Rx: The Quiet Revolution—Introduction (05:36)
Dr. David Loxterkamp makes house calls. Grubin's perspective on healthcare in America started changing after watching Loxterkamp with a patient. Dr. Douglas Eby uses a target analogy to explain patient care.
Reluctant Patients (04:33)
Loxterkamp has been practicing medicine in Belfast, Maine for 30 years; he began working with a team 10 years ago. He sees patients who are not fond of going to the doctor and talks to them about their daily lives; Dan has an ulcer on his leg and his diabetes is not controlled.
House Call (04:41)
Loxterkamp explains why he makes house calls and what he learns; his father made house calls. Loxterkamp visits a patient with diabetes. He reflects on treating patients with a chronic illness and his limitations as a doctor.
Supportive Community (03:44)
Dr. Chris Kramer discusses the death of a patient with colleagues. Failures of the healthcare system can seem like personal failures. Hear some of Loxterkamp's patient statistics; he feels health is in the community.
Medically Assisted Recovery Program (04:00)
Loxterkamp began seeing patients with opioid dependence about 10 years ago; one American dies from a painkiller overdose every hour. Patients in recovery discuss slipping and coming to meetings.
Patient Compliance and Goals (06:37)
Dan and Shannon return for a follow-up appointment. Dan is not taking his medications correctly and Shannon has not been exercising. Loxterkamp reflects on the patient/doctor partnership and making progress. Over 50% of the American population suffers from chronic disease.
Diabetes Patients (02:31)
Chronic illness is prevalent in the Mississippi Delta. Annie Ford struggled to control her diabetes for 12 years and now reaches out to help others.
Ruleville, MS (04:30)
Diabetes and obesity are challenges the Sunflower Health Clinic often encounters. The city is part of a study to help diabetics manage blood sugar levels. Dr. Kristi Henderson discusses implementing the Center for Telehealth.
Involved Healthcare Providers (04:10)
Ford measures her blood sugar levels daily; she discusses the importance of a caring doctor. Doctors at the Sunflower Health Clinic discuss patients during a weekly team call. Ford video chats with an endocrinologist in Jackson.
Choosing Self-Care (02:13)
Henderson discusses early results of the diabetes study. Ford explains why she has succeeded in lower her blood sugar levels. Approximately 29 million Americans have diabetes.
Aging and Care (04:48)
In the next 20 years, 72 million Americans will be over the age of 65; most do not want to live in a nursing home. On Lok makes it possible for aging seniors with chronic illnesses or disabilities to remain living in their homes.
Care for Elderly Chinese Residents (04:35)
On Lok began in 1971 in San Francisco's Chinatown and is now part of PACE Lifeways. Prior to 1971, nursing homes were the only option for care. Dr.Jay Luxenberg and Robert Edmondson explain financial and care logistics.
On Lok Senior Center (04:52)
The center provides activities, companionship, and healthcare. The healthcare team regularly meets to discuss each senior's health and their care plan; they discuss Belle Lin. Dr. Jay Luxenberg reflects on providing personalized medical care. Approximately 1.4 million Americans live in nursing homes.
Alaskan Native Healthcare (03:44)
The current healthcare system in Alaska encourages native residents to take responsibility for their health. In the past, the Indian Health Service treated patients through the emergency room. Katherine Gottlieb led the way in reforming healthcare in Anchorage.
South Central Foundation (04:15)
The foundation took over native healthcare from the IHS in 1998; primary care is its central mission. Patients can schedule appointments for the day they call and there is little wait time; they are "customer owners." Patients must be fully engaged in their healthcare.
Healthcare in Remote Villages (04:47)
South Central Foundation works closely with community health aides; Miranda Petruska works in McGrath. Health aides follow a strict protocol and communicate with doctors in Anchorage; a vending machine dispenses medications.
Western and Traditional Medicine (04:15)
Margaret Parker's health started deteriorating eight years ago and she began taking better care of herself. She uses traditional management strategies to help her avoid knee replacement surgery. Sarah Smith learned traditional healing as a child.
Top Health Needs (04:13)
South Central Foundation customer owners wanted focus on domestic violence, child abuse, and child neglect; Polly Andrews grew up in an abusive environment. Federal policies stripped Alaskan Native people of their culture and attempted to force them to assimilate.
Breaking the Silence (05:42)
Rick McCafferty shares his story of abuse and reflects on the impact of remaining quiet. Women dance "Rise up Mighty Warrior." South Central Foundation offers a program for individuals to share their stories; self-confidence affects all aspects of health. Grubin reflects on his healthcare journey.
Credits: Rx: The Quiet Revolution (00:60)
Credits: Rx: The Quiet Revolution
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