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For Doctors And Even Patients, Rationing Health Care Is An Everyday Occurrence
In an essay in The Washington Post, an infectious disease specialist writes that "the unspoken truth among doctors is that we objectively or subjectively ration care, and often don"t tell patients or their families." Organs, for example, "are a precious commodity, their donation strictly regulated by national guidelines. ò€¦ Because donors are scarce, it seems appropriate to ration their organs on the basis of need and other ethical and medical considerations." Medical care is also rationed through long wait times to see physicians (ranging from 11 to 50 days in major cities, according to a 2009 survey by Merritt Hawkins & Associates) or shortages of beds in a hospital.
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Analysis: How Will $155 Billion Deal With White House Really Affect Hospitals?
When hospitals agreed to accept a $155 billion pay cut from the federal government to help Washington raise money for reform efforts earlier this month, it was "to the amazement of many," the Economist reports. "How can they justify giving away such a vast sum? There are several explanations, not all of them altruistic. Taken together, they show that the industry"s leaders are bracing themselves for a period of upheaval."
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Link Between Pain In Rheumatoid Arthritis Patients And Depression/Inflammation
Rheumatoid Arthritis (RA) is a chronic autoimmune disease that causes inflammation of the joints and surrounding tissues. More than 1.3 million adults in the U.S. suffer from RA with 75% of those afflicted being women. Patients with RA experience pain, stiffness, swelling, and deterioration of joints. Severe chronic pain accompanied by progressive joint destruction, disability, and disfigurement is known to increase the risk of experiencing emotional disturbances, with RA patients twice as likely to be depressed as people in the general population. Emotional wellness for persons with RA plays a critical role in disease course and disability.
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Hospital Staff Celebrated At Annual Awards

THEY work in all corners of the hospital, carrying out a diverse range of jobs but these dedicated staff have one thing in common - they"re all Shining Stars. The Rotherham NHS FoundationTrust employees, from porters and nurses to midwives and gardeners, were honoured at a glittering awards dinner at Aston Hall on Friday evening. Chief Executive Brian James paid tribute to the dozens of staff nominated and the handful of delighted winners. He said: "Our staff are among the best in the country and the Annual Awards pay tribute to their hard work and dedication. "Hearing the nominations and listening to how these members of staff, whether as individuals or as teams, go above and beyond on a daily basis was truly inspiring." Midwife Rachel Davies received the Above and Beyond Award and then went on to win the Chairman"s Award. She was nominated by Rotherham mum and patient Julie Leake. Julie"s testimony of the care she received from Rachel was very moving. Julie spoke of how supportive and caring Rachel had been as she delivered Julie"s first baby, Beth, who had sadly died. Julie became pregnant again and requested Rachel deliver the baby, which Rachel was delighted to do, and changed her shift in order to honour this request. Baby Emma is now a fit and healthy nine weeks old. The "Thank You" Award was won by a number of individuals and teams. These included Cliff Fox and Phil Wake, theatre porters, who put patients at ease ahead of surgery and were nominated by a patient. X-Ray porters Steve Gould and Tom Brady, also won a Thank You Award and were described as the "backbone of their department" and praised for brightening patients" days by singing and creating a "feelgood factor".. Other Thank You Award winners included The Nursing Team from B4, staff from the Special Care Baby Unit, nursing staff from Ward A5, Sheila Bates, who works in Housekeeping on B2, and Carol Foster, A5 Ward Clerk. Sandra Green, from GU Medicine, took Learner of the Year, in recognition of the tenacity and dedication she demonstrated to achieve her NVQ level 3. The Idea of the Year winner was chosen from the Trust"s Idea of the Month finalists and saw the award split between two winners. Dr Simon McCormick was chosen for his idea to provide activity packs for children waiting in A&E. The idea has now been fully implemented. Palliative care nurse Ann Harriman was picked for an idea to provide comfort packs for families of palliative care patients who may have to make a snap decision to stay overnight. The Making A Difference award went to specialist nurse Elizabeth Fairclough who set up a diabetic clinic for older patients, that has meant patients spend far fewer days in hospital. Elizabeth continues to work with the Department of Health on the development of a National Institute of Diabetes for Older People. Kim Ashall, Director of Services Improvement, said the Shining Stars evening was a tremendous success and feedback from those attending had been very encouraging. The Rotherham NHS Foundation Trust


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