Medicine on Call: Depression in the Black Community

 

 Medicine on Call with Dr. Elaina George 

Dr George and Delores Jones, a correspondent for AOL speak about dealing with depression and change through inspiration and spirituality. 

Click here to listen!

Dr. Elaina George: The Healthcare Reform Bill: Truth and Consequences

By

Dr. Elaina George, MD

The health care reform bill (HR 3962) that just passed the House of Representatives is bad on so many levels it is difficult explain. As it stands, it will destroy both the doctor patient relationship and change the practice of medicine as we know it.

We have one of the finest health care systems in the world. It has been built on a foundation of choice. Doctors were free to choose the care that they deemed necessary to treat their patients, and patients were free to seek the medical care of their choice. Initially, the foundation was shaken by the rise of the managed care system with capitation. However, over the past 10 years, capitated plans which limit access to specialists have given way to the rise in power of insurance companies. They have used their anti-trust exemption to craft a system that has used monopoly to increase profits on the backs of both doctors and patients.

Unfortunately, the House does not address necessary changes that would lead to meaningful reform, such as breaking the monopoly strangle hold that insurance companies enjoy, reigning in the enormous profits of the pharmaceutical industry, tort reform, or crafting a healthcare system based on wellness and prevention and not the management of disease. Instead HR 3962 creates a layer of government bureaucracy that inserts itself between the doctor and the patient by creating a national health commissioner and task forces that will evaluate and decide everything from what medications a physician is allowed to prescribe to a patient, to what surgery will be approved, to what outcomes will be expected for a particular medical condition.

Taken to its logical extent, this bill will create a world where the good of the many by definition MUST outweigh the needs of the few because to spend large sums of money on a limited number of patients will increase costs without the guarantee of a good outcome. It only makes sense as long as you are not the senior citizen that needs a hip replacement, the premature infant with multiple medical problems, or the person with a chronic disease that statistics show has a limited time left on this earth. The House bill sets up a health care system with a finite number of resources (e.g., doctors, hospitals, expensive medical equipment). Because of these limitations, the system must be used to help those who the government determines to be the most productive people. A principle has been advocated by a senior White House health adviser called “the complete lives system “. This system will prioritize healthcare for those who are younger on the theory that they have not yet lived a complete life by using tools such as lottery and prognosis to determine who receives care.

This system would lead to a harsh reality; but how else can we possibly cover more people with limited resources at a lower cost without raising the deficit as this bill promises? Medicare and Social Security are two government run programs that suggest that the answer to this question is… you can’t.

Dr Elaina George is Board certified Otolaryngologist who started Peachtree ENT Center with a mission to practice state of the art medicine that is available to everyone. She graduated from Princeton University with a degree in Biology. She received her Masters degree in Medical Microbiology at Long Island University, and received her medical degree from Mount Sinai School of Medicine in New York. Dr George completed her residency at Manhattan, Eye Ear & Throat Hospital. Her training included general surgery at Lenox Hill Hospital, pediatric ENT at The NY-Presbyterian Hospital, and head and neck oncology at Memorial Sloan-Kettering Cancer Center. She has published in several scientific journals and presented her research at national meetings.  For media queries or speaking requests, please call 888-315-1591

Dr. George: Ever Want to Know What’s in the H1N1 Vaccine?

 

by Dr. Elaina George, Your Black World Medical Correspondent

There has been a lot of confusion about what ingredients are in the H1N1 Vaccine. In order to distill the information to make it easier for you to make an informed choice, here is a brief synopsis of the information provided by the manufacturers in their package inserts.

There are 4 manufactures who have been approved to sell H1N1 vaccine in the US. They are: Novartis, CSL, Sanofi/Pasteur and MedImmune

1. Novartis makes an injectable vaccine for ages 4 and above

Ingredients: Thimerosal (Mercury) both in the single dose and the multi dose vials

Antibiotics – polymyxin and neomycin (can be neurotoxic)

Manufactured with phenol (the chemical used on skin in cosmetic face peals to remove wrinkles)

Note: They recommend that children ages 4-9 get 2 injections one month apart. This would increase the risk from a reaction to the mercury (e.g, neurological damage such as Gullain-Barre or possibly Autism)

 

Click to read more.

Did you Know there are Natural Treatments for the Swine Flu?

In this episode of Medicine on Call, Dr. Elaina George speaks with Dr Maiysha Clairborne of Mind, Body, Spirit, Wellness.  we spoke about natural approaches to prevent and treat swine flu. Overall natural remedies to reduce stress and promote overall wellness.

Click here to listen!

Medicine on Call: Dr. Elaina George Discusses Flu Season Preparation

 

In this episode of “Medicine on Call,” Dr. Elaina George engages in a lively medical conversation about the Swine flu.  Click here to listen!

 

Visit Your Black World for the latest in Black News!

Dr. George Advice: What to Ask Before Taking that Swine Flu Vaccine

Dr. Elaina George, MD, Your Black World Medical Contributor

With the H1N1 swine flu virus vaccine becoming available this month, there is a big push to vaccinate as many people as possible. However, whether

or not you decide to take the vaccine, there are important questions you should ask your doctor or other health practitioner to make sure it is the right choice for you and your family.

1. Does the Vaccine contain additives such as mercury or squaline?

Additives called adjuvants like mercury (thiamerisol) are added to inhibit bacterial contamination. However, some studies have

implicated mercury as a cause of autism and squaline as a cause of neurological damage respectively.

2. How can I avoid getting a vaccine that contains mercury?

Ask to receive your vaccine from a single dose vial. Unlike the multiple dose vials which contain thiamerisol, the single dose

vials do not contain that additive.

Click to read.

News: 5 Things You can Do to Stay Healthy

by Dr Elaina George, MD

Instead of waiting for the outcome of the healthcare debate to decide your fate, use some simple common sense strategies to take back the power to control your own health.

1. Start exercising

An increase in activity of as little as 20 minutes 3 times a week can make a difference in your risk of heart disease,

diabetes and obesity. You don’t have to get fancy with a gym membership. Try taking the stairs at work instead of the

elevator, or park further from the entrance when you go to the market or mall.

2. Eat Smaller portions

You may not want to give up your junk food or fried food, but try to limit your portions. Instead of buying a six pack

of soda, buy a two liter bottle. You can better control the portions along with your intake of calories.

3. Drink more water

The average person should be drinking 1 ounce per kilogram of his/her weight in water per day. (1 lb = 2.2kg).

Studies have shown that people eat more when they are dehydrated because the signals in the body can confuse

hunger with thirst. If you are hungry, try drinking an 8-12 oz glass of water before you decide to eat that snack.

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News: First Swine Flu Vaccines Set to Arrive Oct 5

U.S. health officials say the first swine flu vaccine should be in some doctors’ offices as early as Oct. 5. Officials with the Centers for Disease Control and Prevention said Friday the U.S. vaccine shipments will go directly to doctors, clinics and other providers designated by each state.

States are expected to begin ordering their share of the nation’s H1N1 flu vaccine on Wednesday, said Paul Jarris, executive director of the Association of State and Territorial Health Officials. That day, the CDC brings its secure ordering site online.

Distribution will start with 6 million to 7 million doses of the nasal spray vaccine, Health and Human Services Secretary Kathleen Sebelius said Thursday. Forty million doses of injectable vaccine are due to arrive soon after, with another 10 million to 20 million doses due weekly.

 

Click to read.

Dr. George Speaks: Are We Going to Run out of Doctors?

 

Dr. Elaina George, Your Black World Medical Correspondent

Reports estimate that 50-60% of doctors will be sued during the course of their career. However, only 10-20% of those cases actually go to trial. Of those that go to trial, doctors are found innocent of malpractice 80% of the time. This demonstrates the fact that although the perception exists that there may be a lot of bad doctors practicing bad medicine this is actually not the case.

Unfortunately, this perception has led to an explosion in the costs of practicing medicine. Over the last 5-10 years medical malpractice premiums have gone through the roof from primary care to neurosurgery. In Florida, for example, malpractice premiums for OB-GYNs have risen to as high as 250,000 per year. This staggering statistic highlights the unintended consequence of limiting access to medical care for women who live in those states. Florida is not alone, it is happening all over the country. Physicians have either moved out of state, retired early, or they have restricted the type of medicine they practice because they cannot afford the cost of doing business.

Click to read.

Health News: The 6 Things You Need To Know Before You Take The Swine Flu Vaccine

by Dr. Elaina George, Your Black World 

Although the Swine flu virus has been identified in over 70 countries, it has not been as deadly as expected

• The world wide number of swine flu cases currently is 209,500 with 2,185 deaths

The common flu is more deadly

• In the US there have been 40,000 cases identified with 1,876 deaths. This is quite low when you compare the death rate to the typical flu virus which kills over 30,000 people per year.

Most cases of Swine flu have been mild

• Most people have had mild self-limited symptoms that resolve without any medical intervention.

Click to Read.

Dr. Elaina George Speaks on a Couple’s Plight

In response to a recent story about a couple that is divorcing so they can afford to pay their medical bills, Dr. Elaina George had this to say:

 

"Stories like this highlight the fact that the insurance companies have made money on the misery of Americans. For an insurance company to only pay 10% of the bill is outrageous. Unfortunately, this story is not unique. The insurance industry has been very successful at gaming the system. The various companies along with their subsidiaries have cornered healthcare delivery. They are involved with everything from the codes your physician uses to document your visit, to the electronic transfer of information for billing from the doctor’s office to the insurance company, to what medications your doctor will be allowed to prescribe for you, to what medical care you will be allowed to receive. 

One of the most important insurance reforms that needs to take place is to remove their exemption from Anti-trust laws. That is one of the most important things that could be done to level the playing field."

Your Black Doctors: Elaina George Appears with Michael Baisden

from AOL Black Voices

Although many Americans have seen and heard the insane debate over healthcare, almost no one understands what’s going on. This is doubly true for the African American community, who is affected greatly by this debate and its outcomes. Most black bloggers aren’t talking about it and black doctors are too busy to inform the community.
Michael Baisden got with Dr. Elaina George, a prominent black physician in the Atlanta area, to break down the public option, healthcare and all related issues in the interview below.During the interview, Dr. George and Baisden answer some important questions:

Click to read.

Your Black Health News: What’s Wrong with Healthcare? Listen Up!

 

In this episode of Medicine on Call, Dr. Elaina George interviews Jason Rosenbaum from The Seminal, a healthcare publication.  What is wrong with healthcare?  What is the state of healthcare reform?  What are the goals for healthcare?

 

Click here to listen!

Dr Elaina: And the Winner Is….The Medical Insurance Industry

by Dr. Elaina George, YourBlackWorld.com

The suspense is over. For weeks we have been holding our collective breath to see if there would be real insurance reform. Now we know. President Obama’s speech this evening incorporated a lot of different ideas, but what was most striking was his statement that the public option was just one of the avenues that could be travelled to achieve an expansion of insurance coverage. Besides the demotion of the public option as an important tool to reign in the all powerful insurance companies, I noticed that there was no mention of universal health care. Wasn’t that the point of this whole exercise?

To be fair there are some good things. Under the President’s proposal there will be:

§ Coverage for pre-existing conditions

§ A cap on out-of-pocket expenses

§ People can no longer be dropped from insurance companies when they get sick

§ No further cap on what insurance companies will pay out

It is a good start, but it doesn’t go far enough.

Click to read.

Your Black Health: A Take on the Death of Michael Jackson

The following is a statement made by Dr. Elaina George, an Otolaryngologist out of Atlanta and advocate for physicians.

‘Michael Jackson did not have a chance’ was my first thought when I read the report that just came out about what caused his untimely and tragic death. I was unprepared for the absolute disregard for the first tenant of the doctors’ Hippocratic Oath – First do no harm.

There was no way that harm would not have come to Mr. Jackson. It was beyond negligent to give him a mixture of three different kinds of sedatives, a muscle relaxant, an antidepressant in addition to Propofol, a general anesthetic that is only used in an operating room setting (because it can stop someone’s breathing). Each of these drugs by themselves can be lethal, but together it is a recipe that will almost definitely kill someone. I can think of no medical scenario that would justify mixing these kinds of drugs. Hopefully, Mr. Jackson’s death will teach us that prescription drugs, though helpful are no substitute for doctors doing everything in their power to protect the health of their patients, including just saying no when it is appropriate.

Click to read.

Dr. George statement on the Michael Jackson Death

For Immediate Release

Please Contact S Prewitt for Interviews at (901) 413-0203 or email information@yourblackpublicity.com.

Prominent Black Physician Says Michael Jackson’s Doctor’s Actions were Inexcusable

Dr. Elaina George, an Otolaryngologist out of Atlanta, says that the doctor alleged to have killed Michael Jackson was not only unethical, but incredibly irresponsible in his choice of medications. Dr. Conrad Murray is subject to investigation after Jackson’s death was ruled a homicide in initial autopsy reports. But while many believe that Jackson’s death was an accidental occurrence, Dr. George states that the combination of drugs given to Jackson was almost likely to kill him.

“There was no way that harm would not have come to Mr. Jackson,” says Dr. George, who advocates for doctors on a regular basis. “It was beyond negligent to give him a mixture of three different kinds of sedatives, a muscle relaxant, an antidepressant in addition to Propofol, a general anesthetic that is only used in an operating room setting (because it can stop someone’s breathing). Each of these drugs by themselves can be lethal, but together it is a recipe that will almost definitely kill someone.”

Click to read more.

Your Black Health: How to Deal with Insurance Companies

 

Dr. Elaina George, Medical Correspondent – YourBlackWorld.com 

For Americans, receiving heath care is like going to a casino, but here the typical rules don’t apply. In the healthcare casino, the medical insurance industry, Big Pharmaceutical Companies and hospitals make the rules to insure that the house wins every time. Over the years they have increased your stakes by increasing premiums, drug costs and hospital costs, while raking in windfall profits. The medical insurance industry has grown larger and more powerful by systematically fleecing patients and doctors. To hide the fact that they are playing with people’s health; they have been masters of distraction. The ever changing rules for patients and doctors have made it impossible to learn what you need to know. Moreover, it has placed doctors, who are the face of medicine, in a position where the patient has begun to question their motives. This has eroded the doctor patient relationship and has damaged the foundation of excellent medical care.

Over the next several weeks, we will examine how the game has been rigged so that you can finally understand the rules. Each week we will expose what you need to know to take back your power and put the odds back in your favor so you can win! This week we will examine the medical insurance industry.

Basic facts about the medical insurance industry:

Click to read.

Defending All Doctors: Who’s to Blame for the High Cost of Healthcare?

by Dr. Boyce Watkins, Syracuse University 

Dr. Elaina George, a prominent family practice physician in Atlanta, has a bone to pick with President Obama. During various healthcare town hall meetings and press conferences, the president has villified doctors as the cause of the high cost of healthcare. But Dr. George doesn’t agree.

As one of the few black doctors in America who is taking the time to speak out in the current healthcare debate, Dr. George says that the culprits in the high cost of healthcare are The American Medical Association, hospitals, big pharmaceutical companies and insurance companies. Here is how she breaks it down.

1) Our country has gotten away from preventing illness and is instead engaged in the high cost of managing disease. Dr. George explains in the interview below that rather than actually curing illnesses or preventing them, we simply try to manage them. Her argument, as with many others in the healthcare profession, is that this attitude is driven by the fact that pharmaceutical and insurance companies only maximize profits when people stay sick. Symptoms tend to be treated instead of the underlying cause of the illness, making problems worse in the long-term.

2) According to some physicians, the public option on healthcare may not be as great as it sounds. When it comes to the public option (which is being heavily debated right now), Dr. George argues that while the option may provide health coverage for many Americans who don’t have it, it may not cause insurance companies to pay their fair share of the cost of healthcare reform. "The argument that the public option will drive down costs is disingenuous," says Dr. George. "How can a program designed to cover about 10 million people (as per the Congressional Budget Office) really exert any pressure on the health insurance industry when a company like Blue Cross and Blue Shield has over 30 million members and United Healthcare is even larger?"

Click to read.

Dr. Elaina George Speaks on the Healthcare Debate

by Dr. Elaina George

The debate on healthcare reform is in full swing, but no one is paying attention to the long term effects.

I am for universal healthcare in theory. As a physician, I believe that it is a fundamental right. Unfortunately, the way the debate and pending legislation has been crafted, the outcome will result in unintended consequences.

As a physician in solo practice, I am in a unique position to see the outcome if we continue on the path that Congress is proposing in HR 3200.

1. A single payer system that pays the same rate as Medicare or as the bill stipulates (5% above Medicare) will lead to LESS choice. People are overlooking the fact that most private physicians are currently NOT accepting new Medicare patients because they can’t afford to do so and stay open. There will be no reason for this to change if the reimbursement scale is adopted.

Unintended consequence: The network of private physicians would be smaller and more patients will be placed in a system of fewer physicians, less choice and longer waiting times to be seen. This would have the opposite effect – what is the point of universal healthcare if you don’t have quality physicians to provide it?

2. The proposed healthcare bill sets up a bureaucracy run by a National health insurance commissioner and sets up an insurance “self regulatory agency” – made up of national insurers, national agencies, and insurance producers. There are no physicians or patient advocates.

Unintended Consequences: This works on the same model of the commercial insurance companies and is at the heart of what is intrinsically wrong with the system because doctor recommended care and patient rights are not represented.

3. Commercial insurance companies will follow the rules of the public option plan in order to compete. They will use the reimbursement rates as their guide and that would lead to providers leaving the system thereby setting up a parallel system – and by default a two-tier system. Those with money will simply opt out while those in the system will likely be subject to more restrictions and longer waiting times for their care.

The goal of private insurance companies is to increase profits while the goal of the government is to save money, but the end result is the same. There will be a limiting of access and a rationing of care. The government will have no competition that can stop it from continuing to lower the bar – in both reimbursements to providers and hospitals, and covered services for patients.

Taken to its logical extension patient care will be driven by a faceless government entity that runs healthcare on algorithms (e.g., how long it should take to treat a sinus infection and what drugs should be used, whether or not surgery will be allowed under the guise of evidence-based medicine). The art of medicine will be lost along with the innovations provided by physicians who are able to think outside of the box, and the practice of medicine will be irreversibly changed. The best and the brightest will choose any other profession that doesn’t sap their spirit.

It is time to turn the debate to the real culprit in the rise in health care costs. A private insurance industry that profits by excluding the sickest and limits care for its members; a pharmaceutical industry that reaps windfall profits by setting up pharmacy benefit management middlemen who keep prices artificially high while driving the medical formulary; and a hospital system that is charging astronomical prices under the guise of recouping costs incurred by treating the uninsured, when in fact they get money from the government to do just that.

We have the power to revamp our health care system by removing and regulating those entities that profit from disease. This will require the guts to stand up the lobbyists and corporations and say that there has to be a limit to their greed. It will also require the American people to really take a hard look at the choices they make that contribute to chronic disease such as smoking, leading sedentary lifestyle and eating an unhealthy diet.

It can be done.

Your Black News: Shortage of Primary Care Physicians May Cripple Our Nation

Luis Manriquez and Katherine Glass share a common — and increasingly rare — ambition: They both want to become family doctors.

"As a primary care doctor, you are a gatekeeper of the medical system," said Manriquez, 26, who with Glass is a first-year student at the University of Washington School of Medicine. "Primary care is where you can have the most immediate impact in affecting patients’ lives by managing their health."

Still, Manriquez realizes that he’s setting himself for considerable challenges.

For one thing, as a family doctor, Manriquez will probably make one-fourth the salary of a specialist while trying to pay down $140,000 on average in medical school debt.

"That’s why only the most committed pursue primary care. Kudos to them," said Jonathan Weiner, professor of health policy and management at the Johns Hopkins Bloomberg School of Public Health in Baltimore.

Then there are some intangible challenges.

 

Click to read.

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