Info

social, health, political imagery through the lens of George J Huba PhD © 2012-2019

Posts tagged prevention

The mind model (aka mind map) below discusses my vision in developing the dementia focus on this website. I started to build the web site about two years after being diagnosed with a neurodegenerative condition (2012). Thus the entire blog is the work of a developer experiencing dementia while designing and preparing the content for the site. The site discusses my progression through cognitive impairment and decline into dementia. More importantly it discusses how I tried to help myself coordinate and use to full advantage the support and professional expertise made available to me by family, friends, the community, my doctors, and the general world-wide of patients and professionals the major issues.

Nothing in this blog post (or any other on blog post or page on the site) is intended to be, or promoted as medical, psychological, or any other form of treatment. The ideas in this blog are about using some commonsense note-taking and visual thinking methods to possible help you live better with dementia. I tried it on myself (only) and I am encouraged although I freely admit that full scientific study is needed.

These methods and comments will not substitute for medical and other professional treatments. They do not cure dementia. They do not slow down the progress of dementia. For me, at least, the methods have sustained and increased my quality of life and I do spend more time with my family and am more independent and in my opinion think better. But my dementia is not being treated and getting better; what I propose are methods that may make it easier to independently manage selected parts of your life, be in a better mood because you are trying to help yourself, be less of a burden to your caregivers, and report better to doctor what your experiences have been since the last appointment.

Many people are miserable almost all days when they have dementia. If simple, inexpensive cognitive tools can improve some or many of those days, the development of such techniques is a huge step forward.

I hope that others will examine the information here and use it to improve the decisions they, their caregivers, and their doctors and nurses must make about their formal medical treatment.

Here is what appears in the blog posts and elsewhere on Hubaisms.com.

Click on the image to expand it.

why-i-developed-the-hubaisms-com-focus-on-dementia

Click here to see Part 2 of My Vision in a separate window.

still-crazy-after-all-these-years

Coke does it. BMW does it. Lexus doe it on the Food Network cooking shows. Thousands of others do it. Product placements are now one of the highly profitable parts of modern movie and television film making.

Wouldn’t it be nice if the film studios “donated” some product placements in their movies and television shows to healthy behaviors like selecting a healthy diet or exercising after a hectic day of crime fighting to relax or drinking water. Heck, I would even give them a tax deduction for the minutes in the film “promoting” healthy behaviors.

Heck, even the villans could be healthy, or alternately die off because they eat too many hamburgers.

health promotion product placements

 

a HubaMap™ by g j huba phd

 

Please click on the graphics to zoom.

it's program evaluation,  not research, dummy

 

3

evaluationmap

researchmap

Big data this, big data that. Wow. At the end we will have better ways to sell underwear, automobiles, and “next day” pills (although in the latter case politics and religion might actually trump Amazon and Google). Blind empiricism. Every time you click a key on the Internet it goes into some big database.

“Little data” — lovingly crafted to test theories and collected and analyzed with great care by highly trained professionals — has built our theories of personality, social interactions, the cosmos, and the behavioral economics of  buying or saving.

Big data drives marketing. Little data drives the future through generalizable theory.

Click on the figure below to zoom.

in praise of little data

image

image

image

Sketchnote Example: My Predictions of Changes in the Field of Psychology Over The Next 20 Years

image

Position Opening: Physician. Thousands of opening available throughout USA. All specialties. Highest priority for primary care.

Requirements:

Four-year medical degree, several years of supervised post-doctoral clinical experience. Additional research experience a plus. In possession of a medical license within the state of practice.

Proven effectiveness in communicating with ill, confused, poor, disenfranchised patients, many with co-occuring mental illness and/or chemical dependency and cognitive impairment. Fluency in written and oral Spanish, Chinese, Russian, Farsi, Tagalog, and Arabic a plus.

Ability to work closely with a multi-disciplinary team and communicate well with nurses, social workers, allied health professionals, patients, families, insurers, and malpractice lawyers all of whom may complain at any time that the physician asserts too much influence on patient care.

Willingness to work in conditions were salaries are decreasing annually, patient-doctor ratios are expected to be dramatically higher, and one will be subject to working long work weeks, religious and family holidays, and on an irregular schedule.

Ability to work in a larger healthcare system subject to rules of practice detrimental to patient care with unnecessary and inappropriate regulations, attacks from the public as well as politicians and the press, frivolous malpractice lawsuits that require expensive and lengthy litigation, and very high accompanying stress.

Ability to accurately make life-death decisions while stressed, tired, and in non-optimal settings. Willingness to do so for a low compensation rate.

Willingness to maintain licensure and take regular continuing education courses without compensation.

Ability to spend a large percentage of time completing unnecessary forms in order to obtain insurance reimbursement and to avoid frivolous malpractice lawsuits.

Compensation Range: very low to low.

Immediate openings throughout United States.

The USA has no highly visible, charismatic, scientifically-medically experienced, brilliant, and creative leader-spokesperson for federal healthcare programs. IMHO, the last one we had was C. Everett Koop in the 1980s.

Since being such a leader should be a Cabinet-level position, the best-qualified leader would get the same salary as an out-of-work former governor or political operative in the Senior Executive Service (about $200,000).

I favor a “healthcare czar” position to which the directors of various health-related US federal agencies report.

The effects of having a great leader with oversight on most major US healthcare initiatives would be huge. A positive thinking, creative individual should be able to get $100s of millions (or billions) out of the healthcare system while increasing quality. Instead of squeezing physicians on Medicare reimbursements we need someone who can squeeze the bureaucracy to lift money-wasting and unnecessary health regulations, squeeze the health insurance and big pharma industries to get-real about their profits, and energize the general public to personally address such preventable diseases as those related to obesity, alcoholism, tobacco use, and unwanted pregnancies. Such an individual could get cooperation from the press to research and write stories about positive system change.

Such a change costs only the small expenses of a search committee compromised of prominent health stakeholder groups, and the commitment of the President to health- and socialcare.

There are 100s of great medical-science leaders in the USA who can do a fantastic job of getting healthcare coordinated and understood by the public. Koop was a conservative, traditionally religious, Republican who took on the religious right over his medical conclusions that the reality of good medical practice in the USA had to get over homophobia and hatred of the homeless drug abusers in order to dampen the effects of the HIV epidemic. He also took on the major of lobbies of the tobacco industry in stating clearly that tobacco was addictive and responsible for millions of deaths. Koop’s politics were almost opposite to mine but the actions he concluded were necessary were the same as I would have taken from my liberal vantage points.  Just as a conservative Republican can do an excellent job of guiding the healthcare system if she or he is a committed medical-scientist, so too can a liberal Democratic medical-scientist do a similarly excellent job.

Go ahead dismiss this idea. Then go back to reading my posts on your big Cinema Monitor from the company who had a charismatic leader and type your responses on a keyboard from the same company.

You want a great US national healthcare system that is efficient, treats patients and healthcare providers fairly, and stresses prevention and patient-centered care? Get a great leader. This individual will cost only about $200,000 per year and some ego stroking by POTUS and the Press. Let the unemployed former governors go find out what it is like to live on unemployment benefits and use Medicaid.

WTF hasn’t the search committee already started to form?

Seven Reasons Some  Healthcare-Socialcare Systems  Achieve Better Outcomes

obamacare_t

I have been mesmerized, as I have been before, by plastic painted cows. There are a bunch of cow statues parked in strategic places on the UNC campus waiting for a charity auction. I am not sure what it is about the cows that are so interesting: the bright colors, the poses, the overall clean design. Perhaps I feel guilty because I have enjoyed many a burger and sirloin and prime rib. But I think not. The bright colors are always a welcome juxtaposition to their environment (whether Manhattan or Chicago or Chapel Hill) and the “wild” designs capture surreal perceptions of the location. I could over analyze this one to death (a problem for my profession) or just say I LIKE PAINTED PLASTIC COWS. I will choose the latter.

Image

What happens when someone over-thinks a scientific study? Sometimes, the study gets too complex because the investigative team gets hung up in the twigs on the branches instead of the tree. Sometimes, the methods take over and become the primary focus of the study. Sometimes, only four specialists in the world will be able to understand (and use) the resulting masterpiece of trivia and big words. Usually, the investigators lose sight of the desirable outcome of the study — that a clear decision can be made from the results answering a question of great importance.

There are a half dozen close up pictures of two of the cows at this page on my web site: http://www.hubaisms.com/about/stuuuff-pics/.

I hope there are no examples of over-thinking on the web site. I have been trying hard to keep them from sneaking into the pasture.

One of the more interesting developments in the visualization of evidence-based knowledge is the hybrid mind map/flow chart. A rudimentary example is attached. The flow chart structure would be especially useful for establishing the chain of evidence and a bibliography. The example was generated using the program iMindMap. I see the possibility to generate these hybrid visualizations within a single program to be a big step forward. Wish I had pushed the flow chart button a few months ago when this came out and started using it then.

Image