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"content": "\u003cp>\u003cem>Healthcare is not a science problem; it’s an information problem\u003c/em>. Thomas Goetz, TEDMED 2010\u003c/p>\n\u003cfigure id=\"attachment_6626\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Todd_Park.jpg\">\u003cimg class=\"size-medium wp-image-6626\" title=\"Todd_Park\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Todd_Park-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Todd Park speaks at the Commonwealth Club in SF. (Photo: gobemore.com)\u003c/figcaption>\u003c/figure>\n\u003cp>Bank and airline customers rely on sophisticated systems that allow them to personalize and track complex data. \u003cstrong>\u003c/strong>\u003cstrong>\u003c/strong>But consumers of the services and products that comprise modern\u003cem> health care\u003c/em> – the patients -- currently are offered much more rudimentary data handling.\u003cspan style=\"color: #000000\"> Faxed prescriptions, paper medical charts and X-rays on film -- though not uncommon -- are examples of outdated methods of recording and sharing data.\u003c/span>\u003c/p>\n\u003cp>The forces needed to improve patient information systems are gaining momentum, said \u003ca href=\"http://www.whitehouse.gov/administration/eop/ostp/about/leadershipstaff/park\" target=\"_blank\">Todd Park, US Chief Technology Officer\u003c/a> (CTO). Speaking June 18 at The Commonwealth Club in San Francisco, Park acknowledged the movement is in its infancy but said the nation’s healthcare information system is “light years ahead of where it was two years ago.”\u003c/p>\n\u003cp>Park’s trademark enthusiasm was also evident as he talked about the campaign to provide newly-authorized access to government data to software developers and entrepreneurs. The federal \u003ca href=\"http://www.hhs.gov/open/initiatives/hdi/\">Health Data Initiative\u003c/a> seeks to provide Health and Human Services (HHS) data to the public, free and with no strings attached, in effort to trigger the creation of health-related applications.\u003c/p>\n\u003cp>The campaign has precedent in other government bodies. For example, The Weather Channel exists because \u003ca href=\"http://www.noaa.gov/\" target=\"_blank\">National Oceanic and Atmospheric Administration\u003c/a> (NOAA) data was made public. Location-based services such as real-time driving directions rely on GPS, a system of satellites also owned by the government.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c!--more-->The HHS effort began in 2010 when the agency published its \u003ca href=\"http://www.hhs.gov/open/plan/opengovernmentplan/index.html\" target=\"_blank\">Open Government plan\u003c/a>, which says in part that its “vast stores of data” are:\u003c/p>\n\u003cblockquote>\u003cp>…a remarkable national resource which can be utilized…to increase awareness of health and human services issues, generate insights into how to improve health and well-being, spark public and private sector innovation and action, and provide the basis for new products and services that can benefit the American people.\u003c/p>\u003c/blockquote>\n\u003cp>Two key elements necessary to turn this public data resource into better health and financial reward are 1) a robust private/public partnership and 2) a rethinking of the traditional roles of doctors and patients, \u003cspan style=\"color: #000000\">who are increasingly taking greater responsibility for making decisions about their care.\u003c/span>\u003c/p>\n\u003cp>Creative and business partnerships are gaining momentum in spurts of work known as “hackathons” and “\u003ca href=\"http://www.hdiforum.org/\">datapaloozas\u003c/a>,” and in business incubators across the country. Software coders and engineers are collaborating with healthcare providers to unlock the information contained in the data.\u003c/p>\n\u003cp>To create something useful, designers need to ask the right questions: of the data, of healthcare providers and of the public. Although patients couldn't previously see it, HHS has collected data about patient satisfaction and safety in US hospitals for years, primarily for hospital administrators to use. HHS also knows that \u003ca href=\"http://pewinternet.orghttp/pewinternet.org/Trend-Data-%28Adults%29/Online-Activites-Total.aspx/Trend-Data-%28Adults%29/Online-Activites-Total.aspx\">80 percent\u003c/a> of adult Internet users now search online for health information and nearly 90 percent of Americans have a cell phone. Under the new initiative, they asked what the data could mean to patients.\u003c/p>\n\u003cp>Creating a new purpose and meaning for the data --\u003cspan style=\"color: #000000\"> enabling informed patient choice –\u003c/span> led to “\u003ca href=\"http://www.hospitalcompare.hhs.gov/\">Hospital Compare\u003c/a>.” The site allows users to easily search for hospitals by zip code and to compare patient satisfaction and safety scores using a familiar interface that works like comparison shopping.\u003c/p>\n\u003cp>But the biggest driver of change is the private sector, which has enthusiastically taken up the “free the data” challenge. Park estimated that 90 percent of the more than 200 groups who competed at the June \u003ca href=\"http://www.hdiforum.org/page/show/462529-health-datapalooza-agenda\" target=\"_blank\">Datapalooza\u003c/a> were startups. \u003cspan style=\"color: #000000\">Park raved about the results achieved by some of the coders. The teams with the least healthcare experience tackled some of the toughest public health challenges because \"they didn’t understand that some healthcare problems are considered intractable,” Park said with a chuckle.\u003c/span> Successful healthcare app designers bring consumers user-experience knowledge: they know how to unlock the potential of the data, he said. After all, “we have a deluge of data, but a paucity of information.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Eve Harris is a Bay Area writer and patient advocate blogging at \u003ca href=\"http://eve-harris.blogspot.com/\" target=\"_blank\">www.eveharris.com\u003c/a>\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Healthcare is not a science problem; it’s an information problem\u003c/em>. Thomas Goetz, TEDMED 2010\u003c/p>\n\u003cfigure id=\"attachment_6626\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Todd_Park.jpg\">\u003cimg class=\"size-medium wp-image-6626\" title=\"Todd_Park\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Todd_Park-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Todd Park speaks at the Commonwealth Club in SF. (Photo: gobemore.com)\u003c/figcaption>\u003c/figure>\n\u003cp>Bank and airline customers rely on sophisticated systems that allow them to personalize and track complex data. \u003cstrong>\u003c/strong>\u003cstrong>\u003c/strong>But consumers of the services and products that comprise modern\u003cem> health care\u003c/em> – the patients -- currently are offered much more rudimentary data handling.\u003cspan style=\"color: #000000\"> Faxed prescriptions, paper medical charts and X-rays on film -- though not uncommon -- are examples of outdated methods of recording and sharing data.\u003c/span>\u003c/p>\n\u003cp>The forces needed to improve patient information systems are gaining momentum, said \u003ca href=\"http://www.whitehouse.gov/administration/eop/ostp/about/leadershipstaff/park\" target=\"_blank\">Todd Park, US Chief Technology Officer\u003c/a> (CTO). Speaking June 18 at The Commonwealth Club in San Francisco, Park acknowledged the movement is in its infancy but said the nation’s healthcare information system is “light years ahead of where it was two years ago.”\u003c/p>\n\u003cp>Park’s trademark enthusiasm was also evident as he talked about the campaign to provide newly-authorized access to government data to software developers and entrepreneurs. The federal \u003ca href=\"http://www.hhs.gov/open/initiatives/hdi/\">Health Data Initiative\u003c/a> seeks to provide Health and Human Services (HHS) data to the public, free and with no strings attached, in effort to trigger the creation of health-related applications.\u003c/p>\n\u003cp>The campaign has precedent in other government bodies. For example, The Weather Channel exists because \u003ca href=\"http://www.noaa.gov/\" target=\"_blank\">National Oceanic and Atmospheric Administration\u003c/a> (NOAA) data was made public. Location-based services such as real-time driving directions rely on GPS, a system of satellites also owned by the government.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c!--more-->The HHS effort began in 2010 when the agency published its \u003ca href=\"http://www.hhs.gov/open/plan/opengovernmentplan/index.html\" target=\"_blank\">Open Government plan\u003c/a>, which says in part that its “vast stores of data” are:\u003c/p>\n\u003cblockquote>\u003cp>…a remarkable national resource which can be utilized…to increase awareness of health and human services issues, generate insights into how to improve health and well-being, spark public and private sector innovation and action, and provide the basis for new products and services that can benefit the American people.\u003c/p>\u003c/blockquote>\n\u003cp>Two key elements necessary to turn this public data resource into better health and financial reward are 1) a robust private/public partnership and 2) a rethinking of the traditional roles of doctors and patients, \u003cspan style=\"color: #000000\">who are increasingly taking greater responsibility for making decisions about their care.\u003c/span>\u003c/p>\n\u003cp>Creative and business partnerships are gaining momentum in spurts of work known as “hackathons” and “\u003ca href=\"http://www.hdiforum.org/\">datapaloozas\u003c/a>,” and in business incubators across the country. Software coders and engineers are collaborating with healthcare providers to unlock the information contained in the data.\u003c/p>\n\u003cp>To create something useful, designers need to ask the right questions: of the data, of healthcare providers and of the public. Although patients couldn't previously see it, HHS has collected data about patient satisfaction and safety in US hospitals for years, primarily for hospital administrators to use. HHS also knows that \u003ca href=\"http://pewinternet.orghttp/pewinternet.org/Trend-Data-%28Adults%29/Online-Activites-Total.aspx/Trend-Data-%28Adults%29/Online-Activites-Total.aspx\">80 percent\u003c/a> of adult Internet users now search online for health information and nearly 90 percent of Americans have a cell phone. Under the new initiative, they asked what the data could mean to patients.\u003c/p>\n\u003cp>Creating a new purpose and meaning for the data --\u003cspan style=\"color: #000000\"> enabling informed patient choice –\u003c/span> led to “\u003ca href=\"http://www.hospitalcompare.hhs.gov/\">Hospital Compare\u003c/a>.” The site allows users to easily search for hospitals by zip code and to compare patient satisfaction and safety scores using a familiar interface that works like comparison shopping.\u003c/p>\n\u003cp>But the biggest driver of change is the private sector, which has enthusiastically taken up the “free the data” challenge. Park estimated that 90 percent of the more than 200 groups who competed at the June \u003ca href=\"http://www.hdiforum.org/page/show/462529-health-datapalooza-agenda\" target=\"_blank\">Datapalooza\u003c/a> were startups. \u003cspan style=\"color: #000000\">Park raved about the results achieved by some of the coders. The teams with the least healthcare experience tackled some of the toughest public health challenges because \"they didn’t understand that some healthcare problems are considered intractable,” Park said with a chuckle.\u003c/span> Successful healthcare app designers bring consumers user-experience knowledge: they know how to unlock the potential of the data, he said. After all, “we have a deluge of data, but a paucity of information.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Eve Harris is a Bay Area writer and patient advocate blogging at \u003ca href=\"http://eve-harris.blogspot.com/\" target=\"_blank\">www.eveharris.com\u003c/a>\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_6672\" class=\"wp-caption alignleft\" style=\"max-width: 250px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/soda.jpg\">\u003cimg class=\"size-full wp-image-6672\" title=\"soda\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/soda.jpg\" alt=\"\" width=\"250\" height=\"250\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda.jpg 250w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-75x75.jpg 75w\" sizes=\"(max-width: 250px) 100vw, 250px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Some soda companies have begun using cause marketing to curry public favor in the face of criticism. (La Piazza Pizzeria/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>If you were watching the Superbowl in 2010 when the Packers beat the Steelers, you may have noticed that Pepsi commercials were absent from the ads that were vying for the attention of millions of viewers. Instead, Pepsi announced Pepsi Refresh, a project to take the $20 million dollars it would have spent on Superbowl advertising and give it to a good cause. They used a \u003ca href=\"http://mashable.com/2010/12/15/pepsi-refresh-vote/\">vast social media campaign\u003c/a> to involve the public in voting for which cause would get the money.\u003c/p>\n\u003cp>Pepsi's good deed did put $20 million dollars into the hands of organizations working to solve global problems, but Pepsi got something back too -- loyal consumers. The campaign was a splashy example of a new strategy called \"cause marketing\" that plays off a growing trend of corporate social responsibility. But this money comes directly out of Pepsi's brand marketing budget, not their philanthropy arm.\u003c/p>\n\u003cp>\"There are some really revealing statements in the industry literature from executives at Pepsi saying very explicitly what they were trying to do,\" explained Lori Dorfman, Director of the \u003ca href=\"http://www.bmsg.org/\">Berkeley Media Studies Group\u003c/a>. \"And one of the things they were trying to do is get the attention of and favorability of millennials,\" she added.\u003c/p>\n\u003cp>Dorfman and her colleagues have been digging into the nitty-gritty of the beverage industry to draw comparisons between the marketing strategies of big tobacco and those of soda companies, who have recently come under attack for the role their sugary product is playing in rising obesity rates.\u003c/p>\n\u003cp>[youtube http://www.youtube.com/watch?v=ZXDvzPx8zTc]\u003c/p>\n\u003cp>\u003c!--more-->\u003ca href=\"http://www.ploscollections.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001241;jsessionid=080429D0F90AF1047DB6F2732F46A9D0\">The article\u003c/a> that Berkeley Media Studies Group published in \u003ca href=\"http://www.plosmedicine.org/home.action\" target=\"_blank\">PLoS Medicine\u003c/a> is part of a \u003ca href=\"http://www.ploscollections.org/article/browseIssue.action?issue=info:doi/10.1371/issue.pcol.v07.i17\">broader series\u003c/a> launched by the international public health journal to look at the immense cultural and political power of \"big food.\" They use the term \"big food\" to talk about multinational food and beverage companies and to draw the analogy to big tobacco.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Food, unlike tobacco and drugs, is necessary to live and is central to health and disease,\" wrote the journal's editors in \u003ca href=\"http://www.ploscollections.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001246;jsessionid=080429D0F90AF1047DB6F2732F46A9D0\">preface to the series\u003c/a>. \"And yet the big multinational food companies control what people everywhere eat, resulting in a stark and sick irony: one billion people on the planet are hungry while two billion are obese or overweight.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">\"They are explicitly going after kids and trying to sell product with corporate social responsibility campaigns.\"\u003c/aside>\n\u003cp>Tobacco companies have been under attack since the 1960s for selling an unhealthy product. Now, food and beverage companies are using tricks tobacco learned, like corporate social responsibility -- but they've added their own twist. \"What we know about what's different about soda companies is that they are explicitly going after kids and trying to sell product with corporate social responsibility campaigns, something that I think they're breaking new ground in that regard,\" said Dorfman.\u003c/p>\n\u003cp>The campaign is simple: people -- especially young people aged 11-31 -- like companies that do good in the world, so \"cause marketing\" engenders loyal customers at the emotional level. Buying Pepsi also gets a consumer more votes for her cause of choice.\u003c/p>\n\u003cp>But that's not all. The strategy is designed to thwart damaging policies as well. \"For the tobacco companies it's not just the public and policymakers that they're concerned about, it's future juries that they are concerned about,\" Dorfman explained. \"And with soda companies, I would guess that they are concerned about future voters because people are starting to get concerned about this.\"\u003c/p>\n\u003cp>Indeed, Richmond, a few miles north of San Francisco, is poised to become the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/05/16/richmond-voters-will-decide-on-soda-tax/\">first city to tax soda\u003c/a> as an anti-obesity strategy, if voters approve the measure in November. Big efforts are being made in \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/06/12/why-is-mayor-bloomberg-a-nanny/\">New York\u003c/a> to limit access to sugary drinks, and everywhere people are talking about rising obesity rates and the attenuating health risks and costs. In many ways the outrage over what soda companies sell, does mirror concerns about tobacco.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>There's one big difference, though -- the tobacco industry is forbidden from marketing directly to youth. Not so with soda companies. And, Dorfman points out a glaring hole in the corporate social responsibility model. \"If their number one responsibility is to their shareholders, that makes their pledges about health secondary, at minimum,\" she said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_6672\" class=\"wp-caption alignleft\" style=\"max-width: 250px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/soda.jpg\">\u003cimg class=\"size-full wp-image-6672\" title=\"soda\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/soda.jpg\" alt=\"\" width=\"250\" height=\"250\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda.jpg 250w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-75x75.jpg 75w\" sizes=\"(max-width: 250px) 100vw, 250px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Some soda companies have begun using cause marketing to curry public favor in the face of criticism. (La Piazza Pizzeria/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>If you were watching the Superbowl in 2010 when the Packers beat the Steelers, you may have noticed that Pepsi commercials were absent from the ads that were vying for the attention of millions of viewers. Instead, Pepsi announced Pepsi Refresh, a project to take the $20 million dollars it would have spent on Superbowl advertising and give it to a good cause. They used a \u003ca href=\"http://mashable.com/2010/12/15/pepsi-refresh-vote/\">vast social media campaign\u003c/a> to involve the public in voting for which cause would get the money.\u003c/p>\n\u003cp>Pepsi's good deed did put $20 million dollars into the hands of organizations working to solve global problems, but Pepsi got something back too -- loyal consumers. The campaign was a splashy example of a new strategy called \"cause marketing\" that plays off a growing trend of corporate social responsibility. But this money comes directly out of Pepsi's brand marketing budget, not their philanthropy arm.\u003c/p>\n\u003cp>\"There are some really revealing statements in the industry literature from executives at Pepsi saying very explicitly what they were trying to do,\" explained Lori Dorfman, Director of the \u003ca href=\"http://www.bmsg.org/\">Berkeley Media Studies Group\u003c/a>. \"And one of the things they were trying to do is get the attention of and favorability of millennials,\" she added.\u003c/p>\n\u003cp>Dorfman and her colleagues have been digging into the nitty-gritty of the beverage industry to draw comparisons between the marketing strategies of big tobacco and those of soda companies, who have recently come under attack for the role their sugary product is playing in rising obesity rates.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/ZXDvzPx8zTc'\n title='//www.youtube.com/embed/ZXDvzPx8zTc'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003c!--more-->\u003ca href=\"http://www.ploscollections.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001241;jsessionid=080429D0F90AF1047DB6F2732F46A9D0\">The article\u003c/a> that Berkeley Media Studies Group published in \u003ca href=\"http://www.plosmedicine.org/home.action\" target=\"_blank\">PLoS Medicine\u003c/a> is part of a \u003ca href=\"http://www.ploscollections.org/article/browseIssue.action?issue=info:doi/10.1371/issue.pcol.v07.i17\">broader series\u003c/a> launched by the international public health journal to look at the immense cultural and political power of \"big food.\" They use the term \"big food\" to talk about multinational food and beverage companies and to draw the analogy to big tobacco.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Food, unlike tobacco and drugs, is necessary to live and is central to health and disease,\" wrote the journal's editors in \u003ca href=\"http://www.ploscollections.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001246;jsessionid=080429D0F90AF1047DB6F2732F46A9D0\">preface to the series\u003c/a>. \"And yet the big multinational food companies control what people everywhere eat, resulting in a stark and sick irony: one billion people on the planet are hungry while two billion are obese or overweight.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">\"They are explicitly going after kids and trying to sell product with corporate social responsibility campaigns.\"\u003c/aside>\n\u003cp>Tobacco companies have been under attack since the 1960s for selling an unhealthy product. Now, food and beverage companies are using tricks tobacco learned, like corporate social responsibility -- but they've added their own twist. \"What we know about what's different about soda companies is that they are explicitly going after kids and trying to sell product with corporate social responsibility campaigns, something that I think they're breaking new ground in that regard,\" said Dorfman.\u003c/p>\n\u003cp>The campaign is simple: people -- especially young people aged 11-31 -- like companies that do good in the world, so \"cause marketing\" engenders loyal customers at the emotional level. Buying Pepsi also gets a consumer more votes for her cause of choice.\u003c/p>\n\u003cp>But that's not all. The strategy is designed to thwart damaging policies as well. \"For the tobacco companies it's not just the public and policymakers that they're concerned about, it's future juries that they are concerned about,\" Dorfman explained. \"And with soda companies, I would guess that they are concerned about future voters because people are starting to get concerned about this.\"\u003c/p>\n\u003cp>Indeed, Richmond, a few miles north of San Francisco, is poised to become the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/05/16/richmond-voters-will-decide-on-soda-tax/\">first city to tax soda\u003c/a> as an anti-obesity strategy, if voters approve the measure in November. Big efforts are being made in \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/06/12/why-is-mayor-bloomberg-a-nanny/\">New York\u003c/a> to limit access to sugary drinks, and everywhere people are talking about rising obesity rates and the attenuating health risks and costs. In many ways the outrage over what soda companies sell, does mirror concerns about tobacco.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>There's one big difference, though -- the tobacco industry is forbidden from marketing directly to youth. Not so with soda companies. And, Dorfman points out a glaring hole in the corporate social responsibility model. \"If their number one responsibility is to their shareholders, that makes their pledges about health secondary, at minimum,\" she said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "PSA Debate on Morning TV: American Cancer Society vs. Basketball Coach",
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"content": "\u003cp>The debate about the U.S. Preventative Services Task Force giving the \u003ca title=\"http://ww2.kqed.org/stateofhealth/jp/quick-read-stop-doing-the-psa-test-now/\" href=\"http://ww2.kqed.org/stateofhealth/jp/quick-read-stop-doing-the-psa-test-now/\" target=\"_blank\">PSA test a \"D\" rating\u003c/a> was all over the morning talk shows today. But perhaps the most interesting debate happened during a commercial break. While this clip did not air, CBS fortunately recorded it.\u003c/p>\n\u003cp>Watch as\u003ca title=\"http://pressroom.cancer.org/index.php?s=18&item=40\" href=\"http://pressroom.cancer.org/index.php?s=18&item=40\" target=\"_blank\"> Dr. Otis Brawley\u003c/a>, Chief Medical Officer of the American Cancer Society, and former basketball coach \u003ca title=\"http://www.espnmediazone3.com/us/2009/11/17/phelps_digger/\" href=\"http://www.espnmediazone3.com/us/2009/11/17/phelps_digger/\" target=\"_blank\">Digger Phelps\u003c/a>, who has had surgery for prostate cancer clearly articulate the two opposing poles of the PSA test.\u003c/p>\n\u003cp>\u003cobject width=\"425\" height=\"279\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"src\" value=\"http://cnettv.cnet.com/av/video/cbsnews/atlantis2/cbsnews_player_embed.swf\">\u003cparam name=\"allowfullscreen\" value=\"true\">\u003cparam name=\"allowscriptaccess\" value=\"always\">\u003cparam name=\"flashvars\" value=\"si=254&contentValue=50125119&shareUrl=http://www.cbsnews.com/video/watch/?id=7409376n\">\u003cembed width=\"425\" height=\"279\" type=\"application/x-shockwave-flash\" src=\"http://cnettv.cnet.com/av/video/cbsnews/atlantis2/cbsnews_player_embed.swf\" allowfullscreen=\"true\" allowscriptaccess=\"always\" flashvars=\"si=254&contentValue=50125119&shareUrl=http://www.cbsnews.com/video/watch/?id=7409376n\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>Hat/Tip to \u003ca title=\"http://www.healthnewsreview.org/2012/05/reactions-to-uspstf-prostate-cancer-screening-recommendations/\" href=\"http://www.healthnewsreview.org/2012/05/reactions-to-uspstf-prostate-cancer-screening-recommendations/\" target=\"_blank\">HealthNewsReview \u003c/a>for blogging the video.\u003c/p>\n\u003cp>Near the end, Phelps passionately argues against \"watchful waiting,\" saying the idea of having cancer is too frightening to postpone treatment. Brawley starts to make the case for informed consent, but doesn't have time to finish in this clip.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But this is exactly the paradox of going ahead and doing the test. Brawley estimates \u003ca title=\"http://www.npr.org/blogs/health/2012/05/21/153234671/all-routine-psa-tests-for-prostate-cancer-should-end-task-force-says?ps=sh_sthdl\" href=\"http://www.npr.org/blogs/health/2012/05/21/153234671/all-routine-psa-tests-for-prostate-cancer-should-end-task-force-says?ps=sh_sthdl\" target=\"_blank\">a million men\u003c/a> have been needlessly cured of their prostate cancer-- a disease men are significantly more likely to die \u003cem>with\u003c/em> and not \u003cem>from\u003c/em>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>This is what's behind the \u003ca title=\"http://www.ahrq.gov/clinic/uspstfix.htm\" href=\"http://www.ahrq.gov/clinic/uspstfix.htm\" target=\"_blank\">U.S. Preventive Services Task Force\u003c/a> recommendation: if you can't live with doing nothing in the face of a prostate cancer diagnosis, then don't have the PSA test in the first place. You are more likely to be harmed by the treatment--the harms range from incontinence, impotence and death.\u003c/p>\n\n",
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"excerpt": "The debate about the U.S. Preventative Services Task Force giving the PSA test a \"D\" rating was all over the morning talk shows today. But perhaps the most interesting debate happened during a commercial break. While this clip did not air, CBS fortunately recorded it.\r\n\r\nWatch as Dr. Otis Brawley, Chief Medical Officer of the American Cancer Society, and former basketball coach Digger Phelps, who has had surgery for prostate cancer clearly articulate the two opposing poles of the PSA test.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The debate about the U.S. Preventative Services Task Force giving the \u003ca title=\"http://ww2.kqed.org/stateofhealth/jp/quick-read-stop-doing-the-psa-test-now/\" href=\"http://ww2.kqed.org/stateofhealth/jp/quick-read-stop-doing-the-psa-test-now/\" target=\"_blank\">PSA test a \"D\" rating\u003c/a> was all over the morning talk shows today. But perhaps the most interesting debate happened during a commercial break. While this clip did not air, CBS fortunately recorded it.\u003c/p>\n\u003cp>Watch as\u003ca title=\"http://pressroom.cancer.org/index.php?s=18&item=40\" href=\"http://pressroom.cancer.org/index.php?s=18&item=40\" target=\"_blank\"> Dr. Otis Brawley\u003c/a>, Chief Medical Officer of the American Cancer Society, and former basketball coach \u003ca title=\"http://www.espnmediazone3.com/us/2009/11/17/phelps_digger/\" href=\"http://www.espnmediazone3.com/us/2009/11/17/phelps_digger/\" target=\"_blank\">Digger Phelps\u003c/a>, who has had surgery for prostate cancer clearly articulate the two opposing poles of the PSA test.\u003c/p>\n\u003cp>\u003cobject width=\"425\" height=\"279\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"src\" value=\"http://cnettv.cnet.com/av/video/cbsnews/atlantis2/cbsnews_player_embed.swf\">\u003cparam name=\"allowfullscreen\" value=\"true\">\u003cparam name=\"allowscriptaccess\" value=\"always\">\u003cparam name=\"flashvars\" value=\"si=254&contentValue=50125119&shareUrl=http://www.cbsnews.com/video/watch/?id=7409376n\">\u003cembed width=\"425\" height=\"279\" type=\"application/x-shockwave-flash\" src=\"http://cnettv.cnet.com/av/video/cbsnews/atlantis2/cbsnews_player_embed.swf\" allowfullscreen=\"true\" allowscriptaccess=\"always\" flashvars=\"si=254&contentValue=50125119&shareUrl=http://www.cbsnews.com/video/watch/?id=7409376n\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>Hat/Tip to \u003ca title=\"http://www.healthnewsreview.org/2012/05/reactions-to-uspstf-prostate-cancer-screening-recommendations/\" href=\"http://www.healthnewsreview.org/2012/05/reactions-to-uspstf-prostate-cancer-screening-recommendations/\" target=\"_blank\">HealthNewsReview \u003c/a>for blogging the video.\u003c/p>\n\u003cp>Near the end, Phelps passionately argues against \"watchful waiting,\" saying the idea of having cancer is too frightening to postpone treatment. Brawley starts to make the case for informed consent, but doesn't have time to finish in this clip.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But this is exactly the paradox of going ahead and doing the test. Brawley estimates \u003ca title=\"http://www.npr.org/blogs/health/2012/05/21/153234671/all-routine-psa-tests-for-prostate-cancer-should-end-task-force-says?ps=sh_sthdl\" href=\"http://www.npr.org/blogs/health/2012/05/21/153234671/all-routine-psa-tests-for-prostate-cancer-should-end-task-force-says?ps=sh_sthdl\" target=\"_blank\">a million men\u003c/a> have been needlessly cured of their prostate cancer-- a disease men are significantly more likely to die \u003cem>with\u003c/em> and not \u003cem>from\u003c/em>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>This is what's behind the \u003ca title=\"http://www.ahrq.gov/clinic/uspstfix.htm\" href=\"http://www.ahrq.gov/clinic/uspstfix.htm\" target=\"_blank\">U.S. Preventive Services Task Force\u003c/a> recommendation: if you can't live with doing nothing in the face of a prostate cancer diagnosis, then don't have the PSA test in the first place. You are more likely to be harmed by the treatment--the harms range from incontinence, impotence and death.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "A Heart Patient's Quest for Full Access to His Medical Data",
"title": "A Heart Patient's Quest for Full Access to His Medical Data",
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"content": "\u003cp>\u003cstrong>By Eve Harris\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_5920\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/x-ray-hugocampos-pa_scaled.jpg\">\u003cimg class=\"size-medium wp-image-5920\" title=\"X-ray of Hugo Campos' ICD. (Courtesy: Hugo Campos)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/x-ray-hugocampos-pa_scaled-300x168.jpg\" alt=\"X-ray of Hugo Campos' ICD. (Courtesy: Hugo Campos)\" width=\"300\" height=\"168\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">X-ray of Hugo Campos' ICD. (Courtesy: Hugo Campos)\u003c/figcaption>\u003c/figure>\n\u003cp>Hugo Campos was apologetic about postponing a scheduled interview with me two weeks ago. In a midday email he wrote, “Just had the biggest arrhythmia ever. I'm trying to recover from the scare. I might go into the ER. I'll keep you posted.”\u003c/p>\n\u003cp>Arrhythmia is when a heart unpredictably beats in an irregular rhythm. For Campos it’s a symptom of an inherited heart condition. If the arrhythmia goes untreated his heart could stop beating, putting him at risk of sudden cardiac arrest.\u003c/p>\n\u003cp>For many patients, the best treatment for arrhythmia includes an implantable cardioverter defibrillator or ICD. The ICD monitors the heartbeat and can jolt the heart back into a normal rhythm if necessary. Campos got his ICD in 2007 and his device is part pacemaker, part gentler pulses of electricity. The response of the device depends on the type of arrhythmia he experiences. In either case, the day of our cancelled interview, the ICD may well have saved his life.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“You go from feeling fine to thinking you’re going to die.”\u003c/aside>\n\u003cp>The arrhythmia episodes, or “events,” are sporadic and frustratingly unpredictable. When this event came the 46-year-old Oakland resident was working in his home office. The first thing he did -- before he called 9-1-1 was tweet his followers. Then he kept tweeting. Dave deBronkart \u003ca title=\"http://storify.com/ePatientDave/hugooc-s-er-challenge-may-9-2012\" href=\"http://storify.com/ePatientDave/hugooc-s-er-challenge-may-9-2012\" target=\"_blank\">Storified\u003c/a> Campos' dramatic and frustrating E.R visit.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“You go from feeling fine to thinking you’re going to die,” Campos said after the crisis passed. “It’s emotionally exhausting and traumatic.”\u003c!--more-->\u003c/p>\n\u003cp>Some doctors convey an attitude of “you can’t really have control over it anyway, why stress yourself out trying to figure out what causes these arrhythmias?” Campos says. But he embraces the “e-patient\" approach -- the \"e\" in this case is for patients who are engaged and empowered -- and uses technology and social media to help him manage his heart condition. “Doctors come and go; I have to be on top of this,” he said.\u003c/p>\n\u003cp>But there's one big barrier to Campos keeping on top of his heart condition -- he cannot directly access the complex data the ICD sends out about this own heart. It's sent to his doctor first. In fact, when Campos went to the E.R. he had to wait for rep from the manufacturer, Medtronic, to \"interrogate\" his own device.\u003c/p>\n\u003cp>While respectful of his treating physicians, Campos has been outspoken in \u003ca href=\"http://www.youtube.com/watch?v=oro19-l5M8k\">his quest\u003c/a> for timely access to the information from his device. “The point is to identify if there are triggers,” he said, and try to reduce the arrhythmia events by avoiding those triggers.\u003c/p>\n\u003cp>Campos uses state-of-the-art gadgets to measure his sleep, activity level, blood pressure and other aspects of health. Through his own sleuthing, he determined that caffeine and Scotch whisky could throw his heart into arrhythmia. He has sworn off both.\u003c/p>\n\u003cp>He ensures that every impulse of his ICD is continuously collected, recorded and tracked by the device manufacturer. Although reports are immediately available to treating physicians via iPhone, Campos waits, sometimes for months, to learn how his heart is performing. Even then there is no guarantee he will get the data.\u003c/p>\n\u003caside class=\"pullquote alignright\">Saxon called the movement to provide patients access to their health data “one of the more important civil rights issues of our era.”\u003c/aside>\n\u003cp>An estimated \u003ca title=\"100,000 Americans\" href=\"http://www.heartrhythmjournal.com/article/S1547-5271%2810%2900706-X/fulltext\" target=\"_blank\">100,000 Americans\u003c/a> each year receive an ICD. Dr. Leslie Saxon is the founder of the \u003ca title=\"Center for Body Computing\" href=\"http://www.uscbodycomputing.org/\" target=\"_blank\">Center for Body Computing\u003c/a> at the University of Southern California, an innovation incubation center that commercializes wireless health products. Some in the medical community don’t believe patients can handle the data unless a doctor filters it first, Saxon said in a presentation at the \u003ca title=\"TEDMED\" href=\"http://blog.tedmed.com/?p=1562\" target=\"_blank\">TEDMED\u003c/a> conference earlier this year.\u003c/p>\n\u003cp>But Saxon is one of a growing group of physicians exploring the possibility that ICDs present an opportunity for patients to be involved with their own health choices. In 2010 \u003ca title=\"http://mobihealthnews.com/9679/100k-patients-wireless-enabled-icds-halve-mortality-rate/\" href=\"http://mobihealthnews.com/9679/100k-patients-wireless-enabled-icds-halve-mortality-rate/\">Saxon told\u003c/a> MobiHealthNews, “I would like patients to learn their own data. We should create interesting software applications to motivate and reward patients to further connect them to doctors.” The Center for Body Computing counts as members many device manufacturers who could be well-positioned to develop such applications.\u003c/p>\n\u003cp>Engaging ICD patients may provide clinical benefits\u003cem>. \u003c/em>“If you treat patients … in a partnership model versus a traditional paternalistic ‘I’ll tell you what to do, I’m a doctor’ model,\" Saxon says, \"then you will get a continuous flow of information about patient symptoms that you can act on.\"\u003c/p>\n\u003cp>In addition to learning which drinks to avoid, there are other reasons why Campos is so involved: monitoring his own health metrics is a coping mechanism. It helps mitigate the uncertainty of living with the risk of sudden cardiac arrest, he says. He is also a vocal advocate on behalf of patient empowerment, speaking at conferences and moderating an \u003ca href=\"ICDusergroup.com\">ICD user group\u003c/a>.\u003c/p>\n\u003cp>Earlier this year, Medtronic told \u003ca title=\"http://science.kqed.org/quest/audio/eavesdropping-on-the-heart-a-patient’s-campaign-for-access/\" href=\"http://science.kqed.org/quest/audio/eavesdropping-on-the-heart-a-patient%E2%80%99s-campaign-for-access/\" target=\"_blank\">KQED's Amy Standen\u003c/a> that it was willing to give Campos the raw data from his device and was working to make it happen. But, Campos has yet to see his raw data, even though he's taken special training to learn to decipher it.\u003c/p>\n\u003cp>In the TEDMED spotlight, Saxon called the movement to provide patients access to their health data “one of the more important civil rights issues of our era.” Two days after his most recent trip to the emergency room, Campos said, “It’s about the road, not about the destination. That’s how I look at it. Preventing arrhythmia is a destination. Creating meaning is a road.\"\u003c/p>\n\u003cp>\"It’s important to live my life in a way that feels meaningful.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Eve Harris is a Bay Area writer. Check out her health blog, \u003ca title=\"http://eve-harris.blogspot.com/\" href=\"http://eve-harris.blogspot.com/\" target=\"_blank\">A Healthy Piece of My Mind\u003c/a>.\u003c/em>\u003c/p>\n\n",
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"excerpt": "Hugo Campos was apologetic about postponing a scheduled interview with me two weeks ago. In a midday email he wrote, “Just had the biggest arrhythmia ever. I'm trying to recover from the scare. I might go into the ER. I'll keep you posted.”\r\n\r\nArrhythmia is when a heart unpredictably beats in an irregular rhythm. For Campos it’s a symptom of an inherited heart condition. If the arrhythmia goes untreated his heart could stop beating, putting him at risk of sudden cardiac arrest.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Eve Harris\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_5920\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/x-ray-hugocampos-pa_scaled.jpg\">\u003cimg class=\"size-medium wp-image-5920\" title=\"X-ray of Hugo Campos' ICD. (Courtesy: Hugo Campos)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/x-ray-hugocampos-pa_scaled-300x168.jpg\" alt=\"X-ray of Hugo Campos' ICD. (Courtesy: Hugo Campos)\" width=\"300\" height=\"168\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">X-ray of Hugo Campos' ICD. (Courtesy: Hugo Campos)\u003c/figcaption>\u003c/figure>\n\u003cp>Hugo Campos was apologetic about postponing a scheduled interview with me two weeks ago. In a midday email he wrote, “Just had the biggest arrhythmia ever. I'm trying to recover from the scare. I might go into the ER. I'll keep you posted.”\u003c/p>\n\u003cp>Arrhythmia is when a heart unpredictably beats in an irregular rhythm. For Campos it’s a symptom of an inherited heart condition. If the arrhythmia goes untreated his heart could stop beating, putting him at risk of sudden cardiac arrest.\u003c/p>\n\u003cp>For many patients, the best treatment for arrhythmia includes an implantable cardioverter defibrillator or ICD. The ICD monitors the heartbeat and can jolt the heart back into a normal rhythm if necessary. Campos got his ICD in 2007 and his device is part pacemaker, part gentler pulses of electricity. The response of the device depends on the type of arrhythmia he experiences. In either case, the day of our cancelled interview, the ICD may well have saved his life.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“You go from feeling fine to thinking you’re going to die.”\u003c/aside>\n\u003cp>The arrhythmia episodes, or “events,” are sporadic and frustratingly unpredictable. When this event came the 46-year-old Oakland resident was working in his home office. The first thing he did -- before he called 9-1-1 was tweet his followers. Then he kept tweeting. Dave deBronkart \u003ca title=\"http://storify.com/ePatientDave/hugooc-s-er-challenge-may-9-2012\" href=\"http://storify.com/ePatientDave/hugooc-s-er-challenge-may-9-2012\" target=\"_blank\">Storified\u003c/a> Campos' dramatic and frustrating E.R visit.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“You go from feeling fine to thinking you’re going to die,” Campos said after the crisis passed. “It’s emotionally exhausting and traumatic.”\u003c!--more-->\u003c/p>\n\u003cp>Some doctors convey an attitude of “you can’t really have control over it anyway, why stress yourself out trying to figure out what causes these arrhythmias?” Campos says. But he embraces the “e-patient\" approach -- the \"e\" in this case is for patients who are engaged and empowered -- and uses technology and social media to help him manage his heart condition. “Doctors come and go; I have to be on top of this,” he said.\u003c/p>\n\u003cp>But there's one big barrier to Campos keeping on top of his heart condition -- he cannot directly access the complex data the ICD sends out about this own heart. It's sent to his doctor first. In fact, when Campos went to the E.R. he had to wait for rep from the manufacturer, Medtronic, to \"interrogate\" his own device.\u003c/p>\n\u003cp>While respectful of his treating physicians, Campos has been outspoken in \u003ca href=\"http://www.youtube.com/watch?v=oro19-l5M8k\">his quest\u003c/a> for timely access to the information from his device. “The point is to identify if there are triggers,” he said, and try to reduce the arrhythmia events by avoiding those triggers.\u003c/p>\n\u003cp>Campos uses state-of-the-art gadgets to measure his sleep, activity level, blood pressure and other aspects of health. Through his own sleuthing, he determined that caffeine and Scotch whisky could throw his heart into arrhythmia. He has sworn off both.\u003c/p>\n\u003cp>He ensures that every impulse of his ICD is continuously collected, recorded and tracked by the device manufacturer. Although reports are immediately available to treating physicians via iPhone, Campos waits, sometimes for months, to learn how his heart is performing. Even then there is no guarantee he will get the data.\u003c/p>\n\u003caside class=\"pullquote alignright\">Saxon called the movement to provide patients access to their health data “one of the more important civil rights issues of our era.”\u003c/aside>\n\u003cp>An estimated \u003ca title=\"100,000 Americans\" href=\"http://www.heartrhythmjournal.com/article/S1547-5271%2810%2900706-X/fulltext\" target=\"_blank\">100,000 Americans\u003c/a> each year receive an ICD. Dr. Leslie Saxon is the founder of the \u003ca title=\"Center for Body Computing\" href=\"http://www.uscbodycomputing.org/\" target=\"_blank\">Center for Body Computing\u003c/a> at the University of Southern California, an innovation incubation center that commercializes wireless health products. Some in the medical community don’t believe patients can handle the data unless a doctor filters it first, Saxon said in a presentation at the \u003ca title=\"TEDMED\" href=\"http://blog.tedmed.com/?p=1562\" target=\"_blank\">TEDMED\u003c/a> conference earlier this year.\u003c/p>\n\u003cp>But Saxon is one of a growing group of physicians exploring the possibility that ICDs present an opportunity for patients to be involved with their own health choices. In 2010 \u003ca title=\"http://mobihealthnews.com/9679/100k-patients-wireless-enabled-icds-halve-mortality-rate/\" href=\"http://mobihealthnews.com/9679/100k-patients-wireless-enabled-icds-halve-mortality-rate/\">Saxon told\u003c/a> MobiHealthNews, “I would like patients to learn their own data. We should create interesting software applications to motivate and reward patients to further connect them to doctors.” The Center for Body Computing counts as members many device manufacturers who could be well-positioned to develop such applications.\u003c/p>\n\u003cp>Engaging ICD patients may provide clinical benefits\u003cem>. \u003c/em>“If you treat patients … in a partnership model versus a traditional paternalistic ‘I’ll tell you what to do, I’m a doctor’ model,\" Saxon says, \"then you will get a continuous flow of information about patient symptoms that you can act on.\"\u003c/p>\n\u003cp>In addition to learning which drinks to avoid, there are other reasons why Campos is so involved: monitoring his own health metrics is a coping mechanism. It helps mitigate the uncertainty of living with the risk of sudden cardiac arrest, he says. He is also a vocal advocate on behalf of patient empowerment, speaking at conferences and moderating an \u003ca href=\"ICDusergroup.com\">ICD user group\u003c/a>.\u003c/p>\n\u003cp>Earlier this year, Medtronic told \u003ca title=\"http://science.kqed.org/quest/audio/eavesdropping-on-the-heart-a-patient’s-campaign-for-access/\" href=\"http://science.kqed.org/quest/audio/eavesdropping-on-the-heart-a-patient%E2%80%99s-campaign-for-access/\" target=\"_blank\">KQED's Amy Standen\u003c/a> that it was willing to give Campos the raw data from his device and was working to make it happen. But, Campos has yet to see his raw data, even though he's taken special training to learn to decipher it.\u003c/p>\n\u003cp>In the TEDMED spotlight, Saxon called the movement to provide patients access to their health data “one of the more important civil rights issues of our era.” Two days after his most recent trip to the emergency room, Campos said, “It’s about the road, not about the destination. That’s how I look at it. Preventing arrhythmia is a destination. Creating meaning is a road.\"\u003c/p>\n\u003cp>\"It’s important to live my life in a way that feels meaningful.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Eve Harris is a Bay Area writer. Check out her health blog, \u003ca title=\"http://eve-harris.blogspot.com/\" href=\"http://eve-harris.blogspot.com/\" target=\"_blank\">A Healthy Piece of My Mind\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_5765\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages.jpg\">\u003cimg class=\"size-medium wp-image-5765\" title=\"The FDA panel approved Truvada, an antiretroviral drug for use by healthy people to prevent HIV infection. (Justin Sullivan: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages-300x206.jpg\" alt=\"The FDA panel approved Truvada, an antiretroviral drug for use by healthy people to prevent HIV infection. (Justin Sullivan: Getty Images)\" width=\"300\" height=\"206\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The FDA panel approved Truvada, an antiretroviral drug for use by healthy people to prevent HIV infection. (Justin Sullivan: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>From AP:\u003c/p>\n\u003cblockquote>\u003cp>A panel of federal health advisers has endorsed the first drug shown to prevent HIV infection in healthy people, clearing the way for a potentially landmark approval in the 30-year-old effort against the virus that causes AIDS.\u003c/p>\n\u003cp>In a series of votes, the Food and Drug Administration advisory panel recommended approval of the daily pill Truvada for healthy people who are at high risk of contracting HIV, including gay and bisexual men and heterosexual couples with one HIV-infected person. The FDA is not required to follow the panel's advice, though it usually does. A final decision is expected by June 15.\u003c/p>\n\u003cp>Drugmaker Gilead Sciences Inc., of Foster City, already markets Truvada as a treatment for people who are infected with HIV.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->Last July, KQED's News Fix editor Jon Brooks interviewed \u003ca title=\"http://hivinsite.ucsf.edu/InSite?page=ab-01-01-02\" href=\"http://hivinsite.ucsf.edu/InSite?page=ab-01-01-02\" target=\"_blank\">Dr. Paul Volberding\u003c/a>, co-director of the Center for AIDS Research at the University of California, San Francisco, about the research into Truvada up to that time. Volberding said results showed \"the kind of effect we might expect from a very good vaccine.\" They also discussed what populations might consider using Truvada as a prophylactic and whether giving healthy people a preventative drug might induce them to engage in riskier sexual activity.\u003c/p>\n\u003cp>\u003ca title=\"http://ww2.kqed.org/news/2011/07/15/interview-new-studies-show-anti-hiv-drug-prevents-transmission/\" href=\"http://ww2.kqed.org/news/2011/07/15/interview-new-studies-show-anti-hiv-drug-prevents-transmission/\" target=\"_blank\">You can read or listen to the interview here.\u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5765\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages.jpg\">\u003cimg class=\"size-medium wp-image-5765\" title=\"The FDA panel approved Truvada, an antiretroviral drug for use by healthy people to prevent HIV infection. (Justin Sullivan: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages-300x206.jpg\" alt=\"The FDA panel approved Truvada, an antiretroviral drug for use by healthy people to prevent HIV infection. (Justin Sullivan: Getty Images)\" width=\"300\" height=\"206\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The FDA panel approved Truvada, an antiretroviral drug for use by healthy people to prevent HIV infection. (Justin Sullivan: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>From AP:\u003c/p>\n\u003cblockquote>\u003cp>A panel of federal health advisers has endorsed the first drug shown to prevent HIV infection in healthy people, clearing the way for a potentially landmark approval in the 30-year-old effort against the virus that causes AIDS.\u003c/p>\n\u003cp>In a series of votes, the Food and Drug Administration advisory panel recommended approval of the daily pill Truvada for healthy people who are at high risk of contracting HIV, including gay and bisexual men and heterosexual couples with one HIV-infected person. The FDA is not required to follow the panel's advice, though it usually does. A final decision is expected by June 15.\u003c/p>\n\u003cp>Drugmaker Gilead Sciences Inc., of Foster City, already markets Truvada as a treatment for people who are infected with HIV.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->Last July, KQED's News Fix editor Jon Brooks interviewed \u003ca title=\"http://hivinsite.ucsf.edu/InSite?page=ab-01-01-02\" href=\"http://hivinsite.ucsf.edu/InSite?page=ab-01-01-02\" target=\"_blank\">Dr. Paul Volberding\u003c/a>, co-director of the Center for AIDS Research at the University of California, San Francisco, about the research into Truvada up to that time. Volberding said results showed \"the kind of effect we might expect from a very good vaccine.\" They also discussed what populations might consider using Truvada as a prophylactic and whether giving healthy people a preventative drug might induce them to engage in riskier sexual activity.\u003c/p>\n\u003cp>\u003ca title=\"http://ww2.kqed.org/news/2011/07/15/interview-new-studies-show-anti-hiv-drug-prevents-transmission/\" href=\"http://ww2.kqed.org/news/2011/07/15/interview-new-studies-show-anti-hiv-drug-prevents-transmission/\" target=\"_blank\">You can read or listen to the interview here.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"excerpt": "It's the Time magazine cover photo that's gone viral. A Los Angeles mother breast-feeds her 3-year-old.\r\n\r\nTime's Facebook page is already logging pro, con and grossed out comments.\r\n\r\nThese articles about attachment parenting have come in waves ever since Dr. Bill Sears wrote the book on the topic he named himself more than a decade ago.",
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"disqusTitle": "New Mammogram Research for Women in Their 40s",
"title": "New Mammogram Research for Women in Their 40s",
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"content": "\u003cfigure id=\"attachment_5549\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/WomanGetsMammogram_WikimediaCommons.jpg\">\u003cimg class=\"size-medium wp-image-5549\" title=\"(Photo: U.S. Navy)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/WomanGetsMammogram_WikimediaCommons-300x203.jpg\" alt=\"(Photo: U.S. Navy)\" width=\"300\" height=\"203\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Photo: U.S. Navy)\u003c/figcaption>\u003c/figure>\n\u003cp>It's hard to believe that a one in a hundred risk of something bad happening would generate so much heated debate, but that's where we're at when it comes to the question of mammograms for women in their 40s. Since breast cancer is a disease which risk increases with age, the clear cut off point for mammography has been age 50. Mammography will find cancer in women in their 40s, but will carry a much higher risk of false positives.\u003c/p>\n\u003cp>Specifically, a 40-year-old woman has a 1.5 percent chance of developing breast cancer at some point during her 40s. The 1-in-8 chance repeated so frequently is over a lifetime -- up to age 80.\u003c/p>\n\u003cp>While mammography is the best tool we have in detecting breast cancer, it's not a perfect test. Mammograms will pick up abnormalities that are not breast cancer. The problem is that doctors can't say definitively these abnormalities are benign without further testing. Sometimes that means having an additional mammogram, sometimes women must then have a biopsy. In the meantime, many of these women are worrying.\u003c!--more-->\u003c/p>\n\u003cp>The when-to-start mammography debate has been going on for \u003ca title=\"http://www.nytimes.com/1993/02/26/us/studies-say-mammograms-fail-to-help-many-women.html\" href=\"http://www.nytimes.com/1993/02/26/us/studies-say-mammograms-fail-to-help-many-women.html\" target=\"_blank\">almost twenty years\u003c/a>. More recently, in 2009, the\u003ca title=\"http://www.uspreventiveservicestaskforce.org/uspstf/uspsbrca.htm\" href=\"http://www.uspreventiveservicestaskforce.org/uspstf/uspsbrca.htm\" target=\"_blank\"> U.S. Preventive Services Task Force\u003c/a> re-ignited the debate when it stopped short of making an explicit recommendation that women in their 40's be screened and instead said that the decision was an \"individual one.\"\u003c/p>\n\u003cp>Today two studies in the \u003ca title=\"http://www.annals.org/content/156/9/609.abstract\" href=\"http://www.annals.org/content/156/9/609.abstract\" target=\"_blank\">Annals of Internal Medicine \u003c/a>have some hard data to help individual women make that decision. In a review of 9.5 million mammograms from across the country, researchers say that two groups of women in their 40's are at increased risk of developing breast cancer. These two risks are a close family relative with breast cancer -- a mother, sister or daughter --- and extremely dense breast tissue.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>These risk factors put 40-49 year old women at the same risk of developing breast cancer as women in their 50's -- 2.5 percent over the decade-- and researchers say have crossed the \"tipping point\" where the benefit of mammography outweighs the possible harms of false positives. \"The main takeaway,\" says Dr. Karla Kerlikowske of U.C. San Francisco and a co-author of both studies, \"is that we need to move in the direction of what’s been coined 'risk-based screening' where whether you have a mammogram or not is not just based on your age, but based on your overall risk of breast cancer.\"\u003c/p>\n\u003cp>But talk to just about any woman and they will tell you of the 40-something they know with breast cancer. Soon enough the discussion becomes very emotional.\u003ca title=\"http://pressroom.cancer.org/index.php?s=18&item=40\" href=\"http://pressroom.cancer.org/index.php?s=18&item=40\" target=\"_blank\"> Dr. Otis Brawley\u003c/a>, Chief Medical Officer of the American Society, wrote an accompanying \u003ca title=\"http://www.annals.org/content/156/9/662.full\" href=\"http://www.annals.org/content/156/9/662.full\" target=\"_blank\">editorial\u003c/a> in the \u003cem>Annals \u003c/em>addressing maximizing benefits and minimizing harms. \"Risk-based screening can refocus efforts onto the women who are most likely to benefit from screening,\" he writes. \"This would not be a reduction in resources used; it would be a more effective use of resources. Risk-based screening has the potential to save more lives than our current practice.\"\u003c/p>\n\u003cp>Still, at least for the time-being, the American Cancer Society continues to recommend \u003ca title=\"http://www.cancer.org/Healthy/FindCancerEarly/CancerScreeningGuidelines/american-cancer-society-guidelines-for-the-early-detection-of-cancer\" href=\"http://www.cancer.org/Healthy/FindCancerEarly/CancerScreeningGuidelines/american-cancer-society-guidelines-for-the-early-detection-of-cancer\" target=\"_blank\">annual mammograms\u003c/a> for women starting at age 40.\u003c/p>\n\u003cp>\u003ca title=\"http://mydoctor.kaiserpermanente.org/ncal/provider/susankutner/resources/dc/article?article=article_177803.xml&contentTitle=Telephonic%20Wellness%20Coaching\" href=\"http://mydoctor.kaiserpermanente.org/ncal/provider/susankutner/resources/dc/article?article=article_177803.xml&contentTitle=Telephonic%20Wellness%20Coaching\" target=\"_blank\">Dr. Susan Kutner\u003c/a> is Chair of the Northern California Kaiser Breast Care Task Force and was not involved with the studies. She welcomes the new data. \"What these articles address is there are some women ages 40-49 who would benefit from screening,\" she told me. \"Personalizing their screening based on their risk is really important, and that's what we're learning as we analyze this data.\"\u003c/p>\n\u003cp>\u003cstrong>Learn More:\u003c/strong>\u003cbr>\n\u003cstrong>\u003c/strong>KQED's Forum addressed the new research today. You can listen to the program here:\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201205010930.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201205010930.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "It's hard to believe that a one in a hundred risk of something bad happening would generate so much heated debate, but that's where we're at when it comes to the question of mammograms for women in their 40's. Since breast cancer is a disease which increases with age, the clear cut off point for mammography has been age 50. Mammography will find cancer in women in their 40s, but will carry a much higher risk of false positives.\r\n\r\nSpecifically, a 40 year old woman has a 1.5 percent chance of developing breast cancer at some point during her 40s. The 1-in-8 chance repeated so frequently is over a lifetime -- up to age 80.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5549\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/WomanGetsMammogram_WikimediaCommons.jpg\">\u003cimg class=\"size-medium wp-image-5549\" title=\"(Photo: U.S. Navy)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/WomanGetsMammogram_WikimediaCommons-300x203.jpg\" alt=\"(Photo: U.S. Navy)\" width=\"300\" height=\"203\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Photo: U.S. Navy)\u003c/figcaption>\u003c/figure>\n\u003cp>It's hard to believe that a one in a hundred risk of something bad happening would generate so much heated debate, but that's where we're at when it comes to the question of mammograms for women in their 40s. Since breast cancer is a disease which risk increases with age, the clear cut off point for mammography has been age 50. Mammography will find cancer in women in their 40s, but will carry a much higher risk of false positives.\u003c/p>\n\u003cp>Specifically, a 40-year-old woman has a 1.5 percent chance of developing breast cancer at some point during her 40s. The 1-in-8 chance repeated so frequently is over a lifetime -- up to age 80.\u003c/p>\n\u003cp>While mammography is the best tool we have in detecting breast cancer, it's not a perfect test. Mammograms will pick up abnormalities that are not breast cancer. The problem is that doctors can't say definitively these abnormalities are benign without further testing. Sometimes that means having an additional mammogram, sometimes women must then have a biopsy. In the meantime, many of these women are worrying.\u003c!--more-->\u003c/p>\n\u003cp>The when-to-start mammography debate has been going on for \u003ca title=\"http://www.nytimes.com/1993/02/26/us/studies-say-mammograms-fail-to-help-many-women.html\" href=\"http://www.nytimes.com/1993/02/26/us/studies-say-mammograms-fail-to-help-many-women.html\" target=\"_blank\">almost twenty years\u003c/a>. More recently, in 2009, the\u003ca title=\"http://www.uspreventiveservicestaskforce.org/uspstf/uspsbrca.htm\" href=\"http://www.uspreventiveservicestaskforce.org/uspstf/uspsbrca.htm\" target=\"_blank\"> U.S. Preventive Services Task Force\u003c/a> re-ignited the debate when it stopped short of making an explicit recommendation that women in their 40's be screened and instead said that the decision was an \"individual one.\"\u003c/p>\n\u003cp>Today two studies in the \u003ca title=\"http://www.annals.org/content/156/9/609.abstract\" href=\"http://www.annals.org/content/156/9/609.abstract\" target=\"_blank\">Annals of Internal Medicine \u003c/a>have some hard data to help individual women make that decision. In a review of 9.5 million mammograms from across the country, researchers say that two groups of women in their 40's are at increased risk of developing breast cancer. These two risks are a close family relative with breast cancer -- a mother, sister or daughter --- and extremely dense breast tissue.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>These risk factors put 40-49 year old women at the same risk of developing breast cancer as women in their 50's -- 2.5 percent over the decade-- and researchers say have crossed the \"tipping point\" where the benefit of mammography outweighs the possible harms of false positives. \"The main takeaway,\" says Dr. Karla Kerlikowske of U.C. San Francisco and a co-author of both studies, \"is that we need to move in the direction of what’s been coined 'risk-based screening' where whether you have a mammogram or not is not just based on your age, but based on your overall risk of breast cancer.\"\u003c/p>\n\u003cp>But talk to just about any woman and they will tell you of the 40-something they know with breast cancer. Soon enough the discussion becomes very emotional.\u003ca title=\"http://pressroom.cancer.org/index.php?s=18&item=40\" href=\"http://pressroom.cancer.org/index.php?s=18&item=40\" target=\"_blank\"> Dr. Otis Brawley\u003c/a>, Chief Medical Officer of the American Society, wrote an accompanying \u003ca title=\"http://www.annals.org/content/156/9/662.full\" href=\"http://www.annals.org/content/156/9/662.full\" target=\"_blank\">editorial\u003c/a> in the \u003cem>Annals \u003c/em>addressing maximizing benefits and minimizing harms. \"Risk-based screening can refocus efforts onto the women who are most likely to benefit from screening,\" he writes. \"This would not be a reduction in resources used; it would be a more effective use of resources. Risk-based screening has the potential to save more lives than our current practice.\"\u003c/p>\n\u003cp>Still, at least for the time-being, the American Cancer Society continues to recommend \u003ca title=\"http://www.cancer.org/Healthy/FindCancerEarly/CancerScreeningGuidelines/american-cancer-society-guidelines-for-the-early-detection-of-cancer\" href=\"http://www.cancer.org/Healthy/FindCancerEarly/CancerScreeningGuidelines/american-cancer-society-guidelines-for-the-early-detection-of-cancer\" target=\"_blank\">annual mammograms\u003c/a> for women starting at age 40.\u003c/p>\n\u003cp>\u003ca title=\"http://mydoctor.kaiserpermanente.org/ncal/provider/susankutner/resources/dc/article?article=article_177803.xml&contentTitle=Telephonic%20Wellness%20Coaching\" href=\"http://mydoctor.kaiserpermanente.org/ncal/provider/susankutner/resources/dc/article?article=article_177803.xml&contentTitle=Telephonic%20Wellness%20Coaching\" target=\"_blank\">Dr. Susan Kutner\u003c/a> is Chair of the Northern California Kaiser Breast Care Task Force and was not involved with the studies. She welcomes the new data. \"What these articles address is there are some women ages 40-49 who would benefit from screening,\" she told me. \"Personalizing their screening based on their risk is really important, and that's what we're learning as we analyze this data.\"\u003c/p>\n\u003cp>\u003cstrong>Learn More:\u003c/strong>\u003cbr>\n\u003cstrong>\u003c/strong>KQED's Forum addressed the new research today. You can listen to the program here:\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201205010930.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201205010930.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Screen-Shot-2012-05-01-at-1.36.13-PM.png\">\u003cimg decoding=\"async\" loading=\"lazy\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Screen-Shot-2012-05-01-at-1.36.13-PM-300x230.png\" alt=\"\" title=\"\" width=\"300\" height=\"230\" class=\"alignleft size-medium wp-image-5539\">\u003c/a>Facebook is turning its social media power to the problem of organ donation. Last year, 7,000 people died on a waiting list for a new kidney, liver, heart or other organ. \u003c/p>\n\u003cp>Today \u003ca href=\"http://newsroom.fb.com/News/Organ-Donation-Friends-Saving-Lives-15f.aspx\" title=\"http://newsroom.fb.com/News/Organ-Donation-Friends-Saving-Lives-15f.aspx\" target=\"_blank\" rel=\"noopener\">Facebook announced \u003c/a>that it is making “organ donation status” an option members can add to their profiles. \u003c/p>\n\u003cp>The \u003ca href=\"http://www.nytimes.com/2012/05/01/technology/facebook-urges-members-to-add-organ-donor-status.html\" title=\"http://www.nytimes.com/2012/05/01/technology/facebook-urges-members-to-add-organ-donor-status.html\" target=\"_blank\" rel=\"noopener\">New York Times\u003c/a> cited experts in the field of organ donation saying this move by Facebook could potentially have a profound effect:\u003c/p>\n\u003cblockquote>\u003cp>They say people declaring on Facebook that they are organ donors could spur others to sign up at motor vehicle departments or online registries. But these experts say Facebook could create an informal alternative to such registries that could, even though it carries less legal weight, lead to more organ donations.\u003c/p>\n\u003cp>That is because a disclosure on Facebook could provide the evidence of consent that family members need when deciding whether to donate the organs of a loved one, said Dr. Andrew M. Cameron, the surgical director of liver transplantation at Johns Hopkins Hospital.\u003c/p>\n\u003cp>“This is going to be an historic day in transplant,” said Dr. Cameron, adding that people who die for want of an organ do so mostly because there are not enough organ donors, not because of any shortcomings in medical technology. “The math will radically change, and we may well eliminate the problem.”\u003c/p>\u003c/blockquote>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Screen-Shot-2012-05-01-at-1.36.13-PM.png\">\u003cimg decoding=\"async\" loading=\"lazy\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Screen-Shot-2012-05-01-at-1.36.13-PM-300x230.png\" alt=\"\" title=\"\" width=\"300\" height=\"230\" class=\"alignleft size-medium wp-image-5539\">\u003c/a>Facebook is turning its social media power to the problem of organ donation. Last year, 7,000 people died on a waiting list for a new kidney, liver, heart or other organ. \u003c/p>\n\u003cp>Today \u003ca href=\"http://newsroom.fb.com/News/Organ-Donation-Friends-Saving-Lives-15f.aspx\" title=\"http://newsroom.fb.com/News/Organ-Donation-Friends-Saving-Lives-15f.aspx\" target=\"_blank\" rel=\"noopener\">Facebook announced \u003c/a>that it is making “organ donation status” an option members can add to their profiles. \u003c/p>\n\u003cp>The \u003ca href=\"http://www.nytimes.com/2012/05/01/technology/facebook-urges-members-to-add-organ-donor-status.html\" title=\"http://www.nytimes.com/2012/05/01/technology/facebook-urges-members-to-add-organ-donor-status.html\" target=\"_blank\" rel=\"noopener\">New York Times\u003c/a> cited experts in the field of organ donation saying this move by Facebook could potentially have a profound effect:\u003c/p>\n\u003cblockquote>\u003cp>They say people declaring on Facebook that they are organ donors could spur others to sign up at motor vehicle departments or online registries. But these experts say Facebook could create an informal alternative to such registries that could, even though it carries less legal weight, lead to more organ donations.\u003c/p>\n\u003cp>That is because a disclosure on Facebook could provide the evidence of consent that family members need when deciding whether to donate the organs of a loved one, said Dr. Andrew M. Cameron, the surgical director of liver transplantation at Johns Hopkins Hospital.\u003c/p>\n\u003cp>“This is going to be an historic day in transplant,” said Dr. Cameron, adding that people who die for want of an organ do so mostly because there are not enough organ donors, not because of any shortcomings in medical technology. “The math will radically change, and we may well eliminate the problem.”\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>By Christian Torres, \u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2012/04/what-is-the-future-of-health-care-watson-has-an-answer/\" title=\"http://capsules.kaiserhealthnews.org/index.php/2012/04/what-is-the-future-of-health-care-watson-has-an-answer/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_5518\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Watson-300_Courtesy_IBM.jpg\">\u003cimg class=\"size-full wp-image-5518\" title=\"(Courtesy: IBM)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Watson-300_Courtesy_IBM.jpg\" alt=\"(Courtesy: IBM)\" width=\"300\" height=\"235\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Courtesy: IBM)\u003c/figcaption>\u003c/figure>\n\u003cp>IBM’s \u003ca href=\"http://www-03.ibm.com/innovation/us/watson/\" target=\"_blank\">Watson\u003c/a> frequently had the right answer when the supercomputer \u003ca href=\"http://www.youtube.com/watch?v=WFR3lOm_xhE\" target=\"_blank\">competed on Jeopardy\u003c/a> last year. Now, the nation’s second largest health insurer is hoping it will have the right diagnosis and treatment for patients.\u003c/p>\n\u003cp>Representatives from IBM and Wellpoint discussed their \u003ca href=\"http://www-03.ibm.com/innovation/us/watson/what-is-watson/watson_at_work.html\" target=\"_blank\">developing partnership\u003c/a> at a Friday event on Capitol Hill. The tech company aims to make Watson useful to the health care industry, and Wellpoint believes it can help doctors practice evidence-based medicine.\u003c/p>\n\u003cp>The actual how-to part is still being worked out, but Watson could, for example, provide a list of likely diagnoses, or a list of potential treatments, when given a list of symptoms. Physicians and patients would remain in charge of any decisions, but Watson does have “the potential to transform health care delivery,” said Elizabeth Bingham, WellPoint’s vice president of health IT strategy.\u003c!--more-->\u003c/p>\n\u003cp>Medical evidence doubles every five years, and “it’s not humanly possible for doctors to keep up with all of that” information, she added. Watson can quickly scan the latest medical literature and keep physicians current. In theory, the supercomputer would funnel data from its various sources and, among other services, provide physicians with a list of treatments ranked by effectiveness. It could also access individual patient health records to personalize recommendations, Bingham said. And, it could “help steer physicians toward tests that are worth doing, and toward treatments that are likely to be successful,” said David Kerr, an IBM corporate strategist. While Watson would not consider or rank treatments by cost, it could give doctors and patients the relevant price information.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Meanwhile, on a population basis, Watson could integrate this information into public health databases to help identify pockets of illness. Down the road, Watson could even become a tool for comparative effectiveness research, said Kerr.\u003c/p>\n\u003cp>WellPoint hopes that Watson will improve the quality and efficiency of care, as well as reduce the variability seen across providers. But don’t expect to see Watson in the physician’s office very soon. The insurer currently hopes to incorporate the system into oncology practices at the end of this year, while other physician specialties could be involved in a separate, small pilot by the end of next year.\u003c/p>\n\u003cp>Watson already has a place, however, in WellPoint’s administration. Staff members are using the system to consider authorization requests made by doctors, and as Bingham described, that usually “requires a lot of manpower, a lot of work” – but it has been made much easier by Watson.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Editor's Note: The California subsidiary of Wellpoint is Anthem Blue Cross.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Christian Torres, \u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2012/04/what-is-the-future-of-health-care-watson-has-an-answer/\" title=\"http://capsules.kaiserhealthnews.org/index.php/2012/04/what-is-the-future-of-health-care-watson-has-an-answer/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_5518\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Watson-300_Courtesy_IBM.jpg\">\u003cimg class=\"size-full wp-image-5518\" title=\"(Courtesy: IBM)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Watson-300_Courtesy_IBM.jpg\" alt=\"(Courtesy: IBM)\" width=\"300\" height=\"235\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Courtesy: IBM)\u003c/figcaption>\u003c/figure>\n\u003cp>IBM’s \u003ca href=\"http://www-03.ibm.com/innovation/us/watson/\" target=\"_blank\">Watson\u003c/a> frequently had the right answer when the supercomputer \u003ca href=\"http://www.youtube.com/watch?v=WFR3lOm_xhE\" target=\"_blank\">competed on Jeopardy\u003c/a> last year. Now, the nation’s second largest health insurer is hoping it will have the right diagnosis and treatment for patients.\u003c/p>\n\u003cp>Representatives from IBM and Wellpoint discussed their \u003ca href=\"http://www-03.ibm.com/innovation/us/watson/what-is-watson/watson_at_work.html\" target=\"_blank\">developing partnership\u003c/a> at a Friday event on Capitol Hill. The tech company aims to make Watson useful to the health care industry, and Wellpoint believes it can help doctors practice evidence-based medicine.\u003c/p>\n\u003cp>The actual how-to part is still being worked out, but Watson could, for example, provide a list of likely diagnoses, or a list of potential treatments, when given a list of symptoms. Physicians and patients would remain in charge of any decisions, but Watson does have “the potential to transform health care delivery,” said Elizabeth Bingham, WellPoint’s vice president of health IT strategy.\u003c!--more-->\u003c/p>\n\u003cp>Medical evidence doubles every five years, and “it’s not humanly possible for doctors to keep up with all of that” information, she added. Watson can quickly scan the latest medical literature and keep physicians current. In theory, the supercomputer would funnel data from its various sources and, among other services, provide physicians with a list of treatments ranked by effectiveness. It could also access individual patient health records to personalize recommendations, Bingham said. And, it could “help steer physicians toward tests that are worth doing, and toward treatments that are likely to be successful,” said David Kerr, an IBM corporate strategist. While Watson would not consider or rank treatments by cost, it could give doctors and patients the relevant price information.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Meanwhile, on a population basis, Watson could integrate this information into public health databases to help identify pockets of illness. Down the road, Watson could even become a tool for comparative effectiveness research, said Kerr.\u003c/p>\n\u003cp>WellPoint hopes that Watson will improve the quality and efficiency of care, as well as reduce the variability seen across providers. But don’t expect to see Watson in the physician’s office very soon. The insurer currently hopes to incorporate the system into oncology practices at the end of this year, while other physician specialties could be involved in a separate, small pilot by the end of next year.\u003c/p>\n\u003cp>Watson already has a place, however, in WellPoint’s administration. Staff members are using the system to consider authorization requests made by doctors, and as Bingham described, that usually “requires a lot of manpower, a lot of work” – but it has been made much easier by Watson.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Editor's Note: The California subsidiary of Wellpoint is Anthem Blue Cross.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cstrong>By Eve Harris\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_5398\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/DoctorPatient_Caroline_1_Flickr_04252012.jpg\">\u003cimg class=\"size-medium wp-image-5398\" title=\"(Caroline_1: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/DoctorPatient_Caroline_1_Flickr_04252012-300x200.jpg\" alt=\"(Caroline_1: Flickr)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Caroline_1: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Patients often make decisions about their medical treatment while sitting on an exam table in a thin cotton gown. But is this the best way to fully understand your options? Of course, some healthcare decisions are pretty easy. For example, if the treatment being offered is easy to use or has a long history of success with only mild side effects.\u003c/p>\n\u003cp>But overall, health care decisions are becoming more complex. Your doctor may offer more than one alternative. Picking among those alternatives may have as much to do with medical evidence as your own preferences. The process known as \u003ca title=\"http://patients.dartmouth-hitchcock.org/shared_decision_making/about_shared_decision_making.html\" href=\"http://patients.dartmouth-hitchcock.org/shared_decision_making/about_shared_decision_making.html\" target=\"_blank\">\u003cem>shared decision making\u003c/em> \u003c/a>empowers patients to collaborate with their doctors in choosing a treatment, as opposed to the doctor pointing a patient toward one choice.\u003c/p>\n\u003caside class=\"pullquote alignright\">“We have an ethical duty to inform our patients what their options are and get their preferences.”\u003c/aside>\n\u003cp>It all has to do with risks and benefits. In a shared decision process doctors put more effort into explaining trade-offs, and patients must think more deeply about what matters most to them. The relationship of shared decision making to better health is still being studied, but \u003ca title=\"https://www.cahps.ahrq.gov/Quality-Improvement/Improvement-Guide/Browse-Interventions/Communication/Shared-Decision-Making.aspx\" href=\"https://www.cahps.ahrq.gov/Quality-Improvement/Improvement-Guide/Browse-Interventions/Communication/Shared-Decision-Making.aspx\" target=\"_blank\">we know\u003c/a> that patients who are involved in making their own medical decisions often have less anxiety and recover more quickly.\u003c!--more-->\u003c/p>\n\u003cp>Patient advocates embrace this approach and doctors increasingly see the importance of collaboration, too. “We have an ethical duty to inform our patients what their options are and get their preferences,” \u003ca href=\"http://cet.usc.edu/faculty/may.html\" target=\"_blank\">Dr. Win May\u003c/a> told me. May is a professor at USC’s Keck School of Medicine. “Even with surgical interventions,” she said, “one can always ask ‘can we wait?’”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Case in point: Marcy Baskin. She’s 60 and two years ago was suffering “excruciating” arthritis pain. But despite the pain, she took several months to decide on surgery to replace her arthritic ankle with a prosthesis.\u003c/p>\n\u003cp>Baskin is a yoga practitioner and former personal trainer who values her active lifestyle. She lives in rural Sonoma County with a horse, some chickens, her husband and close family nearby.\u003c/p>\n\u003cp>She met several times face to face with her surgeon and sent “at least a dozen” emails, she told me. Even after the surgeon answered her emails and told her that 85 percent of patients recover well, Baskin feared a bad outcome. She talked with her husband and sister, because “that’s the nature of my family, we talk about stuff like that.” Now 16 months post-op, she is confident she made the right choice in the right way. “I’m engaged in every other decision in my life, why not with my body?”\u003c/p>\n\u003cp>Best-selling author\u003ca title=\"http://www.jeromegroopman.com/\" href=\"http://www.jeromegroopman.com/\" target=\"_blank\"> Dr. Jerome Groopman \u003c/a>told \u003ca title=\"http://www.npr.org/2011/09/21/140438982/becoming-mindful-of-medical-decision-making\" href=\"http://www.npr.org/2011/09/21/140438982/becoming-mindful-of-medical-decision-making\" target=\"_blank\">Fresh Air’s Terry Gross\u003c/a>, “It's very important for people to understand how the (medical) information applies to them as individuals and then to understand ... their own personal approach to making choices ... so that they're confident that what they chose is right for them.\"\u003c/p>\n\u003cp>Groopman and co-author Dr. Pamela Hartzband explain in their book “\u003cem>\u003ca title=\"http://yourmedicalmind.com/index.html\" href=\"http://yourmedicalmind.com/index.html\" target=\"_blank\">Your Medical Mind\u003c/a>\u003c/em>” how our varied personalities affect our decision making. Some people, for example, need to hear about the experiences of other patients in order to truly understand how the treatment (or lack of treatment) will feel. Patients increasingly are reaching out through social media to others with similar diagnoses, hoping to find information or help \u003cem>. \u003c/em>\u003c/p>\n\u003cp>Even if most patients now want more information, and many want greater involvement in decision making, there is a gap. Dr. May says that underrepresented minority patients and those of lower socioeconomic status ask fewer questions. But she insists there is a way to involve practically any patient. “We know that when people have low self esteem they defer (to the provider) but the provider can encourage them.”\u003c/p>\n\u003cp>A small \u003ca href=\"http://onlinelibrary.wiley.com/doi/10.1002/art.22670/pdf\">2007 study\u003c/a> from UCLA demonstrated a way to reduce one such disparity. African Americans suffering arthritis pain have knee replacement surgery significantly less often than Caucasians. This treatment disparity has been linked to a difference in knowledge and expectations of the surgery. Many more African Americans say they expect pain and decreased mobility to continue after recovery from the operation. In the UCLA study, researchers leveled the playing field by showing an educational video during small group meetings. Afterward, expectation of a poor outcome fell among African Americans. All attendees showed the same understanding about the risk and benefit of knee replacement.\u003c/p>\n\u003cp>Moving patients toward greater responsibility overall for their health will take time. May said “There are cultural issues we need to solve -- that’s what we all aspire to.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Eve Harris is a Bay Area health writer. Check out her blog, \u003ca title=\"http://eve-harris.blogspot.com/\" href=\"http://eve-harris.blogspot.com/\" target=\"_blank\">A Healthy Piece of My Mind.\u003c/a>\u003c/em>\u003c/p>\n\n",
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"excerpt": "Patients often make decisions about their medical treatment while sitting on an exam table in a thin cotton gown. But is this the best way to fully understand your options? Of course, some healthcare decisions are pretty easy. For example, if the treatment being offered is easy to use or has a long history of success with only mild side effects.\r\n\r\nBut overall, health care decisions are becoming more complex. Your doctor may offer more than one alternative. Picking among those alternatives may have as much to do with medical evidence as your own preferences. The process known as shared decision making empowers patients to collaborate with their doctors in choosing a treatment, as opposed to the doctor pointing a patient toward one choice.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Eve Harris\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_5398\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/DoctorPatient_Caroline_1_Flickr_04252012.jpg\">\u003cimg class=\"size-medium wp-image-5398\" title=\"(Caroline_1: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/DoctorPatient_Caroline_1_Flickr_04252012-300x200.jpg\" alt=\"(Caroline_1: Flickr)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Caroline_1: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Patients often make decisions about their medical treatment while sitting on an exam table in a thin cotton gown. But is this the best way to fully understand your options? Of course, some healthcare decisions are pretty easy. For example, if the treatment being offered is easy to use or has a long history of success with only mild side effects.\u003c/p>\n\u003cp>But overall, health care decisions are becoming more complex. Your doctor may offer more than one alternative. Picking among those alternatives may have as much to do with medical evidence as your own preferences. The process known as \u003ca title=\"http://patients.dartmouth-hitchcock.org/shared_decision_making/about_shared_decision_making.html\" href=\"http://patients.dartmouth-hitchcock.org/shared_decision_making/about_shared_decision_making.html\" target=\"_blank\">\u003cem>shared decision making\u003c/em> \u003c/a>empowers patients to collaborate with their doctors in choosing a treatment, as opposed to the doctor pointing a patient toward one choice.\u003c/p>\n\u003caside class=\"pullquote alignright\">“We have an ethical duty to inform our patients what their options are and get their preferences.”\u003c/aside>\n\u003cp>It all has to do with risks and benefits. In a shared decision process doctors put more effort into explaining trade-offs, and patients must think more deeply about what matters most to them. The relationship of shared decision making to better health is still being studied, but \u003ca title=\"https://www.cahps.ahrq.gov/Quality-Improvement/Improvement-Guide/Browse-Interventions/Communication/Shared-Decision-Making.aspx\" href=\"https://www.cahps.ahrq.gov/Quality-Improvement/Improvement-Guide/Browse-Interventions/Communication/Shared-Decision-Making.aspx\" target=\"_blank\">we know\u003c/a> that patients who are involved in making their own medical decisions often have less anxiety and recover more quickly.\u003c!--more-->\u003c/p>\n\u003cp>Patient advocates embrace this approach and doctors increasingly see the importance of collaboration, too. “We have an ethical duty to inform our patients what their options are and get their preferences,” \u003ca href=\"http://cet.usc.edu/faculty/may.html\" target=\"_blank\">Dr. Win May\u003c/a> told me. May is a professor at USC’s Keck School of Medicine. “Even with surgical interventions,” she said, “one can always ask ‘can we wait?’”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Case in point: Marcy Baskin. She’s 60 and two years ago was suffering “excruciating” arthritis pain. But despite the pain, she took several months to decide on surgery to replace her arthritic ankle with a prosthesis.\u003c/p>\n\u003cp>Baskin is a yoga practitioner and former personal trainer who values her active lifestyle. She lives in rural Sonoma County with a horse, some chickens, her husband and close family nearby.\u003c/p>\n\u003cp>She met several times face to face with her surgeon and sent “at least a dozen” emails, she told me. Even after the surgeon answered her emails and told her that 85 percent of patients recover well, Baskin feared a bad outcome. She talked with her husband and sister, because “that’s the nature of my family, we talk about stuff like that.” Now 16 months post-op, she is confident she made the right choice in the right way. “I’m engaged in every other decision in my life, why not with my body?”\u003c/p>\n\u003cp>Best-selling author\u003ca title=\"http://www.jeromegroopman.com/\" href=\"http://www.jeromegroopman.com/\" target=\"_blank\"> Dr. Jerome Groopman \u003c/a>told \u003ca title=\"http://www.npr.org/2011/09/21/140438982/becoming-mindful-of-medical-decision-making\" href=\"http://www.npr.org/2011/09/21/140438982/becoming-mindful-of-medical-decision-making\" target=\"_blank\">Fresh Air’s Terry Gross\u003c/a>, “It's very important for people to understand how the (medical) information applies to them as individuals and then to understand ... their own personal approach to making choices ... so that they're confident that what they chose is right for them.\"\u003c/p>\n\u003cp>Groopman and co-author Dr. Pamela Hartzband explain in their book “\u003cem>\u003ca title=\"http://yourmedicalmind.com/index.html\" href=\"http://yourmedicalmind.com/index.html\" target=\"_blank\">Your Medical Mind\u003c/a>\u003c/em>” how our varied personalities affect our decision making. Some people, for example, need to hear about the experiences of other patients in order to truly understand how the treatment (or lack of treatment) will feel. Patients increasingly are reaching out through social media to others with similar diagnoses, hoping to find information or help \u003cem>. \u003c/em>\u003c/p>\n\u003cp>Even if most patients now want more information, and many want greater involvement in decision making, there is a gap. Dr. May says that underrepresented minority patients and those of lower socioeconomic status ask fewer questions. But she insists there is a way to involve practically any patient. “We know that when people have low self esteem they defer (to the provider) but the provider can encourage them.”\u003c/p>\n\u003cp>A small \u003ca href=\"http://onlinelibrary.wiley.com/doi/10.1002/art.22670/pdf\">2007 study\u003c/a> from UCLA demonstrated a way to reduce one such disparity. African Americans suffering arthritis pain have knee replacement surgery significantly less often than Caucasians. This treatment disparity has been linked to a difference in knowledge and expectations of the surgery. Many more African Americans say they expect pain and decreased mobility to continue after recovery from the operation. In the UCLA study, researchers leveled the playing field by showing an educational video during small group meetings. Afterward, expectation of a poor outcome fell among African Americans. All attendees showed the same understanding about the risk and benefit of knee replacement.\u003c/p>\n\u003cp>Moving patients toward greater responsibility overall for their health will take time. May said “There are cultural issues we need to solve -- that’s what we all aspire to.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Eve Harris is a Bay Area health writer. Check out her blog, \u003ca title=\"http://eve-harris.blogspot.com/\" href=\"http://eve-harris.blogspot.com/\" target=\"_blank\">A Healthy Piece of My Mind.\u003c/a>\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_5371\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/SeniorWalking_KaiserHealthNews.jpg\">\u003cimg class=\"size-full wp-image-5371\" title=\"(Photo: Kaiser Health News)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/SeniorWalking_KaiserHealthNews.jpg\" alt=\"(Photo: Kaiser Health News)\" width=\"300\" height=\"215\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Photo: Kaiser Health News)\u003c/figcaption>\u003c/figure>\n\u003cp>Medicare provides free screening on more than a dozen primary care tests, but a new poll shows that seniors are not receiving the benefit. The poll comes from the \u003ca title=\"http://www.jhartfound.org/learning-center/hartford-poll-2012/\" href=\"http://www.jhartfound.org/learning-center/hartford-poll-2012/\" target=\"_blank\">John A. Hartford Foundation\u003c/a> and looked at Americans age 65 and older.\u003c/p>\n\u003cp>The Foundation was interested in whether seniors had received seven services that would support \"healthy aging\" including:\u003c/p>\n\u003cul>\n\u003cli>an annual medication review\u003c/li>\n\u003cli>falls risk assessment\u003c/li>\n\u003cli>screening for depression\u003c/li>\n\u003c/ul>\n\u003cdiv>\u003ca title=\"http://capsules.kaiserhealthnews.org/index.php/2012/04/doctors-fall-short-in-helping-many-seniors/\" href=\"http://capsules.kaiserhealthnews.org/index.php/2012/04/doctors-fall-short-in-helping-many-seniors/\" target=\"_blank\">Kaiser Health News\u003c/a> reported details of the poll's findings:\u003c!--more-->\u003c/div>\n\u003cdiv>\n\u003cblockquote>\u003cp>Notably, one-third of older adults said doctors didn’t review all their medications, even though problems with prescription and over-the-counter drugs are \u003ca href=\"http://www.cdc.gov/MedicationSafety/Adult_AdverseDrugEvents.html\" target=\"_blank\">common among the elderly\u003c/a>, leading to over 177,000 emergency room visits every year.\u003c/p>\n\u003cp>Falls cause \u003ca href=\"http://www.cdc.gov/HomeandRecreationalSafety/Falls/adultfalls.html\" target=\"_blank\">over 2 million injuries\u003c/a> in people age 65 and older annually, but more than two-thirds of the time doctors and nurses didn’t ask older patients whether they’d taken a tumble or provide advice about how to avoid tripping on carpets or slipping on the stairs, the Hartford poll found.\u003c/p>\n\u003cp>Similarly, depression can cause people to become socially isolated, suicidal, or stop taking care of themselves, but 62 percent of seniors said doctors and nurses hadn’t inquired about whether they were sad, depressed or anxious.\u003c/p>\u003c/blockquote>\n\u003c/div>\n\u003cp>Only 7 percent of seniors received all the seven of the recommended services. Just over half (52 percent) received none or just one.\u003c/p>\n\u003cp>It's especially surprising that doctors aren't engaging patients in these wellness exams, since they get paid more for them. Again, from Kaiser Health News:\u003c/p>\n\u003cblockquote>\u003cp>Medicare pays doctors about three times their ordinary office visit rate for asking about older adults’ ability to function, evaluating their mood, recommending preventive services, and connecting them with community resources during wellness visits.\u003c/p>\n\u003cp>“These are low tech, low cost interventions that are easy to do and that can have a huge impact on an older person’s medical care and their quality of life and function. But too many providers and older adults don’t realize they’re important,” said Dr. Sharon Brangman, chairwoman of the board of directors of the American Geriatrics Society.\u003c/p>\u003c/blockquote>\n\u003cp>You might think that this gap in primary care might lead to dissatisfaction. But no. A full 97 percent of seniors reported being satisfied (and 69% \"completely\" satisfied) with the care they received from their primary care doctor.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Meanwhile, in the comments section of the Kaiser Health News story, one person wrote that both sides need to step up: \"...older persons need education on how to interact and bring these issues up,\" wrote J. James Cotter, and \"physicians need to make better use of health educators who could do much of this.\" But how hard is it to make both of these things happen?\u003c/p>\n\n",
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"excerpt": "Medicare provides free screening on more than a dozen primary care tests, but a new poll shows that seniors are not receiving the benefit. The poll comes from the John A. Hartford Foundation and looked at Americans age 65 and older. The Foundation was interested in whether seniors had received seven services that would support \"healthy aging\" including:\r\n\r\nan annual medication review\r\nfalls risk-assessment\r\nscreening for depression",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5371\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/SeniorWalking_KaiserHealthNews.jpg\">\u003cimg class=\"size-full wp-image-5371\" title=\"(Photo: Kaiser Health News)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/SeniorWalking_KaiserHealthNews.jpg\" alt=\"(Photo: Kaiser Health News)\" width=\"300\" height=\"215\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Photo: Kaiser Health News)\u003c/figcaption>\u003c/figure>\n\u003cp>Medicare provides free screening on more than a dozen primary care tests, but a new poll shows that seniors are not receiving the benefit. The poll comes from the \u003ca title=\"http://www.jhartfound.org/learning-center/hartford-poll-2012/\" href=\"http://www.jhartfound.org/learning-center/hartford-poll-2012/\" target=\"_blank\">John A. Hartford Foundation\u003c/a> and looked at Americans age 65 and older.\u003c/p>\n\u003cp>The Foundation was interested in whether seniors had received seven services that would support \"healthy aging\" including:\u003c/p>\n\u003cul>\n\u003cli>an annual medication review\u003c/li>\n\u003cli>falls risk assessment\u003c/li>\n\u003cli>screening for depression\u003c/li>\n\u003c/ul>\n\u003cdiv>\u003ca title=\"http://capsules.kaiserhealthnews.org/index.php/2012/04/doctors-fall-short-in-helping-many-seniors/\" href=\"http://capsules.kaiserhealthnews.org/index.php/2012/04/doctors-fall-short-in-helping-many-seniors/\" target=\"_blank\">Kaiser Health News\u003c/a> reported details of the poll's findings:\u003c!--more-->\u003c/div>\n\u003cdiv>\n\u003cblockquote>\u003cp>Notably, one-third of older adults said doctors didn’t review all their medications, even though problems with prescription and over-the-counter drugs are \u003ca href=\"http://www.cdc.gov/MedicationSafety/Adult_AdverseDrugEvents.html\" target=\"_blank\">common among the elderly\u003c/a>, leading to over 177,000 emergency room visits every year.\u003c/p>\n\u003cp>Falls cause \u003ca href=\"http://www.cdc.gov/HomeandRecreationalSafety/Falls/adultfalls.html\" target=\"_blank\">over 2 million injuries\u003c/a> in people age 65 and older annually, but more than two-thirds of the time doctors and nurses didn’t ask older patients whether they’d taken a tumble or provide advice about how to avoid tripping on carpets or slipping on the stairs, the Hartford poll found.\u003c/p>\n\u003cp>Similarly, depression can cause people to become socially isolated, suicidal, or stop taking care of themselves, but 62 percent of seniors said doctors and nurses hadn’t inquired about whether they were sad, depressed or anxious.\u003c/p>\u003c/blockquote>\n\u003c/div>\n\u003cp>Only 7 percent of seniors received all the seven of the recommended services. Just over half (52 percent) received none or just one.\u003c/p>\n\u003cp>It's especially surprising that doctors aren't engaging patients in these wellness exams, since they get paid more for them. Again, from Kaiser Health News:\u003c/p>\n\u003cblockquote>\u003cp>Medicare pays doctors about three times their ordinary office visit rate for asking about older adults’ ability to function, evaluating their mood, recommending preventive services, and connecting them with community resources during wellness visits.\u003c/p>\n\u003cp>“These are low tech, low cost interventions that are easy to do and that can have a huge impact on an older person’s medical care and their quality of life and function. But too many providers and older adults don’t realize they’re important,” said Dr. Sharon Brangman, chairwoman of the board of directors of the American Geriatrics Society.\u003c/p>\u003c/blockquote>\n\u003cp>You might think that this gap in primary care might lead to dissatisfaction. But no. A full 97 percent of seniors reported being satisfied (and 69% \"completely\" satisfied) with the care they received from their primary care doctor.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Meanwhile, in the comments section of the Kaiser Health News story, one person wrote that both sides need to step up: \"...older persons need education on how to interact and bring these issues up,\" wrote J. James Cotter, and \"physicians need to make better use of health educators who could do much of this.\" But how hard is it to make both of these things happen?\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_5175\" class=\"wp-caption alignleft\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/hmong-shaman-woman.jpg\">\u003cimg class=\"size-large wp-image-5175\" title=\"A Hmong shaman blesses a pregnant woman during a traditional healing ceremony.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/hmong-shaman-woman-620x412.jpg\" alt=\"A Hmong shaman blesses a pregnant woman during a traditional healing ceremony.\" width=\"620\" height=\"412\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A Hmong shaman blesses a pregnant woman so that she will have a safe birth. (Photo: Shuka Kalantari)\u003c/figcaption>\u003c/figure>\n\u003cp>A Hmong shaman dressed in an ornate red and pink costume is standing in a crowded living room in Winton, a small Central Valley town near Merced. She sways back and forth rhythmically as she shakes small ceremonial bells over a young pregnant woman. The woman sits quietly, with a rope lightly tied around her stomach. Her rope connects to another rope -- wrapped around the belly of a newly slaughtered pig that lays on a sheet of plastic on the living room floor. For the next two hours, the shaman chants prayers to the spirit world, offering the slaughtered pig as a sacrifice in exchange for a healthy birth. Throughout the ceremony, the shaman's husband burns pieces of paper money as offerings to the spirits.\u003c/p>\n\u003cp>Afterward, the pregnant woman and her family \u003ca href=\"http://blogs.kqed.org/bayareabites/2012/04/20/after-a-hmong-healing-ceremony-a-feast/\">prepare for a feast\u003c/a>. May Yang, the shaman, explains that this ceremony is the Hmong version of prenatal care. \"This ceremony was to help the mother and baby,\" Yang said through a translator.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"The shaman they can see spirits, whereas the doctor use CT, x-ray, and microscope to see disease or illness.\"\u003c/aside>\n\u003cp>More specifically, to help their souls separate. Yang explained that the slaughtered pig was an offering to the spirits so that they would assist in the birthing process. It's part of their customs. Traditionally, in Laos, the Hmong were always more likely to visit a shaman than a doctor when they were sick or needed prenatal care. So when Hmong refugees began resettling to the Central Valley after the CIA's \u003ca title=\"https://www.cia.gov/library/center-for-the-study-of-intelligence/csi-publications/csi-studies/studies/winter99-00/art7.html\" href=\"https://www.cia.gov/library/center-for-the-study-of-intelligence/csi-publications/csi-studies/studies/winter99-00/art7.html\" target=\"_blank\">Secret War\u003c/a> in Laos, they didn't go to the doctor.\u003c/p>\n\u003cp>The Hmong traditionally believe that if the body is sick, the soul is sick. So to heal the body, you must first heal the soul. Additionally, many Hmong were distrustful of western practices when they first arrived to the U.S., so they refused to get treated in hospitals, unless it was a crisis. That led to the Hmong filling up emergency rooms at local hospitals -- and it left doctors struggling to understand how to treat them.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cfigure id=\"attachment_5204\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/hmong-shaman-bells.jpg\">\u003cimg class=\"size-medium wp-image-5204\" title=\"A Hmong shamans chants and rattles ceremonial bells at a healing ceremony.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/hmong-shaman-bells-300x199.jpg\" alt=\"A Hmong shamans chants and rattles ceremonial bells at a healing ceremony.\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A Hmong shamans chants and rattles ceremonial bells at a healing ceremony. (Photo: Shuka Kalantari)\u003c/figcaption>\u003c/figure>\n\u003cp>But that's been changing ever since a non-profit called \u003ca href=\"http://healthyhousemerced.org/default.aspx\" target=\"_blank\">Healthy House Merced\u003c/a> started a program that teaches shamans the basics of western medicine. Now shamans like May Yang visit \u003ca href=\"http://www.mercymercedcares.org/index.htm\" target=\"_blank\">Mercy Medical Center\u003c/a> to learn things like what x-rays are, what heart monitors do, and when to call for an ambulance. \"I learn about the disease,\" said Yang about the program. \"I learn about diseases like Hepatitis B. And I learn about strokes, how it happen to human's body.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The shaman training program, \u003ca href=\"http://healthyhousemerced.org/Trainings.aspx\" target=\"_blank\">Partners in Healing\u003c/a>, is now in its twelfth year and has trained over 100 shamans throughout the Central Valley. The program also teaches shamans when to refer their patients to a doctor.\u003c/p>\n\u003cp>\"It’s pretty much the shaman that do the referral,\" said Yang. \"Because if patient call me ... more of the time I would tell them, 'You have disease, you have virus, or you have infection. You need to go to the doctor right away.' And the patient will listen and say, 'OK, if you say so. I’ll go see my doctor right away.' If the doctor cannot find anything then they will come to me and I will do the ceremony for them.\"\u003cbr>\n\u003ca href=\"http://blogs.kqed.org/ourxperience/author/johndoe/\" target=\"_blank\">\u003cbr>\nChangvang Her\u003c/a> is an interpreter with Healthy House who interprets for shamans and the hospital’s Hmong patients. He also acts as a cultural broker between the shamans and medical staff. Her says the key is to explain things like CAT Scans in a way that’s sensitive to how shamans see the world.\u003c/p>\n\u003cp>\"In order to make the shamans understand about the image here, I explain, 'The shaman they can see spirits, whereas the doctor use CT, x-ray, and microscope to see disease or illness.' So we make that comparison so they understand about the equipment.\"\u003c/p>\n\u003cfigure id=\"attachment_5211\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/changvang-ctscan.jpg\">\u003cimg class=\"size-medium wp-image-5211\" title=\"Changvang Her demonstrates how a CAT Scan machine at Mercy Medical Center plays an automated recording of his voice giving directions in Hmong -- for when he's not around to translate.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/changvang-ctscan-300x199.jpg\" alt=\"Changvang Her demonstrates how a CAT Scan machine at Mercy Medical Center plays an automated recording of his voice giving directions in Hmong -- for when he's not around to translate.\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Changvang Her demonstrates how a CAT Scan machine at Mercy Medical Center plays an automated recording of his voice giving directions in Hmong -- for when he's not around to translate. (Photo: Shuka Kalantari)\u003c/figcaption>\u003c/figure>\n\u003cp>Changvang Her says the Partners in Healing program helps make shamans and the Hmong community more trusting of western medicine. And the reverse is also true -- doctors now know what to expect from their Hmong patients. But that wasn't always the case; just as Hmong refugees didn't know what to do about western doctors, western doctors didn't know how to approach the Hmong.\u003c/p>\n\u003cp>Janice Wilkerson directs cultural programs at Mercy Medical Center. She said when the Hmong first starting coming to the hospital, the staff didn't know their practices. That led to the hospital making some mistakes they weren’t very proud of, and did not want to have happen again.\u003c/p>\n\u003cp>A series of mistakes is chronicled in Anne Fadiman's non-fiction book \"\u003ca href=\"http://us.macmillan.com/thespiritcatchesyouandyoufalldown/AnneFadiman\" target=\"_blank\">The Spirit Catches You and You Fall Down\u003c/a>.\" The true story is about a young Hmong girl in Merced with severe epilepsy who didn't get properly treated -- and ultimately died at a young age -- because of the cultural misunderstandings between the girl's parents and hospital staff. Wilkerson says there were other cultural misunderstandings too.\u003c/p>\n\u003cp>\"When the Hmong would come to our emergency department, staff would sometimes cut off the knotted strings on their wrists, which was part of the Hmong shamans healing,\" said Wilkerson.\u003c/p>\n\u003cp>Wilkerson says they don't do that any more. Mercy Medical Center now permits Hmong shamans to come to patients' rooms to perform healing ceremonies. They even have a list of ceremonies that have been pre-approved by the hospital.\u003c/p>\n\u003cp>Wilkerson said it has been a two-way learning process. Doctors also attend traditional Hmong ceremonies where they get to spend time with shamans outside of the hospital setting and learn more about their healing traditions. Now physicians in cities with large Hmong populations, like Sacramento and Fresno, are looking to Mery Medical Center as a model. \"It’s bridged that gap, from our physicians, our staff, to the Hmong culture.\"\u003c/p>\n\u003cp>\u003ciframe src=\"http://www.kqed.org/assets/slideshow/hmongshaman/_files/iframe.html\" width=\"480\" height=\"320\" scrolling=\"no\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cstrong>LEARN MORE: \u003c/strong>\u003c/p>\n\u003cul>Listen to the story on KQED's \u003ca href=\"http://www.californiareport.org/archive/R201205041630/d\" target=\"_blank\">The California Report.\u003c/a>\n\u003cul>Visit KQED'S \u003ca href=\"http://blogs.kqed.org/bayareabites/2012/04/20/after-a-hmong-healing-ceremony-a-feast/\" target=\"_blank\">Bay Area Bites\u003c/a> to view a slideshow of a traditional Hmong feast after a shaman healing ceremony.\u003c/ul>\n\u003cp>\u003cem>EDITOR's NOTE: Changvang Her writes for our California-wide community health blog, \u003ca href=\"http://blogs.kqed.org/ourxperience/author/johndoe/\" target=\"_blank\">ourXperience\u003c/a>.\u003c/em>\u003c/p>\n\u003c/ul>\n",
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"excerpt": "The Hmong traditionally believe that if the body is sick, the soul is sick. So to heal the body, you must first heal the soul. Additionally, many Hmong were distrustful of western practices across the board, so they refused to get treated in hospitals when they were ill. But that led to the Hmong filling up emergency rooms at local hospitals -- and it left doctors struggling to understand how to treat them.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5175\" class=\"wp-caption alignleft\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/hmong-shaman-woman.jpg\">\u003cimg class=\"size-large wp-image-5175\" title=\"A Hmong shaman blesses a pregnant woman during a traditional healing ceremony.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/hmong-shaman-woman-620x412.jpg\" alt=\"A Hmong shaman blesses a pregnant woman during a traditional healing ceremony.\" width=\"620\" height=\"412\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A Hmong shaman blesses a pregnant woman so that she will have a safe birth. (Photo: Shuka Kalantari)\u003c/figcaption>\u003c/figure>\n\u003cp>A Hmong shaman dressed in an ornate red and pink costume is standing in a crowded living room in Winton, a small Central Valley town near Merced. She sways back and forth rhythmically as she shakes small ceremonial bells over a young pregnant woman. The woman sits quietly, with a rope lightly tied around her stomach. Her rope connects to another rope -- wrapped around the belly of a newly slaughtered pig that lays on a sheet of plastic on the living room floor. For the next two hours, the shaman chants prayers to the spirit world, offering the slaughtered pig as a sacrifice in exchange for a healthy birth. Throughout the ceremony, the shaman's husband burns pieces of paper money as offerings to the spirits.\u003c/p>\n\u003cp>Afterward, the pregnant woman and her family \u003ca href=\"http://blogs.kqed.org/bayareabites/2012/04/20/after-a-hmong-healing-ceremony-a-feast/\">prepare for a feast\u003c/a>. May Yang, the shaman, explains that this ceremony is the Hmong version of prenatal care. \"This ceremony was to help the mother and baby,\" Yang said through a translator.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"The shaman they can see spirits, whereas the doctor use CT, x-ray, and microscope to see disease or illness.\"\u003c/aside>\n\u003cp>More specifically, to help their souls separate. Yang explained that the slaughtered pig was an offering to the spirits so that they would assist in the birthing process. It's part of their customs. Traditionally, in Laos, the Hmong were always more likely to visit a shaman than a doctor when they were sick or needed prenatal care. So when Hmong refugees began resettling to the Central Valley after the CIA's \u003ca title=\"https://www.cia.gov/library/center-for-the-study-of-intelligence/csi-publications/csi-studies/studies/winter99-00/art7.html\" href=\"https://www.cia.gov/library/center-for-the-study-of-intelligence/csi-publications/csi-studies/studies/winter99-00/art7.html\" target=\"_blank\">Secret War\u003c/a> in Laos, they didn't go to the doctor.\u003c/p>\n\u003cp>The Hmong traditionally believe that if the body is sick, the soul is sick. So to heal the body, you must first heal the soul. Additionally, many Hmong were distrustful of western practices when they first arrived to the U.S., so they refused to get treated in hospitals, unless it was a crisis. That led to the Hmong filling up emergency rooms at local hospitals -- and it left doctors struggling to understand how to treat them.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cfigure id=\"attachment_5204\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/hmong-shaman-bells.jpg\">\u003cimg class=\"size-medium wp-image-5204\" title=\"A Hmong shamans chants and rattles ceremonial bells at a healing ceremony.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/hmong-shaman-bells-300x199.jpg\" alt=\"A Hmong shamans chants and rattles ceremonial bells at a healing ceremony.\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A Hmong shamans chants and rattles ceremonial bells at a healing ceremony. (Photo: Shuka Kalantari)\u003c/figcaption>\u003c/figure>\n\u003cp>But that's been changing ever since a non-profit called \u003ca href=\"http://healthyhousemerced.org/default.aspx\" target=\"_blank\">Healthy House Merced\u003c/a> started a program that teaches shamans the basics of western medicine. Now shamans like May Yang visit \u003ca href=\"http://www.mercymercedcares.org/index.htm\" target=\"_blank\">Mercy Medical Center\u003c/a> to learn things like what x-rays are, what heart monitors do, and when to call for an ambulance. \"I learn about the disease,\" said Yang about the program. \"I learn about diseases like Hepatitis B. And I learn about strokes, how it happen to human's body.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The shaman training program, \u003ca href=\"http://healthyhousemerced.org/Trainings.aspx\" target=\"_blank\">Partners in Healing\u003c/a>, is now in its twelfth year and has trained over 100 shamans throughout the Central Valley. The program also teaches shamans when to refer their patients to a doctor.\u003c/p>\n\u003cp>\"It’s pretty much the shaman that do the referral,\" said Yang. \"Because if patient call me ... more of the time I would tell them, 'You have disease, you have virus, or you have infection. You need to go to the doctor right away.' And the patient will listen and say, 'OK, if you say so. I’ll go see my doctor right away.' If the doctor cannot find anything then they will come to me and I will do the ceremony for them.\"\u003cbr>\n\u003ca href=\"http://blogs.kqed.org/ourxperience/author/johndoe/\" target=\"_blank\">\u003cbr>\nChangvang Her\u003c/a> is an interpreter with Healthy House who interprets for shamans and the hospital’s Hmong patients. He also acts as a cultural broker between the shamans and medical staff. Her says the key is to explain things like CAT Scans in a way that’s sensitive to how shamans see the world.\u003c/p>\n\u003cp>\"In order to make the shamans understand about the image here, I explain, 'The shaman they can see spirits, whereas the doctor use CT, x-ray, and microscope to see disease or illness.' So we make that comparison so they understand about the equipment.\"\u003c/p>\n\u003cfigure id=\"attachment_5211\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/changvang-ctscan.jpg\">\u003cimg class=\"size-medium wp-image-5211\" title=\"Changvang Her demonstrates how a CAT Scan machine at Mercy Medical Center plays an automated recording of his voice giving directions in Hmong -- for when he's not around to translate.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/changvang-ctscan-300x199.jpg\" alt=\"Changvang Her demonstrates how a CAT Scan machine at Mercy Medical Center plays an automated recording of his voice giving directions in Hmong -- for when he's not around to translate.\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Changvang Her demonstrates how a CAT Scan machine at Mercy Medical Center plays an automated recording of his voice giving directions in Hmong -- for when he's not around to translate. (Photo: Shuka Kalantari)\u003c/figcaption>\u003c/figure>\n\u003cp>Changvang Her says the Partners in Healing program helps make shamans and the Hmong community more trusting of western medicine. And the reverse is also true -- doctors now know what to expect from their Hmong patients. But that wasn't always the case; just as Hmong refugees didn't know what to do about western doctors, western doctors didn't know how to approach the Hmong.\u003c/p>\n\u003cp>Janice Wilkerson directs cultural programs at Mercy Medical Center. She said when the Hmong first starting coming to the hospital, the staff didn't know their practices. That led to the hospital making some mistakes they weren’t very proud of, and did not want to have happen again.\u003c/p>\n\u003cp>A series of mistakes is chronicled in Anne Fadiman's non-fiction book \"\u003ca href=\"http://us.macmillan.com/thespiritcatchesyouandyoufalldown/AnneFadiman\" target=\"_blank\">The Spirit Catches You and You Fall Down\u003c/a>.\" The true story is about a young Hmong girl in Merced with severe epilepsy who didn't get properly treated -- and ultimately died at a young age -- because of the cultural misunderstandings between the girl's parents and hospital staff. Wilkerson says there were other cultural misunderstandings too.\u003c/p>\n\u003cp>\"When the Hmong would come to our emergency department, staff would sometimes cut off the knotted strings on their wrists, which was part of the Hmong shamans healing,\" said Wilkerson.\u003c/p>\n\u003cp>Wilkerson says they don't do that any more. Mercy Medical Center now permits Hmong shamans to come to patients' rooms to perform healing ceremonies. They even have a list of ceremonies that have been pre-approved by the hospital.\u003c/p>\n\u003cp>Wilkerson said it has been a two-way learning process. Doctors also attend traditional Hmong ceremonies where they get to spend time with shamans outside of the hospital setting and learn more about their healing traditions. Now physicians in cities with large Hmong populations, like Sacramento and Fresno, are looking to Mery Medical Center as a model. \"It’s bridged that gap, from our physicians, our staff, to the Hmong culture.\"\u003c/p>\n\u003cp>\u003ciframe src=\"http://www.kqed.org/assets/slideshow/hmongshaman/_files/iframe.html\" width=\"480\" height=\"320\" scrolling=\"no\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>LEARN MORE: \u003c/strong>\u003c/p>\n\u003cul>Listen to the story on KQED's \u003ca href=\"http://www.californiareport.org/archive/R201205041630/d\" target=\"_blank\">The California Report.\u003c/a>\n\u003cul>Visit KQED'S \u003ca href=\"http://blogs.kqed.org/bayareabites/2012/04/20/after-a-hmong-healing-ceremony-a-feast/\" target=\"_blank\">Bay Area Bites\u003c/a> to view a slideshow of a traditional Hmong feast after a shaman healing ceremony.\u003c/ul>\n\u003cp>\u003cem>EDITOR's NOTE: Changvang Her writes for our California-wide community health blog, \u003ca href=\"http://blogs.kqed.org/ourxperience/author/johndoe/\" target=\"_blank\">ourXperience\u003c/a>.\u003c/em>\u003c/p>\n\u003c/ul>\n\u003c/div>\u003c/p>",
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},
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"id": "baycurious",
"title": "Bay Curious",
"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
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},
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"info": "The day's top stories from BBC News compiled twice daily in the week, once at weekends.",
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},
"californiareport": {
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"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"order": 8
},
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},
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"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"order": 1
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
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"source": "kqed",
"order": 9
},
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"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
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"meta": {
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"source": "WNYC"
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"link": "/radio/program/freakonomics-radio",
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"id": "fresh-air",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"hidden-brain": {
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
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"how-i-built-this": {
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"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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"hyphenacion": {
"id": "hyphenacion",
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game and Brown has some lessons he'd like to share. ",
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"order": 18
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},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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"source": "npr"
},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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