Wise words from Dr. Schwab's blog.

Comment policy

For a trial period, anonymous comments will no longer be allowed. Please register to participate in the comment discussions. Feel free to let me know what you think of this.

Thanks for your continuing readership and support.

Code properly

In these times of declining reimbursement.

A patient presented with chest pains and is incorrectly triaged:

Vance had waited almost two hours for a doctor to see her after complaining of classic heart attack symptoms -- nausea, shortness of breath and chest pains, Deputy Coroner Robert Barrett testified.

She was seen by a triage nurse about 15 minutes after she arrived, and the nurse classified her condition as "semi-emergent," Barrett said. He said Vance's daughter ...

Read more...

More from the Anna Pou, Lori Budo, and Cheri Landry situation:

Many of us were well aware that our homes and possessions had been swept away in the storm. And too many had the terrible burden of knowing their loved ones were missing, some presumed dead. As professionals, we had to put these thoughts aside and ignore great personal sorrow in order to work as a team to ...

Read more...



A man, about to undergo bypass surgery, is binging before the fateful day. A dubious use of medical dollars on someone who's clearly doubtful to stay compliant post-surgery:

"I''m gonna go everywhere I wanna go. I''m gonna eat everything I wanna eat. I''m in full swing now," said Stockbridge, a 325-pound, 5-foot-10-inch city worker who''s halfway through a two-week binge as he hits all his favorite local food ...

Read more...

It's starting to get old. But he makes one valid point - reducing physician reimbursement does not necessarily reduce health care costs:

And after about 20 years of seeing the rate of health care costs increase dramatically the government and private payers have looked for ways to slow their health care costs. The government tends to lead the charge on this because the government pays for Medicare which is ...

Read more...

It seems so. Many EMRs are template-driven, so you have to work within its confines - rather than the other way around. I also was amused at how the doctor immediately announced how much time she had for the visit:

I was surprised, however, to see this new doctor enter the examining room with a computer on a cart. She didn't greet me or shake my hand. Instead ...

Read more...

A mental health worker doing home visits.

He let the job get to him:

A doctor cared so much for his patients he took his own life when he feared he had let down an elderly woman in his care . . .

. . . The father of two, who worked at the Priorslegh Medical Centre, was investigated by the Eastern Cheshire Primary Care Trust after an accusation against him. The complaint was not ...

Read more...

A hospital goes bankrupt

A major reason is the ER being a financial drain. 30 percent of patients have no insurance. This is likely to be a trend for the future.

No surprise, but those with these plans are more likely to skip prescriptions or fail to follow up.

Some doctors are outraged:

Levick-Brown said she was told the ban was imposed because the hospital board felt it needed to follow the Catholic health ethics guide more closely. The Catholic Church is opposed to sterilizations.

Physicians were desperate at the time and used the "kitchen sink" approach. I don't blame them, but we're just as unprepared should it recur.

Mandatory HPV vaccine

It's coming, whether you like it or not. As it should.

As seen in this blog, there is very little sympathy for physicians who make medical error. Believe it or not, most take it personally:

The media often talks about the pain visited upon patients and families by medical errors (which is very real), but rarely do they talk about the pain and suffering experienced by medical professionals after medical errors.

Sure, there are those healthcare professionals who ...

Read more...

That's why drug companies will fight tooth and nail to keep them on the air.

And the former correspondent is pissed. Medical journalists are being replaced by physician-journalist hybrids:

"The thing I'd feel most comfortable saying, which is the truth, is that I am heartbroken by the loss of my job and have spent 20 years working to get to this point, only to be replaced by someone with no journalistic experience only because he'Â’s a doctor," she said. "I have worked incredibly hard ...

Read more...

Similar to resident work-hours, this article suggests that doctors who take more call (i.e. in rural areas) may be more prone to fatigue-related clinical errors:

"Looking back, almost all complaints about my communication and treatment have arisen from times when I've been exhausted due to long on-call hours," one doctor said.

Dr Janes said heavy hospital on-call rosters had been shown to affect performance to a level similar to ...

Read more...

The case is in the California Supreme Court:

Polevoy, a self-described "quackbuster" who runs a website dedicated to exposing fraudulent medicinal products, was a vocal critic of a now-defunct Toronto-based radio show about health issues hosted by broadcaster Christine McPhee.

Soon after the program was cancelled in 2000, Polevoy was targeted by a U.S. alternative health advocate, Tim Bolen, who made online accusations the doctor had not only ...

Read more...

Most Popular