S. L. Efua Joe is a guest blogger at Toitime, a place for ladies to glean information and writes Health Is Wealth every Tuesday. Today's topic is The Revolving Door comparing healthcare access for many to that of a revolving door.
In a given year just 5% of the U S population is responsible for 50% of the nation's medical spending. That means roughly 16 million people spend more than $20,000 on hospital bills and PRESCRIBED PILLS.
The "superusers" are incredibly diverse and constantly changing ; but, roughly 42% are senior citizens, 20% are under age of 45, and 4% are children and teens. Contrary to popular belief, most (more than 90%) have health care insurance.
More than 2/3 have cancer, heart disease, diabetes, or have had a stroke.
Properly identifying (prevention) people before they become 5% (superuser) is part of the solution.
It comes down to our fundamental approach to care.
When health is on the line, there's almost nothing the health insurance companies won't charge and Americans won't pay.
Today's Health Is Wealth is entitled Seasonal Maintenance. The idea that a nature preserve woodland area can be maintenance free and unattended during the winter season is acceptable/doable; however, this cannot be true when applied to people.
...OF OPIOID CRISIS
I'm not a surfer. But, I have ridden some pretty big waves. And some of those waves have risen pretty high, at least up to my neck. Yes indeedy...surfer or not, (which, remember I am not) a 65 inch /1.65 meter wave is likely to minimally require a surfboard leash and the unimpaired ability to yell out (and be heard by someone/thing that can help) across the body of water that facilitated the wave's creation in the first place.
.A noticeable amount of people seemed to have been trumped (gullible) into thinking that America was going to be great again when electoral college shenanigans placed DJT (Donald J. Trump) at 1600 Pennsylvania Avenue.
Never mind the fact that the past
eight years of POTUS 44 were definitely
worthy of celebration and served (at Nobel Peace Prize, 2009 level) to demonstrate diplomacy and cooperation among people.
But some people just don't recognize balance, nor do they know what to do with it, especially when it's facilitated at the helm of one whose skin contains a nice helping of eumelanin.
And similarly, the opioid crisis has trumped, perhaps even blind-sided those prescribing opioids, and those who utilize them via prescription and use them through means not described in the package insert, namely abuse.
(Moving forward, it's probably going to be necessary for health care facilitators, especially those who work with the most vulnerable (e.g. seniors, youth, and traditionally marginalized-poor, LGBTQ, minorities) to do more than just diagnose and dispense. We will need those foresighted enough to understand how to actually measure health and determine where the breaches occur/have occurred-social, emotional, financial wellness determinants, for example)
Somewhere in the early 1990s, Big Pharma green-lighted increased use, assuring that there was little risk of opioid pan killer addiction, and so it was off to the races with prescribing and utilization. I recall at least two Purdue Pharma reps detailing me ( I was a retail and hospital pharmacist during this time) about there really being no maximum dose for Oxycontin and that I should feel comfortable and safe in dispensing large doses.
Uhhh yeah, Mr. Purdue Pharma Drugrep. I accepted my marketing evidence/data supporting this reassurance (I wish I would have saved it-probably worth a few pennies today, 20 years later) and waited patiently for my Oxycontin swag-pens, notepads, or perhaps a key chain- I can't remember.
(NOTE: But now, Oxycontin Manufacturer Says It Will Stop Promoting Opioid Painkiller To Doctors)
What I do remember, however, is that it seemed real crazy, especially since there had already been numerous opioid epidemics (Civil War/1860s, Hipsters/1930s,1940s, Beatniks/1950s). Let us not forget to remember (pun intended) the forgotten and ongoing crisis in the black community that provides jail and imprisonment as "treatment."
And now that the crisis has grown, spread and developed new tentacles that are known as speedballing-pharmaceutical opioids, benzodiazepines or barbiturates along with stimulants, the crisis has caught the eye of the nation. we cannot go any further, though, without looking back to the road that got us here.
Truthfully, even speedballing has become a bit passe, as now we face the new wave, fentanyl-laced cocaine.
"It's a dangerous combination in any form -- more so with fentanyl."
"Some researchers say fentanyl showing up in cocaine looks to be accidental, a product of messy packaging rather than malicious intent." But no matter, geesh! The intent is of little consequence or help in now determining what to do.
We cannot keep missing the boat on opioid abuse, though.
This new wave is much too high.
And perhaps Tennessee Bureau of Inspection Assistant Director T,J, Jordan says it best:
""Here’s why we’re so concerned. To be blunt, what you might buy and use, thinking it’s a good time, could cost you your life."
Given the uncertain future and lack of significant progress to date, it’s fair to wonder where drug abuse is most pronounced and which areas are most at risk in the current political climate.
As a child, Susan La Flesche had watched a sick Indian woman die because the local white doctor would not give her care. She later credited this tragedy as her inspiration to train as a physician, so she could provide care for the people she lived with on the Omaha Reservation.
Susan La Flesche Picotte was the first Native American woman to become a physician in the United States.
I recall conversations with my mother, Edythe Urquhart Joe, RN, 1935-2000, that discussed the seemingly everyday reporting of what not to eat, breathe, think as there seemed some potential danger in most everything one consumed, and even thought for that matter...and those conversations took place over 20 years ago!
Initially, I was skeptical to read that now a high consumption of grilled meat and fish are also linked to hypertension; but, I knew that I would have to plow through, as that is part of my Universal assignment (uncovering potential dangers, illustrating the dangers and their effects, and then advocating for the change necessary to help people build their own wellness and health.)
So towards that end, the information I gleaned is that grilling food forms carcinogenic and harmful chemicals; and now, though exact reasons how are unclear, there is also a risk of hypertension developing through the formation of heterocyclic aromatic amines (HAAs), polycyclic aromatic hydrocarbons (PAHs), and advanced glycation end products (AGEs), which could induce oxidative stress, inflammation, and insulin resistance in animal studies, according to lead author, Gang Liu, PhD, a postdoctoral research fellow in the Department of Nutrition at the Harvard T.H. Chan School of Public Health.
Data from Nurses Health Study and Health Professionals Follow-Up Study was evaluated to learn that participants who cooked with open-flame or high-temperature methods, including grilling, barbecuing, broiling, or roasting, more than 15 times per month, compared with those using those cooking methods fewer than four times per month, had an increased risk for hypertension.
As a result, Liu suggested that " it may help reduce the risk of high blood pressure if you don't eat these foods cooked well done and avoid the use of open-flame and/or high-temperature cooking methods, including grilling/barbecuing and broiling."
It must be noted, however, that the large majority of study participants were white, and therefore may not be generalizable to all populations.
Penny Kris-Etherton, PhD, RD, a distinguished professor of nutrition at the Pennsylvania State University, University Park, states " there are so many questions that relate to how this research should be applied in the real world, other than advising consumers to try to avoid (the kind of) unhealthy meat grilling that the authors describe."
"We need to know if any grilling of meat is okay."
Grilling Meat May Raise Risk Of High Blood Pressure, Study Finds
Grilling and Health Risks: The Steaks Are High
World Asthma Day 2018: Everything You Need To Know About This Chronic Disease And Remedies By Experts
S. L. Efua Joe is a guest blogger at toitime.com and writes Health Is Wealth every Tuesday. Tuesday May 1, 2018 's entry is entitled, "Don't Back Burner Your Health" and shares a cute and funny little story from a dinner with friends had over 7 years ago while also providing information on how to participate in the 19th Annual National Women's Health Week (May 13-May 19, 2018) #nwhw. Two new mini-sections: Talk About Deep?! and Talk About Comical?! were introduced and readers (new readers always welcome, too :-) were reminded that the only true wealth is health, not money (though financial wellness is always welcome)
Dr. Heitler discusses a treatment for situational depression (even when we don't know it is situational!) WITHOUT psychopharmacology. Instead, she offers three prescriptions without pills, outlining these prescriptions using an example from her practice. She shows how investigating what makes us angry or upset can help us to re-empower ourselves, and our mental health.
CUP OF JOE: The Blog
Conjecture, facts, and opinion on health and wellness, holistic practice, and the quest for sustainability & optimal health.