There is a recent and interesting piece in the Wall Street Journal by an orthopedic surgeon, Dr. Craviotto, about the maddening aspect of forced mandates and bureaucratic requirements in medicine that seem to have very little to do with actual medical care and more about hoops through which we must jump that seemingly lead to nowhere. While I do find the bureaucracy of medicine in the United States insane versus the Canadian ...

Read more...

Jordan Grumet is an internal medicine physician who blogs at In My Humble Opinion.  He's a gifted storyteller, with many of his articles regularly featured here.  In this dotMED 2013 presentation, Jordan shares powerful stories from medical training that define him as the physician he is today.

When I graduated from my residency, far from my current professional home, I wanted to write a book called How Not to Get Yelled At in the Operating Room. Or How to Clear the Fear from Your OR. I had these titles in mind because I struggled so much during my intern year. It was a tough year, full of intense patient care and sleep deprivation, but the challenge that I most wanted help ...

Read more...

The Food and Drug Administration (FDA) recently released a statement about power morcellation during hysterectomy and myomectomy (surgery to remove uterine fibroids), raising concerns about these devices spreading unanticipated cancers. There have been several reports in the literature and the press alike of this happening and when it does it significantly worsens the prognosis.  The American Congress of Obstetrician and Gynecologists (ACOG) is now re-exploring this issue. Pending a full review ...

Read more...

From MedPage Today:

  1. SNRI Equal to Hormones for Hot Flush Tx. A low dose of the antidepressant venlafaxine (Effexor) appeared roughly as good as hormonal therapy to ease hot flushes in menopause.
  2. USPSTF Urges HBV Screening for High-Risk People. People at high risk for hepatitis B (HBV) should be screened for the virus, according to a new recommendation from the U.S. Preventive Services Task ...

    Read more...

Reports that Mila Kunis, the actress, plans on a “natural” delivery is all over the Internet. As a celebrity  she is clearly a medical expert and somehow it is relevant to hear how an actress with no financial concerns, doesn’t need to work on her feet until she goes into labor, has a BMI of 19 (OK, that’s a guess) who has never delivered before is planning to have her ...

Read more...

The future of our health care system, lies with you, dear medical students and residents. While medical school and residency training does a pretty good job giving you didactic and clinical training, they might do a better job teaching you how to avoid the potential mess you will encounter once you complete your training. Perhaps the most shocking thing I encountered after completing residency training was how non-clinical administrators placed ...

Read more...

Pay me like a French doctor.  You know you want to. Whenever new physician salary data is released, reporters and policy experts often compare doctor salaries in the United States to those of other countries: most notably, France. And on cue, Vox's Sarah Kliff -- normally an excellent health care writer, by the way -- is uncharacteristically lazy in framing physician salaries through a biased lens. After presenting the data, ...

Read more...

As health care providers are tasked with more administrative duties such as documentation, coding, and billing, the goal to minimize health care costs will continue to be extremely challenging. In my role, I work with physicians on these challenges daily to ensure not only do the physicians get paid accurately but patients understand their benefits when they see our physicians.  Currently, I am the revenue cycle manager for the department of ...

Read more...

The day I graduated from medical school and walked across that stage with my diploma in hand, I was sure that I had achieved the highest honor in the land.  I could not help envisioning myself in a long, crisp white coat, walking down the long hallways of the hospital, with my name badge perfectly displayed that read: "doctor." I was certain in my mind that I had finally made it.  ...

Read more...