A continuing series on physician online reputation.   For more KevinMD minutes, please visit my YouTube channel. How do you deal with trolls on the web? Whenever you're online you're going to have people who disagree with you, and they can do so in ugly and inflammatory ways. These people are known as trolls. I'm going to borrow from marketing legend Guy Kawasaki. He suggests going ...

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A company has produced prototype robots that can draw blood from human arms. The video above is a 48-second video showing one of them in action. Using an infrared camera, the robot identifies a suitable vein and accesses the vein with ultrasound guidance. A second video, not embedded in this post, explains that the robot is about 83 percent successful at drawing blood that compares favorably to the success ...

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Recently, the new surgeon general of the United States, Vivek Murthy, was officially sworn in by Vice President Joe Biden. Congratulations to him, it’s quite an achievement at the relatively young age of 37. Nobody can doubt the hard work, intelligence and passion that must have gone into reaching such a height. His nomination was first put forward at the end of 2013, and he faced something of an uphill political ...

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Although the time of year when everyone has their list of tax questions has just passed, tax questions are appropriate all year. It’s best to be prepared at tax preparation time, so much less stress is created. Tax time can be especially stressful for younger taxpayers who are going through life changes, or earning substantially higher income for the first time. Young physician families are an excellent example of this type ...

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My 85-year-old patient was brought in from home. She was cachectic, contracted, minimally responsive to questions, covered in multiple decubitus ulcers on both hips, both knees, both shoulders, and her sacrum. She had polymicrobial sepsis-bacteremic with two different organisms. She was, in fact, dying. Despite her profoundly debilitated condition, her son, who cared for her at home wanted “everything” done. So she was placed on IV fluids, antibiotics, received an ...

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shutterstock_245121460 A while ago, I wrote about “The secret lives of doctors.” The post must have struck a nerve because it went viral, maybe because it helped patients to realize that doctors are human. We doctors can’t really know how human we are until we become a patient. That happened to me recently. And it wasn’t pretty. You need to know the ...

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shutterstock_209415490 You gotta hand it to our health department. They are laser focused on this one. They want 85 percent of payments made to doctors by the Centers for Medicare & Medicaid Services (CMS) to be linked to clinical quality measures within the next two years. Moreover, I suspect the health department is still giddy from Congress passing a new health care ...

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Fire-Doctor-640x399 Not all relationships work out. My prescription: If a relationship isn’t working, end it. Now. Recently an insurance plan told me they were sending a nurse to my office for a chart review that would take 3 hours. After 24 years of education, state licensure, board certification, and over 50 hours of continuing medical education each year, I’m not trusted to provide Pap ...

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It is with regret that meaningful use legislation has barreled down the path of insanity. As a primary care physician, I don’t see how 700+ pages of rules and proposals mean any bit of relevance to my clinical practice anymore. As the attrition continues regarding eligible providers, it is leading primary care physicians towards the junction point of going off the grid entirely or being enslaved by horrible EHRs forever. I ...

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shutterstock_253709923 As a primary care physician with a special interest in tackling obesity, I spend a large portion of my day pointing out the obstacles between my patients and a healthier lifestyle. In the United States, these stumbling blocks are everywhere and often cloaked in legitimacy by people or groups that hold sway over consumer confidence. Say, for instance, the placement of ...

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