Archive for February 9th, 2007

the single patient, the self-serving hospital

Dr Crippen works under the National Health Service (we mentioned him earlier, The Crippen Diaries). What his patient writes about doesn’t sound restricted to the UK.

In the US, health care is rationed by money. But even with personal financial resources, patients need to have someone as advocate–

  • to keep asking questions until answers are understood by all and
  • to make sure that what is happening (or not happening) is supposed to.
  • We all really need a decent health system.


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    Oral health grants

    | 2007 Geriatric Oral Health Care Award |

    Application deadline May 15, 2007
    Awards to programs that have improved the oral health care of older adults through innovative community outreach activities.

    [Notice from the Rural Assistance Center, a collaborative effort of the University of North Dakota Center for Rural Health, and the Rural Policy Research Institute (RUPRI); and is funded by a grant through HRSA’s Office of Rural Health Policy. All listings contained in this e-mail can also be accessed from the Rural Assistance Center Web site


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    Finding any dental care or any dental care with even sliding fees is very very difficult. Caries is the number one infectious disease among all age groups. The mouth is the second major barrier to infection (the skin is the first).

    See also this story,

    Lack of dental care leaves poor in agony
    By Kyung M. Song, Seattle Times staff reporter

    When Storer, a former special-education teacher, had three decayed molars, root canals likely would have saved them. But Medicaid quit paying for such procedures for adults after budget cuts in 2003.

    So for Storer, who survived polio and lives on $625 a month in disability payments, the only alternative was to have the teeth extracted.

    “I cried,” said Storer, 61. “I had a vision of these old ladies with toothless mouths.”…

    And advocates note that poor oral health is the root of a host of life-threatening and expensive medical problems that contribute to an overloaded health-care system….

    Oral infections lead to health problems as serious as heart attacks and strokes. Having missing teeth interferes with chewing and contributes to a poor diet or malnutrition. And it affects a person’s speech and appearance, which makes it harder to find a good job.

    “You can’t separate the mouth from the rest of the body,” Lee says.[…]


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