Noted Doctor Warns of Threat to Patients; Offers Tips

More than 45 percent of physicians are experiencing at least one symptom of burnout, according to the first national study on the topic, and that concerns noted physician and professor of medicine emeritus Dr. Paul Griner, (www.DrPaulGriner.com), author of "The Power of Patient Stories: Learning Moments in Medicine." 

"Burnout can lead to misdiagnoses," Griner says. "As I emphasize in my book, it's vital to spend time talking to and listening to patients - thorough patient histories and observation and a good physical exam are often the difference between an accurate diagnosis and a wasted battery of unnecessary diagnostic tests."

Burnout can be characterized by, detachment, diminishing empathy and emotional exhaustion - all of which can impede a physician's ability to thoroughly and accurately assess patients, Griner says.

The Archives of Internal Medicine study, published in August, surveyed 7,288 physicians, and assessed them using the Maslach Burnout Inventory. Nearly half, 46 percent, reported at least one symptom of burnout. Specialties that were most at-risk were family medicine, general internal medicine and emergency medicine -- those that benefit most from taking time to listen to patients because they are often the first point of patient contact, Griner says.

He notes that strategies to address this problem must recognize that burnout begins early in one's medical career, during medical school and throughout residency training.

With 59 years in medicine, as a practicing hematologist and internist, professor of medicine at the University of Rochester School of Medicine, and senior lecturer at Harvard Medical School, Griner offers these suggestions for overwhelmed physicians:

• First, take care of yourself. It sounds simple, but it's something doctors repeat so often to patients, they've often ceased hearing the words: Eat well, get adequate rest and exercise regularly. Taking care of yourself physically is fundamental for coping with stress and the negative emotions, such as frustration and anger, that can come with working in any field.

• Take time to nurture relationships. Having meaningful relationships with colleagues and co-workers can make your work more gratifying. Take some time - even a few minutes a day - to get to know them. They can provide a sounding board, a sympathetic ear, or ideas for solving problems. And you can do the same for them. Devote more time (at meetings and lunch) to the rewarding aspects of medicine, sharing patient stories and humorous anecdotes, and less time on frustrations.

• Actively listen to your patients and pay attention to what's going on in their lives. It will not only help you give them better care, you'll find it makes your work more interesting and satisfying.

• Do what's necessary to achieve a work-life balance. If you are not spending relaxed time with your loved ones, having some fun outside of work, or enjoying interpersonal relationships, you are at a greater risk for burnout. Just as taking care of yourself physically is vital, so is taking care of yourself emotionally. If necessary, identify a colleague who seems to have achieved this balance and spend some time with him or her.

• Participate actively in health reforms that will return a greater level of control to physicians and their patients. These include payment for value and greater patient participation in decision-making about care. Reorganizing primary care practices to allow more time for complex patients and recognition by insurers that excessive hassle is bad for patients and physician are also vital. These changes should lead to more satisfied patients and physicians and less burnout.

Preventing burnout needs to start early, Griner says. Teachers must give medical students and residents the tools to cope with and reduce the stresses that cause it.

"This is not the first survey that's found a heightened level of burnout among physicians. We know it's a problem," Griner says.

"Doctors need to be in tune with their patients, asking, listening and connecting the dots. They can't do that effectively if they're burned out."

About Paul Griner, M.D.

Hematologist/internist Paul Griner has had a 59-year career in medicine. He is a professor of medicine emeritus at the University of Rochester School of Medicine and Dentistry and was a consultant at the Massachusetts General Hospital, senior lecturer at Harvard Medical School, and consultant to the Institute for Healthcare Improvement (IHI) in Cambridge, Mass. He has written or co-written 130 journal articles, book chapters, and books on clinical medicine, medical education, and health policy. He is a member of the Institute of Medicine of the National Academy of Sciences and was president of a number of national medical organizations, including the American College of Physicians.

WEST DES MOINES, IOWA - Nov. 7, 2012 - While the overall price tag of the traditional Thanksgiving dinner remains steady, with only a 1 percent increase from last year's total meal cost; prices are beginning to creep upward for poultry and meat. As the price of grain for feed continues to inch upward after a drought-stricken harvest, livestock farmers are beginning to make adjustments for the increased costs of feeding those animals.

But those food price hikes shouldn't affect this year's annual fall feast. According to the recent American Farm Bureau Federation (AFBF) Thanksgiving Dinner Price Survey, a family of 10 can enjoy the typical Thanksgiving meal that features a 16-pound turkey, bread stuffing, cranberries, pumpkin pie and the trimmings for $49.48.

"The Thanksgiving feast remains a real bargain for American families.  The bounty of our flocks and fields can still be put on the table for less than $5 per person," said Dave Miller, director of research and commodity services for the Iowa Farm Bureau.  "Even in the face of weather challenges that cut production of corn and soybeans on many Iowa farms by 30 percent or more, the Thanksgiving meal this year has risen in cost by less than 1 percent."

Turkey accounted for most of the increase in the cost of the dinner. The price for a 16-pound turkey crept up by 66 cents to $22.23, compared to $21.57 last year. The increase is a result of higher consumer demand for turkey, lowered turkey production and higher feed prices.

"The modest increase in the price of this year's Thanksgiving turkey demonstrates the resilience of American turkey producers in the face of drought and higher feed costs," said Miller. "During each of the first 8 months of 2012, U.S. turkey producers increased production and prices were slightly lower than a year ago, but higher prices for feed due to the record-setting drought of 2012 has led them to curtail

production by about 4 percent during October, resulting in the slight increase in price that may be seen as Thanksgiving approaches this year. But we are on the cusp of change regarding seeing higher prices for meat."

This year, there were small increases for the costs of dinner rolls and items used to make the meals. The survey shopping list includes turkey, bread stuffing, sweet potatoes, rolls with butter, peas, cranberries, a relish tray of celery and carrots, pumpkin pie with whipped topping and beverages of coffee and milk, in quantities efficient to serve 10 people.

More than 150 volunteer shoppers from 35 states, representing every region in the nation, participated in the annual AFBF Thanksgiving price shopping survey.  The cost of the dinner has steadily climbed in recent years: 2008: $44.61, 2009: $42.91, 2010: $43.47, 2011: $49.20 and 2012: $49.48.

-30-

About Iowa Farm Bureau

The Iowa Farm Bureau Federation is a grassroots, statewide organization dedicated to enhancing the People, Progress and Pride of Iowa.  More than 153,000 families in Iowa are Farm Bureau members, working together to achieve farm and rural prosperity.  For more information about Farm Bureau and agriculture, visit the online media center at www.iowafarmbureau.com.

Davenport, IA (November 2012) Join PhD Margaret Morse, Assistant Professor of Art History at Augustana College, at the Figge Art Museum this Thursday, November 8 at 7pm for the art talk "The Renaissance Portrait". This talk kicks off the first of a three part art history series about the history of portraiture. The Moline High School Jazz Ensemble, under the direction of Zackary Morton, will also perform at 6pm in the museum lobby.

The second lecture in the art history series will take place on Thursday, November 15 at 7pm where recent Augustana graduate Veronica Smith will present about "Two Baroque Portraits: The Seventeenth Century Woman." The series will wrap up on Thursday, November 29 at 7pm with a talk about "The Good, the Bad and the Mundane: Western Portraiture in the Late Twentieth-Century" featuring Alycia Reed, PhD Candidate at the University of Iowa.

Each talk will explore the ideas and approaches of the artists from the Baroque period to present day. This lecture series is offered in conjunction with the Figge's exhibitions Portrait of Maquoketa: The Dimensional View and Picturing Identity: The Allure of Portraiture.  All talks are free with membership or paid admission.

 

About the Figge Art Museum

The Figge Art Museum is located on the riverfront in downtown Davenport at 225 West Second Street. Hours are from 10 a.m. to 5 p.m., Tuesday through Saturday and Sundays 12-5 p.m.  Thursdays the museum is open until 9pm. Admission to the museum and tour is $7. Admission is free to Figge members and institutional members. To contact the museum, please call 563.326.7804, or visit our website, www.figgeartmuseum.org.

-end-

[Moline, Ill] - This Election Day, "99% voters" here played a key role in persuading other Americans to reject the "You're On Your Own" Republican philosophy that guts vitals services and provides tax breaks to the wealthy -- and to instead vote to rebuild the middle class, invest in good jobs and protect vital services like Medicare, Medicaid and Social Security.

In an effort to reach across the table, voters and activists from Action Now Illinois will join together to call on Rep. Bobby Schilling to make the right choices for American families and the economy when he returns to Washington for the Lame Duck session of Congress. They will visit him at his congressional office on Thursday, November 8, 2012.

"What is clear after the election is that constituents have clearly rejected the trickle-down economics theory and the deep budget cuts to pay for tax cuts for the rich," says Cynthia Rivers, a resident of IL 13. "The best way to reduce the deficit is to put people back to work and we hope that Bobby Schilling will now represent us -the 99% when he returns to Washington."

Congress faces serious choices before the end of the year. Will it make disastrous cuts to Medicare, Medicaid, childcare, special education and other vital public services that our communities rely on or will it take an approach that puts job creation first?

At the rally, the 99 percent voters and Action Now activists will carry a large poster calling on Rep. Bobby Schilling to commit to the principle that jobs should come before cuts - the poster will bear a Lame Duck Pledge they want Schilling to sign.

WHO: Quad City area "99% Voters" and activists from Action Now Illinois

WHAT: Rally to Call on Rep. Bobby Schilling to Reflect Will of Voters, Support "Jobs, Not Cuts" in Lame Duck Congress

WHEN: 4:00 p.m. to 5:30 p.m. on Thursday, November 8, 2012

WHERE: Congressman Schilling's Office, 3000 41st Street, Moline, Illinois

VISUALS: A Lame Duck Pledge that 99% Voters want Rep. Schilling to sign

 

###

BETTENDORF, Iowa - The Community Foundation of the Great River Bend will award an estimated $290,000 in scholarship aid to local students for fall 2013. Applications are now being accepted. The application process has been simplified since the launch of the Foundation's online scholarship application system.

"Students are under pressure to pay for the rising costs of a college education. Applying for and reviewing scholarships can be seen as a daunting task," said Nicole Freise, Program Associate at the Community Foundation. "The implementation of the new online system allows students to review criteria for each scholarship and apply with the click of a mouse."

Through the new system, student applications will be submitted directly to the Community Foundation. The system will also assist students in determining eligibility and ensuring their applications are complete prior to submitting.

The Community Foundation administers approximately 30 scholarship funds, all of which have been established by caring donors who are passionate about promoting and supporting higher education. These individuals, and organizations, wish to provide opportunities and assistance to students who want to further their education. In 2012, the Community Foundation donors
assisted more than 225 area students in realizing and attaining their educational goals. Over the past 10 years, the Community Foundation has provided more than $2.8 million in scholarship aid to local students.

Encourage a student you know to review the scholarship opportunities available through the Community Foundation. Visit www.cfgrb.org/scholarshiplisting to review and apply for scholarships. To learn more about applying and for additional questions, contact Nicole Freise at 563-326-2840 or email nicolefreise@cfgrb.org.

###
2012 Red Kettle Campaign Kick?Off

Friday, November 9, 2012, 6:30pm


NorthPark
Saturday, Nov. 10, 2012

NorthPark - 11:00 AM, Santa's Winter Wonderland is in Von Maur Court; Parking is suggested at the Mall Entrance between
JC Penney and Von Maur.

SouthPark - 4:00 PM; Santa's Winter Wonderland is in DEB Court next to Bath & Body Works. Parking is suggested at the
Mall Entrance between JC Penney and Von Maur.

###
Between Untested Therapies & Intrusive Politics,
RN Says Individuals Must Take Responsibility for Their Health

There's plenty of information about women's physical and health-care needs. Unfortunately, some of it is incomplete, or based on opinion and conjecture, or it's just plain bad information, says registered nurse Iyalode Edwards.

"Women tend to be more vigilant about their bodies than men, and there is a huge marketplace of literature, products, studies, politics and other opinions on women's health," says Edwards, author of "Multiple Orgasms Made Simple: 'How to Do It' Sex Secrets All Women Should Know!" (www.multipleOmadesimple.com).

"Not all of it makes sense."

It's only natural that women are more focused on their bodies than men because women have the more complex anatomy, she says. But old ideas from a society based in patriarchy, along with today's health market issues, can create confusion. Edwards, who has more than 35 years experience as a registered nurse, clarifies three points about which she sees the most misunderstanding among her patients:

• Untested therapies: Several years ago hormone replacement therapy was all the rage, used almost as a cure-all for post-menopausal women suffering a variety of symptoms. After a few decades, however, a large percentage of those women started suffering ovarian and breast cancer, in addition to other complications. More recently, vaccines for the human papillomavirus have been touted to girls and young women as the new preventative measure against cervical cancer. But thousands of girls have experienced a wide range of side effects, including seizures, strokes, dizziness, fatigue, weakness, headaches, vomiting, weakness, joint pain, auto-immune problems, chest pains, hair loss, appetite loss, personality changes, insomnia, tremors and menstrual cycle changes. Be wary of new cure-alls. Adverse effects are sometimes not revealed until they've been in use for a significant amount of time.

• Health through pleasure: A 2011 survey by Jane Magazine found that, while more than 87 percent of men aged 18 to 26 years old experienced orgasm "most or all of the time" during sex, only 46.8 percent of women could say the same thing. Not only could that percentage be much higher for women, it could be more meaningful, too. "The truth is, if you have all your sex organs intact and can achieve the first level of climax, then you can achieve it multiple times during the same encounter," Edwards says. "You just need information, and there has been too much misinformation disseminated." Sexual satisfaction comes with several health benefits, including improved cardiovascular functioning, sounder sleep and a deeper bond with a partner.

• The politics of women's health: As imperative as it is to know more and listen closely to one's body, it is also important to stay connected to current events since women's health care has become a political football, she says. Comments from multiple elected officials seem to be narrowing the definition of rape, and there are many who support limiting women's care in insurance plans, to name a few public debates. "I want women to be more aware of their bodies," Edwards says. "Unfortunately, the rhetoric of many politicians seems to be pointing backward regarding our health."

About Iyalode Edwards, R.N.

Iyalode Edwards is the author of "Multiple Orgasms Made Simple," a straightforward, step-by-step how-to guide that includes physiological explanations for sensations women experience. Edwards is a registered nurse with more than 35 years of experience. She informally interviewed a number of women and physicians as part of her research.

Des Moines, November 7, 2012–


From Chief Justice Cady:

I wish to thank all Iowans who voted to retain the justices and judges around the state for another term. This is an important moment in the history of Iowa's courts. Yesterday, Iowans came together in support of a fair and impartial court system. Today, the full court will continue its work to resolve disputes fairly and impartially based upon the facts of the case and the rule of law and to provide support for Iowa's exceptional court system and its employees.

I also want to acknowledge and thank all the different organizations and those individual Iowans, from across the political spectrum and from different walks of life, who worked tirelessly over the past few months in support of our courts.


From Justice Wiggins

I want to thank everybody who worked so hard to keep politics out of our courts, and I want to thank the people of Iowa who preserved the fairness and impartiality of Iowa's courts and agree that equal means equal.

# # #

By Senator Tom Harkin

November 11th is Veterans Day, a time to celebrate and thank those who have served in The United States Armed Forces - some 22.6 million veterans around the country, more than 240,000 of whom are Iowans.   As a veteran and member of American Legion Post 562 in Cumming, I know the profound love a veteran has for this country.  All veterans showed their patriotism by defending this country when their service was needed.  Honoring that sacrifice is something we all have a stake in.

To that end, my office is working to ensure veterans have access to education benefits, health care, and other services to ensure they are successful both on and off the battlefield.

As a member of the Veterans Jobs Caucus, I supported the Veterans' Jobs Bill, which would have provided $1 billion over five years to help veterans find work in their communities.  Passage of this legislation is critical not only to the economic security of our veterans, but also to the communities across Iowa and the country that stand to benefit from their contributions to the economy.

As a recipient of the original GI Bill benefits, I understand how critical this assistance is for returning veterans' success.  For that reason, I am working to protect these benefits against low-quality for-profit colleges that overpromise, overcharge, and under-deliver to our veterans, using slick marketing campaigns to recruit them in order to profit off their education benefits.  In fact, data collected by the Senate HELP Committee shows that these benefits may be aiding some schools that otherwise would struggle to meet federal rules.

Legislation I have introduced will ensure that taxpayers' investment in federal assistance for college students is used to educate and support students, rather than being wasted on advertising, marketing, and recruitment.  The Protecting Financial Aid for Students and Taxpayers Act will maximize federal student aid by prohibiting the use of Pell Grants, federal student loans, the Post-9/11 G.I. Bill, and other federal education funds for such practices, similar to a current law that bans the use of federal higher education dollars for lobbying.  In addition, I have worked on a bipartisan basis on legislation aimed at providing every veteran who receives educational assistance from the Department of Veterans Affairs (VA) with the counseling services needed to make informed decisions about their education.

I also continue to hear from veterans about service medals that have not been awarded.  My office has helped countless veterans and their families obtain medals.  Please contact any of my offices in Iowa or Washington, D.C. to inquire about this service.  My staff is happy to assist any constituent to receive the recognition they have rightly earned.

We only accomplish our mission by working together.  This lesson is as applicable now as it was during my years of service.  And I join my fellow Americans in honoring the brave men and woman who have served our country and in pledging to do all that I can to ensure their success both on the battlefield, but also in their civilian life.

For more information, please visit http://www.harkin.senate.gov/.

A PDF version of the column is available by clicking here.

Pages