Archive for the ‘Health’ Category

Tragic Irony

Tuesday, December 9th, 2008

I've been struck this week by the irony of the world's reaction to 500 people dying in Zimbabwe from the Cholera epidemic while perhaps millions have died and just shy of a million children have been orphaned by HIV/AIDS in Zimbabwe.  If you visit the country, you'll notice the cities and towns ...

Are You a Future Doctor?

Monday, September 29th, 2008

Unfortunately, if you're interested in becoming a medical doctor in the United States, this post (and others like it) are a must-read.

An Honest Drug Rep - Finally!

Wednesday, September 24th, 2008

Said the drunk pharmaceutical representative to my partner's nurse at a sponsored dinner:  "That doctor Dee, he doesn't see drug reps anymore.  Well, he can take it and shove it up his ass!" Says Dr. Dee to the pharmaceutical community - my lack of interaction with you should make your lives more pleasant, not less.  ...

Can A Doctor Be Happy?

Tuesday, September 23rd, 2008

When I sit down and do the math... when I analyze my overhead, my charges and my collections and notice that I'm not meeting overhead expenses because my payor mix consists of 60% medicare and medicaid... when I consider the inherent risk involved in making critical medical decisions with/for patients... when ...

The Business of Primary Care Medicine

Wednesday, September 10th, 2008

After a year of private practice, my eyes have been opened to the business of medicine.  Anyone interested in going into a primary care field should read the following posts: It's Not Our Fault by Dr. Rob. More On Doctors vs. Lawyers by Dr. Wes duh - money matters in specialty selection by DB The RUC ...

Find a Primary Care Physician

Wednesday, August 27th, 2008

Finding a primary care physician you can trust and get along with is a daunting task. Many people do not seek out a primary care physician until they develop a medical condition that needs immediate attention, often leading to rushed or blind decisions about where to seek care. ...

Cannabalistic Competition Is Not The Answer

Tuesday, August 12th, 2008

The Happy Hospitalist has proposed a solution to correct underpayment by Medicare. "Medicare should role into town once every two years with a silent auction to set rates. Providers bid on the CPT rate schedule for the next two years. The lowest CPT bid gets to set that CPT rate for ...

RIP Bernie Mac

Saturday, August 9th, 2008

Mr. Mac's untimely death will perhaps serve to remind the public that pneumonia is not a benign condition.  Pneumonia can strike fast and hard and certain types of pneumonia have kill rates of 50% or more. Mr. Mac was one of those rare comedians with a sense of obligation to decency and a ...

Patient-Centered Care

Saturday, August 9th, 2008

Dr. RW has recently addressed the patient-centered care model of medicine. I think patient care has to be patient-centered.  I think we (physicians) are obligated to explain treatment options and present the supporting evidence.  There are very few patients who want to know or who would be able to utilize statistics like ...

P4P For Patients

Saturday, August 2nd, 2008

It seems the insurance companies are convinced that money talks.   In this little $400,000 experiment, the patients have a 1/10 chance per day to win $10, and a 1/100 chance per day to win $100, that's about (36.5 x 10) + (100 x 3.65) gives you a minimum of $730 a ...