Dr. Vatsal Thakkar, who is also a clinical assistant professor of psychiatry at NYU Langone Medical Center, makes a powerful argument for the need to consider sleep problems as a possible cause when evaluating patients for ADHD.
Patients come into doctors' offices asking for something they've seen on TV. Big pharma's advertising blitz, coupled with its aggressive marketing to physicians (who all too often are readily seduced to prescribe), results in the ever-increasing number of prescriptions offered to patients.
Contrary to common stereotypes, giftedness is not synonymous with high academic achievement. The gifted student archetype, while expected to be a mature classroom leader, does not fit all gifted students.
Hospitals have recognized these medical errors as a significant problem, and they are taking steps -- such as hand hygiene compliance and surgical checklists -- to make care safer. But if you or your loved one needs medical care now, be on the lookout for these errors.
When you go to the doctor, you want to find out what's wrong and how you can get better. In modern-day America, though, what you will get are tests to "rule out" problems rather than figure out what you actually have.
Policymakers should be aware that even well-informed patients with good access to primary care need the ER. Legislation should aim to increase availability of primary care, but not penalize for use of emergency services.