Comments for Minimally Disruptive Medicine http://minimallydisruptivemedicine.org This is about effective care that fits! Thu, 06 Oct 2011 02:50:24 +0000 hourly 1 http://wordpress.com/ Comment on Minimally disruptive medicine at Evidence2010 by Mark McConnell http://minimallydisruptivemedicine.org/2011/10/05/minimally-disruptive-medicine-at-evidence2010/#comment-578 Thu, 06 Oct 2011 02:50:24 +0000 http://minimallydisruptivemedicine.org/?p=228#comment-578 A specialist who understands primary care and patient centeredness more than many primary care staff?

Dr. Montori, thank you!

]]> Comment on The role of guidelines in Goldilocks medicine by kerunit http://minimallydisruptivemedicine.org/2011/08/15/the-role-of-guidelines-in-goldilocks-medicine/#comment-569 Fri, 19 Aug 2011 03:37:51 +0000 http://minimallydisruptivemedicine.org/?p=224#comment-569 Difficult to know – post hoc explanations usually cant be trusted. Perhaps more helpful would be to determine how many lawsuits have resulted from failure to follow guidelines among clinicians who communicate adequately with patients and involve them in shared decision making.

]]> Comment on The role of guidelines in Goldilocks medicine by Mark McConnell http://minimallydisruptivemedicine.org/2011/08/15/the-role-of-guidelines-in-goldilocks-medicine/#comment-568 Fri, 19 Aug 2011 00:10:27 +0000 http://minimallydisruptivemedicine.org/?p=224#comment-568 Thanks!
Does anyone have any evidence that fear of lawsuits is a major reason why we doctors may feel compelled to follow guidelines rather than patient choice when the two differ?
Mark

]]> Comment on Bibliography by kathryn havens md http://minimallydisruptivemedicine.org/bibliography/#comment-514 Fri, 05 Aug 2011 17:47:47 +0000 http://minimallydisruptivemedicine.org/?page_id=215#comment-514 Is this an ongoing blog for which I can sign Up? thanks

]]> Comment on Transferring complexity – how healthcare interrupts life by Mark McConnell http://minimallydisruptivemedicine.org/2011/07/26/transferring-complexity-how-healthcare-interrupts-life/#comment-480 Wed, 27 Jul 2011 10:34:44 +0000 http://minimallydisruptivemedicine.org/?p=221#comment-480 Well said. Sad, and challenging.
One wonders how many of those 30 clinic visits and 43 refills were truly “needed”.

]]> Comment on JAMA commentary attacks the notion of clinical inertia by Mark McConnell, MD http://minimallydisruptivemedicine.org/2011/05/11/jama-commentary-attacks-the-notion-of-clinical-inertia/#comment-235 Wed, 11 May 2011 22:18:44 +0000 http://minimallydisruptivemedicine.org/?p=152#comment-235 Excellent post…I believe you have said volumes of truth in these short comments.

]]> Comment on About Minimally Disruptive Medicine by Will Stockton http://minimallydisruptivemedicine.org/about/#comment-234 Tue, 10 May 2011 14:08:28 +0000 #comment-234 It was a delight to convene the May 4 dialogue “Citizens Informed and Engaged in Health and Healthcare”. The work of the Goldilocks Group is an exciting initiative that we are eager to follow and support. The materials from your work at the dialogue are being transcribed and should be in your hands by Friday. Viva La Revolucion!

]]> Comment on Minimally disruptive medicine – the change must come from doctors by Mark McConnell, MD http://minimallydisruptivemedicine.org/2011/04/11/minimally-disruptive-medicine-the-change-must-come-from-doctors/#comment-231 Fri, 06 May 2011 18:13:45 +0000 http://minimallydisruptivemedicine.org/?p=147#comment-231 Great comments. I agree with Dr. Montori…we in healthcare (just opinion) are often guilty of imposing our agenda on patients. I believe it is 100% well-meaning but can easily look like paternalism. (“I know what is best for you”). Shared decision making is not only good but fun! I’ve learned a lot of this from http://www.therapeuticseducation.org and recommend their resources.

I’m curious to know what kind of comments you hear from those patients who describe “diabetes burnout”.

]]> Comment on A patient ¨pushes back against physicians¨? Minimally disruptive medicine brought about by patients by Kate Gilbert http://minimallydisruptivemedicine.org/2010/12/21/a-patient-%c2%a8pushes-back-against-physicians%c2%a8-minimally-disruptive-medicine-brought-about-by-patients/#comment-227 Tue, 12 Apr 2011 00:04:02 +0000 http://minimallydisruptivemedicine.org/?p=133#comment-227 That is indeed a very encouraging viewpoint put forward in the Wall Street journal column. I would also note that there are groups of patients, long away from retirement like the above writer, with lifelong chronic conditions to whom this approach of putting the brakes on the medical merry-go-round also applies. And as you note in your commentary, we have been driving a patient revolution of sorts for a long time but we hit some major barriers when the healthcare industry is immovable on the same points. I think ‘transition care’ in diabetes is a prime example. The discussion from teams of health professionals about how to stop young people dropping out of the system between paediatric care and moving into adulthood and the adult care system, inevitably revolves around creating more services, more care and more handling of the patient. Whereas, as patients we have long felt that ‘transition’ needs to start at diagnosis, where care is about arming us with the skills and capacity to manage our own condition throughout our lives. Minimally disruptive medicine could help a lot as chronic conditions amass in retirement, but it is also critical for people with life-long conitions, and could make a great contribution to the perennial ‘problem’ of young adulthood.

]]> Comment on EVIDENCE 2010 talk about healthcare that fits the patient now available online by kerunit http://minimallydisruptivemedicine.org/2010/12/22/evidence-2010-fit-talk-now-available-online/#comment-222 Tue, 15 Mar 2011 03:24:46 +0000 http://minimallydisruptivemedicine.org/?p=138#comment-222 what is your suggestion?

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