as possible, and if the mother insists on it or if the child is allergic to other forms of sustenance, they can try the preventive method suggested by a study conducted by the University of North Caroline at Chapel Hill. According to this study, providing the infant with antiretroviral syrup every day or treating the mother with highly active antiretroviral drugs helps prevent mother-to-child HIV transmission.

• Mothers must be encouraged to follow hygienic procedures and drink water that is potable or filtered.
• Mothers must work closely with their clinicians to monitor the baby and ensure maximum protection for their child.
• Doctors must ensure that the mother’s blood does not enter the baby’s bloodstream at the time of birth
• A natural birth is a definite no-no in such situations. The mother must be prepared for a C section.
• The mother must undergo regular prenatal checks and follow her doctor’s instructions to the letter.
• The babies will be monitored closely for up to six weeks after birth.

It’s up to the mother to see that her baby does not suffer from this dreaded disease. As long as she is confident and careful, there’s no reason why her baby cannot be born healthy. Doctors allow a 98 percent chance that HIV mothers will deliver healthy babies.

This guest article was written by Adrienne Carlson, who regularly writes on the topic of nurse practitioner schools . Adrienne welcomes your comments and questions at her email address: adrienne.carlson1@gmail.com

Smoking laws work - Study.

Quick excerpt here from a 2001 study that proves tobacco laws reduce smoking. This is damn old. We're getting better at it. The source site is also great for other South African public health statistics.

Tobacco consumption declines
by Mokgadi Pela
2001-03-16

Tobacco consumption in South Africa has fallen for eight consecutive years since 1991, a meeting to discuss the Framework Convention on Tobacco Control heard in Sandton, Johannesburg, on the 12th of March. Delivering the keynote address, Dr Derek Yach, of the World Health Organisation, said this was a result of sustained tobacco control measures. He said in 1998-99 more than 30 billion cigarettes were released for consumption, down by 17 percent from the 36 billion released in 1993-94. The work of public health advocates in South Africa thrived. Led by Health Minister Manto Tshabalala-Msimang, South Africa's tobacco control story is now a shining example for the Framework Convention on Tobacco Control of public excellence and political courage. The 11th World Conference on Tobacco held last year in Chicago saluted this leadership with an award recognising her exemplary courage, Yach said. Crucially, the declines have been most significant among the poorest and the youngest groups in the country. New laws banning smoking in public places and the complete ban on tobacco advertising and promotion, which is being incrementally introduced this year, are likely to push the rates down even faster, he added. Yach dismissed claims that tobacco control would lead to job losses. (Source: Sowetan, 13 March 2001)

Tobacco consumption in South Africa has fallen for eight consecutive years since 1991, a meeting to discuss the Framework Convention on Tobacco Control heard in Sandton, Johannesburg, on the 12th of March. Delivering the keynote address, Dr Derek Yach, executive director of non-communicable diseases and menial health at the World Health Organisation, said this was a result of sustained tobacco control measures.

He said in 1998-99 more than 30 billion cigarettes were released for consumption, down by 17 percent from the 36 billion released in 1993-94. The work of public health advocates in South Africa thrived. Led by Health Minister Manto Tshabalala-Msimang, South Africa's tobacco control story is now a shining example for the Framework Convention on Tobacco Control of public excellence and political courage. The 11th World Conference on Tobacco held last year in Chicago saluted this leadership with an award recognising her exemplary courage, Yach said.

Crucially, the declines have been most significant among the poorest and the youngest groups in the country. New laws banning smoking in public places and the complete ban on tobacco advertising and promotion, which is being incrementally introduced this year, are likely to push the rates down even faster, he added. Yach dismissed claims that tobacco control would lead to job losses.

We know from economists around the world that far from causing job losses, people who stop smoking will spend their money on other goods and services, resulting in an increase in employment in those sectors. We know what works in South Africa will work in many other countries, Yach said.

Speaking at the same forum. Tshabalala-Msimang said her department would tighten the laws controlling smoking to ensure that everyone has an environment that's not harmful to their well-being. She said the tobacco industry had shown they'll use any loophole to protect their product. We will also find all the gaps and close them.

Tshabalala-Msimang urged participating nations to pass laws that would ensure that the youth and all vulnerable groups were protected from the harmful effects of smoking.

Source: Sowetan, 13 March 2001

New Smoking Laws

For those of you who don't know... Smoking laws are getting stricter. YES! Good on ya, South Africa. If only they'd extend it to alcohol (btw, when is SAB going to STOP making quarts in glass bottles? Have you SEEN Friday night at Bara??)

Although he pokes fun and says that smoking laws do nothing - this is not true. There have been large changes in the prevalence of smoking of the first set of laws were passed in South Africa. Same for you overseas? Another post on this soon.

More on iMod.

How to navigate a hospital - the Do's and Don'ts

Great article on understanding hospitals, the do's, don'ts, knows and nots.

While hospitals can provide a secure refuge when you are seriously ill, remember that hospitals can be scary places! For one thing, the very fact that your doctor wants you to be admitted into hospital means that he thinks you are quite ill and this in itself can generate considerable anxiety! Even worse, hospitals can be very unfriendly places. Not only do hospitals strip you of all your dignity (having to wear a half-open hospital gown which barely covers your body properly does not do much good to your ego!), but also they subject you to painful routines and humiliating rituals performed by a retinue of strangers. Moreover, you could be woken up at any time of the day, (or night), deprived of your privacy, forced to eat unpalatable food, cut off from friends and family, and denied a lot of the independence which you take so much for granted in daily life. Also, remember that hospitals can be dangerous to your health as well! Hospital-acquired infections have become increasingly common ( since a number of sick patients are gathered together under one roof); and errors and mix-ups are not unusual at all, especially in India, where the paramedical staff is often poorly trained.

Check it out here.

The ANC Youth League and Caster Semenya.

Beware of those basic principles of medical tests!

*ANC YL FULLY BEHIND SOUTH AFRICA¹S GOLDEN GIRL MOKGADI CASTER SEMENYA*
*11 September 2009*

The African National Congress Youth League is fully behind the International
Athletics Associations Federation (IAAF) World Championships Gold Medallist,
Caster Semenya amidst the malicious rumour of a medical report from the
IAAF. The ANC YL has interacted with Athletics South Africa and established
that there was never a legitimate test conducted on Caster Semenya and all
basic principles of medical tests are grossly violated.

The ANC YL calls on the IAAF to distance itself from the Australian Media
reports, and in line with basic medical ethics illegitimate any test done on
Caster Semenya without her concern. Even if a test is done, the ANC YL will
never accept the categorisation of Caster Semenya as a hermaphrodite,
because in South Africa and the entire world of sanity, such does not exist.
The basic, traditional and known method to determine gender has classified
Caster Semenya as female and to us she will remain a female.

The ANC YL is also very concerned by the fact that all the media reports
about Caster Semenya are generated in Australia, which is the most lucrative
destination for South Africa¹s racists and fascists, who refused to live
under a black democratic government. The maltreatment of Caster Semenya is
evidently a coordinated racist attack on Caster Semenya, an African woman
whom the racists never thought will represent South Africa will excellence.

Mokgadi Semenya is our girl and the ANC YL will be convening the prize money
handover ceremony to celebrate her before the end of September 2009. There
is no one who is going to take the Gold Medal and honour from Caster Semenya
for any reason.

*Issued by the African National Congress Youth League *
Contact Floyd Shivambu, ANC YL National Spokesperson



Crickey.

Official Swine Flu South Africa Stats - 12 August 2009

Death count... wait for it... 2.



Some say, a flash in the pan. Others say, this is how it starts.

We really dunno. SA Doc thinks the pandemonium is a bit OTT (over the top).

GUEST POST: 7 Excellent Open Courseware Collections To Learn About The Human Body

The human body is a fascinating and intricate construction, and there are many reasons to learn more about it. You may want to know how it works so that you can better understand your own, and thereby make the best decisions possible in regards to good health and maintenance. You may want to understand how it works so that you can move into a profession that works to restore it to health. You may just be curious. Whatever the reason, these 7 excellent open courseware collections to learn about the human body are a great place to begin or to continue your study of the human body.

General Human Anatomy

General Human Anatomy takes a general look at the structure of the body and all its systems. This is a cursory examination of the human body as a structure provided by UC Bekeley and is the perfect start to any study of the human body.

Human Anatomy

Human Anatomy, provided by Emory University, takes the investigation a step farther examining the systems of the human body. It takes a look at the organization of the nervous system and the physical anatomy of each portion of the body. Focuses include the upper and lower extremity, the vertebrae and spinal cord, the head, the neck, the abdomen, and the thorax.

Human Growth And Development

Tufts University's Human Growth and Development takes a look at the human body throughout the lifespan. The development of bodily and cognitive skills during the lifespan can be better understood when you are aware of the progression of physical growth that happens concurrently.

Cell-Matrix Mechanics

Cell-Matrix Mechanics, courtesy of the Massachusetts Institute of Technology (MIT), will teach you about the physical processes of the development of cells and tissues. This will include a look at the growth process both as it occurs naturally with aging and as it occurs with healing after damage to certain tissues.

A Clinical Approach To The Human Brain

A Clinical Approach to the Human Brain, also from MIT, is a collection that will explain how the human brain works both when it is healthy and when it is not. The resources talk about the actual anatomy of the brain and all of its workings. Neurons, synapses, and neurotransmitters are all covered.

Sensation And Perception

MIT's Sensation and Perception is an essential courseware collection. The human body functions in response to its environment, and the senses provide the information that allows the body to avoid danger and to make choices. These resources will cover how signals are received and then transformed into usable information in the body.

Cellular Neurobiology

Cellular Neurobiology, a final contribution from the Mass Institute, will focus on the functioning of the nervous system. It will cover the physical processes at work in synaptic transmission, neurodevelopment, and the way that information is filtered and processed.

The human body is a wonderfully complex construct. These courses will teach you much about its overall functioning while still leaving so much more to learn as you get into specific systems. Everyone should take some time to learn about the human body because everyone has one. If you know about its functioning then you will learn more about how you can keep it working at peak efficiency, and make the best, most informed decisions for the only body you will ever have in this life.

About the Author:
Mary Ward is a freelance author and writes about medical career topics, such as how to select among ultrasound technician schools, tips for job advancement, and more.

An amazing medical sentence...

What the hell.

“I do not know where family doctors acquired illegibly perplexing handwriting nevertheless, extraordinary pharmaceutical intellectuality counterbalancing indecipherability, transcendentalizes intercommunications incomprehensibleness”.

This is a sentence where the Nth word is N letters long.

e.g. 3rd word is 3 letters long, 8th word is 8 letters long and so on.

An episode of House...

From GraphJam. Hilarious. All they forgot was the seizures. Why is it that there is at least ONE seizure per episode of House. SA Doc tells me it's a lot more exciting than real life. Even the Baragwanath pit.