50 Women Who Shaped America’s Health

 

If you’ve received a blood transfusion, had lifesaving radiation therapy, experienced a natural birth or even lost weight by counting calories, you have used one of the many health innovations given to us by women in medicine.

In honor of Women’s History Month, the Healthy Living staff has been thinking about the accomplishments of the women who pioneered work in the sciences. As health journalists, we believe that all doctors and researchers deserve more recognition for their contributions to society. And as women, we can’t help but notice that our gender can affect the way we’re treated in these disciplines — from colleague discrimination to legislation aimed at lessening the control female patients have over their bodies, it can sometimes feel as though we’re living in a previous era.

That is, until we realize what previous generations actually went through. Take for example the story of Rosalind Franklin: the geneticist’s strides in X-ray photography led to the best images of DNA strands of her era, but coworker Maurice Wilkins shared her images with a competing team at Cambridge, who used it to help solve the mystery of how DNA is structured. It wasn’t until decades later that Franklin was recognized for her contribution — well after her death and after that competing team (along with Wilkins) were awarded the Nobel Prize.

Now, we live in a country where half of medical school graduates are women and a country where we value — have actually written into law — retelling the accomplishments of women in our own history. So we decided to celebrate by bringing together a list of 50 women who have had the greatest impact in medicine and health research and have, in the process, taught us about our own bodies.

50 Women Who Shaped America’s Health

Hip-Replacement Prices Blindfolds Patients

 

Only 16 percent of U.S. hospitals were able to say how much a hip operation would cost a potential patient when asked, and those that answered quoted prices that differed by more than $100,000, a study found.

As more Americans are asked to foot a bigger portion of their health-care bills, being able to comparison shop is essential, said Peter Cram, the study’s author. The research, reported yesterday in the journal JAMA Internal Medicine, shows the obstacles patients face in trying to lower their medical costs.

“Hospitals, they aren’t used to this request,” said Cram, an associate professor of medicine at the University of Iowa Carver College of Medicine in Iowa City, in a Feb. 8 telephone interview. “Our finding should inspire people to the fact that you should ask about prices even if you have insurance. People should demand more.”

Hip-Replacement Prices Blindfolds Patients, Study Finds – Businessweek

How to Choose Right Cane | Sore Knees, Hips, Ankles, Feet | Arthritis Today

 

How to Choose the Right Cane & Use It Correctly

The right cane can relieve pressure on sore knees, hips, ankles and feet, as well as improve balance.

By Heather Larson

Walking canes come in even more varieties than candy canes. Materials, colors and handle styles are a matter of preference. Cane type and size, however, there are options that affect function and safety.

The right cane used correctly improves balance and reduces risk of falling by widening the base of support, as well as decreasing weight on lower-body joints, says Lori Ramage, a physical therapist and the Joint Club Coordinator at Banner Boswell Medical Center in Sun City, Ariz.

Choosing Type and Fit
The most common styles of canes are single point and quad or three-point canes. Ramage says most people with arthritis need only single-point canes, and those with a neurological impairment are best suited to quad canes, because they put more weight on them.

When being fitted, wear your walking shoes and stand tall with your arms at your sides. The top or curve of the cane should hit at the crease in your wrist. “If the cane is too high, you won’t get the support you need,” says Ramage. “When the cane is too low, you slump.”

How to Choose Right Cane | Sore Knees, Hips, Ankles, Feet | Arthritis Today

Arthritis Self-Management Disease Management

Beyond Doctor’s Orders

5 ways to enhance your chance of success with arthritis.

Succeeding with a chronic illness involves more than just following doctor’s orders. If you’re willing to work at it, these five habits will ensure you live successfully with arthritis:

1. Learn all you can.

Knowledge is power. Read everything you can, and locate trusted sources of news and information (online or offline); find out where exercise classes are being held in your community; and ask lots of questions – of your doctor, your physical therapist and other health-care providers.

2. Pay attention to your emotions.

Living with a chronic condition such as arthritis ups your chance of developing depression. Warning signs include constant tiredness, lack of appetite, trouble making decisions, disrupted sleep and feeling worthless. To head off depression, develop a network of family and friends who raise your spirits and can help you keep active.

3. Make your doctor your partner in care.

You’re more likely to find success if you and your physician make informed decisions together. Make sure your doctor spends time with you discussing treatment options and answering all your questions. Talk about ways to improve your functioning, such as losing weight, becoming more active or reducing stress. Don’t be embarrassed to talk to your physician about anything, including admitting when you haven’t followed her advice. Agree to disagree when the two of you have different opinions – and keep talking about it.

Arthritis Self-Management | Disease Management | Arthritis Today

What will a new hip cost?

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Only 16% of U.S. hospitals surveyed in a recent study gave a complete price quote for a common hip surgery, highlighting the obstacles many patients face in comparison shopping.

Pricing information remains difficult to obtain from medical providers and the figures that are quoted vary widely despite government efforts to make the process more consumer friendly, according to a study published Monday in the Journal of the American Medical Assn. for Internal Medicine.

Jaime Rosenthal, a student at Washington University in St. Louis who led the research, called two hospitals in every state and Washington, D.C., as well as the top 20-ranked orthopedic hospitals according to U.S. News and World Report.

She asked for the lowest bundled price, hospital plus physician fees, on a total hip replacement for a 62-year-old grandmother. She said her relative was uninsured but had the means to pay out of pocket.

The researchers found that 16% of the 122 hospitals contacted provided a complete bundled price. An additional 47% of hospitals could offer a complete price when hospitals and other medical providers were contacted separately, the study said.

And those price quotes varied considerably, from $11,100 to $125,798 for the same hip surgery. The study said Medicare and large insurers often pay $10,000 to $25,000 for joint replacement surgery.

This issue of healthcare pricing has taken on added importance since consumers are responsible for a growing share of their medical bills. Policymakers also hope that wider disclosure of medical prices could help slow down rising healthcare costs.

What will a new hip cost? Few hospitals quote a price, study finds – latimes.com

Early hip replacement cost-effective

Brussels, 7 February 2013 –

Delaying Total Hip Replacement surgery (THR) in people with osteoarthritis (OA) as a way to cut costs is ineffective and denies patients the benefits of an active and healthy life.

Moreover, young adults do not benefit from postponing the treatment to avoid revision surgery in later life as the majority of younger people will never have to undergo revision surgery with current technology.

Read more

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Arthritis – Symptoms, Treatment, Complications, Prevention

Causes, incidence, and risk factors

Arthritis involves the breakdown of cartilage. Cartilage normally protects the joint, allowing for smooth movement. Cartilage also absorbs shock when pressure is placed on the joint, like when you walk. Without the usual amount of cartilage, the bones rub together, causing pain, swelling (inflammation), and stiffness.

You may have joint inflammation for a variety of reasons, including:

Learning Center – Arthritis – Symptoms, Treatment, Complications, Prevention – AARP#causesincidenceandriskfactors

Total Joint Replacement Documentary

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Total Joint Replacement: A Patient’s Perspective

AAHKS Offers Documentary in New DVD Format to Increase Awareness of Joint Replacement Benefits

“Total Joint Replacement: A Patient’s Perspective,” a documentary providing an inside look at four real-life patients facing the need for hip and knee replacement surgery, is now available in DVD format.

The American Association of Hip and Knee Surgeons (AAHKS) sponsored the film in cooperation with the Orthopaedic Research and Education Foundation (OREF). Until now, the 52-minute film had been available on VHS tape and via webcast on http://www.OR-Live.com.

Total Joint Replacement Documentary – AAHKS