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Hospitalist Jobs: A Rising Profession

June 10th, 2010 Comments off

The rise of hospitalist jobs has a lot to do with the rising cost of health care. Medical doctors are also stretched far beyond their means. And the use of a hospitalist has become a growing trend. They can step in where a doctor is not available. It is a career path that is seeing a lot of growth and visibility.

Around ten years ago, hospitalist began filling in for a patient’s physician. They are becoming a popular choice with many hospitals today. Medical doctors have experienced salary reductions as the result of the implementation of managed care within the health care systems such as HMOs. As a result of the reduced salaries, doctors have in turn reduced their hours and have limited their on-call hours and responsibilities.

To fill in the need for patient care, many hospitals are now turning to the hospitalist. Medical doctors and staff now utilize a hospitalist to care for their patients. They are in high demand especially during emergency rooms patient care or when a physician’s patient has been admitted to the hospital and the MD is not available. It is their job to communicate with the patient’s primary care physician on all aspects of the patient’s care while they are in the hospital.

The great advantage here is that the Hospitalists is oftentimes more familiar with the hospital, staff and its mode of operations. The hospital is the primary station for their particular practice and they know the routine and the patients involved.

Being on-site all of the time is a huge advantage for the hospitalist. They get to constantly interact with patients, allowing them the opportunity to really get to know them. The hospital’s doctors usually only see the patients during rounds. They only get to know medical statistics but not the actual patient.

Becoming a hospitalist requires a medical degree. Candidates must attend and complete medical school in order to receive their license. Upon finishing, they can move on to a specialty. The most popular being internal medicine. Other popular choices are family practice and pediatrics.

There are many different career options for a hospitalist. They can either reside at a particular hospital as an add on for a particular medical practice. In this case, they work all of the patients that come out of a certain private medical practice. Or they can operate independently and work with several different private practices. In either situation, they will always be in high demand. Medical doctors are always looking for the extra work.

Hospitalist jobs are on the rise. The earnings are high and the hours are usually manageable. Most patients only contact with this position is during an ER visit or a longer hospital stay. They will also provide a patient’s follow up care based solely on the primary care physicians medical plan. You should know how to effectively communicate with this medical professional to assure the best care. Patients should have a list of any medications they are currently taking. Anything special diets should also be relayed to the hospitalist on duty. And any other special needs like a therapist or special visiting nurse requirements will also be fulfilled by the hospitalist upon speaking with the patient’s medical doctor.

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Gastric Sleeve Surgery – A Boon To Obese People

November 29th, 2009 Comments off

Gastric Sleeve surgery is a relatively new weight loss surgery also technically known as gastric sleeve resection, sleeve gastrectomy or laparoscopic sleeve gastrectomy. It is a part of the duodenal operation and involves removing the 2/3rds of the lateral side of the stomach with a stapler-like device. It is also a keyhole surgery but is not reversible. It basically transforms a stomach sack into a stomach sack.

The gastric sleeve surgery promotes weight loss by reducing the stomach’s size permanently and thereby restricting the consumption of food. The surgery is the first part of a two stage procedure where the surgeon removes three-quarters of the stomach along the outside curve of the stomach. The new belly takes the shape of a narrow tube which runs along from the esophagus to the small intestine. The reason why the surgery is done in 2 parts is to make it safer for obese patients with a BMI of over 60.

The first gastric sleeve surgery took place in 2002 in England and has since been gaining worldwide attention as an effective and safe bariatric procedure. During gastric sleeve surgery, the surgeon removes about 60-80% of the stomach leaving a small tube for the new stomach sack .The hunger hormone GHRELIN that creates hunger in people, slows metabolism and decreases the body’s ability to burn fat is removed during the surgery. When the hunger inducing hormone is removed, the appetite is curbed and therefore the patient feels less hungry.

Benefits of gastric sleeve surgery include: The surgery does not involve implanting a medical or foreign device into the body in order to curb eating. The small intestine is left intact with and hence involves fewer complications. Patients with complex medical conditions can safely undertake the surgery. Post surgery, additional nutritional supplements are not needed. Visible positive differences are seen within a year of the surgery. It is a boon for patients with high BMI. Does not restrict intake of normal food soon after surgery. Dumping syndrome does not occur.

Disadvantages of gastric sleeve surgery Overall weight loss is lesser than other surgeries and the surgery is irreversible because a part of the stomach is permanently removed. The stomach pouch may eventually stretch in the long run. Insurance companies usually do not cover gastric sleeve surgery. The surgery is still in the experimental stage though many patients have achieved favorable results.

The surgery takes about 2-3 hours and is performed under general anesthesia. Recovery time may last a few weeks and pain medication may be prescribed for discomfort. The abdomen remains swollen and sore for few weeks and some scarring may be visible. You will need to stay on liquid diet for 2 weeks and thereafter 2 weeks of semi solid pureed food.

Usually after the surgery, an overall many patients notice an improvement in their medical conditions such as hypertension, diabetes and blood pressure. Of course, weight loss is on ongoing process and the gastric sleeve surgery is only a step towards promoting weight loss and it is in the hands of the patient to maintain a healthy lifestyle thereafter.

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