Comments on: My take: EHR adoption, MDs with MBAs, allegations http://www.kevinmd.com/blog/2008/04/my-take-ehr-adoption-mds-with-mbas.html Tue, 14 Feb 2012 20:57:00 +0000 hourly 1 By: Liz Ditzhttp://www.kevinmd.com/blog/2008/04/my-take-ehr-adoption-mds-with-mbas.html#comment-84770 Liz Ditz Fri, 04 Apr 2008 00:32:00 +0000 http://clients.emmense.com/kevinmd/2008/04/my-take-ehr-adoption-mds-with-mbas-allegations.html#comment-84770 Re Mel Levine:<br/><br/>I am not a physician, I'm an educational therapist. I've studied Levine's approach to LDs and use some of his materials in my practice.<br/><br/>SarahW wrote: <i>In fact there have been multiple formally lodged complaints against him of similar nature.</i><br/><br/>To be precise, according to the Boston Globe, there were exactly two: one, a lawsuit, in 1988, alleging improper touching of the testicles. It was dismissed. Two, a complaint to the medical board in 1993, alleging that Levine asked improper questions and touched the complainant's penis. That complaint was also dismissed.<br/><br/>Pediatricians <i>should</i> be touching their patients' penises and testicles as part of examinations. For my part, I would want to know how many pediatricians have complaints of "improper touching" lodged against them, before jumping to conclusions about the nature of the charges against Levine.<br/><br/>The twenty-three year gap between the alleged incidents and the lawsuit strongly suggests some form of recovered/repressed memory therapy. Re Mel Levine:

I am not a physician, I’m an educational therapist. I’ve studied Levine’s approach to LDs and use some of his materials in my practice.

SarahW wrote: In fact there have been multiple formally lodged complaints against him of similar nature.

To be precise, according to the Boston Globe, there were exactly two: one, a lawsuit, in 1988, alleging improper touching of the testicles. It was dismissed. Two, a complaint to the medical board in 1993, alleging that Levine asked improper questions and touched the complainant’s penis. That complaint was also dismissed.

Pediatricians should be touching their patients’ penises and testicles as part of examinations. For my part, I would want to know how many pediatricians have complaints of “improper touching” lodged against them, before jumping to conclusions about the nature of the charges against Levine.

The twenty-three year gap between the alleged incidents and the lawsuit strongly suggests some form of recovered/repressed memory therapy.

]]> By: SarahWhttp://www.kevinmd.com/blog/2008/04/my-take-ehr-adoption-mds-with-mbas.html#comment-84711 SarahW Wed, 02 Apr 2008 14:55:00 +0000 http://clients.emmense.com/kevinmd/2008/04/my-take-ehr-adoption-mds-with-mbas-allegations.html#comment-84711 While I appreciate the appropriate restraint on speculation of guilt or innocence of Levine, you seem to imply by this line "A career without a prior patient complaint" applies to Levine and not just some general situation.<br/><br/>Levine does not himself have a career "without a prior patient complaint". In fact there have been multiple formally lodged complaints against him of similar nature.<br/><br/>If I speculated, the press attention is not only related to the prominence of the physician and shocking nature of the complaintm, but that it is NOT merely one isolated 'recovered memory" complaint. While I appreciate the appropriate restraint on speculation of guilt or innocence of Levine, you seem to imply by this line “A career without a prior patient complaint” applies to Levine and not just some general situation.

Levine does not himself have a career “without a prior patient complaint”. In fact there have been multiple formally lodged complaints against him of similar nature.

If I speculated, the press attention is not only related to the prominence of the physician and shocking nature of the complaintm, but that it is NOT merely one isolated ‘recovered memory” complaint.

]]> By: adamhttp://www.kevinmd.com/blog/2008/04/my-take-ehr-adoption-mds-with-mbas.html#comment-84707 adam Wed, 02 Apr 2008 05:40:00 +0000 http://clients.emmense.com/kevinmd/2008/04/my-take-ehr-adoption-mds-with-mbas-allegations.html#comment-84707 Hi Kevin,<br/><br/>as others commented, HealthCare is not the exception to the IT headaches and 'growing-pains'. I'm just surprised to see the same mistakes being made that were made in other professional areas (I'm specifically thinking of finance). Less ambitious systems that can grow on their own accord, ie, by what doctors and administers demand, is in my opinion the only way to go. Large complex systems that are let loose in one fell swoop are the devil. As I said, in my *humble* opinion ;)<br/><br/>Adam Hi Kevin,

as others commented, HealthCare is not the exception to the IT headaches and ‘growing-pains’. I’m just surprised to see the same mistakes being made that were made in other professional areas (I’m specifically thinking of finance). Less ambitious systems that can grow on their own accord, ie, by what doctors and administers demand, is in my opinion the only way to go. Large complex systems that are let loose in one fell swoop are the devil. As I said, in my *humble* opinion ;)

Adam

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/04/my-take-ehr-adoption-mds-with-mbas.html#comment-84699 Anonymous Wed, 02 Apr 2008 02:24:00 +0000 http://clients.emmense.com/kevinmd/2008/04/my-take-ehr-adoption-mds-with-mbas-allegations.html#comment-84699 EHR will work just fine if they are allowed to evolve when, where, and as they are found to increase efficiency in healthcare just as in other sectors of the economy rather than mandated by centralized authority. EHR will work just fine if they are allowed to evolve when, where, and as they are found to increase efficiency in healthcare just as in other sectors of the economy rather than mandated by centralized authority.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/04/my-take-ehr-adoption-mds-with-mbas.html#comment-84698 Anonymous Wed, 02 Apr 2008 02:23:00 +0000 http://clients.emmense.com/kevinmd/2008/04/my-take-ehr-adoption-mds-with-mbas-allegations.html#comment-84698 Require docs to get MBA? Given what the MBA's did to my former clinic (some of them MD's), I think I would take myself to another country when I got sick.<br/><br/>Anyway, isn't their carrying the "there ought to be a mandate" ethic to the extreme? Every action has unintended consequences, and since B-school students perform worse than prison convicts on ethical reasoning exams (I didn't make this up!), the unintended consequences of forcing physicians to acculturate to that professions ethos first would be catastrophic. Require docs to get MBA? Given what the MBA’s did to my former clinic (some of them MD’s), I think I would take myself to another country when I got sick.

Anyway, isn’t their carrying the “there ought to be a mandate” ethic to the extreme? Every action has unintended consequences, and since B-school students perform worse than prison convicts on ethical reasoning exams (I didn’t make this up!), the unintended consequences of forcing physicians to acculturate to that professions ethos first would be catastrophic.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/04/my-take-ehr-adoption-mds-with-mbas.html#comment-84697 Anonymous Wed, 02 Apr 2008 01:57:00 +0000 http://clients.emmense.com/kevinmd/2008/04/my-take-ehr-adoption-mds-with-mbas-allegations.html#comment-84697 May well be, we'll see.<br/><br/>Here's a story of a doctor who was falsely accused of sexually molesting a patient:<br/><br/>http://opinionjournal.com/extra/?id=90000445 May well be, we’ll see.

Here’s a story of a doctor who was falsely accused of sexually molesting a patient:

http://opinionjournal.com/extra/?id=90000445

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/04/my-take-ehr-adoption-mds-with-mbas.html#comment-84695 Anonymous Wed, 02 Apr 2008 00:40:00 +0000 http://clients.emmense.com/kevinmd/2008/04/my-take-ehr-adoption-mds-with-mbas-allegations.html#comment-84695 I'm sorry, but this boston doctor is guilty as sin. 8 different complaints by different people. Not only that, but he's had at least 2 complaints stretching all the way back to 1988.<br/><br/>One complaint could be bogus. But this is a trend, and trends like this are rarely bogus.<br/><br/>Pediatricians across the USA do genital exams on a daily basis, and almost none of htem get accused of sexual assault. The fact that this guy has been accused at least 10 separate times over the years is appalling, and I'd bet money that the complaints are legit. I’m sorry, but this boston doctor is guilty as sin. 8 different complaints by different people. Not only that, but he’s had at least 2 complaints stretching all the way back to 1988.

One complaint could be bogus. But this is a trend, and trends like this are rarely bogus.

Pediatricians across the USA do genital exams on a daily basis, and almost none of htem get accused of sexual assault. The fact that this guy has been accused at least 10 separate times over the years is appalling, and I’d bet money that the complaints are legit.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/04/my-take-ehr-adoption-mds-with-mbas.html#comment-84692 Anonymous Tue, 01 Apr 2008 22:15:00 +0000 http://clients.emmense.com/kevinmd/2008/04/my-take-ehr-adoption-mds-with-mbas-allegations.html#comment-84692 "My take: I don't know anything about the case and cannot speculate as to whether the charges are true or not."<br/><br/>Kevin, you've been able to diagnose malpractice, or the lack thereof, with less info than this. Why so reticent now? <br/><br/>Tell me, do "patients lose" if this doc is convicted? “My take: I don’t know anything about the case and cannot speculate as to whether the charges are true or not.”

Kevin, you’ve been able to diagnose malpractice, or the lack thereof, with less info than this. Why so reticent now?

Tell me, do “patients lose” if this doc is convicted?

]]> By: Avihttp://www.kevinmd.com/blog/2008/04/my-take-ehr-adoption-mds-with-mbas.html#comment-84690 Avi Tue, 01 Apr 2008 21:35:00 +0000 http://clients.emmense.com/kevinmd/2008/04/my-take-ehr-adoption-mds-with-mbas-allegations.html#comment-84690 "Documentation and patient flow have to be made easier and faster by electronic records." I completely agree. The problem is that the premise of current EHRs is one of "enter your data into me. Its technology, so it must be better." While its clear that information technology has not been applied to the health industry, i think it is also clear that there has been <i>no</i> innovation related to their application. I think part of that has to do with technology workers who do not understand the intricacies of the health care system. But its with articles like those on your blog that we can hopefully better understand health care and its complexity in America.<br/>-Avi “Documentation and patient flow have to be made easier and faster by electronic records.” I completely agree. The problem is that the premise of current EHRs is one of “enter your data into me. Its technology, so it must be better.” While its clear that information technology has not been applied to the health industry, i think it is also clear that there has been no innovation related to their application. I think part of that has to do with technology workers who do not understand the intricacies of the health care system. But its with articles like those on your blog that we can hopefully better understand health care and its complexity in America.
-Avi

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/04/my-take-ehr-adoption-mds-with-mbas.html#comment-84689 Anonymous Tue, 01 Apr 2008 18:17:00 +0000 http://clients.emmense.com/kevinmd/2008/04/my-take-ehr-adoption-mds-with-mbas-allegations.html#comment-84689 On the issue of EHR, don't feel alone in the woods. Lawyers are expertiencing the same thing, but those makig the decisions are ALL government employed bureaucrats. Of course, they know more. Our state's award winning system was designed to be used to keep enrollment records at colleges not be a court system database. On the issue of EHR, don’t feel alone in the woods. Lawyers are expertiencing the same thing, but those makig the decisions are ALL government employed bureaucrats. Of course, they know more. Our state’s award winning system was designed to be used to keep enrollment records at colleges not be a court system database.

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