February is National Wise Healthcare Consumer Month. No, I refuse to talk about the new Affordable Care Act because I could probably count on one hand the number of people who actually understand what the bill says and what its future implications will be. Instead, I would like to share the FOUR principles that every wise consumer must understand about healthcare.1. Emergency Intervention vs Health PromotionOne of the biggest misnomers in our society is the labeling of our healthcare system as “health care.” The current system that is in place does not focus on staying healthy, but rather on what to do when we get sick (read sick to mean anything as minor as the flu all the way to cancer and any illness or malady in between). In 2010, the U.S. spent over 2.3 trillion dollars on “healthcare” and we continually spend more than any other country in the world. It then stands to reason that we, as a country, should be the healthiest – most dollars spent on our health, right? Sadly, that is not the case. The Bloomberg study ranks the U.S. at number 33 (other studies feature similar standings). The truth is the majority of our “healthcare” dollars (over 90%) are not spent to keep us healthy, but to try to make us less sick.There are actually two distinct types of care: emergency intervention and health promotion. There is a very clear difference between the two. One is reactive and happens after an incident occurs, while the other is proactive and helps to prevent sickness and promote optimal health and healing. Now certainly both paradigms are necessary for our society to function (emergency intervention is exactly what I want if I’m in a car accident or break a bone). However, when the majority of our “healthcare” dollars are spent in the emergency care arena, it is only logical that we will create more dysfunction and disease, rather than a healthy population.To understand these paradigms further, let’s compare two properties on the same street, one with a security system and the other without. One day a couple of thieves decide to burglarize the two houses. Upon entering the house without a security system, they were able to steal and damage thousands of dollars worth of property. Even if the owner has the best insurance available, it is still going to take hours of paperwork, phone conversations, scheduling and lots of money to restore the property to its original state. When the burglars try to enter the property with a security system, they immediately flee the scene because of the alarm that scares them away. Other than minor damage to a door or window, everything else remains unscathed because this property was prepared.In the second example, because the owner invested in the security of his home, it will take far less time, money, and energy to overcome the attempted burglary. This is exactly what I am referring to when I talk about health promotion. Taking the time to invest in your health by exercising, eating organic fruits and vegetables, consuming high quality food supplements, mediating/praying/journaling, receiving massage, and of course regular chiropractic adjustments are all minimal upfront investments to promote your health. However, the majority of our “health care” dollars wait until the emergency (i.e. high blood pressure, cancer, diabetes, heart attack, obesity) before investing anything towards health promotion. At this time, it will take far more time, money, and energy to recover from that emergency than if you had been investing in your health throughout your life. In the words of a good friend, “Do not wait until it’s too late!”2. Early Detection vs. PreventionUnder the misnomer of “healthcare,” the average consumer has been misled. They are told (and made to believe) that they have great “health” insurance because of the many “wellness” checkups covered or the extensive “preventative” care included in their plan. A wise health care consumer understands that getting a “wellness” checkup has nothing to do with preventing a specific disease or condition.Let’s use breast cancer screenings as an example. If a woman has been seeing her gynecologist to receive a mammogram once a year from the time she is 40 years old (the current guidelines from ACOG) and at age 52 her mammogram shows a stage 2 carcinoma, what has been prevented? As a wise health care consumer, you should be saying nothing has been prevented. However, many “healthcare” insurance plans use these “prevention” screenings as a selling point to consumers. Early detection is not and never will be the same thing as prevention.(I already hear the arguments mounting, “Isn’t it a good thing that her stage 2 cancer was found at stage 2 and not stage 3 or 4?” My answer to that is, maybe. Right now the standard of care for a diagnosed cancer patient is chemotherapy and radiation in some combination. Although the technology continues to improve, the fundamental theory behind these cancer treatment methods, at least in my humble opinion, is to kill all the cells, healthy and sick, and pray that the healthy cells win out.)What would true prevention coverage look like? Insurance plans covering gym memberships, and offering discounts for purchases of organic fruits and vegetables. Programs offering wellness care for individuals to maintain their health before they lose it. Making incentives available for healthy lifestyle choices that are known to prevent or limit the risk of certain diseases that our current system spends large chunks of healthcare dollars on. Offering proactive approach to disease by taking away the environment that sickness thrives in and promoting a healthy alternative; that is prevention.Information gained from an early detection screening is only useful when that information is applied appropriately. What good is an earlier diagnosis of high blood pressure, if the only answer is taking medication for the rest of your life? Based on personal testimonies from family and patients, I am not convinced that these early detection screenings, sold as “preventative healthcare,” are all they are cracked up to be. Know the difference and know find out how to truly prevent the emergencies as mentioned above.3. Less is MoreAnytime it comes to a health decisions, it is in my strong opinion that the less intervention, the better. If health practitioners truly believe and respect the foundational principle that life has the capacity to heal, than respecting and facilitating that healing ability with the least amount of intervention should be a top priority.Let’s use an hour glass as an example. If the sand in the hour glass represents your healing potential, then you are at your optimum healing ability when the sand is at the top of the hour glass and set in motion. How do we get the sand to the top of the hour glass? There are three different options:Option 1: We can use artificial sand (representing medication) and pour it into the top of the hour glass. This would trick your body into a false sense of healing and you may even feel better for a little while, but eventually as you continue to add more artificial sand, the bottom will completely fill up and put a halt to your healing.Option 2: We drill a hole and suck out the sand and then pour the sand into the top of the hour glass (representing surgery). But now, as the sand returns to the bottom and you begin to heal, some of your healing capacity is lost through the drilled hole. Not to mention, you are right back where you started with the sand in the bottom of the glass.Option 3: Simply flip the hour glass (representing a lifestyle adjustment, such as a chiropractic adjustment to the spine, massage, nutritional changes, exercise, etc.). This is the simplest and least invasive option. Yes, you must continue to make those adjustments throughout your life, but those minimally invasive lifestyle adjustments will set and maintain your healing potential in motion to keep you well and avoid the more invasive options 1 and 2.4. Good for One, Good For AllYour family may have a recipe for spaghetti or perogies (I know, my heritage is showing) that has been passed down for generations. Similarly, Mother Nature has passed down THE recipe for health, generation to generation, for all living things. Every generation may add their own twist to the ingredients or directions, but the foundation of the recipe is always present for optimum satiety.As humanity progresses through time, different expressions of health emerge. However, the foundation is always the same. The truth is over 95% of the population could attain and maintain their health if they would simply adhere to the three foundations listed below: Mother Nature’s Recipe for Health. The best part – this recipe is not unique to any individual, but is a part of our intelligent human design (Good for one, Good for all!)• Motion => Motion is life. From the microscopic vibrations of individual molecules that make up our cells to the macroscopic movement of our muscles, life requires motion. More commonly known today as exercise or physical activity. Go find a program, routine, or sport that sets your body in motion for at least 30 minutes every day.• Nutrition => We are what we consume and assimilate. Our cells die and regenerate every single moment of our lives. The raw materials to build our new cells, tissues, and organs come from our diets. Eating a diet rich in fruits and vegetables, nuts, and lean meats will ensure our bodies are getting the raw materials to build healthy cells. If you wish to eat processed food, do so sparingly – it is the equivalent of building your house with the cheapest cement as your foundation. When in doubt, eat from the Earth. Kick the cans, boxes, and bagged food.• Connection => We are creatures of community. Connectedness is as much a part of health and life as breathing. There three planes of connection; Spiritual (our connection to a Higher Order and/or purpose through prayer and meditation), Fraternal (our connection to one another as humans through our relationships), and Internal (our connection within our bodies coordinated through our central nervous system). Our ability to connect on these three planes is an essential ingredient to Mother Nature’s health recipe. Just like a cell phone needs a good satellite connection for proper function, we need these connections for health.So if we have the recipe for health, why are we so sick? For starters, the majority of “healthcare” dollars are spent in a pharmaceutical industry that ignores the existence of Mother Nature’s Health Recipe. Why would they do this? Well, it’s a great business model! Instead of addressing health as a whole body condition, the pharmaceutical industry wants to segregate every disease and condition into an individual problem and then claim to have THE specific medication that is the cure. A medication is designed to do exactly what is says it does on the label, whether it is lowering blood pressure, hiding a headache, or easing an upset stomach. The problem is that Mother Nature’s Recipe is not a linear equation. When you medicate for one condition, there are thousands of reactions within our bodies that are also affected (side effects). For every side effect, there is another medication (and more money spent). It is like dumping a jar of toxic chemicals into your mixing bowl and hoping for the best.Simply being diagnosed with a particular condition can lead an individual farther from health. If you are diagnosed with high blood pressure, you are presented with two options: medication or lifestyle change. Medication is a “quick fix” that just lowers your blood pressure – it doesn’t ask why your body is lowing your blood pressure to begin with or what the real cause is. It doesn’t “fix” it, it just hides the issue that life style change may correct over time. A wise health care consumer knows that these are two distinct choices – one that leads them closer to health, and one that leads them farther from it. Do not let yourself or your family be characterized by a health challenge. Wise healthcare consumers know better. They know that every choice they make in life is moving them either towards health or towards sickness. Monkey See Healthy, Monkey Do Healthy, Monkey Be Healthy!These four principles should act as guidelines for how you assess your healthcare choices. There is no perfect plan for guaranteed longevity or vitality; but there are wise choices you can make on a daily basis to increase your chances of health into you golden years. Knowledge is power, and now you know. The true test is what you do with it.
Careers in Healthcare are BOOMING right now. According to the Bureau of Labor and Statistics, Healthcare will generate 3.2 million new wage and salary jobs between 2008 and 2018 (Bureau of Labor Statistics, 2010). If you want to pursue a career in healthcare, you need an in-depth education.Education is one of the most important, and necessary steps to the start a career in healthcare. In the healthcare industry your body of knowledge and clinical expertise is your skill set. It is the marketable asset that will use to land that dream position you desire. Unfortunately, sometimes I see healthcare students who do not know how to maximize their training for the most benefit.I have spent several years in education. Throughout that time I have noticed that there are 5 consistent habits and/or traits that successful students demonstrate. The students who embrace these practices are more likely to succeed in their career path than others that do not. If you implement these practices in your education it will be richer, more dynamic, and much more valuable.Here are the TOP 5 traits of successful healthcare students that separate them from the crowd:1. They engage with their teachers- The instructors are there for a reason, use them! Ask questions when you do not understand something. By having your question answered immediately you are helping to develop a better understanding of that theory or concept. In addition, when the teacher asks a question of the class, answer it. Be involved with your instructor’s discussion. Open discussion, if guided by the instructor, can be a valuable method of learning. However, be careful not to monopolize a discussion, instead seek to add to it.2. They collaborate with others- Teachers are not your only ally in your education. Your peers in class and other professionals in the field can also complement your training. Many of the successful students whom I see form study groups. These groups create a synergy of learning. They use each other’s strengths to help one another. Students strong in one area can help those that are weak. Furthermore, another aspect of the group is accountability. While making a commitment to study to yourself can be easily dismissed, making a commitment to a group of peers carries a sense of duty and is not so easy to break. Aside from your peers, do not hesitate to utilize those already in the field. Not only are they a plethora of knowledge they can also become an integral part of your network.3. They study for the present but look to the future- While studying for your career in healthcare you will feel the need to focus on the present (the next practicum, the next exam, etc.). However, do not become shortsighted to your goals. Those students who are focused on their end game will not let any small setbacks deter them from moving forward. By knowing what you want down the road, you are more focused on what you need to do to get there. In effect, by knowing what is ahead of you, allows you to better prioritize the present.4. Know your resources- Many schools offer numerous tools that students can utilize to help them succeed in their course of study. Several have libraries, workshops, tutoring, and coaching readily available for students. For example, our school offers Skills Boot Camps in which students can come in and work on their patient care skills after class in a casual environment. In addition, there is a workshop where they can come in and work on getting vital signs from patients with one of our Nurses, almost one on one. Numerous schools in today’s world have online resources of which the students can use to augment their classroom time and better understand the material. This can range from books online, to practice tests to even games. Discover the resources that your school has and USE THEM!5. Show up!- This is the most important, if you do not show up you will not succeed, PERIOD. Be there every day ready to learn. Any time you miss out on a class you miss out on the knowledge. Finding yourself falling behind in class is never a good way to find success. Besides physically being there make sure that you are mentally there as well! Show up well rested and prepared so that you are in the optimal mindset to absorb that day’s material.So there you have it, the top 5 tips for a successful start to your career in healthcare. These tips by and large, are the pillars of successful students. Use these pillars to build a great foundation, and you will find success. Good Luck!
Well, not fighting, but they are having major disagreements. And the disagreement is about which direction to take in my plan of care.So where does that leave me?As you already know if you know me, I took a nasty spill really injured my knee. Now, it has led to some major complications with my knee, back and leg.Right now, I have two orthopedic surgeons, a physical therapist and a rehabilitation doctor monitoring my condition. Hectic doesn’t begin to describe it. Meanwhile, all of these providers have an opinion about what is going on with me, as well as my plan of treatment.One orthopedic surgeon has no idea of how to proceed of why I continue to have pain after surgery. The other orthopedic surgeon (thank goodness for second opinions!) says that I may have damage that no one has found or discussed with me before. The rehabilitation doctor says that he is about my hip, back and thigh. And the physical therapist has thrown her hand up concerning the other three providers. She is the one that sees me several times per week, so she feels her opinion is one the doctors should consider.I feel caught in the middle – literally. This becomes a dilemma for me, as it would for any patient.Now, all of these healthcare providers are smart. I don’t take anything away from them. But I am smart to, however I am at a loss as to which way to go.Side note: I am a healthcare advocate, and I still have a difficult time with navigating healthcare at times, even though I know my way around very well. What about the people that don’t know their way around? What must they be feeling?Why do healthcare providers disagree? Healthcare providers are people too. Some know more and have more experience than others. Some are aggressive with treatment, while others take a more laid-back approach. Differences in a healthcare provider’s knowledge experience and practice methods vary widely. That is why you must find a provider that closely mirrors how you would like to handle treatment for your conditions. Make sure that the provider you choose listens and has a complete background on you. Healthcare providers, like all people, are different which leads to different approaches to care.But what to do when your healthcare providers disagree?A lot of our decision will be based on our own common sense, beliefs and values. As humans, we naturally do what makes sense to us and what is comfortable. So in functioning as a human, we must remember a few things in trying to sort out healthcare opinions:• We should voice our concerns to each provider, and ask why they formed the opinion that they did. If you understand their reasoning for choosing the opinion they chose, it makes it easier to evaluate what they are telling you.• Ask each provider to evaluate the other providers differing opinions. Have each provider write down their thoughts of the others’ opinions and show it to all that are concerned. Ask the other providers their thoughts about what was written, and if they still stand by what they first told you.• Educate yourself about your conditions and treatment options so you can ask informed questions. This is your health, so it is your responsibility to make sure you have done your homework about it.• Is it all about the Benjamins? Doctors get paid for the services they perform. Surgeries are almost always thousands of dollars in a doctor’s pocket. Do you need the services or do they need the cash?• Trust your gut. After hearing everything your providers are saying, what is your gut telling you? You were ultimately in charge of your healthcare, as well as the expert on your personal health and circumstances. Use your common sense and make a choice, but don’t be pressured to do so immediately. Make the decision that reflects your values and beliefs.You will be the one who has to make the choices about your course of treatment, no matter how many differing opinions you get. You will be the one financially responsible, and you will be the one to indoor any consequences that may arise as a result of your choice. Make sure it’s a good one.Be a smart patient – do your homework, ask questions and question the answers. Make sure your decisions are reasonable (and covered by your insurance!). You can squash the fighting and get your best care.