Podcasts about Elective surgery

Simeon Brown took the words right out of my mouth. I was just saying this very morning, that people living with bone-on-bone pain don't really care where their hip replacement is done or whether their knee is replaced in a private hospital or a public one. And there in the statement released from the Health Minister's Office is Simeon saying patients don't care who's delivering their surgery – they care about getting their hip, knee and cataract operations done. I think it's a common sentiment. I think most of us would feel this way. News this morning that Health New Zealand has been directed to give private hospitals 10-year outsourcing contracts to perform elective surgeries should come as good news for those on the waiting list. As Simeon Brown was talking to Francesca Rudkin about the 10,000 elective surgeries that had been performed, mostly in private hospitals, he gave a hint that the arrangement with private hospitals was likely to be formalised. “This is something that needs to continue to happen so that we can continue to reduce the number of people waiting for those surgeries. The waitlist ballooned over the last six years, that's unacceptable for patients. I'm committed to continuing to use both the public and private system to make sure we reduce that waitlist and ensure patients get seen in a timely manner.” And now it has. Private hospital contracts have in the past tended to be rather short term, ad hoc arrangements designed to take the spill over from the public waiting list. But Health New Zealand has been negotiating 3-year agreements with private hospitals. And that will guarantee high volumes of low complexity patients. They don't want your tricky ones, they don't want your obese smokers, they just want the people who'll be able to come in, have a routine operation, and have the aftercare needed to provide good outcomes. Brown has now directed Health New Zealand to seek even longer-term arrangements, which he says will improve the cost effectiveness of delivery and provide clear investment signals to the private sector. So if the private sector is thinking, do we put up a private clinic in Tauranga that can do routine operations, do you know what? Damn it, we will, if there's a 10-year pipeline of work. Do we invest in the super duper state-of-the-art high tech medical equipment that would take the operating theatre to the next level? Damn it, we will, because we have that pipeline of work. That has to be good news for patients. The number of people waiting more than four months for elective surgery has grown from 1000 in 2017 to more than 28,000 and 2023. Now, I totally accept that waiting lists can be manipulated. You know, over the years, over the many, many years I've been doing a talkback, we've seen successive governments manipulate the waiting list. It looks a hell of a lot better when you just take people off it – you have to be referred by your GP and start the process all over again. That's one old trick. But we also take into account that Covid meant that a lot of elective surgeries couldn't be performed and that happened the Western world over. The Covid pandemic meant that elective surgeries were a luxury, and of course, it ballooned out. So this has to be good news. The fact that the private hospitals will now have a contract where they will be able to deliver these operations for less than they have been charging. The New Zealand Private Surgical Hospitals Association Representative hadn't heard about the 10 years, but said obviously with that certainty that length of agreement it was not unreasonable to expect such deals would provide certainty on costs, which is doctor speak for we'll sharpen our pencil and give you a good deal. However, there are concerns from the medical profession, the Royal Australasian College of Surgeons says they were sold outsourcing as a short-term solution. But outsourcing is not a solution to an inadequately funded health system. They said that outsourcing elective surgery deprived surgical registrars of the training they needed, and that it was all so much more expensive. I don't see why the registrars can't pop across the road to Alleviate or Ascot and spend a day in the operating theatre in a private clinic. I mean, it's probably much more complex than that, but when they say surgical registrars won't get the training they need, whatever happened to work experience? Where you could go to a private hospital for a day or a week and help out there. I agree in an ideal world where you pay your taxes to contribute to the good of the community, an adequately funded public health system would be fantastic. Where in the world do you have one like that? Possibly the Nordic states do. But we're a long way from getting that and in the meantime, when you have people who do not have life threatening conditions but who have life diminishing conditions where they can't work, they can't enjoy life, they are living in constant pain, their quality of life is 0. They can't go outside the four walls of their own home. They're swallowing painkillers, which are ineffectual, but at least make them feel like something is happening. The difference between what is considered a relatively routine operation by the medical profession and not having that routine operation is life changing. You may not die from having bone-on-bone pain of your hip or your knee, but you feel like you want to. The difference will be huge for patients. For some of them they don't know how they can go on another hour, far less six months. I just I cannot see how it is a bad thing. Ideally, yes, we would have an adequately funded public health system, and it also might mean that you're not going to get your hip or your knee done privately. If you're a high needs patient, you're gonna have to wait on the public health waiting list – that should diminish given the number of elective surgeries that will be performed in the private sector. The only concern I see is that A) it's failing ideologically to have a publicly funded health system, but needs must. Why should people be collateral damage in a war of ideology? And B) the training for the doctors. But can't they do work experience over in the private sector? C) It's a win for patients, surely. See omnystudio.com/listener for privacy information.

Health New Zealand is outsourcing more elective operations to private facilities to ease strain on the system. The agency aims to deliver more than 10,500 additional elective procedures by the end of June, by partnering with private hospitals to expand surgical capacity. The target is within reach with more than 8,600 procedures complete since March. Christchurch colorectal and general surgeon Chris Wakeman told Mike Hosking that although he gets paid less to do public work, this is the future of healthcare. He says it's so much more efficient and you can do a lot more work. LISTEN ABOVE See omnystudio.com/listener for privacy information.

Interview with Julie Hallet, MD, MSc, author of Familiarity of the Surgeon-Anesthesiologist Dyad and Major Morbidity After High-Risk Elective Surgery. Hosted by Amalia Cochran, MD. Related Content: Familiarity of the Surgeon-Anesthesiologist Dyad and Major Morbidity After High-Risk Elective Surgery Association of Familiarity of the Surgeon-Anesthesiologist Dyad With Major Morbidity After Surgery

Interview with Julie Hallet, MD, MSc, author of Familiarity of the Surgeon-Anesthesiologist Dyad and Major Morbidity After High-Risk Elective Surgery. Hosted by Amalia Cochran, MD. Related Content: Familiarity of the Surgeon-Anesthesiologist Dyad and Major Morbidity After High-Risk Elective Surgery Association of Familiarity of the Surgeon-Anesthesiologist Dyad With Major Morbidity After Surgery

Once a policy lightning rod that ended political careers, the Affordable Care Act (aka, “Obamacare”) has proven to be remarkably resilient with last month marking the 15th anniversary of its being signed into law. Lanhee Chen, the Hoover Institution's David and Diane Steffy Fellow in American Public Policy Studies and co-chair of Hoover's Healthcare Policy Working Group, explains how the ACA managed to survive despite power shifts in Washington, what areas of healthcare Congress should address in 2025, and California's inability to cover the cost of its Medi-Cal program (the state equivalent of Medicaid) due to rising demand among seniors and undocumented residents.   Recorded on April 3, 2025. RELATED SOURCES Fifteen Years Later: The ACA Has an HSA Problem by Lanhee J. Chen Tom Church Daniel L. Heil

The Health Minister's confident two of the Government targets will improve this year. Health New Zealand data shows child vaccinations, cancer treatment times, and ED stay lengths have improved, but wait times for elective treatments and first specialist assessments have lengthened. Simeon Brown told Mike Hosking the wait times are of particular concern. He says the targets are in place to highlight these issues, and more money is being allocated to facilitate. Brown told Hosking the elective boost aims to ease the situation by outsourcing electives to the private sector, and $50 million has been allocated to the boost. The Health Minister also says problems at Gisborne and Nelson hospitals are being addressed. Gisborne's facing critical staff shortages, while senior staff have spoken out with concerns about the level of care in Nelson. Health New Zealand staff are now in Nelson, putting a plan together with local clinicians, while in Gisborne, jobs are being recruited for. Brown says there are challenges at both hospitals, and solutions are on the way. He says some unions are trying to make a lot of noise and is asking them to work with Health New Zealand. LISTEN ABOVE See omnystudio.com/listener for privacy information.

Friday, February 28th, 2025Today, a judge has ordered Trump administration officials to give sworn testimony about DOGE; a judge has dismissed Ric Grenell's defamation case against Olivia Troye; the DHS has quietly eliminated the ban on surveillance based on sexual orientation and gender identity; Andrew and Tristan Tate have left Romania and landed in the sex pest sanctuary state of Florida; a federal judge in Baltimore has extended the PFLAG TRO blocking Trump's effort to cut funding to hospitals and others who provide transgender-related treatment to people under 19; Elon Musk claimed he restored Ebola prevention efforts but officials say that's not true; the Pentagon sends out a memo that it will be removing transgender service members; the Office of Personnel Management has told the Consumer Financial Protection Bureau to reinstate fired veterans and military spouses; and Allison and Dana deliver your Good News.Guest: John FugelsangTell Me Everything — John FugelsangThe John Fugelsang PodcastSiriusXM ProgressThe Sexy Liberal Save The World Comedy TourSexy LiberalStories:Defamation suit tossed against ex-Pence aide after 'white supremacist' post - Raw StoryInfluencer Tate brothers, who face human trafficking charges in Romania, arrive in the US - AP NewsMusk claims DOGE ‘restored' Ebola prevention effort. Officials disagree. - The Washington PostDonald Trump Suffers Legal Setback Over Transgender Order - NewsweekTransgender service members to be removed from military, Pentagon memo says - CBS NewsDHS quietly eliminates ban on surveillance based on sexual orientation and gender identity - The AdvocateJudge orders Trump administration officials to give sworn testimony on DOGE - KYLE CHENEY and JOSH GERSTEIN | POLITICOOPM Tells CFPB to Reinstate Fired Veterans, Military Spouses - Bloomberg Law Good Trouble:*Today is  The Blackout. Don't buy anything unless it's from a small local business on Friday, February 28th.Federal workers - feel free to email me at fedoath@pm.me and let me know what you're going to do, or just vent. I'm always here to listen. Check out muellershewrote.com for my interview with a systems security expert about the massive breach at opm.gov caused by Elon MuskFrom The Good NewsAncient deity, pet and endangered species. Why is axolotl Mexico's most beloved amphibian? | AP NewsFlying Spaghetti Monster - WikipediaSurvivor benefits | SSAAlaska Mobile Notary ServicesHead Start.gov Check out other MSW Media podcastshttps://mswmedia.com/shows/Subscribe for free to MuellerSheWrote on Substackhttps://muellershewrote.substack.comFollow AG and Dana on Social MediaDr. Allison Gill Substack|Muellershewrote, Twitter|@MuellerSheWrote, Threads|@muellershewrote, TikTok|@muellershewrote, IG|muellershewrote, BlueSky|@muellershewroteDana GoldbergTwitter|@DGComedy, IG|dgcomedy, facebook|dgcomedy, IG|dgcomedy, danagoldberg.com, BlueSky|@dgcomedyHave some good news; a confession; or a correction to share?Good News & Confessions - The Daily Beanshttps://www.dailybeanspod.com/confessional/ Listener Survey:http://survey.podtrac.com/start-survey.aspx?pubid=BffJOlI7qQcF&ver=shortFollow the Podcast on Apple:The Daily Beans on Apple PodcastsWant to support the show and get it ad-free and early?Supercasthttps://dailybeans.supercast.com/Patreon https://patreon.com/thedailybeansOr subscribe on Apple Podcasts with our affiliate linkThe Daily Beans on Apple Podcasts

We're back, after a brief hiatus! Today we talk about duration of therapy for bacteremia, Factor XI inhibition for atrial fibrillation, whether to stop ACEi or ARB before elective surgery, and whether GLP-1 agonists are beneficial in heart failure with preserved ejection fraction. Go to minute 7:30 to skip the banter. 7 vs 14 Days of Antibiotics for Bacteremia (BALANCE)Abelacimab vs Rivaroxaban for Atrial Fibrillation (AZALEA-TIMI-71)Asenduxian vs Apixaban for Atrial Fibrillation (OCEANIC-AF)ACEi or ARB Discontinuation Before Surgery (STOP or NOT)Tirzepatide for HFpEF and Obesity (SUMMIT)Music from Uppbeat (free for Creators!):https://uppbeat.io/t/soundroll/dopeLicense code: NP8HLP5WKGKXFW2R

The mother joined Jacqui Felgate, with Shadow Health Minister Georgie Crozier weighing in on the situation. See omnystudio.com/listener for privacy information.

Matthew Pantelis speaks with SA President of the AMA Dr John Williams and SA Salaried Medical Officers Association's Bernadette Mulholland about elective surgery being cancelled again. Listen live on the FIVEAA Player. Follow us on Facebook, Twitter and Instagram.See omnystudio.com/listener for privacy information.

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In this episode, Dr. Mistry and Donna Lee are joined by another special guest this week, Dr. Buckley!  F. P. “Tripp” Buckley III, MD, is a board-certified surgeon and the Surgical Director of Digestive Health, a clinical partnership between Ascension Seton and UT Health Austin. He specializes in anti-reflux and esophageal surgery, assisting patients suffering from gastroesophageal reflux disease (GERD). Additionally, Dr. Buckley is an associate professor and serves as the Chief of the Division of Elective Surgery for the Dell Medical School Department of Surgery and Perioperative Care. Do you have the guts to learn about your gut?!? What stomach problems to you have? What does your pancreas do?  Do you need reflux surgery or just some Tums? Where exactly is your sphinter? Is a hiatal hernia too small or too large for surgery? How do you spell esophagus? Well, you must tune in to learn the answers to these thought-provoking questions.  To learn more about Dr. Buckley, visit https://uthealthaustin.org/directory/tripp-buckley and his number is (512 324-GERD, Clever!  Share this with your friends and follow us wherever you listen to podcasts! Voted top Men's Health Podcast, Sex Therapy Podcast, and Prostate Cancer Podcast by FeedSpot.Dr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.We enjoy hearing from you! Email us at armormenshealth@gmail.com and we'll answer your question in an upcoming episode.Phone: (512) 238-0762Email: armormenshealth@gmail.comWebsite: armormenshealth.comOur Locations:Round Rock Office970 Hester's Crossing RoadSuite 101Round Rock, TX 78681Lakeline Office12505 Hymeadow DriveSuite 2CAustin, TX 78750South Austin Office6501 South CongressSuite 1-103Austin, TX 78745Dripping Springs Office170 Benney LaneSuite 202Dripping Springs, TX 78620

With still Elective Surgery on hold and the state budget released tomorrow. Health Minister Chris Picton joined Matthew on FIVEAA Mornings. Listen live on the FIVEAA Player. Follow us on Facebook, Twitter and Instagram.See omnystudio.com/listener for privacy information.

Health Minister Chris Picton and Opposition Leader David Spiers joined Will and Kochie with the news that some elective surgery's have been cancelled from today.  Listen live on the FIVEAA Player. Follow us on Facebook, Twitter and Instagram.See omnystudio.com/listener for privacy information.

Ramping headed for 100,000 hours as elective surgery cancelled. Dr Robyn Lawrence - Chief Executive of the Department for Health and Wellbeing.See omnystudio.com/listener for privacy information.

Have your surgeon's number on speed dial? You might want to hang up and listen to Dr. Skip and Dr. Julie Wyss as they detail the trend of choosing elective surgeries over holistic healing. This week's episode discusses the alarming rise in elective and unnecessary surgeries, especially back surgeries and other common procedures such as gallbladder and appendix removals. They emphasize the body's natural ability to heal and argue against the capitalistic approach to healthcare that prioritizes surgeries over preventive and holistic care. The chiropractors also touch on the importance of movement, diet, and proper chiropractic care in maintaining body health and preventing degenerative conditions. The episode underscores the need for patients to consider alternatives and understand the long-term implications of removing body parts that serve essential functions. 00:00 The Startling Truth About Elective Surgeries 01:24 Welcome to Prime Podcast with Dr. Skip and Dr. Julie Wyss 02:34 The Body's Design and Self-Healing Capabilities 04:10 The Rising Trend of Elective Surgeries Post-COVID 10:07 Understanding Arthritis and the Importance of Movement 14:55 The Hidden Costs of Elective Surgeries 16:00 A Closer Look at Gallbladder and Appendix Removal 21:19 The Power of Prevention and the Body's Healing Potential 22:46 Final Thoughts and Public Service Announcement https://theprimepediatricpodcast.libsyn.com =============================================== Order Standard Process Here: https://primefamilycenters.standardprocess.com ================================= Download our App Here: Apple Play Store: https://apps.apple.com/us/app/prime-family-chiropractic-app/id6474149243Android: https://play.google.com/store/apps/details?id=com.ub378e75245a.app&pcampaignid=web_share ================================= Please like, subscribe, comment, and share this video! //Dr. Julie Wyss  - Prime Family Chiropractic Centers// Dr. Julie Wyss DC is a highly respected chiropractor with a special focus on pediatric and pregnancy care. Her extensive training and experience in these areas has made her a trusted advisor to families seeking a tailored and personalized type of care focused on the body's ability to heal itself. As a mother herself, Dr. Wyss understands the unique challenges that come with pregnancy and postpartum recovery. She believes that chiropractic care can play a vital role in supporting the health and wellbeing of both mother and child during these transformative stages of life. In addition to prenatal care, Dr. Wyss specializes in postpartum care to help new mothers recover and regain their strength and vitality. She provides gentle adjustments and breathing exercises to address issues such as diastasis recti, pelvic floor dysfunction, and breastfeeding difficulties. //Dr. Skip Wyss - Prime Family Chiropractic Centers// “When you get the chance to change lives from their first days of existence, you do not take it lightly. But you can take it with a dash of light-hearted joy!” That's how Dr. Skip Wyss chooses to manage Prime Family Chiropractic Centers, a 15-year staple in his Green Bay Community. He decided to take that experience and developed the internationally recognized educational program, The Prime Coaching Company, focused on pediatric, prenatal, and family health. Dr. Skip is an internationally recognized speaker, ICPA certified pediatric chiropractor and host of The Prime Podcast. The show is a platform for his wife, Dr. Julie Wyss, and himself to provide incredible education and resources on having an incredible marriage, business, family, faith, and health for service providers and their community! // Prime Family Chiropractic Centers // Certified Prenatal and Pediatric Family Chiropractic Healthcare. Get Primed for life and success with healthcare re-imagined. Website: https://primefamilycenters.com/ Follow us on Social Media! 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Checkpoint's Lisa Owen speaks to four people on the elective surgery waiting list, about their experiences, and their long wait.

On this episode, we finish the discussion about the challenges and issues involving documenting elective surgeries in order to improve care and maximize reimbursement.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guests: Rachel Mack, MSN, RN, CCDS, CDIP,  CCS, CRC Consulting Director, Clinical Documentation Improvement Vizient   Show Notes: [00:37] Anticoagulation – often overlooked in documentation [01:30] PSI 9 [02:20] Thrombocytopenia [03:57] Antiplatelets and elective surgeries  [05:56] Every PSI reported means money lost to the practice   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack's email: rachel.mack@vizientinc.com “Costs of Postoperative Sepsis: The Business Case for Quality Improvement to Reduce Postoperative Sepsis in Veterans Affairs Hospitals” (JAMA): Click Here   Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed

This episode continues the series on challenges and issues involving correctly documenting elective surgeries. A leading expert provides practical guidance and considerations that enable you to be correct in documenting these patients in order to improve care and maximize reimbursement.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guests: Rachel Mack, MSN, RN, CCDS, CDIP,  CCS, CRC Consulting Director Clinical Documentation Improvement Vizient   Show Notes: [00:34] Dealing with preoperative infections [01:56] Percentage of elective surgery patients who develop sepsis—with 25% mortality [03:45] Accurately coding to avoid a PSI 13 being charged to your practice/organization [05:34] Do not miss a Present on Admission case [07:30] Need for CDI specialists to collaborate with quality (the “dotted line”) [08:50] Issues around PSI 7   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack's email: rachel.mack@vizientinc.com “Costs of Postoperative Sepsis: The Business Case for Quality Improvement to Reduce Postoperative Sepsis in Veterans Affairs Hospitals” (JAMA) Click Here.   Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed    

Matthew Pantelis speaks with SA Best MLC Connie Bonaros and Bernadette Mulholland from SASMOA on the delay in elective surgery and how it's a symptom of what's happening in the health system. Listen live on the FIVEAA Player. Follow us on Facebook, Twitter and Instagram.See omnystudio.com/listener for privacy information.

CEO of SA Health Dr Robyn Lawrence speaks with David & Will. Listen live on the FIVEAA Player. Follow us on Facebook, Twitter and Instagram.See omnystudio.com/listener for privacy information.

In this episode of RAPM Focus, Dr. Brian Sites sits down with Daryl Henshaw, MD, and Christopher Edwards, MD, to discuss “Evaluating residual anti-Xa levels following discontinuation of treatment-dose enoxaparin in patients presenting for elective surgery: a prospective observational trial,” first published in June 2023. Dr. Daryl Henshaw completed his medical school residency in regional anesthesia and acute pain fellowship training at Wake Forest. He is the associate vice chair of clinical operations at Atrium Health Wake Forest Baptist, the section head of regional anesthesia and acute pain management, and the medical director of acute pain services. Dr. Christopher Edwards is a graduate of Louisiana State University Health Sciences at Wake Forest for both anesthesia and fellowship training in RAPM. He is the medical director for regional anesthesia and acute pain. Dr. Henshaw and colleagues performed a prospective observational trial, where they asked the question if current guidelines to hold full anti-coagulation dose of Lovenox for 24 hours before surgery resulted in adequate anti-Xa level activity to support the performance of neuraxial or deep anesthetic type nerve block procedures. Consenting patients on treatment-dose enoxaparin were randomized to either a 24-hour group (last dose at 07:00 the day prior to surgery) or a 36-hour group (last dose at 19:00 2 days prior to surgery). On arrival for surgery, blood samples were obtained to assess residual anti-Xa level activity and renal function. The primary outcome was residual anti-Xa level activity following the last treatment dose of enoxaparin. Incorporating all patients, linear regression modeling was performed to predict the timepoint at which the level of anti-Xa activity reliably fell below 0.2 IU/mL. *The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner's judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others. Podcast and music produced by Dan Langa. Find us on Twitter @RAPMOnline.

Elective surgeries are on the rise again following a downswing during the COVID era. Yet, with this rise in these procedures, there are challenges and issues involving correctly documenting elective surgeries that practices and organizations need to consider and address. On this episode, a leading expert on clinical documentation covers this difficult area.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guests: Rachel Mack, MSN, RN, CCDS, CDIP,  CCS, CRC Consulting Director, Clinical Documentation Improvement Vizient   Show Notes: [01:21] Planned surgeries [02:26] Five most common elective surgeries and who has them [04:15] Why elective surgeries are unique [05:44] What you need to document – examples [09:13] Obesity and documentation—capturing a CC   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack's email: rachel.mack@vizientinc.com   Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed

Coming Up #OnWithMarioLopez – Actor #KingsleyBenAdir zooms in to talk #BobMarleyOneLove, #BarbieMovie, & more! Plus, we honor an 8 year old w/ a #GoodDeed Lopezie, Courtney's Court takes on Vegas jealousy, and the new elective surgery inspired by Mario?!?See omnystudio.com/listener for privacy information.

During the pandemic, wait times on elective surgeries blew out and it resulted in a huge backlog of patients needing procedures. In WA they've made inroads on this backlog, setting a record pace of performing these elective procedures but more patients are added all the time. More than 855,000 in fact were added around Australia which is putting an enormous strain on the public health system. But is there another solution than just making people wait?See omnystudio.com/listener for privacy information.

Nearly 1 in 10 patients are waiting longer than a year for elective surgery, as public hospitals struggle to catch up from COVID pandemic disruptions

Nearly 1 in 10 patients are waiting longer than a year for elective surgery, as public hospitals struggle to catch up from COVID pandemic disruptions

- There's a MAJOR difference between these two types of surgery . Elective surgery = a surgical procedure that is less invasive in nature which may require local anesthesia or undergo “same-day” surgery; it is typically “scheduled in advance” Some examples may include: Total knee replacement Superficial skin cell resections Rotator cuff repair Nerve ablations . Emergency surgery = an immediate surgical procedure that must be performed in order to preserve one's life; it is NOT a scheduled surgery — it must occur immediately without schedule notice Some examples may include: Cardiac stent implants Appendectomy  Brain bleeds Sepsis — *BONUS LISTEN - ICE Physio Podcast #1444:  https://podcasts.apple.com/us/podcast/ptonice-daily-show/id1088698598?i=1000607858278*Fortress PT YouTube channel:  Follow HERE . . #FunctionWithPurpose #FPTEducation - - - - - The Function with Purpose Podcast . All things health - wellness - fitness - & education through the physical therapy perspective . Fortress PT is here to serve the Charlotte-Metro area by highlighting the importance of how & why physical therapy should be a part of your health & wellness lifestyle . PURSUIT | PRECISION | PURPOSE . . DISCLAIMER:  THIS PODCAST SERVES FOR EDUCATIONAL PURPOSES ONLY.  IT IS NOT A SUBSTITUTE FOR ADVICE FROM YOUR PERSONAL PHYSICAL THERAPIST OR OTHER HEALTH CARE PROFESSIONAL(S). . . Amy@fortressphysicaltherapy.com 980-272-8044 https://linktr.ee/FortressPT . #FunctionWithPurpose #DrAmyPT #FPTosteopractor #FPTAthlete #FPTEducation #FPTTraining #TeamFPT #Charlotteagenda #CharlotteNC #CharlotteMetroArea #QueenCity #704 #980 #Physicaltherapy #Physio #Physiotherapy #GetPT1st #Physical #Therapy #Health #Wellness #Fitness #CLT#charlottephysicaltherapy #charlottephysicaltherapist --- Send in a voice message: https://podcasters.spotify.com/pod/show/fortress-physical-therapy/message

Old school Democrats have a real problem!

This is the final episode of the Jackie Zimmerman summer series! In this episode, Jackie talks about an elective surgery for a tummy tuck, a new corporate job, breaking up with the shady boyfriend, trauma bonding, marriage, and where her life is now.

MPs have spent much of the week debating the merits - or otherwise - of an algorithm that takes into account ethnicity to help prioritise patients waiting for elective surgeries. 

An estimated 23%-45% of patients undergoing major surgery have anemia, with the most common causes being iron deficiency anemia and anemia of inflammation or chronic disease.In this episode, Drs. Mojola Omole and Blair Bigham speak with Dr. Clarissa Skorupski and Dr. Yulia Lin, two authors of the practice paper in CMAJ, "Five things to know about preoperative anemia in major elective surgery." Dr. Skorupski is a third-year internal medicine resident at the University of Toronto, and Dr. Yulia Lin is the division head of transfusion medicine and tissue bank at Sunnybrook Health Sciences in Toronto. They highlight the high prevalence of preoperative anemia, its adverse outcomes, and the importance of targeting a preoperative hemoglobin level of 130 g/L for both sexes.Next, Drs. Bigham and Omole take a critical look at the WHO guideline which sets a lower hemoglobin threshold of 120 g/L for female bodies. They speak with Dr. Michelle Sholzberg, the head of hematology-oncology and the director of the Hematology Oncology Clinical Research Group at St. Michael's Hospital in Toronto. Dr. Sholzberg argues that the WHO's sex-based hemoglobin thresholds for diagnosing anemia perpetuate structural discrimination in medicine, as they normalize anemia in females and are based on outdated data with a high risk of bias. Dr. Sholzberg describes how the policies and clinical practices following the biased thresholds may impact health-related quality of life, cognitive function, and the health of pregnant individuals and their babies.Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.You can find Blair and Mojola on Twitter @BlairBigham and @DrmojolaomoleCMAJTwitter (in English): @CMAJ Twitter (en français): @JAMC FacebookInstagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions

A group of health experts say more and more people are unable to get hospital treatment for non-urgent but important health problems, but successive governments, and the Ministry of Health have blocked efforts to quantify the unmet need. The group of surgeons, public health researchers, and health academics, led by Christchurch surgeon and founder of the Charity Hospital, Professor Phil Bagshaw, have written an editorial in the Medical Journal, published this morning. They say hernia, cataract, gynaecological and dental surgeries are examples of operations needed by many patients who aren't getting them. But they say that repeated calls for proper measuring of the need have been knocked back at every turn, even though they are standard practice in North America, Europe and Scandinavia. Professor Phil Bagshaw says that until the true extent of the need is measured, the government's health reforms can never be said to be delivering.

Figures show the number of people overdue for elective surgery has grown by thousands.  A Planned Care Taskforce was formed in May to cut huge national surgical waiting lists but the situation is now worse than when they started. Those in the field say there is no easy fix. Health Correspondent Rowan Quinn reports.

Australia's surgery backlog is expected to balloon to 500,000 people this year, but can struggling hospitals ever clear it? Find out more about The Front podcast here and read about this story and more on The Australian's website or search for The Australian in your app store. This episode of The Front is presented and produced by Kristen Amiet, and edited by Tiffany Dimmack. The multimedia editor is Lia Tsamoglou, and original music composed by Jasper Leak.See omnystudio.com/listener for privacy information.

A conversation with Dr. Jonathan Forbes

SHABBOS 16 ELLECTIVE SURGERY & TRAVEL

Over the past five years, more than 20 million Americans aged 65 and over had elective surgery. This number is expected to grow to more than 27 million by 2030. While elective surgery can be life-changing and even life-saving, it's not without its risks. There are many things to consider before elective surgery – from the cost of the procedure to who will provide caregiving afterwards during recovery. In addition to the normal conversations, exams, and tests that will be run to clear an older adult for surgery, there are ten additional things older adults and their families should know before heading into the Operating Room. Most surgical offices will require thorough lab work, along with heart, lung, and kidney function tests; but if you are over 65 years old or the loved one of someone who's going to have the elective surgery, be sure you—and those the surgical team — know the following because many of these have been linked to a higher risk of death or complications after an older adult has surgery. These recommendations are based on the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society Developed Best Practice Guidelines recommend the following: Key points covered in this episode:  ✔️ #1: Know The Person's Pre-Surgery Cognitive Ability Though you may be an older adult, have been feeling great recently, and even played golf the day before surgery, things can take a turn for the worse post-operation. You can end up looking pretty sick to providers who don't know you—and due to pervasive ageism, health care professionals can unfortunately make an assumption that you have a cognitive impairment (when you don't!) You want to be sure that your surgical team knows what the person's cognitive ability was before the surgery ~ because you should return to baseline with your thinking.  ✔️ #2: Depressed Or Not? Depression has been associated with a higher likelihood of dying after surgery and more days in the hospital after surgery. It is essential that the surgical team understands what the person's emotional state was before surgery. Older adults may not want to talk about it, but if a loved one is going in for surgery, please ask: “Have you been feeling down or depressed lately?” ✔️ #3: Any Alcohol Or Substance Abuse/ Dependence Issues? While a glass of wine with dinner or a beer while watching the game may be part of your routine, there may also be some signs that alcohol use is more along the lines of alcohol dependency or abuse.  There are four questions that are asked, and we call it the CAGE questionnaire: C: Have you ever felt the need to Cut down on your drinking? A: Have you ever felt Annoyed by people criticizing your drinking? G: Have you ever felt Guilty about your drinking? E: Have you ever had an Eye-opener (a drink first thing in the morning) to steady your nerves or get rid of a hangover? Substance abuse isn't only about alcohol. It can includes taking other drugs. In either case, alcohol and substance misuse also puts the person at a higher risk for complications after surgery ✔️ #4: Know Your Risk Of Post-Surgery Delirium And How To Recognize It In A Loved One Delirium is a change in mental status, and people can fluctuate in and out of it. They may be confused at times and then clearheaded at other times in the same day. Being 70 or older and taking multiple medications increase a person's risk for delirium.  Before elective surgery, it is essential to let your loved one's surgical team know about any medications they are taking and if they have had issues with delirium in the past. The bottom line after surgery: If you have any feeling that your loved one “just isn't right”, mention it to their medical team because it needs to be investigated. ✔️ #5: Know Functional Status And History/ Risk Of Falls Can the person get dressed? Take a bath? Get out of a chair or the bed by themselves? Prepare own meals and/or do their own shopping ? Have you fallen in the past year? The answers to these questions give the surgical team a good idea of what level of care the person was prior to surgery and can discuss self-care goals post-surgery. The risk of falling also needs to be discussed. A history of falls or any current balance issues puts someone at a higher risk for complications after surgery. The surgical team can also administer the Timed Get UP and Go Test (TUG): This is when the older adult is asked to stand up from a chair, walk 5 or 6 feet, turn around and walk back to the chair, and sit down. Taking longer than 15 seconds to do this indicates an increased risk of falls. ✔️ #6: Is The Person Malnourished? Older adults can lose weight for many reasons: changes in taste, dentition issues, and inability to cook for themselves. But whatever the reason, malnutrition puts someone at a higher risk for complications after surgery. The best way to assess this is by asking if they had an unintentional weight loss of more than 10 pounds last year. A laboratory test of albumin and pre-albumin levels or calculating the Body Mass Index (BMI) based on Height and weight. It determines if a person is overweight or underweight, which can result in negative surgical outcomes.  ✔️ #7: What Is The Person's Frailty Score? One indicator of frailty is an unintentional weight loss of more than 10 pounds in the past year.  Another frailty indicator is decreased grip strength, which is the inability to open a jar of peanut butter or hold a cooking utensil.  Slow gait speed (walking) is another indicator. Self-reported poor energy or low endurance may also be seen. Or you may notice that they don't expend much energy during the week. So this is someone who may be doing a lot of sitting, and if they are up and walking, it will be slow. ✔️ #8: Take A Medication List With Diagnoses I recommend the Brown Bag Approach: bringing all medications in a brown paper bag to each appointment. This allows the clinician or surgical team to go through everything and ensure that each one is still indicated.  Put all ALL medications - vitamins, over-the-counter, and prescriptions -into a ‘Brown Bag' and take them all in to be reviewed with your provider. You should know the reason for taking each medication - the diagnosis it is treating. This allows the clinician to understand what other health problems the person may have and if any of those could interact with surgery or anesthesia.  Talk with your provider because any nonessential medications should be discontinued before surgery; know what medications can be taken on the day of surgery or be continued after surgery. It would also be best to review your medication list against the Beers Criteria and be sure every medication has a supporting diagnosis. Otherwise, work with your provider to discontinue it.  The bottom line: The more information the surgical team has, the better they can assess and plan for the surgery ✔️ #9: Treatment Goals And Expectations If a person thinks they will have a surgery to cure their pain and they don't get that result—that will be disappointing. So it's essential to manage expectations by getting a clear explanation of the goal(s) of surgery. The goal may be to decrease the pain but not necessarily get rid of it. It's also important to set realistic goals for post-operative function Be sure to have a discussion about the patient's preferences and expectations – and if there will be a need for rehabilitation after surgery, where is the preferred facility for that to take place, or can it be done at home? ✔️ #10: Take Paperwork: Who Will Be Involved In Care Take copies of any and all legal paperwork that you may need – this includes the person's advanced directive (code status: full code vs. no code) and who their designated decision-makers are in case they are needed – such as their healthcare power of attorney. Copies of these should also be in the person's medical record. If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question.  ------------------------------------------------------------------------ About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.

They are calling it the hidden waiting list and want to see a plan to tackle a backlog of patients. - Mereka menyebutnya daftar tunggu tersembunyi dan ingin melihat rencana untuk mengatasi banyaknya pasien yang menunggu operasi.

Australia's healthcare system has been overwhelmed in recent times, but Dr Andrew Wilson believes there is a way to combat this issue. See omnystudio.com/listener for privacy information.

This week, the topic of discussion was: Emergency Surgery Acute Care Surgery Laparoscopic Surgery Incarcerated Hernia Strangulated Hernia Infection Mesh Damage Control Elective Surgery Medical Optimization Diabetes Obesity Smoking Tobacco Use Chronic Cough Hernia Recurrence Surgical Outcome Adhesions Small Bowel Intestinal ObstructionWelcome to HerniaTalk LIVE, a Q&A hosted by Dr. Shirin Towfigh, hernia and laparoscopic surgery specialist who practices at the Beverly Hills Hernia Center. This is the only Q&A of its kind, aimed at educating and empowering patients about all things related to hernias and hernia-related complications. For a personal consultation with Dr. Towfigh: +1-310-358-5020, info@beverlyhillsherniacenter.com.If you find this content informative, please LIKE, SHARE, and SUBSCRIBE to the HerniaTalk Live channel and visit us on www.HerniaTalk.com.Follow Dr. Towfigh on the following platforms:Youtube | Facebook | Instagram | Twitter

Jay, Tony, and Chris back in the studio.  Live on YouTube, live in studio, how did Tony know Dan would be there. New and improved. Take a listen! Watch for next week, Netflix movie, Jay's pick, 365 days. 

SARS-CoV-2 infection increases perioperative risks, both with the acute infection and its aftermath. Accruing data suggests that elective surgery should be deferred for 7 weeks for most types of surgery, although individualised risk assessment may reduce or increase this timeframe. Paul Myles talks with Dr Kariem El-Boghdadly from Guy's Hospital in London, the lead author of a recently published consensus statement arising in the UK.

The ongoing impact of the pandemic has meant many Australians have faced lengthy wait times for elective surgery, but with surgeries set to resume in some capacity in NSW and Victoria from February 7, what effect has the delay had on patients' health outcomes?

When state governments pause elective surgeries - to free resources to handle covid cases - it's a huge deal to people waiting for those surgeries. Elective surgeries include any procedure that doesn't need to be done within 24 hours.  That includes some cancer procedures, even brain surgery – and these procedures are not luxury options    We were all moved by Melanie Swieconek, who posted a teary video on Instagram after the Victorian government cancelled IVF treatment as part of its Covid elective surgery bans.  Melanie basically changed the government's mind.  We're also joined by Dr Chris Moy, Vice President of the Australian Medical Association who explains what needs to happen to clear the massive backlog of cases.   Dr Moy's comparison to bushfire recovery is a reminder we still have a long way to go to beat Covid and for life to return to normal.   Today's Headlines Calls for Minister who called PM 'psycho' to be outed Roberts-Smith defamation hearing resumes Colbeck defends going to the cricket Grace Tame speaks out on not smiling with PM Hospitality and retail staff shortages not being filled   Follow The Briefing DON'T FORGET TO SIGN UP FOR THE BRIEFING NEWSLETTER. LINK IS IN OUR BIO ON INSTAGRAM Instagram: @thebriefingpodcast  Facebook: TheBriefingNewsAU Twitter: @TheBriefingAU  See omnystudio.com/listener for privacy information.

From gender-affirming surgeries, to removals of aneurysms in stroke patients, patients who consider their needs urgent have had their surgeries cancelled.

According to American Society of Plastic Surgeons, there have been 15.6 million Cosmetic Procedures in 2020. Have you ever thought about changing your nose, butt, smaller thighs or an eyelift? In this episode we get rid of the noise in the plastic surgery industry. Listen in as Veteran Cosmetic Coach, Michelle Emmick leads the way in your journey for search of your standard of beauty.You can find Michelle Emmick Here. Did you enjoy this episode? Great! We'd love to hear from you! If you have a mentor moment that could inspire someone else that you would like to be featured on our next episode, send an email to rani@ranialfers.com. We'll be sure to give you a shout out! Learn more. Share more. Inspire more.In the meantime, do stay in touch! I'm on Facebook and Instagram and would love to connect.For more info visit our website!Apply to be a guest

In this episode Glen unpacks a bit about Income Protection, particularly around whether elective surgery is covered, touching on:

Screenings for breast cancer, colorectal cancer and cervical cancer, as well as elective surgeries, can now be scheduled at The James. Chief Medical Officer David Cohn, MD, MBA, explains why it's important to schedule screenings that were put off during the pandemic, and provides details about safety protocols at The James.