Latest Breaking News On - Charlie jarvis - Page 3 : vimarsana.com
The First Art Newspaper on the Net., art daily,art news,artdaily, daily art, art, art newspaper, Museums, Exhibits, Artists, Milestones, Digital Art, Architecture, Photography, Photographers, Special Photos, Special Reports, Featured Stories, Auctions, Art Fairs, Anecdotes, Art Quiz, Education, Mythology, 360 Images, 3D Images, Last Week,, , , , ,
New-yorkUnited-statesGeorgiaParisFrance-generalFranceUnited-kingdomAtlantaBostonMassachusettsEatons-neckMuseum-of-modern-art complains about everything from the food to won't let his blood get drawn and the specialist told me, you know, i the primary care doctor couldn't get a handle on that patient and basically make him nicer then he's going to have to sign off the case. well, that afternoon i go in the hospital. i sit on the patient's bed and larry was telling me.@@@@@@@@ ng defiant. he wanted somebody he could talk to and be comfortable with. and that was very important when our patients trust us. and that trust is so, so important. and that all of us who are physicians will understand that that trust is the thing that bonds us. and other clinicians as well. we're truly a blessed profession. there's no other profession like ours. the look on a mother's face when you tell her her baby's going to be okay, whether her baby is 3 or 33. that look on the mother's face is the same. and our patients truly, truly trust us. a young woman who's being physically abused will tell her doctor or her nurse or her other clinicians her deepest darkest secrets before she will tell her priest, her rabbi or her minister. and our hands are often -- you know, the hands of a clinicianer is very special because a mother will put her baby in your hands a perfect stranger. she's never seen you before. ever, but she will trust her baby's life in your hands simply because you're a doctor, you're a nurse or you're a clinician and it's the same hands the infant feels as they enter the earth and an elderly person feels as they depart the earth. so we are truly, truly blessed. as you can tell i loved my patients and it was hard to come to washington and leave my practice of 23 years. but my statement now to people who say i came to dc. i opened a satellite office and now i have 300 million americans as my new patients. [applause] >> and, you know, i want to leave some time for questions so i was going to tell you some of my priorities as surgeon general. but i'm sure i'll get to see a lot of more of you in the near future. and i can talk you a lot about that. and we're doing our obesity challenge program and other things. but the basis of my priorities as well as prevention. and that is the basis of primary care. so that's what it is. so i'm going to end with a story so i can leave a couple minutes of questions. and that is -- all my stories are around water. a young lady was jogging around the beach early one morning before the sun came up. and as she was jogging, there was an older man who was tossing the starfish in the water. and as she ran along the he was continuing tossing these starfish one at a time. and she couldn't take it anymore. when she finished up with her run she said why are you bothering to toss those starfish in the water. there are hundreds and hundreds of starfish along the beach. and as soon as the sun comes up it's going to dry them out, kill them all anyway and it's not going to make a difference. why do you bother? and he looked at her. he reached down and picked up a starfish because it makes a difference to this starfish and he tossed it in the water. my open is you continue your medical home concept which is a wonderful, wonderful concept that remember to find a starfish once a day and make a difference in their life. thank you so much. and it's wonderful to be here. [applause] >> we've got time for a few questions. please identify yourself if you come to the mic. and speak up. who's first. yes, sir. >> thank you very much. my name is dr. charlton. your message of dignity and no fault for the patient and respect really resonated with me. but i'm interested in what you think of the patient's responsibility in terms of the mutual relationship? and how accountable should patients really be? because there seems to be an issue there and how do we -- how do we encourage accountability without overstepping those same parameters you addressed? >> patients are ultimately the decision maker. and they really should be. we should be there to help them. and be there to give them the information to help them make their decisions. we shouldn't make their decisions for them. sometimes they want you to but you can involve other family members and other people. but we need to at least give them all the information if they don't want to hear that's one thing. i remember my mother said if i ever get cancer, i don't want to be told. when she ultimately got lung cancer, she wanted to be told and then she turned it over to me. they need to take that responsibility. if they don't, other family members can. but it's ultimately their decisions to make. and we as their primary care doctors is we know them as a whole person. as the whole family. we'll have a better understanding of how to give them the information they need. and to let them access more information than we even have. they know their family history. they know their other relatives and things. and they want to take control of theirselves. they know how to buy a car. they should know how to buy healthcare. they know how to buy a piece of furniture. we need to give them just as much information as they can get to be able to, you know, come to us and ask us for what they need. people are smart. and when it comes to your own healthcare, there's nothing more personal. so i would put them straight and center first. >> way over to the right. >> along john hoton from doc sight. you talked about putting patients in the middle of care. i always wondered if care should be care with patients leading that care team and whether we're potentially doing a disservice saying it's patient-centered care because it's easy to say it's a noncompliant patient and it's the patient's fault versus it's the fault of the care. i concentrate on centered of care instead of patient-centered. >> we're defining it the same way regardless of what you call it. you do have to care for the patient. and i think you're right. you can call it care center, care, or patient-centered care. i think they mean the same thing. that's the person, not the doctor, not the staff. you're not fitting them into your schedules. and your busy life. you're putting their life first and their needs first. sometimes their needs are simply to be reassured. you know, oftentimes making house calls wasn't to make a house call to see that patient. it was to see that patient's family to let them know they were doing the right thing for that patient. so the needs of the entire family and putting those needs first. and you're right that is care. and that is the care focused that we should do. and it's sometimes not that individual patient or the caretaker are the other people around the family. because it does impact the entire family. [inaudible] >> the obama administration and how -- if it has a lot of support how will that play out? >> it does have a lot of support. i mean, that's been the conversation for the past six, eight months. i think we're being heard so that that patient-centered care has a lot of support. how it's going to play out is yet to be determined. we're just starting to have the teams come together and start to formulate regulations, formulate policy. so it's yet to be determined. so we'll be at the table pushing for it. and there are a lot of people there at the table that are very supportive. it will take a little while to know how it's going to play out. [inaudible] >> yes. it's the future of healthcare, i hope so. >> dr. charlie jarvis with next gen healthcare. a question regarding this massive health reform legislation that we have in front of us right now. we're all very honored that we have -- that it's in our life times and in our careers to work this out. but it is massive to say the least. what is your philosophy and what kind of advice do you give us so that we don't try to boil the ocean but we try to attack this an appropriate piece at a time? >> well, and i'm a family physician and we're used to dealing with multiple tasks at one time and multiple problems. and i think every primary care doctor probably is used to that, too. and so you attack the most critical first. and then you start trying to get things better and better and start doing some of that preventive care. and i think that preventive care is where we really are going to change this health system from a sick system to a wellness system and that's where we need to lead a little at a time. >> dr. benjamin, on behalf of all those medical homes starfish across the country, thank you so much for being here today. and thank you so much for being america's doctor. [applause] >> thank you. thank you. [applause] >> i want to point out to all of you that to please draw your attention to something that's in your folder. it's a special issue of health affair. we would like to encourage all of you to reference that very important publication. it will come out next month. the following month another important issue will come out and you'll see many folks from this room as part of that. it is reinventing primary care. we would also like to encourage you to access that issue as well. at this time, we'll take a 30-minute break. one thing that we found out in surveying all of you after the meetings that you want to use this as an opportunity to networking. we'll take a 30-minute break and ask that all of you come back in the room at 11:00. and then we will have the opportunity to hear from our8ññ we intend to pay on that responsibility to continue their responsibility and do what we can to make sure that haiti recovers and helped to support the restructuring of haiti going forward. we have three up standing panelists with us today. dr. greg carr is associate professor of african studies
HaitiUnited-statesWashingtonDistrict-of-columbiaAmericansAmericaGreg-carrCharlie-jarvis