I hope you read this Mr. Obama
I did my residency training in the lovely city of Newark, NJ. This poverty stricken town is filled with end stage disease and is a great learning environment. There are cities like this all over the country.
Why are the poor so sick? Why are they so unhealthy? Why is there so much obesity? Why is there so much diabetes? Why is there so much heart disease?
It is very important to answer these questions because they cost you and me lots and lots of money in taxes.
Healthcare is very expensive in this country. Why can't we solve these issues?
Let's start with Diabetes.
I see patients with diabetes on a daily basis. Most studies will show you that if glucose is well controlled there is a limited chance of complications and amputations of toes/feet/legs. We have a simple test to check how you are doing with diabetes. You can not trick this test. The Hemoglobin A1c (HbA1c) is that test. It is an average of your sugar in the last 3 months.
Patients who have an HbA1c under 6 do great. The higher the number goes the worse off people get.
Do our medications not work?
NO!!!!!!!!!! Medication works great, when you take it. When you change your diet.
Diabetes is a life changing disease. You have to monitor how you eat and what you eat. Is there enough variety of foot in the poor neighborhoods? Do they have access to healthy foods? Can they afford healthy food? Is it cheaper to eat at a fast food restaurant instead of eating something else?
People have a hard time being compliant. Make it easy for them. Invest more money in good food and punish bad food. Simple.
Simple ideas work the best. If you would like to know more detail I would love to help. Contact me FootPain@Gmail.com I respond fairly fast.
High blood pressure and Cardiac disease will all be related to this problem. DIET.
Final step in this whole system must be a punishment of the non compliant patient. Very Very Very touchy subject. How do we know someone is not doing what we ask? Blood test of levels of medication?
I can see in the future genetically placing a marker in healthy foods that has no effect on our system. You will have to go to your doctor and get that marker level checked. If your level is not where it is meant to be, pay a fine.
So I don't know how to penalize the non compliant patient. Let's start with a reward system and then do the punishment when we make some changes.
Infusion of insurance (Obama Care) into the system will reward hospitals. The system does not change.
If the future is preventive medicine we need to change the Food People are eating.
I did my residency training in the lovely city of Newark, NJ. This poverty stricken town is filled with end stage disease and is a great learning environment. There are cities like this all over the country.
Why are the poor so sick? Why are they so unhealthy? Why is there so much obesity? Why is there so much diabetes? Why is there so much heart disease?
It is very important to answer these questions because they cost you and me lots and lots of money in taxes.
Healthcare is very expensive in this country. Why can't we solve these issues?
Let's start with Diabetes.
I see patients with diabetes on a daily basis. Most studies will show you that if glucose is well controlled there is a limited chance of complications and amputations of toes/feet/legs. We have a simple test to check how you are doing with diabetes. You can not trick this test. The Hemoglobin A1c (HbA1c) is that test. It is an average of your sugar in the last 3 months.
Patients who have an HbA1c under 6 do great. The higher the number goes the worse off people get.
Do our medications not work?
NO!!!!!!!!!! Medication works great, when you take it. When you change your diet.
Diabetes is a life changing disease. You have to monitor how you eat and what you eat. Is there enough variety of foot in the poor neighborhoods? Do they have access to healthy foods? Can they afford healthy food? Is it cheaper to eat at a fast food restaurant instead of eating something else?
People have a hard time being compliant. Make it easy for them. Invest more money in good food and punish bad food. Simple.
Simple ideas work the best. If you would like to know more detail I would love to help. Contact me FootPain@Gmail.com I respond fairly fast.
High blood pressure and Cardiac disease will all be related to this problem. DIET.
Final step in this whole system must be a punishment of the non compliant patient. Very Very Very touchy subject. How do we know someone is not doing what we ask? Blood test of levels of medication?
I can see in the future genetically placing a marker in healthy foods that has no effect on our system. You will have to go to your doctor and get that marker level checked. If your level is not where it is meant to be, pay a fine.
So I don't know how to penalize the non compliant patient. Let's start with a reward system and then do the punishment when we make some changes.
Infusion of insurance (Obama Care) into the system will reward hospitals. The system does not change.
If the future is preventive medicine we need to change the Food People are eating.
No comments:
Post a Comment