Office Syndrome

Office syndrome is a combination of many diseases or conditions caused by environmental factors many experience in their work place every day. Misuse of muscle, staying is the same posture for a longer period with minimum movement and unhealthy office habits are the major causes of office syndrome. Office syndrome is a condition characterized by symptoms such as back pain, migraines, shoulder pain, numbness in fingers and arms, poor eyesight, dry eyes. For many people, this condition occurs very suddenly.

Office syndrome seems to be associated with certain types of working conditions or buildings. In most cases, it occurs in open plan offices such as those found in schools, museums and libraries. There have also been reports of individuals getting symptoms such as dizziness, fatigue and migraines at home – The Leading Physicians of The World

OfficeSyndrome

Who is affected by Office Syndrome?

Anyone can be affected by office syndrome. However, the condition mainly affects office workers who spend most of their time working in offices. If you are working in modern buildings with no opening windows, poor ventilation or poor air conditioning, you are at higher risk of getting office syndrome.

You are also at high risk of getting this syndrome if you work routinely in offices that involves display screen equipment. So, in case you use computers in your place of work or your workers use them, you should ensure that the offices are set up correctly and are in line with healthy and safety office regulations.

Women are at high chances of getting office syndrome compared to men of the same age. This happens since more women are involved in office work compared to men and in turn, fewer women are involved in physical exercises after leaving their place of work.

Risk factors of office syndrome

Much research has been conducted but researchers have not yet identified the cause of office syndrome. Many scientific experts believe that office syndrome is caused by a number of things.

Below are the possible risk factors that can lead to office syndrome:

  • Low humidity
  • Poor ventilation
  • Airborne chemical pollutants such as those from printers, photocopiers, cleaning materials and furniture
  • Change in temperature or high temperature the whole working day
  • Physical risk factors such as electrostatic charges
  • Airborne particles such as fungal spores, office dust and carpet fibers
  • Improper usage of office equipment such as computers and tablets
  • Psychological factors such as low staff morale, anxiety and stress
  • Poor ventilation in offices when using chemical cleaning products and air fresheners
  • Poor office conditions such as poor cleaning conditions
  • Poor lighting which may cause stress when viewing display units.

Symptoms of Office Syndrome

Office syndrome is caused by a number of factors you should know. Below are the most common symptoms and their causes:

  • Cardiovascular Diseases- gastrointestinal diseases are caused by frequent usage of caffeinated beverages, smoking, poor sleeping habits, stress or depression and poor nutrition.
  • Obesity- This is a condition that is caused sedentary lifestyle, malnutrition or overweight.
  • Gastrointestinal diseases– These diseases are caused by poor eating habits such as snacks eating and malnutrition.
  • Hemorrhoids– Hemorrhoids and other types of inflammation can also cause office syndrome. These conditions are caused by prolonged sitting in one place or position.
  • Respiratory diseases- These are diseases caused by colds and transmitted through the air. Air transmission of respiratory diseases occurs mainly in highly populated places and poorly ventilated houses.
  • Dry eye syndrome- The causes of such symptoms are simple. They can occur due poor air conditioning and prolonged sitting in an office.
  • Muscle and bone pain- This is the common ailment for office workers. Muscle and bone pain can occur due to prolonged stationary sitting.

Other symptoms of office syndrome include:

  • Nausea or a feeling of sickness
  • Migraines accompanied by dizziness
  • Poor concentration in work place
  • Chest tightness or breath shortness
  • Back pain or aches
  • Fatigue or extreme tiredness
  • Runny nose
  • Throat irritation
  • Shoulder pain or aches
  • Skin rashes or dry itchy skin

 

The symptoms of office syndrome can occur on their own or as a combination of many symptoms which may vary day to day. This means that people working in the same office may experience different symptoms. These symptoms improve with time after leaving office but they sometimes reappear when one resumes with his or her office work.

How can you prevent office syndrome?

Several measures can be used to prevent office syndrome. Such measures include:

  1. Stretching exercise- Stretching your muscles every day after leaving the office can help maintain muscle flexibility. This is one of the best measures one can use to prevent office syndrome. Stretching exercises can also help you avoid symptoms of office syndrome such as obesity
  2. Create healthy working conditions in offices such as:
  • Opening of windows to allow better ventilation and also avoid too hot working conditions
  • Going outside after a few hours of working to get fresh air. One can walk out during break time or lunch time
  • Taking regular breaks of about 5-10 minutes for every hour in case you sit all day at your desk
  • Organize and prioritize your office workload to help avoid stress
  • Exercise regularly to help boost your energy and good poster while at work
  • Eat healthy foods to avoid obesity and other conditions caused by your nutrition
  1. Avoid works that require muscle contraction for longer periods
  2. Create an ergonomically friendly condition for your working

 

Treatment of office syndrome

You can treat office syndrome by treating symptoms accompanying the condition. Some medications used to treat this condition include non-inflammatory agents such as ibuprofen, aspirin and pain killers such as paracetamol.

Other treatment measures for this condition include physical therapy, rehabilitation and acupuncture therapy. Treatment of office syndrome involves finding the cause of the condition and then fixing it accordingly.

Bottom line

Although the above symptoms are not necessarily related to office syndrome, it is good to ensure that your office is a safe environment for better working. Keeping your house clean and in good order can also create a better environment for you to live.

Elderly Health Problems

Getting older can seem daunting­—greying hair, wrinkles, forgetting where you parked the car. All jokes aside, aging can bring about unique health issues. With seniors accounting for 12 percent of the world’s population­–and rapidly increasing to over 22 percent by 2050–it’s important to understand the challenges faced by people as they age, and recognize that there are preventive measures that can place yourself (or a loved one) on a path to healthy aging. Here are the most common elderly health problems –

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Elderly

Arthritis

“Arthritis is probably the number one condition that people 65 or older contend with,” says geriatrician Marie Bernard, MD, deputy director of the National Institute on Aging in Bethesda, Maryland. The CDC estimates that it affects 49.7 percent of all adults over 65 and can lead to pain and lower quality of life for some seniors. Although arthritis can discourage you from being active, it’s important to work with your doctor to develop a personalized activity plan that, along with other treatment, can help maintain senior health.

Heart Disease

According to the CDC, heart disease remains the leading killer of adults over age 65, accounting for 489,722 deaths in 2014. As a chronic condition, heart disease affects 37 percent of men and 26 percent of women 65 and older, according to the Federal Interagency Forum on Aging-Related Statistics. As people age, they’re increasingly living with risk factors, such as high blood pressure and high cholesterol, that increase the chances of having a stroke or developing heart disease. Dr. Bernard’s advice for addressing this senior health risk not only helps with heart disease but can improve senior health across the board: “Exercise, eat well, get a good night’s rest. Eating well means eating in a fashion that will allow you to keep a healthy weight with a well-balanced and healthy diet.”

Cancer

Cancer is the second leading cause of death among people over age 65, with 413,885 deaths in 2014, according to the CDC. The CDC also reports that 28 percent of men and 21 percent of women over age 65 are living with cancer. If caught early through screenings, such as mammograms, colonoscopies, and skin checks, many types of cancer are treatable. And though you’re not always able to prevent cancer, you can improve your quality of life as a senior living with cancer, including during treatment, by working with your medical team and maintaining their healthy senior living recommendations.

Alzheimer’s Disease

Alzheimer’s disease accounted for 92,604 deaths of people over age 65 in 2014, according to the CDC. The Alzheimer’s Association reports that one in nine people age 65 and older, which is about 11 percent, have Alzheimer’s disease, but because diagnosis is challenging, it’s difficult to know exactly how many people are living with this chronic condition. Still, experts acknowledge that cognitive impairment has a significant impact on senior health across the spectrum, from issues of safety and self-care to the cost burden of care, either in the home or a residential facility.

Osteoporosis

“Osteoporosis can contribute to becoming less mobile and potentially disabled should you fall and have a fracture or as the vertebral bodies collapse,” Bernard said. The National Osteoporosis Foundation estimates that 54 million Americans over age 50 are affected by low bone mass or osteoporosis, putting them at risk for a fracture or break that could lead to poor senior health and reduced quality of life. What’s more, they estimate that by the year 2020 that number will rise to 64.4 million.

Maintaining a healthy weight, eating a healthy diet and exercising regularly to avoid these elderly health issues is the smartest thing you can do. There are often effective medical treatments, and older adults should not be embarrassed to discuss with their physicians.

 

Communication and Connectivity in Healthcare

In healthcare, to provide excellent patient care, strong communication is key. But communication can often be unnecessarily complicated, and procedures are not always standardized. New technology offers new ways to reach people, but rarely works as seamlessly as it should. This can prohibit efficient patient care. But bringing disparate systems together and creating uniform procedures throughout your organization can have a positive impact on communication- The Leading Physicians of The World

 

EnhanceCommunication

Healthcare providers don’t talk to each other enough. Members of the care team—physicians, nurses, social workers and even caregivers—don’t spend enough time communicating with each other about the patient’s needs, and no one from the care team spends enough time communicating with the patient. The increasingly complex needs of patients, an explosion of medical knowledge, and seismic shifts in healthcare systems have set the stage for a need for more effective communication. Additionally, today’s new models of care are focused on maintaining health rather than responding to acute illness. Success demands team-based approaches that are centered on close collaboration among all types of providers from across the care continuum. As a result, achieving the triple aim of improving quality, lowering costs and enhancing the patient experience can only be done with a significantly altered and improved communication strategy.

The statistics cited by the Institute of Medicine (IOM) in a 2012 report illustrate some of the challenges. Every year, the average elderly patient sees 7 physicians (5 specialists and 2 primary care physicians) across 4 different practices. Physicians in private practice caring for Medicare patients interact with as many as 229 other physicians at 117 different practices each year. The average surgery patient is seen by 27 different healthcare providers while in the hospital. One excellent recent illustration of the complexity of patient care came from Dr. Matthew Press, who described the interactions he had on behalf of a patient whom he had referred for tumor resection. Press documented 40 communications with 11 other care providers (9 physicians, a social worker and the lab), while his patient had 5 procedures and 11 office visits over the 80 days from the date of diagnosis until the completion of tumor resection.

Not all of the communication problems in healthcare can be attributed to systemic complexity. Patients struggle to remember what they are told; one study showed that patients only recalled 40% of the information they were given, and almost half of what they thought they remembered was incorrect. Even when they understand the directions, less than half of non-surgical patients follow up with their primary care provider following discharge. Physicians, too, have opportunities to improve an important communication tool, listening: an iconic study by Beckman and Frankel found that physicians interrupted patients’ initial statements 77% of the time, and that the average time to interruption by the physician was a mere 18 seconds.

This culminates in a huge number of missed opportunities to deliver higher-quality and more cost-effective care. That same IOM report estimated that $765 billion of healthcare spending was wasted in 2010, with more than half attributable to unnecessary and inefficiently-delivered services, as well as missed prevention opportunities. While not all of this waste can be ascribed to ineffective or non-existent communication, the data clearly indicate that communication plays a significant role.

Fortunately, the literature is also replete with positive examples of the effects of communication. Improving communication among the care team has been shown to greatly improve the team’s understanding of goals of care and to decrease length of stay. Furthermore, high-quality communication between care team members and patients has been shown to have a positive influence on patient health outcomes.

Patient Wait Times

No one likes to show up on time for a scheduled meeting only to have to wait for the other party to arrive—yet patients often find themselves waiting to see their doctors. A recent research report by Software Advice found patients are increasingly using online reviews to learn how long the patient wait-time is likely to be before making an appointment. Clearly, the issue is an important one for patient satisfaction, which means it’s important for patient retention, too.

WaitTimes

Patients spend substantial amount of time in the clinics waiting for services to be delivered by physicians and other allied health professionals. The degree to which health consumers are satisfied with the care received is strongly related to the quality of the waiting experience. Healthcare organizations that strive to deliver exceptional services must effectively manage their clinic wait. Failure to incorporate consumer-driven features into the design of wait experience could lead to patient and provider dissatisfaction.

The Institute of Medicine (IOM) recommends that, at least 90% of patients should be seen within 30 min of their scheduled appointment time. This is, however, not the case in most developing countries, as several studies have shown that patients spend 2-4 h in the outpatient departments before seeing the doctor. A source of dissatisfaction with health care reported by patients is having to wait a long period of time in the clinic, and several studies have documented the negative association between increased waiting time and patient satisfaction with primary care.

The duration of waiting time varies from country to country, and even within country it varies from center to center. Long waiting times have been reported in both developed and developing countries. In the USA, an average waiting time of about 60 min was found in Atlanta, and an average of 188 min in Michigan. In Nigeria, an average waiting time of about 173 min was found in Benin, while in University College Hospital Ibadan, a mean waiting time of 1 h 13 min was observed. Time spent waiting is a resource investment by the patient for the desired goal of being seen by the physician and therefore may be moderated by the outcome.

Findings from one study have showed varying degrees of waiting time in the general outpatient department (GOPD) of the study area. More than half of the patients waited for more than 1 h, with high patient load coupled with few doctors and nurses being the main causes of this long waiting time. If the aims of the Millennium Development Goals and recommendations of the IOM are to be realized, there is an urgent need for our health facilities to increase the number of health workers in the GOPDs which are the gate way to the hospital. This will go a long way in reducing the long waiting time experienced by patients and thus increase the rating of satisfaction with services.

Healthcare providers also need training on the various ways by which waiting time can be reduced such as the application of computer simulation to assist in allotting appointment time to patients and triage system to sort out patients with urgent need of attention.

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Urgent Care or Emergency Room?

When it comes to health care, today’s consumers have a lot of choices. And with the increasing popularity of urgent care centers throughout the country, there are now more options than ever. So how do you decide which urgent care provider is right for you and your family? Selecting the best urgent care depends on several factors, including location and menu of services.

UrgentCare

Feeling sick—or you have a kid who does—but you find out that your doctor’s office cannot fit you in for another week? Primary-care physicians are not the only game in town. In fact, depending on where you live, you may have several places to turn, including an urgent care clinic and an in-store “retail clinic” set up in a grocery store or pharmacy along with the local hospital emergency department. The inevitable question then becomes: Which level of care should you seek—and for what ailments? Based on conversations with an emergency department doctor, a primary-care physician who runs and co-owns an urgent care clinic, and a nurse practitioner who cares for patients at clinics inside pharmacies, it turns out there are no black-and-white answers. You can do your own triage, however, and potentially avoid hours in a waiting room. Consider these points:

Services provided

The emergency department can handle everything, but the wait time and cost can be factors, depending on the patient’s complaint. In-store clinics, like Minute Clinics, which have a partnership with CVS pharmacies, offer a specific menu of services that would typically be addressed in the office of a primary-care physician. Care is typically given by nurse practitioners who can write prescriptions. Each service has an out-of-pocket cost, though insurance companies may cover care received.

Urgent care clinics, on the other hand, are staffed by doctors trained in primary care or emergency medicine, often along with nurses. Patients can pay out of pocket, but insurance regularly covers a visit. But services offered can really differ by clinic, says Lou Ellen Horwitz, executive director of the Urgent Care Association of America; some may have the ability to perform blood work, a chest X-ray, an EKG of the electrical pulses of a patient’s heart, or even a CAT scan, while others don’t. Patients would be wise to call ahead to be sure their concern can be handled. The menu of offerings at urgent care centers, too, may be influenced by the type of clinicians who staff them. Those run by doctors trained in emergency medicine might cater more to one-time issues, like a cut or ankle sprain, while those run by doctors trained in family medicine might serve as a regular source of primary care—offering well-baby exams, pap smears, and prescriptions for chronic conditions, like high cholesterol or hypertension. “I have patients I’ve seen 50 times,” explains Phillip Disraeli, who co-owns Metro Urgent Care in Frisco, Texas, and is director of clinical programs for the Urgent Care Association of America.

Cost

If bargain shopping is a motivation in your decision-making process, it seems in-store clinics may have the best deals. In the Annals of Internal Medicine study, the total cost per episode was found to vary by location: with a visit to a retail (or in-store) clinic averaging $110, a visit to a physician’s office averaging $166, a visit to an urgent care clinic averaging $156, and a visit to an emergency department averaging $570.

Many urgent care centers are accredited or certified by various health organizations. These distinctions help patients know that their urgent care provider offers experienced, knowledgeable care by board certified physicians and other health care professionals. Take these tips facts into account when selecting an urgent care center.

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The US Concierge Medicine Model

The shortage of physicians has become a major concern in the United States and the rest of the world. Due to this shortage, physician practices have faced changes when it comes to the physician reimbursement environment. Many physicians are therefore looking for alternative practice models which would suit their medical practice.

The concierge medicine model has become more prominent around the globe as many physicians are enrolling in the model. While many physicians find medical value-based reimbursement and medical payment reform challenging, the new concierge medicine model may give a solution to challenges many hospitals and physicians face today.

ConciergeMedicine

What is the concierge medicine model?

In the world of medicine, the concierge medicine model refers to more personalized and convenient medical services with a different financial relationship between the physician and the patient. The concierge medicine model is also referred to as membership or retainer medicine. In this model, patients pay an annual fee to an individual physician for enhancement of medical services.

Below are some characteristics of concierge medicine model that makes it different from traditional practices:

  • Insurance- It is estimated that about 75% of concierge physicians have embraced insurance while the remaining still uses cash-only services. In this practice physicians contract with patients in place of their insurance.
  • Payment- In this model, patients pay a fixed amount of membership fee in advance so as to receive medical services when they are in need.
  • Physician access- Due to decrease in patient’s population, concierge physician can assure same day or next day appointment to patients. Concierge doctor also operate 24 hour a day with reduced examination times
  • Patient panel- Compared to traditional practices, concierge doctors have about 90% fewer patients. This means that concierge physicians will have a total of 500-1000 patients.
  • Additional services- It is well known that concierge physicians offer additional perks or incentives such as high-level annual examinations, house calls, emergency room visits and nutritional counseling

Business models in concierge practices

According to recent survey, more that 80% of concierge practices are categorized as either hybrid, fee-for-service extra care (FFEC) or Fee-for-service care (FFC). In hybrid business model, your physician may give you two choices which include:

  • Paying a retainer for certain enhanced medical services which are not a part of the annual concierge package by use of insurance.
  • Opting out of your enhanced services so that all the practice bills can be covered by your insurer

In FFC business model, all patients pay a retainer to take care of most services provided by the physician in the office. In this model, you will incur extra charges for other services that fall out of your annual retainer package. In this case, the patients pay extra cash for all additional services.

In FFEC business model, all patients pay for the annual retainer, but the physician charges for any additional medical services that fall out of the retainer. In this model the patients are charged from the insurance plan.

In all the above business models, the physician practice trends determine what medical services are included in your concierge package. The physician also decides whether the patient has to pay by use of credit card or cash. The concierge practices also decide on the retainer payments frequency and the availability of discounted medical services.

Is Concierge medicine model right for you?

In the past, concierge medicine model was exclusive for rich patients who could afford enough cash to access top medical physicians. Now that things have changed in today’s medicine, many people have shifted to concierge medicine.

For now, even the middle income, Medicaid and Medicare patients can benefit from concierge services due to low cost and personalized medical experience. The membership fee plus other charges absent in the retainer are relatively cheap compared to traditional services. This gives an advantage to people who suffer from chronic diseases as they can access their doctors often at a reduced cost.

According to a survey conducted recently, people aged 50 years and above make up a big share of patients enrolling in most concierge services. This being the case, these services tend to be concentrated in areas with high population of older people.

Reasons you should consider concierge medicine

Compared to other alternative practice models, concierge model is considered the best for the following reasons:

  • You don’t rely much on insurance-Shifting into retainer-based method, even while bailing your insurer for your medical services, has drastically decreased patient’s reliance on insurance. This has therefore ensured there is no headache while claiming payment from third parties.
  • Physicians spend more time with patients-According to recent research, concierge physicians attend to an average of 6 to 8 patients a day. This becomes very convenient when compared to conventional physicians who attend to about 20-24 patients a day. In addition, more than 72% concierge physicians were seen to spend 30 to 60 minutes with each patient compared to their counterparts who spend 15 to 30 minutes with each patient.
  • Preventive care focus-Concierge practices usually allow physicians to focus on preventive care and lifestyle plans for their patients. The retainer paid is enough to cover all proactive services which are excluded in insurance plans. Many insurance companies insist that the doctor should concentrate on the patient wellness only.

Other benefits of concierge medicine practice are:

  • Physician job satisfaction due to high pay and less load of work
  • Decrease in number of staff member since the model rely less on insurance
  • Decreased overhead expenses
  • Decreased time on admin duties

The bottom line

If you are a physician looking for the best medical practice model, concierge medicine model is the right choice for you. With the retainer-based system, you will be allowed you to give preventive care to your patients and have much time with them as well. As discussed above on the benefits of this model, patients are going to get the best at a low cost.

You should first evaluate the disadvantages and advantages of this model compared to other medical models to ensure that you are on the right foot.

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The Top 10 Medical Specialists who is paid the most

Helping people is great, but let’s be honest, those $300,000 in loans you owe won’t pay themselves. If you’re a med student who is “all about the Benjamins,” here’s where you can find them.

Top10Specialties

  1. Invasive Cardiologist: $525,000

Have a heart, people. Become a cardiologist. Not to be confused with cardiothoracic surgery, invasive cardiology involves minor procedures such as pacemaker insertions. That salary without being on the hook for heart transplants? I’d say invasive cardiology is a solid specialty choice.

  1. Orthopedic Surgeon: $497,000

Orthopedists or bone doctors treat and manage all musculoskeletal system’s conditions. These include joints, ligaments, tendons, muscles, nerves and skin conditions. This specialty requires many years of training and currently ranks as the highest paid medical specialty in the United States. Orthopedic surgeons correct bone abnormalities through casts, braces and surgery.

  1. Gastroenterologist: $455,000

Gastroenterology is among the highest paid medical specialties. A gastroenterologist diagnoses and treats illnesses that affect the digestive system, as well as recommending prevention measures. Gastroenterologists analyze the movement of food in the digestive system and its nutritional use. These physicians mostly work in private clinics with their team.

  1. Urologist: $412,000

Urologists specialize in diagnose and treatment of diseases and conditions that affect the genitourinary tract and organs. Many of these disease and conditions affect the male reproductive system. They also affect kidneys, urinary bladder, urethra and prostate. In women, the conditions affect the urinary tract.

  1. Dermatologist: $412,000

Dermatologists are physicians who specialize in diagnosing, treating, and preventing ailments that affect the skin. They treat conditions such as acne, skin cancer, melanomas, dandruff, moles, contact dermatitis, allergic and non-allergic disorders. Dermatologists are trained to diagnose all skin conditions including immunologic, infectious, neo-plastic and degenerative diseases. They conduct medical therapies, surgical and cosmetic procedures depending on the patient’s condition.

  1. Anesthesiologist: $358,000

Anesthesiologists specialize in taking care of patients before, during and after a surgery. They are responsible for the safety of surgery patients. They provide general and regional anesthesia after analyzing the patients’ state of health and nature of the planned surgery. Anesthesiologists manage acute postoperative pain and other conditions such as cancer pain, blood transfusion therapy and respiratory therapy.

  1. Plastic Surgeon: $354,000

Plastic surgery involves restoration of normal function of different parts of the body. The main areas of work for plastic surgeons include congenital deformities, trauma and burns, and tissue reconstruction in degenerative conditions. Plastic surgeons correct physical deformities caused by skin, breast, head, neck and sarcoma cancers. In addition, plastic surgery includes normalizing and improving the appearance of anatomical sites.

  1. Radiologist: $351,000

Physicians who specialize in radiology focus on radiological methods of diagnosing and treating diseases. They use different methods to diagnose diseases:by images. These radiological methods include diagnostic ultrasound, nuclear radiology, magnetic resonance, interventional procedures and computed tomography. The development of radiological technology has increased the demand for radiologists in the last ten years.

  1. Emergency Medicine Specialist: $345,000

Emergence medicine is a medical field in which doctors diagnose and treat a wide range of urgent and acute illnesses and injuries. Emergency physicians work with limited information to make time-pressured diagnoses of patients’ conditions. They conduct initial assessments of emergency cases and may conduct initial resuscitations when necessary. Emergency physicians work in challenging and high-pressured environments daily.

  1. General Surgeon: $339,000

A general surgeon treats and performs surgeries on abdominal contents which include the stomach, bowel, esophagus and colon. A wide spectrum of diseases can affect abdominal contents. Hence, most patients require surgical treatment and regular checkups after surgery. This makes this specialty among the most demanding and highest paid medical specialties.

No one ever said becoming a doctor was easy. Medical school is competitive, rigorous and expensive. If you’re going to invest the considerable time, effort and money necessary to earn your M.D. or D.O., then you want your medical career to be rewarding enough – financially and otherwise – to make your work worthwhile.

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