May 4th, 2008
By CK Wilde for 3GenFamily Blog
http://www.pbs.org/caringforyourparents
I received an email from my cousin about the PBS documentary, Caring for Your Parents, a few days after it aired on April 2, 2008. He wanted to know if I was going to talk about it here. He thought it was a dynamite show.
I missed it the first time it aired. Fortunately, the entire show is available at the PBS website. So I was able to watch it today.
Wow!
The Caring for Your Parents website has divided the show into small sections. I was only going to sample a few sections to get a sense of what the show was about. That turned out to be nearly impossible. I had to watch the entire show.
The show’s producer, writer and director, Michael Kirk tread a fine line between respecting the private aspects of each of these five families from Rhode Island while having them describe the unvarnished truth of their lives as caregivers for their aging parents. We follow them over the course of a year. From well-to-do to working class, each family is coping with their parents evolving lives. Several of these families were dealing with parents with dementia.
It’s funny how we sometimes think our own situation is different or unique. I was struck by how eerily similar many of the conversations between adult child and parent and health care provider were to my conversations with my father.
Early in the show, one of the parents was being reminded by his doctor that he needed to give up driving a car because his memory has started to fail. The conversation was so similar to ones I had with my Dad that I was stunned!
The families and situations were varied but the major themes were the same as those I had encountered. Here are a few highlights:
1. Many of our parents believe in being self-sufficient. They will not mention problems they are having because they don’t want to be a burden. So, it is important to have conversations about finances and medical care and to continue having conversations as your parents’ health changes. Their choices and decisions and wishes need to be written down. It’s not one conversation–it’s many over time.
2. Your interactions with your adult siblings regarding your parents will mirror the interactions you had when you were younger. If your fought as kids, you will likely fight about your parents’ wellbeing. You can break out of the old pattern. You need to toss your expectations away about what your siblings ought to be doing. Inter-family anger is likely when one sibling does all the caregiving. It needs to be dealt with in a positive way.
3. The family members providing care often deal with highly technical medical information in order to provide a parent with informed care. It practically takes a Masters degree to deliver medication, understand what the issues are, speak for the patient when she/he can speak for themselves and make the excruciating decision on when to stop a treatment that isn’t working.
4. All of this work takes a huge toll on the caregiver whose health may be in jeopardy from the stress and self-denial. Of the five families, the caregivers who took time to take care of themselves fared significantly better than those that didn’t.
Director, Michael Kirk, tries to end on an upbeat note by talking about “Transformative Moments”. My own experience bears out that there are often funny, happy and special moments shared with your parents as you care for them. The more you focus on those moments of joy the easier it is to get through the difficult moments.
Caring for Your Parents forces us to confront the idyllic myth that we and our parents may have of their independently living out their days in happy retirement until their “time is up.” Our elders are living longer, often in poorer health. They need more and more of our help as time goes on.
This documentary is a real eye opener. Please do watch it.
It is available for viewing on the PBS website and the DVD is available for purchase.
Caring for Your Parents
© 2008 CK Wilde. All Rights Reserved. Please feel free to link to this post but you must have prior written permission to reproduce this post either whole or in part. Please use the comments to request permission.
May 4th, 2008
April 21st, 2008
Welcome to the new 3GenFamily Blog, Technorati.
We have moved from Wordpress.com in order to expand what we offer our readers.
April 21st, 2008
April 20th, 2008
By CK Wilde for 3GenFamily Blog
110 Tips for Getting Into The College of Your Choice
Today is April 20th. There are only 10 days left for high school seniors to decide which college they will be attending in the Fall of 2008.
If your high school senior received the perfect offer, you and your student are preparing to visit the school for “New Admit Day” or are making a list of all of the personal items that need to get shipped to the dorm before the first day of school.
Or, if the perfect school did not say yes, your son or daughter is doing much nail biting trying to decide among the acceptances that you have.
And, if your student didn’t make it into any of the colleges that he or she applied to, Tip 90 of 110 Tips For Getting Into The College Of Your Choice by Sandra and Ian Griffin offers hope. There are colleges that offer “late admissions” and others that have “rolling admissions.” Your high school’s college counselor may have lists of these colleges or can get them from the National Association of College Admissions Counseling.
Where to Start in Preparing for College
This tiny gem of a booklet offers 109 other sound tips for actions students and their parents can take starting in middle school and continuing all through high school until your student is ready to board that plane, train, bus or car to begin a new life at college.
Having been through this process with my first son who is one month away from completing his Freshman year at college, I was delighted to discover that Sandra and Ian Griffin cover all of the most important topics our family discovered with our son.
Starting in middle school?
Yes!
Just as learning basic reading and math in 1st grade are the building blocks for your child for higher grades in elementary school, reading and math in middle school prepare your child for high school. It is also a time for your child to start exploring interests that may be come life long passions.
Tip 103: Keep An Open Mind About Your Student’s Interests
I could never have imagined in my wildest dreams that my older son’s hours of Gameboy and Game Cube playing would help him get admitted to college. In fact, my husband and I used kitchen timers to limit our son’s game time. When the timer went off, it was time for him to read, do homework or go outside to play.
Even so, our son pursued his passion, eventually landing a volunteer coding job with an open source online game. That led to becoming a team leader on the open source game project.
When it came to writing the essays for college, our son had quite a story to tell. And, several of the colleges loved it. They saw his commitment and growth through the essays he wrote about handling the good and bad of being a volunteer on an open source game project.
You could say he got into college by playing video games.
110 Tips for Getting Into The College of Your Choice has many more tips about middle school preparation, high school courses, writing essays and choosing colleges. It’s easy to read and very easy on the budget — just $5.99 plus tax and postage. You can order the slim, hardcopy version to keep as a handy reference.
In my last post, Was Your Son Or Daughter Rejected By A Top College?, I talked about what to do if the perfect school didn’t materialize for your high school senior. There are a lot of steps to take before that day comes. Sandra and Ian Griffin’s handy little book is a great place to start.
110 Tips for Getting Into The College of Your Choice
Please check it out.
© 2008 CK Wilde. All Rights Reserved. Please feel free to link to this post but you must have prior written permission to reproduce this post either whole or in part. Please use the comments to request permission.
April 20th, 2008
April 4th, 2008
By CK Wilde for 3GenFamily Blog.
April is a gut-wrenching month for any high achieving high school senior applying to colleges. After pouring heart, soul and thesaurus into college essay after college essay, the student waits anxiously for the results.
Big 9 x 12 envelope with acceptance letter and paperwork or flat #10 envelope with a rejection letter?
These days, notice is more likely to come by email or on your password protected section of the college’s website. Your student logs in and cheers exultantly . . . or groans in pain.
Watching From the Sidelines
Parenting your teen through this process is like watching him or her nervously step up to bat in a softball game for the first time. Is it a home run, or a single or an out? Receiving the acceptance letter feels like a home run to win the State Championship .
But, oh, the rejection letter (strike out in the bottom of the 9th inning) hurts deeply inside no matter how gently it is worded. It feels so final.
Making matters worse is the fact that 4,158,000 babies were born in 1990 (US Census Data). This is the largest number of children born since 1960. More students are applying to college; and more of those are applying to top colleges. Harvard received over 27,000 applications for Fall 2008!
So, how does a parent help a daughter or son through this?
Telling your student not to feel rejected will probably fall flat, especially if your teen has begun to visualize himself there. What do you do?
Try Diverting Attention Instead.
Help your teenager focus on the good news. Spend time looking at the packages from colleges that accepted your student. Stress what a tremendous effort your son or daughter made to get these results.
Banish all blame from the conversation. If you hear your high schooler mutter, “If only I . . .” stop them from saying anything more. No amount of anguished blame will change the results. It may be trite saying, but it is true nonetheless — “when one door closes, another one opens.”
Help your student look for the door that’s opening. Talk about the positive features of the colleges that accepted your student. What is unique? Which has the most classes and activities that fit your teen’s goals and interests?
Creative Admissions
Some colleges have gotten creative and are offer acceptances for the Spring in addition to the Fall semester. University of California at Berkeley offered that to a friend of ours last year. It is a creative alternative that turned out great for our friend. He got into one of his top choice schools, just not in the Fall. Berkeley also had a special program for Spring admits in the Fall semester so that our friend could work on required courses. It worked out just right.
Then, there are waiting lists.
More students will be offered waiting list status this year than before. Usually college admissions directors can predict how many students will enroll in a given year. But, 2008-2009 is rather unusual so the waiting lists will be larger than before.
The decision to stay on the waiting list is more difficult. It depends on the other acceptances and financial offers your son or daughter has received. Just how interested is your child in that college that put him/her on the wait list?
If the answer is VERY interested, the student should immediately let the school know by returning the postcard or completing the electronic form. It is a good idea to follow this up with a letter to the Director of Admissions. The letter should should be as specific as possible with reasons why the student is still very interested in that particular school. For example, explain which particular courses or programs the student is interested in at the waiting list college.
Your high school guidance counselor can help here, too, by forwarding the latest set of grades to demonstrate the effort the student is making in school and sending additional glowing recommendations from a particular teacher. Your guidance counselor is also a resource for evaluating the the offers from the colleges which accepted your teen.
Deadline May 1
It is critical that your teen reserve a place at one of these acceptance schools by or before May 1. On the plus side, this assures that your son or daughter is going to college in the Fall. The downside is, If your teen then gets admitted from a waiting list, he/she may have to forfeit an entrance deposit (sent to the acceptance school) to go to their top choice school. The entrance fees are sizable at some colleges, but modest or non-existent at others. It is important to pay attention to them.
If, after all of these efforts, your student doesn’t get into a top choice school, there is the possibility to transfer to another school after Freshman or Sophomore year. Transferring is almost as much work as applying as a Freshman.
One of the best discussions I have seen about transferring colleges is at About.com.
There are good reasons to transfer and bad ones. You, as the parent, can help your son or daughter look at the current college experience for the signs that transferring is the right thing to do. But, it is important to distinguish between adjustment to a new environment and issues that really do need changing.
The first year of college is a major leap for your teen into a new and unfamiliar environment. Adapting to that environment is stressful, there is no question about it. Re-creating those cozy friendships and daily routines left behind in high school take time. Until they happen, even the most mature student can feel awkward and out of place. Don’t be surprised if once those are established, your student realizes that he/she is in the right place after all.
Congratulations! You are the parent of a college student now.
© 2008 CK Wilde. All Rights Reserved. Please feel free to link to this post but you must have prior written permission to reproduce this post either whole or in part. Please use the comments to request permission.
April 4th, 2008
March 20th, 2008
By CK Wilde for 3GenFamily Blog.
Ripe, juicy tomatoes were my father’s obsession. Every year, Dad would plant enough tomato plants to keep our family of four and my grandparents, my aunt and her husband and my uncle and his family with huge beefsteak and oval plum tomatoes all summer long. At summer’s end, he and my mother would spend weekends canning tomatoes.
After many August weekends of canning whole tomatoes, my mother revolutionized her life by canning tomato sauce which could be used right from the jar to prepare meals. Much later on my parents discovered the wonders of freezing the sauce to keep more of the fresh made taste.
Getting bumper crops of tomatoes took a lot of work preparing the soil, starting plants from seeds, planting and then watering and tending the plants. Most spring and summer evenings, you would find my father out in his garden helping plants grow.
Two Packs A Day
And, during that time, my father was a two pack-a-day smoker. He quit “cold turkey” one day after 35 years of smoking because a coughing fit left him wheezing and unable to catch his breath. In that instant, he finally realized that his only choice was to stop smoking.
He continued to vigorously garden until his late 70’s when his second wife pronounced the garden “too much work for him” and urged him to give it up. Believe it or not, the garden seemed to be the source of his energy and strength.
Over the next few years, Dad’s health slid into decline. Hospitalizations became more frequent.
Gardening and Salads?
So even though it seems a bit far fetched, it doesn’t surprise me that the researchers at the University of Texas M.D. Anderson Cancer Center found recently (December 2007) that smokers and non-smokers may be able to reduce the risk of lung cancer by eating salads 4 or more times per week and working in the garden 1 or 2 times per week.
Cynical reviewers could say that this research is nothing more than getting exercise and eating the right kinds of foods. Yet, I wonder if there is something additional going on?
Thwarting Pesky Gophers!
When my children were in preschool and first grade, we tended a little garden in tubs placed in a sunny spot near our front door. We grew all plants in containers to thwart the gophers who managed to devour everything in their path.
After a few minutes of pulling weeds and watering, I would lapse into a reverie — an almost primal connection to the earth. The warmth of the sun would melt the tension from the week. Stretching and bending felt so good after a week of desk sitting. I would be refreshed and ready for the hectic week ahead.
In a number of weeks after all of my solicitous garden tending, we would be rewarded with the most delicious tasting vegetable and herbs. An added benefit of all of the work in the garden is that , even today, my sons willingly eat salads and vegetables!
And now, the researchers at M.D. Anderson Cancer Center have been able to empirically show that eating vegetables (antioxidants, vitamins and minerals) and getting outdoors to get some sun (Vitamin D) and exercise (reduce stress and condition the heart and lungs) can save smokers lives.
It is a sad irony that just a few years after my father gave up gardening, he died of lung cancer.
If you have a parent or spouse who smokes, don’t give up on getting him or her to quit. 80 percent of lung cancers are related to smoking tobacco.
In the meantime, you might want to suggest heading out to the garden to plant some veggies.
© 2008 CK Wilde. All Rights Reserved. Please feel free to link to this post but you must have prior written permission to reproduce this post in any manner. Please use the comments to request permission.
March 20th, 2008
March 15th, 2008
Over the past 19 years since my first son was born, we have had a number of doctors care for us. Dr. G, our first pediatrician, was reassuring and supportive even when I was 2 hours late for the first baby check up.
When Dr. G accepted a partnership opportunity 80 miles away, we moved to Dr. H who gave my children friendly, practical care until it was our turn to move away.
Dr. H gave us a referral to Dr. B, a distinguished, elderly man trained in Europe. I really appreciated Dr. B’s concern and care when it came to treating my son’s asthma.
Unfortunately, our insurance carrier changed and I was forced to find a different doctor who was accepted by the plan. That’s how Dr. F entered our lives.
Every time we made a change, I dutifully requested that my sons’ medical records be sent to the new doctor. Dr. F inherited two files that were over 2 inches thick. The last time I saw a complete file was during an office visit for my youngest son two years ago.
(Here’s the Health Record organizer I recommend.)
Reason Number 1 - Medical Records Get Lost or Destroyed
Recently, it was time to changed doctors again. I requested copies from Dr. F’s staff and paid $50 for them photocopy the entire files.
What I got was only 10 pages for each son!
The doctors’ staff insists that I got everything they had.
So, what happened to all of those old records?
I can only suppose that someone was cleaning up the doctors files and moved ours to some unlabeled box in a storage facility. Or, perhaps they shredded them (California has enormous penalties for failing to destroy medical records properly).
HIPPA, the Health Insurance Portability and Accountability Act, requires information it defines as “protected health information” to be maintained by the physician for at least 6 years from the date of its creation or the date it was last in effect. The earliest date in the records I received was 1997. So Dr. F’s staff had actually kept records going back more than 10 years.
Isn’t that good enough?
Not always.
Reason Number 2 - Memory Fails & Doctors’ Notes are Impossible to Read
My oldest son recently came down with a sinus infection at college. He needed to tell Health Services if he had any reactions to medication. I recalled he had some issue with one antibiotic a long time ago. But which one was it?
I couldn’t remember the name so I searched the records I received. Dr. F’s scribbles were impossible to read. How I wish I had kept a set of records myself. The benefit claim forms that the insurance company sends don’t have any of these kinds of details.
So my son had to take the medication he was prescribed and hope for the best.
We lucked out. Number one son is recuperating nicely. But, there could have been a problem. All I had to do was make a legible note in a binder and put it in a safe place. But I didn’t because I thought I would remember.
My father tried to capture his key medical issues on pieces of note paper. I found a few of these notes in his tax paperwork for 2005. But, Dad didn’t have these papers with him the times he was hospitalized in the past two years.
My father wasn’t always able to tell the hospital doctors his medical history. It is clear from the records I have that they were in the dark about it. He ended up having multiple tests and x-rays over and over again because of it.
Reason Number 3 - Doctors Don’t Always Communicate With Each Other
In my post, Google Doesn’t Belong in the Health Records Business, I mentioned that my Dad’s family doctor did not always get records after my Dad’s hospitalizations because she was not affiliated with that hospital.
The hospital would assign a doctor to my father. Dad would protest that he had a doctor. They would explain that she couldn’t attend him that their hospital. My father would be angry and frustrated. The hospital staff would just call him difficult.
Eventually, I convinced my father to switch doctors so that he would have a family practitioner close to where he lived. With the help of the nurse at the retirement community, I arranged for my father to consult with two of the doctors who made visits to the community. He wasn’t sure which doctor he wanted as his primary care physician so we arranged for him to meet both doctors and then decide.
I requested my father’s medical records from his original doctor but her staff did not want to release them. The office manager said she would only release his medical records to another doctor. (Note: Each individual has a right to his/her own medical records.) They said they were afraid he would lose them and it would be too much work to copy them again.
Frustrated but unable to do much by long distance, I suggested to my father than I would give his old doctor one of the names of the new doctors, have the file sent, and then he could choose from the two new doctors. The nurse at the retirement community promised to get the file to the right doctor when it arrived.
Dad had a “meet and greet” with one of the doctors. Still no medical record for the new doctor to review. The other doctor had an emergency that day and canceled office visits.
Meanwhile, I continued to badger the office manager to release my father’s records.
Dad’s records eventually arrived, but not before he was hospitalized again. More tests, more x-rays.
You Need to Protect Yourself and Your Family
My family has had its share of doctors’ visits since the time my children were born. Most of those have been routine checkups. Never in all that time has any medical professional ever suggested I keep a binder to keep track of things.
My latest experiences tell me that I really need to get a binder together for my family. After doing some research, I settled on Jakoter Health Organizers.
The Jakoter Health Organizer includes a sturdy binder, 75 separate pages to record important information, pocket pages to hold instructions, notes and charts, even business card holder pages to keep all of your doctors’ business cards handy.
Click this link to see more information about the Jakoter Health Organizer.
Are you carrying around stacks of doctors’ business cards in your purse just in case you will need them? I was. The business card pages in this kit are a way to lighten your load and still be prepared.
This organizer was created by an enterprising mom, Laura Heuer, who needed a way to deal with the overload of details about her son who had severe reactions to antibiotics given for a strep throat. Her son eventually got better. Out of her struggle to stay organized and on top of issues, the Jakoter Health Organizer was born.
Please check it out. Having organized health records will make it easier to communicate with your doctors, prevent unnecessary procedures and help your doctor make better diagnoses.
Today is a great day to get started.
© 2008 CK Wilde. All Rights Reserved. Please feel free to link to this post but you must have prior written permission to reproduce this post either whole or in part. Please use the comments to request permission.
March 15th, 2008
March 10th, 2008
My father only had a couple thousand dollars of life insurance in force by the time he turned 83. He outlived the term of one policy, so the insurance company paid him the cash value and terminated the policy.
As someone who was deeply affected by the Depression, Dad would probably have jumped at the chance to sell a life insurance policy for more than the cash value. But, as someone in the early stages of dementia, he was vulnerable to being swindled. We had one close call with his investments.
I want to alert you to the booming business in life settlements that is still largely unregulated.
Help for the Terminally Ill
It started out as a compassionate way to help someone who has large medical bills to pay. It’s called a viatical settlement. It gives a person, typically with less than two years to live, who owns a large cash value life insurance policy but does not have a spouse or children, a way to get cash out of the policy.
Cash value insurance policies (also called whole life) have provisions for the owner to cancel the policy and receive the “surrender value”. But, this amount is usually very small compared to the total amount of insurance. The settlement company is usually willing to pay much more. The viatical settlement became popular during the 1980’s as a way to help terminally ill AIDS patients deal with the high cost of medical care.
A New Investment is Born
The purchased insurance policies from those early viatical settlements were sold to individual investors. Because this new investment was unregulated, it attracted some unscrupulous dealers. Salesmen were paid high commissions to sell the policies to investors who did not always understand what they were buying. The investment community soured on buying settlements.
In 2001, the National Association of Insurance Commissioners released the Viatical Settlements Model Act which established guidelines for ensuring sound business practices and avoiding fraud. It was about that same time that settlement dealers began purchasing policies using institutional capital. The demand for settlements as an investment began to increase.
Better Than Mortgages?
From an investor’s standpoint, buying insurance policies is even better than buying mortgages. Everyone dies! As long as the insurance policy was written by a company that is solid, the investor gets paid.
Investing in mortgages, once considered much safer than stocks or bonds, is not as predictable. People can get sick or disabled, lose there jobs, or have other life events that prevent them from paying the mortgage. US economic problems today were caused in part by defaults on mortgages — many made by unscrupulous brokers who bent the rules.
Most mortgages today are combined into packages that re-sold to large institutional investors. It wasn’t long before some enterprising folks figured out that they could package these purchased policies, now called life settlements, and sell them to institutional investors for generous commissions.
Easy To Be Taken In By Easy Money
It happened to Larry King, CNN’s famous talk show host. King alleges in a lawsuit filed recently that he was the victim of a scam to buy and sell life insurance on himself, also called “flipping” policies. While King made $1.4 million on the deals, he now realizes that he would have been better off if he had kept the policies. He feels that he was cheated.
An insurance company owns the $15 million in policies, a company by the name of Coventry Insurance. Coventry was sued last year by the State of New York for alleged predatory practices.
Yesterday, our local newspaper, the San Jose Mercury News, reported that flyers were circulating at a San Luis Obispo, California senior center telling seniors they could get as much as $50,000 from “investors that want to speculate on our life expectancy.”
Although the NAIC issued the Viatical Settlements Model Act in 2001 and amended it in 2007 to strengthen consumer protections for “Stranger- Originated Life Insurance” only 35 states have officially adopted the guidelines. California, where I live, has not yet adopted any guidelines.
What’s The Harm?
If Larry King, who is a reasonably intelligent 73 year old, could be duped, anyone could be. Particularly someone in the early stages of dementia.
Life insurance is just one part of a total financial plan. Selling a life insurance policy really needs to be evaluated in terms of the person’s overall needs and financial status. These life settlement companies are not doing that.
So we caregivers need to be alert to these issues. If your parent tells you about a wonderful opportunity to sell an old life insurance policy, get to the financial planner or attorney to have the deal reviewed right away. Who is buying the policy? Will it be sold to a third party? Who is that?
The Mercury News article quoted Jay Adkisson, an attorney who writes a blog about financial fraud, “You ought to know who you are selling to. You don’t want Tony Soprano buying your life insurance policy.”
Good advice.
March 10th, 2008
February 29th, 2008
Sorry, Eric (Schmidt, CEO of Google).
Google doesn’t belong in the health records business.
For those of you who don’t follow Google’s business on a daily basis, here is a brief rundown of what has happened.
Last year, Microsoft announced a new service called Health Vault to help individuals manage health records online. This is not a revolutionary idea. There are already several smaller companies on the Internet offering individuals the convenience of storing health records online so that they are more available when they are needed. Several of the large players in the business of providing technology to doctors offices and medical clinics also have digital records initiatives.
But, no one company has been able to gain serious momentum in digital health records. It is a gargantuan task to coordinate doctors, labs, hospitals, pharmacies, insurance companies and individuals AND meet all of the requirements of HIPAA for privacy. Microsoft has already collected an impressive number of partners to work with Health Vault.
Google Announcement Starts Tsunami
In Orlando, Florida last week, Google announced Google Health, a platform for individuals to manage medical records such as medical test results and prescriptions. The announcement set off a wave of protests from consumer privacy advocates. Eric Schmidt is trying to soothe the uproar by saying that Google won’t sell ads on Google Health.
Oh really?
Here’s how one analyst sees the situation:
“Gene Munster, an analyst at Piper Jaffray, firmly believes ads will happen. ‘Advertisers would pay absurd amounts of money to be seen when someone wants to, say, refill a subscription online,’ he says.’ This is more lucrative than commerce-related search.” For the complete story, click here to see Jefferson Graham’s article in USA Today.
Digital Records Could Save Lives
I’m not a Luddite. I work for a company that develops mobile technology.
And, I have had to fight ferociously with doctor’s office administrators to obtain my Dad’s medical records as well as my own and my children’s records. In one case, I had to pay $100 for a file of poor photocopies that I could barely read. Forget about scanning to digitize them.
My father was caught in the bind between doctor and hospital. His regular family doctor had all of his records but she wasn’t admitted to practice at the hospital closest to my father’s home. The hospital would “assign” him a doctor while he was there. But the records never made it back to the family doctor.
The cardiologist at the hospital might not have put my father on Plavix if the doctor knew my father had a history of gastrointestinal bleeding. At one point, the docs who did not talk to each other had my father on DOUBLE doses of 4 different medications. It only got corrected because he could feel that the medications were not working right. He went to the family doctor who reduced all the doses and got rid of the duplicate medications.
That was a close call! And, it is a safe bet that this happens to thousands of Americans everyday.
If you have experienced anything like this, you may think I am crazy to oppose help from the two tech companies that have the best chance of making digital records happen. Pam Dixon, executive director of the non-profit World Privacy Forum, said it best,”A publicly traded company is supposed to have shareholders (my emphasis) in mind first.” (As quoted in an Associated Press article by Travis Reed.)
The Push for Quarterly Profits
Wall Street, institutional and individual shareholders are illogically relentless in their push for quarterly profits from publicly traded companies. Every employee knows what ROSHE (Return on Shareholder Equity) its company is trying to achieve. The focus may be making customers happy so they buy more product or service but the goal is always ROSHE.
The bulk of Google’s revenue comes from selling ads. Microsoft sells software and services. These companies are locked in a battle to gain your attention for its products and partners’ products. Each is working to dominate the marketplace.
So, it is easy to envision a scenario in which our personal privacy gets compromised.
But, it doesn’t have to be that way.
Microsoft has the platforms to connect little devices like a glucose monitor to your home computer but its web sites infrastructure is not as strong as Google’s. (Full disclosure– my company is a Microsoft Partner. I have many good things to say about Microsoft but not when it comes to its web sites.)
Google has the digital infrastructure to power web-based communications around our planet. If you use Google to search the Internet, you are tapping into an amazing, gigantic, distributed network that gives you search results after it has filtered out over 3 million malicious or problematic web sites in a small fraction of a second. But, even Google admits that its first version of a G-Phone is buggy beyond belief.
I admire both companies for what they have achieved and the vision they espouse. But both companies have the compelling need to make ROSHE. Right now Google has advertisers that are willing to pay $25, $50 or more when a person visits the advertiser’s web site. The possibilities for enormous revenue for delivering pharmaceutical ads, for example, to consumers are easy to imagine. Google has all of the technology from Double Click to track every purchase you make. It’s only a short step to your entire medical file.
Microsoft has slightly different, yet just has huge revenue possibilities. It’s making the Wall Street analysts giddy with thoughts of double digit quarterly profits.
The Third Alternative — A Consortium
It’s hard to get things done by committee. Compromises can result in gazelles that look more like camels. But sometimes a non-profit organization or a governmental entity is the only way to protect citizens from the fallout of the giant corporate gladiators.
From my vantage point, the only way to assure that digital health care information does not become another series of battles like Blu-Ray versus HD-DVD (or Betamax vs. VHS for those who have long memories) is to have a non-profit consortium responsible to citizens to safeguard privacy and set standards for interoperability.
Think of the headaches if you want to change doctors but the new doctor doesn’t use the same medical records system. If you choose to go with the new doctor, you have to figure out a way to get all of the pertinent data into the new system. That’s more time out of your week, more money out of your pocket, and another point where your information could be corrupted or misused.
Now is the time for Microsoft and Google to call a truce and become part of a non-profit consortium for health care records. It won’t be perfect, but when consumers trust that their information is safe, they will sign up to buy in droves. And that would make Wall Street happy, too.
February 29th, 2008
February 14th, 2008
And, Make Sure to Have Pudding for Dessert
What?!
A popular nutrition newsletter arrived in my email today talking about Vitamin D deficiency in the US. I was surprised to read that Vitamin D deficiency is very common in the US. A recent study in the American Journal of Clinical Nutrition (January 2008) found that a low blood concentration of Vitamin D was associated with higher blood pressure in Caucasians (but not African Americans.)
It seems that researchers are finding all sorts of health issues that a little bit more vitamin D would lessen or prevent. Most important for seniors — Vitamin D helps your body use calcium to build stronger bones.
Hip or other bone fractures are often the beginning of a grindingly slow downward spiral for many seniors. Less mobility leads to even less mobility. The end of the line is the nursing home.
The crying shame is that Vitamin D is so easy to get through our diet, supplements and sunlight. Eggs, tuna, salmon, mackerel and sardines are good sources of Vitamin D along with fortified milk products.
Your daily vitamin probably contains it, but not enough. The recommended daily allowance is 400 IUs. Many all in one supplements contain less than half that amount.
More Is Better
Dr. Andrew Weil, (click here) highly respected for his approach to combining nutrition with traditional medicine, recommends 1000 IUs per day and even more if you don’t get out in the sun at all. His recommendation comes after extensive research into the latest studies on Vitamin D.
His conclusion: More is Better!
Love the One You’re With
Here’s an easy way to show your Valentine you care. Take your parent (or loved one) out for a walk in the sunshine, weather permitting. Just 15-20 minutes of sun on your hands and face is enough. But, don’t put on sunscreen. It blocks your body’s ability to make Vitamin D. Take the sunscreen with you to apply after you get a bit of sun if you’ll be out more than 20 minutes.
Then, have a lovely salmon dinner. Tuna sandwiches are ok, too (go light on the mayo.)
And, top it off with pudding made with fortified milk (nondairy, if milk is a problem). Sorry, milk chocolate truffles don’t count.
Both People Benefit
Spending time with someone to celebrate has benefits for your parent, loved one and you. Mind, body and spirit. Don’t miss out.
February 14th, 2008
February 9th, 2008
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February 9th, 2008
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