July 2008

All Stories

Night float

in Education | 5 responses

Frequent NY Times contributer Sandeep Jauhar has a piece in Slate talking about night float, where interns take a 12 to 14 hour shift overnight to cross-cover the entire hospital.

Sometimes the problem of caring for another doctor's patients can lead to medical errors:

The nightmare of night float raises a central question about work limits for interns: Is it better to be cared for by a tired resident ...

Prevention of Heart Disease

in Uncategorized | no responses

Prevention of Heart Disease
In the Clinic - Dr. Howard Hodis, MD, Discusses the Prevention of Heart Disease
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Electronic records and economic sense

in Uncategorized | 16 responses

Stanley Feld has been doing a series on why physicians are slow to adopt electronic records.

The common perception is that they are expensive or ludditic doctors are desperate to cling to paper charts.

The main problem is that the current crop of EHRs are simply not ready for prime time. I recently read a story where doctors have their staff print out a patient's electronic ...

The epidemic of anger towards doctors

in Uncategorized | 8 responses

Why patients so eager to hate the physician profession: "I suspect the payment system has something to do with it. When patients don't know what we charge for things (we are not allowed to disclose our fee schedules), they assume we are milking the system for all it's worth. The fact that the majority of transaction happens below the surface devalues the visit."

Nice post from Dr. ...

The real Medicare myth

in Uncategorized | 5 responses

Arnold Kling argues that the administrative savings from a single-payer system is minimal and superficial:

After [getting rid of private insurance administrators], costs might be less than the existing system. By a small amount. For a short time. But innovation in health care management and administration would slow to a crawl. Health care providers would need permission from Washington to try anything new. In the long run, administrative costs ...

No-fault malpractice

in Physician | one response

The patient comes out ahead in many cases: "All patients who suffer a treatment injury caused by medical care are eligible for no-fault, government funded, compensation (with no need to prove negligence). Claims are usually decided within a matter of days, and the package of care includes financial compensation as well as free treatment, rehabilitation, home help, childcare, and so on."

Contrast that to what happens here, where ...

Joint Symptoms Indicative of Arthritis

in Uncategorized | no responses

Joint Symptoms Indicative of Arthritis
If I Had - Joint Symptoms Indicative of Arthritis - Dr. Teresa Brady, PhD
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DrRich to the NY Times: Chill

in Uncategorized | 3 responses

He takes exception to the hysteria about two-tier dermatology. A nice retort to the piece:

Until society sees fit to legislate otherwise (which, DrRich supposes, could happen as early as the next president's administration), doctors will continue to spend some of their time engaging in hobbies and business or family activities outside of the formal healthcare system. Some may even leave the formal healthcare system altogether in favor ...

Get that ring off

in Uncategorized | one response

I'm forced to cut 2-3 rings a year off swollen fingers. Patients are none to happy that that prospect. Here's a method I'm going to try before reaching for the ring cutter.

American Heart Association vs pediatricians

in Uncategorized | 2 responses

Two major organizations duke it out regarding routine EKGs for kids taking ADHD medication.

There is no doubt that the AHA's guideline will win out. Given the choice between testing and not, the decision to test will always win in court and with the public. Especially with the clout of the AHA behind it.

btw - I like how Dr. Farrago calls the ubiquitous Steven ...

The scary future of veterans’ care

in Uncategorized | one response

Sounds about right: "It's a perfect storm of demand for medical care."

The effectiveness of any single payer system depends on how it's funded. Will the government step up to the plate?

What happens at the VA is a useful predictor of how the government will act in any federally-based reform plan.

The company doctor is back

in Uncategorized | 4 responses

It certainly looks good on paper: "Managers of on-site centers such as Toyota's make a variety of bold claims. Rosenbluth says every dollar invested in setting up a clinic will return $3 to $5, even though on-site doctors spend an average of 20 minutes with each patient"”more than double the national average for primary-care physicians."

This trend is likely to grow, as corporations grapple with exploding health care ...

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