Monthly Archives: November 2013

The Bright Side of Metabolic Syndrome!

I have been doing yearly wellness exams for the local fire fighters for many years now.  I quite enjoy it.  Many of them are in such good physical shape that I pronounce them to be “Mary Poppins” fire fighters, meaning  “Practically Perfect in Every Way!”  Many, however, succumb as they get older to the “weight creep” that is common in the US today.  I saw one such firefighter this very week who had gained 8 pounds since I saw him last year.  In such cases, I have to educate the patient about the Medical Consequences of Excess Weight.  There is even a medical term for this phenomenon:  “Metabolic Syndrome.”  I think that just about everyone, whether a firefighter, an inmate in a prison or jail, or the medical staff that takes care of them, should understand Metabolic Syndrome.20070613 Continue reading

Help a Brother Out! Outcome Studies

Hi Dr. Keller,

I was hoping I could pick your brain (and those of your readers) for ideas regarding Outcome studies.

We are an NCCHC accredited facility with a population of less than 500 inmates. We are required as part of our accreditation to complete 1 Outcome and 1 Process study annually. Outcome studies are more patient specific and Process studies are more global, referring to the process by which we deliver care.

I don’t usually have problems developing Process Studies, but always seem to get stuck on the Outcome studies. I am wondering if you or your viewers might share any suggestions on topics for Outcome studies or comment on topics they have studied in the past.

Thanks for your help–Bryan19970521 Continue reading