Tuesday, February 20, 2018

Over diagnosis of cancer

Sunday, February 18, 2018

Palliative Home Care

Friday, February 16, 2018

Thursday, February 15, 2018

Seniors falling

Seniors, OECD population averages

Friday, February 9, 2018

Canadian seniors, a healthcare opinion poll

Fewer Canadians say they're satisfied with the quality of the health care they received compared with seniors in other countries. Despite this, more Canadian seniors reported better perceived health than the international average.
CBC.CA

This is an interesting dilemma, as the days are gone for house calls. This is really only an opinion poll. As we know more, physicians specialize more and are in high demand. Doctors are better at looking after themselves, as well. Patients cannot always access a health consult if they are ill, and cannot travel. Combine that with longer life spans...

As the spouse of a man with prostate cancer, we've had nothing but excellent care.

Monday, February 5, 2018

Drugs Sold in India Pose a Global Threat to Antibiotic Resistance Control

Millions of unapproved antibiotics are being sold in India each year, according to a new study published in the British Journal of Clinical Pharmacology. The study also revealed that multinational pharmaceutical companies continue to manufacture dozens of unapproved formulations, despite the global health crisis of rising antimicrobial resistance.

There were 118 different formulations of FDCs being sold in India between 2007 and 2012, compared with 5 in the United Kingdom and the United States. 

The researchers argue that changes are needed to achieve the proper use of antibiotics set by the World Health Organization (WHO). 
 
Full citation: "Threats to global antimicrobial resistance control: Centrally approved and unapproved antibiotic formulations sold in India.” Patricia McGettigan, Peter Roderick, Abhay Kadam, and Allyson Pollock. British Journal of Clinical Pharmacology. Published Online: February 5, 2018, DOI: 10.1111/bcp.13503.

Sunday, February 4, 2018

Influenza season 2018

To date this season, in Canada 28,729 laboratory-confirmed influenza detections have been reported. The Respiratory Virus Detections in Canada Report

Image result for us flu deaths

Of course, the 1918 flu was the worst. We have better flu management, vaccines, hand-washing protocols. Vaccines were introduced in the early 70s. Still, the antivaxers tout conspiracy theories.
CNN Fri., Feb 2
Overall, the data showed 17,024 new laboratory-confirmed cases of illness during the week ending January 27, bringing the season total to 126,117. These numbers do not include all the people who have had the flu, as many do not see a doctor when sick.
Image result for us flu deaths
Image result for us flu deaths

Friday, February 2, 2018

Colorado’s Official 1st Annual Report on End-of-Life Options

PRESS RELEASE: Colorado’s Official 1st Annual Report on End-of-Life Options Act Show It’s Working Well

Detailed Data Confirms Medical Aid-in-Dying Law Is Working as Voters Intended

(Denver – Feb. 1, 2018) Compassion & Choices lauds Colorado’s first report detailing usage of the End-of-Life Options Act during its first year of implementation.

Colorado is one of six states, along with the District of Columbia, where medical aid in dying is authorized as an option for mentally capable, terminally ill adults with six months or less to live to end unbearable suffering for a peaceful death. The other five states are California, Montana, Oregon, Vermont and Washington.

The official report from the Colorado Department of Public Health and Environment shows the Colorado law is working well, as voters intended when they passed it by a 30-point margin (65% vs. 35%) in November 2016.

The report by Colorado Department of Public Health and Environment’s Center for Health and Environmental Data shows:
  • 69 terminally ill adults with six months or fewer to live utilized the option under the law to request a doctor’s prescription for medication they could decide to take to die peacefully in their sleep if their end-of-life suffering became unbearable.
  • 56 of the 69 people who qualified for the medication, either took it, died from their terminal disease or some other cause, according to their death certificates.
  • 52 of the 56 people who died (93%) were enrolled in hospice care.
  • 37 Colorado physicians wrote prescriptions for aid-in-dying medication.
  • 19 Colorado pharmacists dispensed aid-in-dying medication.
The report also included four tables of detailed statistics including:
  1. Underlying terminal illnesses/conditions among patients prescribed aid-in-dying medication.
  2. Categories of medications dispensed to patients prescribed aid-in-dying medication.
  3. Summary of patients who died following prescription of aid-in-dying medication, including by sex, age group, race/ethnicity, marital status, education, county of residence, place of death and hospice enrollment status.

Colorado residents and medical providers can find more information about medical aid-in-dying, including videos, forms and the Find Care Tool which identifies hospitals, clinics and hospices which have adopted policies supportive of patients who may choose medical aid in dying as one of their end-of-life care options at CompassionAndChoices.org/Colorado.

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Compassion & Choices is the oldest nonprofit working to improve care and expand options for the end of life in the United States, with 450,000 members nationwide. For more information, visit: CompassionAndChoices.org/Colorado.