Welcome to Friday night as a hospitalist in the ultimate Green State, Colorado: Time to gear up for some marijuana-facilitated paranoia, memory loss, nausea and vomiting, and memory loss. I’m not a teetotaler, but I do find the new surge in cases of preventable disease a bit disheartening if not occasionally humorous. Prior to this past year, it wasn’t uncommon for me to encounter an occasional marijuana medical problem, but ...

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Happy 2015! Health care in the United States continues to change faster than any of us can keep pace with and this shows no signs of slowing down. Having written a lot in 2014 on a variety of different topics, I wanted to focus on my own 5 wishes for hospital care this New Year. A lot of you may think that what you’re about to read sounds like wishful ...

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If you delve into the personal stories of health IT innovators, most journeys rest on their personal interaction with the health care system on behalf of themselves, a parent, a child, or perhaps a sibling. Just a few weeks ago, I had a small interaction with the health care system that confirmed many of the impressions I have developed of providers' strengths and weaknesses. There's no way to start except with ...

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It's tempting to blame it all on Henry Ford.  I was standing alone at the empty counter, waiting to order in a fast food joint at 9 p.m.  Off to my left, three or four carloads of customers had been served before anyone noticed me and came over to ask what I wanted.  After all, Henry gave us the mass-produced (and therefor affordable) automobile.  I wondered if the day ...

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One of my patients got admitted this past week. As a new attending, this is still an unpleasant experience. Have I failed? Is there more I could have done to prevent this? I have to say that this particular case wasn't shocking. The patient hadn't been doing well lately, and I wasn't surprised when I got the message that they were on the way to the emergency room. Due to our ...

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One of the things that I love about my job as a hospitalist is the ease with which we can develop friendships with colleagues from other disciplines. Since I am an inpatient physician, it’s not surprising that some of my good friends are cardiologists, nurses, endocrinologists, physical therapists and, of course, other hospitalists. In fact, I met my neurosurgeon husband while co-managing his patients at the hospital. While thinking about ...

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He was known to the hospital as someone who would try to manipulate his caregivers. And I fell for it anyway. Frequently admitted for pain crises associated with a chronic illness, he spent most of his hospital course avoiding eye contact with the team. So, too, were avoided answers that involved more than a few words. Providing care for him was business-like; we knew better than to expect pleasantries. The day of ...

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The enormous push continues to reduce readmissions, due in no small part to stiff financial penalties from CMS for the worst performing hospitals. The most commonly cited statistic is that about 1 in 5, or 20 percent, of Medicare patients are readmitted within 30 days. A staggeringly high number when you think about it. Having discharged thousands of patients and seen the characteristics of those patients that are frequently readmitted ...

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Nurses rock! What would doctors do without them? Watch ZDoggMD's ode to nurses.  Enjoy.

What is it worth to be treated in a hospital with a stellar patient safety record rather than one with lower performance? For a large majority of survey participants in a recent study by researchers from the Altarum Institute and Drexel University, the answer is quite a lot. Published online last month in the Journal of Patient Safety, the study found that most respondents would choose a hospital with a ...

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