If your baby is exhibiting any warning signs and symptoms (that are not scientific emergencies; if they’re, get them to the ER), or if you just need more in-depth mental health check-ins, do not forget these questions to ask, courtesy of Dr. Eli Lebowitz, Ph.D., director of the Program for Anxiety Disorders at the Yale Child Study Center.
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What are you doing for the duration of recess? Who are you spending time with?
How is your body feeling? Are you having a belly or headaches?
Is it smooth so one can doze off?
Is something making you scared?
Do you have got any trouble paying interest?
For melancholy (that may go hand in hand with anxiety, and vice versa), ask your baby those questions:
Do you feel sad?
Have you been feeling cranky?
Do you know what’s bothering you?
Who are your friends now? What do you do with them?
Do you every so often desire you weren’t alive at all?
For viable bullying, ask:
Does bullying happen to your college? Have you visible all of us being bullied?
Does anybody trouble you at college? Has all of us hit you?
Has whatever without a doubt horrifying took place to you?
“Don’t be afraid to invite hard questions,” says Lebowitz. “Asking approximately mind of death, for example, suggests it’s okay in your child to share with you; in no way, asking shows them that it’s now not. [Also,] ask yourself how your conduct is converting due to your baby’s difficulties.”
Defining a Health Information Exchange
The United States is facing the largest shortage of healthcare practitioners in our country’s history which is compounded by an ever-increasing geriatric population. In 2005 there existed one geriatrician for every 5,000 US residents over 65 and only nine of the 145 medical schools trained geriatricians. By 2020 the industry is estimated to be short 200,000 physicians and over a million nurses. Never, in the history of US healthcare, has so much been demanded with so few personnel. Because of this shortage combined with the geriatric population increase, the medical community has to find a way to provide timely, accurate information to those who need it uniformly. Imagine if flight controllers spoke the native language of their country instead of the current international flight language, English. This example captures the urgency and critical nature of our need for standardized communication in healthcare. Healthy information exchange can help improve safety, reduce the length of hospital stays, cut down on medication errors, reduce redundancies in lab testing or procedures and make the health system faster, leaner and more productive. The aging US population along with those impacted by chronic disease like diabetes, cardiovascular disease and asthma will need to see more specialists who will have to find a way to communicate with primary care providers effectively and efficiently.
This efficiency can only be attained by standardizing how the communication takes place. Healthbridge, a Cincinnati based HIE and one of the largest community-based networks, was able to reduce their potential disease outbreaks from 5 to 8 days down to 48 hours with a regional health information exchange. Regarding standardization, one author noted, “Interoperability without standards is like language without grammar. In both cases, communication can be achieved, but the process is cumbersome and often ineffective.”
United States retailers transitioned over twenty years ago to automate inventory, sales, accounting controls, which all improve efficiency and effectiveness. While uncomfortable to think of patients as inventory, perhaps this has been part of the reason for the lack of transition in the primary care setting to automation of patient records and data. Imagine a Mom & Pop hardware store on any square in mid-America packed with inventory on shelves, ordering duplicate widgets based on lack of information regarding current inventory. Visualize any Home Depot or Lowes, and you get a glimpse of how automation has changed the retail sector in terms of scalability and efficiency. Perhaps the “art of medicine” is a barrier to more productive, efficient, and smarter medicine. Standards in information exchange have existed since 1989, but recent interfaces have evolved more rapidly thanks to increases in standardization of regional and state health information exchanges.
