Patient Issues

Paula Erwin-Toth's picture

By Paula Erwin-Toth MSN, RN, CWOCN, CNS

The new year has begun. Many of us have made resolutions with the best of intentions. Exercise more, lose weight, eat healthy foods, keep blood sugar in a healthy range, stop smoking and using smokeless tobacco, watch less television. The list goes on and on. I am no stranger to not keeping my New Year's resolutions beyond a month or two. The best way to keep a resolution is to make it realistic. Make your goals achievable. Don't resolve to run a marathon if you cannot walk around the block. Rather than vowing to lose 50 pounds, set a goal of 10. Once you have lost 10 pounds resolve to lose another 10 and so on.

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Michael Miller's picture

By Michael Miller DO, FACOS, FAPWCA, WCC

RAMBLINGS OF AN ITINERANT WOUND CARE GUY, PT. 16

As I write my blog, I wonder whether anyone really reads it. I know that my wife and daughters do, because they have no choice. For all the foibles my 24 year old is quick to point out --Dad, you’re not really going to wear that; Dad, you have a stain on your shirt; Dad, you need to empty the cat litter (to which I reply, “why, they didn't eat what I poured them yet!”)--, she has commented on an occasion or two, “That was funny” or, “Yeah, it’s pretty good this time.”

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Michael Miller's picture

em>By Michael Miller DO, FACOS, FAPWCA

RAMBLINGS OF AN ITINERANT WOUND CARE GUY, PT. 12

There are many colloquialisms we use to describe a variety of situations. When someone appears to make a real commitment, we call it “full bore” or “going whole hog” or to use the gambling epithet, “all in”. Commitment is an important part of what we as health care practitioners stand for. You have all read ad infinitum, ad astra, ad mortem of my strongest belief that patients must take an equal role in their care. We provide the recommendations, the rationale and the risks (and benefits, of course) and they decide which of our offerings best suits their beliefs, their desires and for better or worse, their purses. The marketing profession has made millions of consumers purchase items they do not need based on the sex appeal of the turn of a phrase, changing a question of doubt into “iron clad”.

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Michael Miller's picture

By Michael Miller DO, FACOS, FAPWCA

RAMBLINGS OF AN ITINERANT WOUND CARE GUY, PT. 11

I have always had a penchant for the ironic. I love a great joke well told, an amusing anecdote well written or a cartoon well drawn. Charles Addams, creator of the Addams family in the New Yorker magazine introduced his “unusual” family by drawing them poised several stories above and looking down upon a group of happy, singing Christmas carolers as they prepared to pour boiling oil on them. I still chuckle when I think about it. I love unusual sayings such as “You have a firm grasp of the obvious”, “You may not be good, but at least you’re slow” or “I can’t see the forest because of the trees.”

Karen Zulkowski's picture

By Karen Zulkowski DNS, RN, CWS

The past few months I have written about legal cases and palliative care. My plan was to combine them for March. However, my husband had a partial knee replacement at the end of February and I wanted to write about that. My apologies for no March column.

Aletha Tippett MD's picture

By Aletha Tippett, MD

This is a statement the cardiologist made to my patient the other day. My patient is a diabetic man with severe neuropathy, resulting in pain and numbness in his feet, as well as difficulty walking. He also has a serious cardiac history with multiple myocardial infarctions. When he first came to me he was, of course, on a statin medication for his heart. One of my tenets for treating neuropathy is to stop statin treatment because it can increase neuropathy 26 fold (1).

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Glenda Motta's picture

By Glenda Motta RN, MPH

Most individuals with chronic conditions would much prefer to remain at home in familiar surroundings than be relocated to a nursing care facility. Yet, the largest expenditures under state Medicaid programs involve providing institutional care for the chronic, long-term care population.

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Michael Miller's picture

By Michael Miller DO, FACOS, FAPWCA

RAMBLINGS OF AN ITINERANT WOUND CARE GUY PT. 5

“Then if you got it, you don’t want it - seems to be the rule of thumb. Don’t be tricked by what you see, you got two ways to go.” Devo – Freedom of Choice

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