Difficult Patients: Patients used to accept doctors’ orders without question. Today, more are asking questions and challenging their doctors’ opinions. However, even those who do it politely are likely to be labeled “difficult.” A doctor whose late wife nearly made a career of being a difficult patient discusses how patients can do it respectfully and fruitfully.
Rudeness: Studies show a rudeness epidemic in the US, and that people are profoundly affected when they experience or even witness it occurring to someone else. Two experts discuss.
We reported last week on the opioid epidemic. Now a new study finds yet another symptom of opioid addiction—amnesia. The CDC’s Morbidity and Mortality Weekly Report describes a group of 14 patients—almost all opioid addicts–who couldn’t remember things they’d just been told. Along with short-term memory loss, the patients had abnormal MRI scans as well. Doctors are concerned the patients represent a new condition triggered by substance abuse that they were not previously aware of. Researchers say most of the patients recovered their normal memory after several months substance free.
Sitting in traffic is a sure way to increase your stress level and a new study shows it also increases domestic violence. A study at Louisiana State University correlated 25 million traffic observations and two million police reports over four years and found that extreme traffic jams increase the likelihood of domestic violence when people get home by about 6 percent.
People who’ve suffered concussions are held out of sports and school until they’re considered recovered but a new study shows that even then, they may have trouble driving. The study in the Journal of Neurotrauma tested the driving skills of 14 people who’d had a concussion but felt they were now over it. Researchers say that at times they drove as if they were drunk.
And finally…parents who use threats and raised voices to get their kids to behave often end up doing the opposite. A study in the journal Child Development shows that kids parented harshly as ‘tweens are more likely to drop out of school, engage in early sex, and commit theft a few years later. Researchers say those kids reject their domineering parents and seek approval from their peers instead.
Drug and alcohol addiction and abuse is rising. Researchers have found that “fear mongering” educational efforts to combat it in adolescents doesn’t work. New science has discovered that certain personality types are predictably predisposed to addiction risk, and that educational efforts can be targeted to them effectively.
Doctors have often been advised to avoid emotions regarding patients in order to keep their decisions objective. However, this has led many patients to believe doctors don’t care about them. A new movement in medicine seeks to reverse the trend and put compassion back in medicine, led by a “Healer’s Art” class in many medical schools. Experts who teach the class explain.
A variety of liver diseases may cause test results that mimic alcohol-related cirrhosis. One, known as PBC, is the second largest reason for liver transplants in women. A patient and an expert discuss.
Synopsis: The Epi-Pen brand has become synonymous with epinephrine injectors, which can save the life of a person suffering a severe allergic reaction. Recently there’s been outcry over large price hikes for the devices, which have forced some people to seek other alternatives or go without. Experts discuss the economics involved and what patients can do to be protected without going broke.