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At A Catholic Hospital, A Dispute Over What A Doctor Can Do ? And Say

Philly children?s hospital bans herbs and supplements

listener_new_rect Mercys policy prevents physicians from fulfilling their ethical obligations to patients and interferes with patients rights to make informed decisions regarding their medical care, the complaint said. The policy also violates patient safeguards under Medicare and Medicaid as well as a Colorado law protecting physicians autonomy, the ACLU said. Mark Silverstein, ACLU of Colorados legal director, said that by barring doctors from informing patients about all possible treatment options, Mercy Regional poses a potential threat to the health, safety and even the lives of its patients. The potential risk to patients is especially grave in communities like Durango, where a Catholic hospital is the only one for miles around, added Sheila Reynertson of MergerWatch , a New Yorkbased nonprofit that tracks Catholic hospital consolidations and their impact. She noted that so-called sole provider hospitals there are 30 of them in mostly isolated parts of the country receive additional federal funds to serve the needs of their communities, as well as Medicare, Medicaid and other tax breaks. Reynertson said that gag policies like Mercys are absolutely common and are becoming more so as Catholic health-care systems gobble up other providers in a merger boom touched off by health-care reform. Whats unusual about this case is that you have it in writing, Reynertson said. Usually, the policies are not so clear cut. But vague gag rules may be just as problematic, Reynertson added, especially at secular hospitals that find themselves under Catholic control. People tend to overreact to keep their jobs. This is what weve heard many times the nurse in the emergency room who is suddenly very nervous about that pregnancy emergency because theres a heart beat.
Source: http://www.philly.com/philly/health/At_a_Catholic_Hospital_a_Dispute_Over_What_a_Doctor_Can_Do__and_Say.html

China's Hospital Ship Stays Home While Typhoon Death Toll Rises In Philippines

I was just devastated that a week to transplant, they tell me theyre going to cancel, Rivera, 37, of San Diego, told ABCNews.com. I was infuriated. I was calling and emailing anybody I could. Theres got to be a way to get around this. For the latest organ transplant news, visit our topic page. The University of California San Diego Medical Center in Hillcrest said it had to cancel the transplant because of an impending union strike. The one-day strike is the result of a disagreement over reckless and unsafe staffing, according to a statement the health care workers unionAFSCME gave to ABC affiliate KGTV in San Diego. Rivera, a father of three who has spent the past year on dialysis, said its difficult for him to find a match because his blood type is O-negative. His sister is the only match in his family, but she already donated a kidney to him 12 years ago. (Most people need more than one kidney transplant over their lifetimes.) Once that kidney failed, he needed to look beyond his family for a match. After launching a Facebook campaign to find one, Rivera found a donor who lived in Tennessee.
Source: http://abcnews.go.com/blogs/health/2013/11/14/long-awaited-kidney-transplant-canceled-over-hospital-strike/

Long-Awaited Kidney Transplant Canceled Over Hospital Strike

Email | Twitter | LinkedIn | Google+ Sutter Davis Hospital is the first organization in greater Sacramento and the first Northern California hospital to receive a Malcolm Baldrige National Quality Award, the nations highest presidential honor for performance excellence through innovation, improvement and visionary leadership. Three organizations were honored this year. The others are Baylor Regional Medical Center in Plano, Texas and Pewaukee School District in Pewaukee, Wis. Established by Congress in 1987, the Baldrige Award is not given for specific products and services. Applicants are evaluated on: strategic planning; customer focus; measurement and analysis; workforce focus; operational focus and results. Organizations compete in one of six categories: manufacturing, service, small business, health care, education and nonprofit (including government agencies). The application process is extensive. The Baldrige journey provided the framework for Sutter Davis Hospital leaders to focus and continually improve the delivery of patient care, Sutter Davis CEO Janet Wagner said in a news release. This is now a crucial thread in the fabric of our culture. A total of 102 awards have been presented since the program was authorized, including 18 hospitals. Kathy Robertson covers healthcare, law and lobbying, labor, workplace issues and immigration for the Sacramento Business Journal.
Source: http://www.bizjournals.com/sacramento/news/2013/11/15/sutter-davis-hospital-lands-award.html

Sutter Davis Hospital lands national quality award

The new policy, put into effect last month, removes most dietary supplements from the hospitals list of approved medicines, NPR reports . Mainly, this is because theyre not medicines at least not in the eyes of the Food and Drug Administration, which regulates them as foods. As such, according to the hospital , they cannot guarantee their safety and effectiveness. A recent study used DNA testing to discover that many herbal supplements are fake and some even contain toxic substances. Commonly used supplements included in the ban include melatonin, echinacea, chondroitin sulfate, glucosamine, CoEnzyme Q10, milk thistle, and probiotics. According to a member of the hospitals Therapeutic Standards Committee, administering these medications particularly to children with serious health complications is unethical when the risks are unknown, and when there are alternative treatments that have been proven in clinical trials to be safe and effective. CHOPs strong stance against supplements is led by Dr. Paul Offit, the hospitalschief of infectious diseases and a leading opponent of alternative medicines .I cant believe anyone would put a megavitamin in their mouth, Offit told U.S. News in July. He told NPR that the hospital is finally trying to do something that the FDA should have done long ago bydeveloping a list of approved exceptions that must be verified by the U.S. Pharmacopeial Convention and further confirmed by the hospital. The Natural Products Association, in a letter to the hospital, called the ban unfortunate and Offits crusade against the dietary supplement industry misleading. Lindsay Abrams is an assistant editor at Salon, focusing on all things sustainable.
Source: http://www.salon.com/2013/11/14/philly_childrens_hospital_bans_herbs_and_supplements/

Philadelphia Children's Hospital Bars Herbs And Supplements

In what it describes as a break from other hospitals, the Children's Hospital of Philadelphia, or CHOP, last month removed most dietary supplements from its list of approved medicines, and established new policies for administering them. Dr. Paul Offit , chief of infectious diseases at CHOP, tells The Salt the move comes after a "growing level of frustration" over the years. Offit, who chairs the board which approved the new policy, says supplements often aren't what they claim to be. The Food and Drug Administration, or FDA, treats them as food, not pharmaceuticals. "The problem has been that we can't even get from most companies that certificate of analysis, that shows the product was independently tested and what's on the label is in the bottle," Offit says, pointing to a recent problems like in Hawaii, where a fat-burning supplement was linked to liver failure. Under CHOP's old policy, dietary supplements were treated as home medications. If a family brought them in, an attending doctor or nurse was obliged to evaluate them as best they could and administer them along with hospital-sanctioned meds during the patient's admission. If the supplements ran out, the provider would order more through the hospital pharmacy. Now, families are entirely responsible they have to obtain and administer the unapproved supplements themselves, notify a doctor when that happens, and sign a waiver form .
Source: http://www.npr.org/blogs/thesalt/2013/11/14/245234880/philadelphia-childrens-hospital-bars-herbs-and-supplements

(NOEL CELIS/AFP/Getty Images) A Typhoon Haiyan survivor burns debris in front of the ruins of his home in the village of Marabut, Samar Island, Philippines, Friday, Nov. 15, 2013. (AP Photo/David Guttenfelder) A Typhoon Haiyan survivor carries a child wrapped in a towel as he watches a helicopter landing to bring aid to the destroyed town of Guiuan, Samar Island, Philippines, Friday, Nov. 15, 2013. (AP Photo/David Guttenfelder) A Filipino woman embraces her good luck dwarf statue salvaged from her destroyed home in an area devastated by Typhoon Haiyan in Tacloban city, Leyte province, central Philippines on Friday, Nov. 15, 2013. (AP Photo/Aaron Favila) As the sun sets, it lights the sky over the area devastated by Typhoon Haiyan, in Tacloban, central Philippines, Friday, Nov. 15, 2013. (AP Photo/Aaron Favila) U.S.
Source: http://www.huffingtonpost.com/2013/11/15/china-hospital-ship-typhoon_n_4279499.html

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