1. As He Reads About Carbohydrates, Trevor Is Surprised to Learn That _____.
the well newsletter
When the Doctor'south Notes Injure Your Feelings
Are yous a "poor historian," "well nourished" or in demand of a "fourth dimension out"? As patients proceeds access to their ain medical records, the notes left past doctors tin sting.
Take you ever been insulted by your own medical records?
Medical jargon can be confusing, but it can also sometimes hurt a patient'due south feelings. This week on Twitter, a group of health care workers shared stories of patients who became upset after reading the physician notes in their medical records.
Ane patient read the notes from her colonoscopy report, which included a reference to a "time out." The woman reportedly was upset by this, and chosen her medico saying she was "well behaved during the procedure and did not need a 'time out.'"
The good news is that the patient wasn't in trouble. What she didn't realize is that the "fourth dimension out" noted in her medical tape referred to a crucial prophylactic footstep that doctors are supposed to take before medical procedures and surgeries. Members of the medical team have a "fourth dimension out" immediately before starting their work to triple check that the right procedure is being performed on the right patient and on the right body function. (While medical errors can however happen, this protocol has drastically reduced "incorrect site" surgeries, in which doctors mistakenly operate on the left leg, for example, rather than the correct one.)
But misunderstandings like this are becoming more common as patients gain admission to their electronic medical records. Many hospital systems at present offer convenient portals where patients can check in for appointments, send notes to their medico and read lab results and medical records.
A study titled, "Your Patient Is At present Reading Your Note," from researchers at the University of Washington and Harvard Medical School, brash doctors to think well-nigh supportive language when making notes in a patient's nautical chart, and said that common medical jargon could be confusing or feel judgmental when read by patients.
For instance, medical records often describe the patient'south appearance. A patient may be insulted to meet themselves described every bit "disheveled." Instead, the report advised, exist specific and say, "The patient'due south shirt was untucked."
Reading scary medical terms in the patient record can also be devastating to a lay person. A medico may casually write that a patient has "renal failure." A ameliorate clarification is "chronic kidney affliction," the report said.
The written report noted that abbreviations normally used in medicine could also be a trouble, including:
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SOB: The report advised doctors to write out "curt of breath" to avoid offending the patient.
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F/U: Information technology's better to avoid abbreviating the words "follow up" when noting a patient's medical tape.
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OD: This abbreviation for the Latin term "oculus dexter," or the right eye, can cause confusion.
In the recent Twitter word, health workers added to the list of potentially unsettling medical terms.
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"Patient is a poor historian." It's not a criticism of the patient's knowledge of history, simply the way doctors often notation that a patient can't call back details of their ain medical history.
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"Patient is well nourished." While it might sound unflattering, the term usually but means the patient isn't malnourished.
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"Denies recreational drug employ." A patient was upset by the phrase, considering she thought that information technology implied she was lying about substance use.
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"Dizziness and giddiness." A patient was appalled past this description, but the terms are normally used to describe a patient who feels unbalanced or giddy.
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"Slow m OD" A patient'southward wife saw this and idea it suggested a patient had overdosed. In this example, the shorthand really meant the patient took a prescription potassium tablet once a day. (The letter "K" is the symbol for potassium on the periodic tabular array.)
Going depression carb for heart health
A new study, one of the largest and virtually rigorous trials of the field of study to engagement, suggests that eating a diet depression in carbohydrates and higher in fats may be benign for your cardiovascular wellness if you are overweight, reports my colleague Anahad O'Connor.
The new study, which was published in the American Journal of Clinical Diet, found that overweight and obese people who increased their fat intake and lowered the amount of refined carbohydrates in their diet — while yet eating fiber-rich foods like fresh fruits, vegetables, basics, beans and lentils — had greater improvements in their cardiovascular disease risk factors than those who followed a similar nutrition that was lower in fat and higher in carbs. Fifty-fifty people who replaced "healthy" whole grain carbs like brown rice and whole wheat bread with foods higher in fat showed striking improvements in a variety of metabolic illness adventure factors.
The written report suggests that eating fewer processed carbs while eating more fat can exist skillful for your heart wellness, said Dr. Dariush Mozaffarian, a cardiologist and dean of the Friedman School of Nutrition Science and Policy at Tufts Academy, who was not involved with the enquiry. "I think this is an important study," he said. "Most Americans still believe that low-fat foods are healthier for them, and this trial shows that at to the lowest degree for these outcomes, the high-fat, low-carb group did better."
Read the total story:
Tin can a Low-Carb Diet Assistance Your Heart Health?
The latest on Covid vaccine booster shots
Terminal week'due south newsletter advised everyone to "stay tuned" about potential changes in the recommendations for booster shots. Just hours after I shared that communication, the guidance from the Centers for Illness Control and Prevention changed once again.
Eligibility for boosters at present has been expanded to front end line workers, including health care workers, offset responders, grocery and food workers, postal and transit employees and many other occupations considered to be at higher risk for coming into contact with the coronavirus. The booster shots are authorized for those who received their 2d dose of the Pfizer-BioNTech vaccine at least half-dozen months ago. Advice on boosters for people who got Moderna or Johnson & Johnson shots is expected in the coming weeks.
But it's important to note that the C.D.C. doesn't actually recommend that anybody who is eligible get out and get a booster shot. The agency has brash people 65 and older, those in long-term care facilities and people 50 and older with at-hazard atmospheric condition to get boosters. People who are eligible considering of their occupation or considering they have an underlying medical condition should counterbalance their individual risks and benefits — or talk to their doctor — to help them make up one's mind whether to get an boosted shot. Yous tin find more information from the C.D.C. here about eligibility for booster shots.
The lack of guidance for many of the people who are now eligible for boosters is frustrating, but for now, we're all on our ain when it comes to making decisions about a third shot. Personally, I'm not rushing to get a booster shot because I'thou confident my vaccine is protecting me from astringent disease with Covid-19. I'm planning to travel by aeroplane in November, and I'thou notwithstanding deciding whether I should get a booster shot earlier my trip.
Read more about booster shots:
What to Know Most Booster Shots
Source: https://www.nytimes.com/2021/09/30/well/live/medical-records-misunderstanding.html
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