Kravis Children’s Hospital at Mount Sinai is nationally ranked in seven out of the ten pediatric specialties measured by U.S. News & World Report in its 2014-15 “Best Children’s Hospital” annual guidebook. Notably, for the first time, Kravis Children’s Hospital is ranked in neurology & neurosurgery, and neonatology.
The seven specialties are diabetes & endocrinology (No. 22), nephrology (No. 29), neurology & neurosurgery (No. 29), pulmonology (No. 30), gastroenterology & GI surgery (No. 40), neonatology (No. 49), and urology (No. 50). To develop the rankings, U.S. News & World Report surveyed 183 pediatric centers to obtain clinical data in each of the 10 specialties measured, and also asked 150 pediatric specialists in each specialty where they would refer their sickest patients.
The Mount Sinai Health System was highly represented in New York magazine’s recently released list of “Best Doctors in New York,” which named 227 physicians from all seven hospitals and 36 doctors from Mount Sinai’s affiliated hospitals. The 263 physicians represented 21 percent of the total 1,251 doctors on New York magazine’s 2014 list, which appeared online and in the June 9-15, 2014 print edition. The list covers physicians from throughout the New York metropolitan region, including Connecticut and New Jersey.
Are physicians practicing defensive medicine or are we demanding unnecessary test?
Recently a CBS News report noted “Among the reasons these tests are not recommended is that they can often find some abnormality, which although benign, could lead to further unnecessary tests and treatment…” “In 1 to 3 percent of people you will find something on the MRI, whether it be a tumor or blood vessel malformation. You don’t want to find something you weren’t looking for. It can be anxiety provoking…”
– So why are you delaying your colonoscopy again? Colonoscopy! Ugh! But…
Recently a Wall Street Journal article reported “The incidence of colon cancer, declining since the mid-1980s, plunged a further 30% last decade among Americans 50 and older as more people had colonoscopies…”
Everyone is still coughing into their elbow crook, but is it evidence-based? A recent article in DETAILS explained:
“Researchers have seen that a fair number of respiratory particles still escape into the surrounding air, even when an barrier like a tissue, sleeve, hand, or surgical mask is placed in front of the cougher’s mouth, … Plus, the droplets that sneak past cough-blocking barriers are the tiniest ones, which are light enough to hang around in the air for hours and small enough to penetrate your cube mate’s respiratory tract.”
Recently the New York Post reported “An Associated Press survey found examples coast to coast. Seattle Cancer Care Alliance is excluded by five out of eight insurers in Washington state’s insurance exchange. MD Anderson Cancer Center says it’s in less than half of the plans in the Houston area. Memorial Sloan-Kettering is included by two of nine insurers in New York City and has out-of-network agreements with two more”
“Doctors and administrators say they’re concerned. So are some state insurance regulators. In all, only four of 19 nationally recognized comprehensive cancer centers that responded to AP’s survey said patients have access through all the insurance companies in their state exchange”.
Recently a New York Daily News article was a first person story of experience with the health care system.
“My plunge into the world of ambulances, emergency rooms and minor surgery came without warning, like a trapdoor opening beneath my feet. One second, I was skiing along happily in upstate New York’s Adirondack Mountains with my son and a group of friends. The next, I was writhing on the slope in pain — having wrenched my right leg in an awkward, slow-speed fall. In the blink of an eye, I went from a healthy and independent 52-year-old to a trauma victim in need of a lot of expert help from a lot of people.”
Recently an article in the Wall Street Journal noted “Quality” has been the buzzword in health care for a decade, but the worthy goal is driving health-care providers to distraction. All stakeholders—insurers, patients, hospital administrators and government watchdogs—are demanding metrics to ensure that money is spent wisely.
To get the most benefit out of a visit to your doctor, you should prepare beforehand! It really pays off to write down your questions in advance. Now there are resources available to help you get ready.
In my campaign to encourage patients to talk openly to their physicians I came across CHOOSING WISELY.
“Choosing Wisely is focused on encouraging physicians, patients and other health care stakeholders to think and talk about medical tests and procedures that may be unnecessary, and in some instances can cause harm.”
A recent ivillage.com article offered some advice on what to do and not do to when getting started with a physician.
“The doctor should ask thorough questions but the patient needs to be honest and not withhold information, even if it’s embarrassing or hard to talk about. Know your – and your family’s – medical history and bring in any medications you are taking, even if you think they are unrelated. If the doctor doesn’t have all the information, the likelihood of a misdiagnosis increases.
Don’t be shy: Whether it’s voicing concerns or mentioning tests you’ve read about or asking about drug interactions, patients need to speak up. It’s ok to do your own homework, just don’t get too caught up in self-diagnosing online before your appointment …”