April 2008 Archives - 8/15 - KevinMD.com

In the Clinic - Dr. James Farmer, MD on Enucleated Eyes

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2108: A Medical Odyssey continues

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Part 2 of the epic, brought to you by Placebo Journal.

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Pharmacists join the mid-level generalist surge

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Non-physician professions continue to seize the opportunity left by the primary care doctor shortage.

Good times for hospitalists

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Nice to be a profession in demand.

DrRich: "Most persecuted Puritans did not migrate to the New World (where they faced hurdles arguably even more off-putting than the threat of malpractice suits and specialist-dominated credential committees). Most Goths, upon being overrun by the invading Huns and facing the choice of absorption or migrating to territory occupied by somebody else, did not move south to sack Rome. Most PCPs will likewise accept their fate, and simply try to ...

Drawing the line

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Daniel Carlat: "I've had it. As of today, I am no longer allowing drug reps into my office."

How the government is destroying the NHS

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Dr. Crippen is blogging the carnage first-hand.

Eminence vs evidence-based medicine

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Or why it's so hard to change the way doctors practice medicine.

"Entitlement Disorder"

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ER Stories: "At my hospital we have an enormous amount of people suffering from a terrible affliction where patients experience the need to storm into the ER and verbally accost the RNs and secretary as to when they will be seen, demand that specific specialists be called immediately upon their arrival (like plastic surgeons for tiny superficial lacerations) , ring the call bell every five minutes, ask a million ...

Work-hour restrictions

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Robert Centor reflects on its effects on medical education.

"I was singed in the blogosphere"

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How blogs are influencing physicians to say no to pharmaceutical money.

Testosterone and Wall Street

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An explanation for the Street's sometimes irrational exuberance?

In a new study he reports that traders who start the workday with high testosterone levels make more money on that day than their low-testosterone colleagues do. A hot day on the market sends their levels of the natural steroid up even more, Coates says; under the influence of their own hormones, they start to take bigger risks in hopes of ...

Did political connections get this medical student admitted?

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Roy Poses sheds light on a case where a student's political ties may have got him accepted at the University of Florida's medical school:

In particular, it appears that at least one admission decision may have been affected by politics rather than students' credentials, and faculty are afraid to criticize it. The integrity of the admissions process is fundamental to the integrity of the medical school. Suppression of dissent ...

When you want to cry, but can’t

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Anna Reisman: "I suddenly realized how quiet it was. Her shoulders and chest were heaving, but she wasn't breathing. She was trembling, the tears streaming down her cheeks, and she couldn't take a breath to use the inhaler. I sat still, trying to look calm, my mind racing. Should I thump her back? Call for help? Start CPR? After an interminable moment she sucked in a couple of wheezy ...

Closing a VA psychiatry ward

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Having four of your inpatients commit suicide isn't good news for a psychiatric facility.

Amy Tenderich: The "Home Depot" method of patient engagement

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The following is a reader take by Amy Tenderich.

"You can do it. We can help."

As one of 21 million Americans living with diabetes, Home Depot's slogan hits home. Diabetes is largely a self-managed disease. If patients don't take a "do-it-yourself" approach to their blood glucose control, things tend to spiral downhill.

Home Depot's motto, with its combined empowering and coaching slant, ...

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Kevin Pho, MD

Why Priscilla Chan may become the country’s most influential doctor

Who has the potential to be the most influential physician of our generation? It's Priscilla Chan, who not only recently graduated from...
Confused about prostate cancer screening? Make a shared decision

In a widely anticipated move, the USPSTF officially recommended against prostate cancer screening in healthy men. Case closed, right? Hardly. The prostate...
When it comes to doctors and social media, hospitals fail miserably

When it comes to medicine and social media, much of the attention is negative. Doctors losing their hospital privileges because of Facebook....
Warren Buffett’s prostate cancer choices aren’t right for every man

A version of this column was published on April 24, 2012 in USA Today. There has been a recent uptick of elderly men...

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Physician

Why test recalls should not be considered cheating

I was appalled recently by the coverage of radiology “test recalls” by CNN, amplified by Dr. Gary Becker of the American Board...
Why physicians are susceptible to hardball tactics

I was invited to a medical staff leadership conference sponsored by our hospital. A company specializing in training physician leaders ran the...
How we deliver bad news is critical to how families deal with grief

As a cardiac electrophysiologist, I have had to discuss bad news with patients and families more times than I would like during...
His father’s suffering had already been too great

He looked dead. The paramedics brought him down the hall toward one of my critical care beds, and for a moment I...

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Patient

How death can be a beautiful experience

I was honored to be part of a beautiful experience in late January of 2011. It was the death of my mother-in-law...
What meaningful encouragement can be given to someone who is dying?

Theirs is a lonely journey; to be moving towards the separation and end of all things known and loved. Being with a...
Health care journalists have tendencies similar to those of doctors

As a patient who was asked to speak at the Association of Health Care Journalists 2012 conference, I felt a bit covert....
Adaptation can be painful, but it can also be a gift

Nothing will force you to live life on your own terms faster than almost losing it. In 2008, I was on fire....

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Policy

What should America’s health care vision be?

America has this paradox of excellent biomedical science, innovative drug manufacturers and entrepreneurial device developers along with outstanding providers but at the...
Hospitals around the world aim to remain relevant to patients

"It was the best of times, it was the worst of times ..." So begins a story called A Tale of Two...
Repairing the tear in health care’s safety net with social media

The nation’s “safety net” hospitals are designed to ensure that uninsured, lower income and indigent populations receive adequate medical care – a...
Look to technology to reduce health costs

Technology to lower costs rather than accelerate them. Smart phones to increase physician and other providers’ productivity. Fewer primary care physicians but...

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Tech

When patient care becomes secondary to filling out the medical record

The policeman was two cars in front of me. I meandered down the road cautiously adjusting my speed a few ticks above...
Doctors, use Google to get more patients in less than 7 minutes

Every month, hundreds of thousands of people look for a doctor on Google. As an amazing practitioner, your site deserves to be...
The user interface for EHRs should be uniform

The first thing I noticed when I walked into the physician’s office were the tall cabinets filled with manila folders, tabbed with...
EMR liability needs to go further than just the physician

This example of a disaster waiting to happen, in the form of an error-promoting CPOE, is a poster example of why the...

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Social Media

We need to see the potential harm of social media

Prior to 1794, farms across the world could only pick cotton as fast as humanly possible. In the late 18th century, Eli Whitney...
Why social media may not be worth it for doctors

Social media in healthcare is all the rage these days. You can’t visit even one physician-oriented website without someone breathlessly advising you...
Transparency defines social media success for doctors

Want to understand social media? Physicians wanting to learn about social media must learn transparency. We must learn transparency on a personal...
How Twitter was used in a potential mass casualty scenario

It was my first ER shift in charge of the resuscitation area. Needless to say, my adrenaline and nerves were firing like...

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Meds

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Conditions

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Education

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