Growing movement reduces wait to see doctor
The push for open access.
October 2004
All Stories
Medicine's new menu
"Four-star hospitals? Thumbs up or down on medical clinics? MRIs listed from "$" to "$$$"?
One of the biggest challenges for the hot, new "consumer-driven" health plans might be delivering them without looking like a restaurant review."
Medicines Without Borders
"I have a confession to make. I am a drug company executive who believes we should legalize the reimportation of prescription drugs. I know that I have a different opinion from that of my employer on this matter, but to me, importation of drugs is about much more than money; it is about saving American lives."
Op-ed from the Pfizer insider, Peter Rost (via ...
Is Kaiser the Future of American Health Care?
"In Northern California alone, Kaiser spends $55 million a year on chronic-care management programs. "But what's really expensive is if we don't take care of these people and manage their chronic conditions," said Dr. Robert Mithun, chief of internal medicine at Kaiser's medical center in San Francisco.
Dr. Mithun's comment may seem like no more than common sense, but it ...
In American Health Care, Drug Shortages Are Chronic
"Imagine being unable to find supplies of a medicine that limits damage from a spinal cord injury, a medicine that improves the health of a premature baby, or a medicine that fights systemic bacterial infectious.
Each of these drugs, and dozens of others, are in shortage in the United States right now. On any given day, 50 to 80 drugs, ...
Stop the Shakedown
"Voters in six states will decide, on Nov. 2, the fate of ballot measures on lawsuit reform. In the past lawyers have prevailed in nearly all such battles. Will things be different this year?" (via Overlawyered).
Arafat watch
Here is the latest update on Yasser Arafat:
Yasser Arafat underwent medical tests on Saturday and a senior Palestinian official said doctors had ruled out for the time being that the PLO leader was suffering from leukemia . . .
Palestinian officials said the first of a battery of tests for cancers and other disorders showed no immediate risk of the 75-year-old dying. They said a full analysis could ...
Workers prefer better health coverage to a raise
"Given the choice between a raise and more generous health care coverage, most workers would opt for the coverage . . ."
Pri-Med, brought to you by . . .
I'll be attending Pri-Med in Boston tomorrow at the new Boston Convention and Exhibition Center (I'll take a break for the Red Sox parade). I know that drug companies provide a lot of the funding, but this is going a bit too far.
First, my registration credentials folder was compliments of Boehringer Ingelheim and Lilly. Opening up the folder greeted me with this: ...
FDA Holds Off Approval of New Merck Drug
As expected, the FDA is holding off on Merck's new COX-2, Arcoxia. I've been bombarded with ads saying it's "coming soon". I guess not.
Chlamydia Testing Disappointingly Low
"Only 26 percent of women enrolled in commercial health plans who were eligible for screening were tested in 2001 . . . Only 38 percent of eligible women in Medicaid plans were screened, the report said."
Screening for Chlamydial infection is important since it can cause urethritis, cervicitis, pelvic inflammatory disease (PID), and result in ectopic pregnancy, infertility, and chronic pelvic pain in women. ...
For Inventive Business (and Health) Officials, Flu-Shot Specials
"On the mad, mad quest for a flu shot? Take the flu-shot special, a high-speed ferry from Seattle to Victoria, B.C., that offers a scenic ride across the Strait of Juan de Fuca and a vaccine stop in Canada; 2,000 people already have reservations. Or hop on the Flu Bus from Grand Forks, N.D., for a rollicking journey to immunity ...
U.S. Trails Others in Health Care Satisfaction
"The study shows that people in the U.S. face longer wait times to see doctors and have more trouble getting care on evenings or weekends than do people in other industrialized countries. At the same time, Americans were more likely to receive advice on disease prevention and self-care than others."
Stop-gap medicine
"With the suturing and unsuturing of Curt Schilling's ankle, the dawn of "episodic medicine" has arrived. Episodic medicine is aggressive treatment for the now, and it inherently contradicts our "quality of life" policy . . .
But there are consequences. What about the cost? Who pays for these procedures? What are the limits? Already, new technologies, new pharmaceuticals, and new procedures are stretching the medical dollar. ...
What has evidence based medicine done for us?
BMJ with a theme-issue on evidence-based medicine.
Malpractice Prescriptions
PointofLaw is hosting a featured discussion on medical malpractice: "This month, we're looking into medical malpractice once more. In lieu of a back-and-forth format, this month we're inviting comments from some leading thinkers on medical malpractice reform to discuss a new paper by Daniel Kessler of Stanford Business School . . ."
Wyoming med-mal study
"The Milliman actuarial firm projects what will happen if Wyoming enacts a cap on non-economic damages. According to Martin Grace's summary, the study's simulation model 'suggests that the cap [at a level of $250,000] will reduce losses and loss adjustment expenses by about 15%.'"
Playing Doctor
"Lying on a résumé isn't a crime - except when a doctor does it."
A Precarious Exchange
What an interesting article in bringing up a salient point.
To a physician, this scenario is all too familiar "” we call it "sign-out" "” but in a way, the anthropologist would be right: it is a peculiar ritual, this daily transfer of patients from one medical team to another. As I write this, at the end of a frantic afternoon, 18 residents are simultaneously handing ...
Sleepy Interns Committing Key Errors, Study Shows
"The researchers, led by Charles Czeisler at Brigham and Women's Hospital in Boston, found that interns working more than 80 hours a week committed 36 percent more serious medical errors than interns who kept a less arduous schedule.
When it came to diagnosing illness, the sleep-deprived interns made 5.6 times more serious mistakes than their rested colleagues, the research showed."
The ...
Kevin Pho, MD
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How I approach ovarian cancer screening with patients
Ovarian cancer screening clearly touches a nerve. No one doubts that ovarian cancer is a devastating diagnosis, often found when the disease...
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Why more primary care doctors are referring patients to specialists
According to a recent study from the Archives of Internal Medicine, primary care physicians are referring more patients to specialists than ever...
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Should Google censor anti-vaccine claims?
One of the reasons there is such a movement against vaccines is the democratization of information, perpetuated by search engines like Google....
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Radiologists who cheat on their board exams: Who’s to blame?
In a widely circulated CNN article, many radiologists have been found to cheat on their board exams: "Doctors around the country taking an...
Physician
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Why an anesthesiologist would be needed for organ donation
I've only had to declare death a couple of times. Once in a three-year-old and once in an adult. In each case...
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5 ways to avoid a misdiagnosis
Billionaire Teddy Forstmann had been diagnosed with a serious form of brain cancer. There’s a tragic twist to the story: according to...
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Benefits of the Medicare Adult Wellness Visit
One of the things I love about family medicine is that I get to care for people of all ages. I almost...
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Cancer has a way of teaching us poignant life lessons
I just finished reading George’s recent post on Evelyn Lauder, who recently passed away from ovarian cancer, and am still stirred by...
Patient
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In love there is a life giving force
Here is a toast to the miracle of love. Not to the romantic, chocolate, dance club nightlife type of love. Not warm...
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How to get ready for death
No one wants to die. Even people who want to go to heaven don't want to die to get there. And yet...
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The long term cost of a pain in the neck
One morning this May, I woke up with a stiff neck. I applied hot and cold therapy all day and took an...
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Preparing for your visit with someone in hospice care
Visiting someone who is dying or critically ill is an experience many of us will have in the course of our lives....
Policy
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AMA: Advocating for Medicare, military and fiscal responsibility
A guest column by the American Medical Association, exclusive to KevinMD.com. This week, I’m joining hundreds of physicians and medical students in Washington, DC...
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A critical look at value driven health care
Everyone in the world is talking about “value-driven health care.” Or so it might seem if you pick up a medical journal...
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Surviving the new landscape of physician reimbursement
CNN recently posted an article titled "Doctors Going Broke." It described several cases of independent physicians who are near bankruptcy although they once...
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Doctors lobby Congress to repeal the SGR
One of the things that I like most about my job is engaging with ACP’s physician leadership—the internal medicine doctors who dedicate...
Tech
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There is a patient attached to that implantable defibrillator
As a follow-up to my post on why patients with implantable defibrillators should have access to their device’s data, I am going...
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The pitfalls of email communication with patients
A recent article in the Wall Street Journal reviewed the emerging role of email in healthcare, arguing that doctors should more aggressively...
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Why adoption of EHRs is a transformational event for physicians
Paul Conslato, MD, director of clinical affairs for Lancaster General Medical Group, recently was quoted in the PAMED Better Health Network eZine...
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Why EMR is a dirty word to many doctors
Don’t get me wrong, EMRs (electronic medical records) are inevitable. Over the long-run they are almost certainly good for physicians, patients and...
Social Media
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Using Twitter to deliver health improvement messages
I have decided to spam for public health. Phone calls, text messaging, and even apps have been shown to help improve health...
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Addressing comments on your medical practice’s Facebook page
Does your medical practice allow anybody to post links and comments on your Facebook page? The short answer is yes. We do....
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The Internet is where patients go for pre-visit consultations
As a physician, technology cannot replace you, but it can make you more efficient and effective. This was the message from Richard...
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5 ways doctors can benefit from professional connections
Looking ahead to the next several months, I’ve found myself frequently wondering how many physicians will make this their year to take...




