Wheel-of-Fortune-and-Jeopardy-Moving-to-THQ-2 The last few days have been really busy, but they still felt controlled, almost leisurely and smooth. Patients have been seen on time, my office notes have been completed in real-time, and my superbills have been submitted before each patient reached the check-out station. Things were really humming. The new nurse noticed that I was humming each time I dashed back to ...

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I used to think that there was a communication gulf between doctors and patients.  Somewhere in the hubbub of the harried office visit some secret sauce was missing.  A divide that was so fundamental that both parties often left the room feeling disjointed and uneasy.  Patients wondered if doctors truly heard them.  Physicians wondered if anyone was listening to what they were saying.  The tension ebbed and flowed but never ...

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Like most of my age cohort, I was brought up to believe that the great Satan threatening to undermine the bloated American health care system was our broken-down, antiquated, self-interested model of reimbursement for care provided called "fee-for-service."  Being a professional who, to the best of my ability, tries to maximize the value of the care I provide to my patients, I subscribed wholly to the notion that the cause ...

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Recently, I had the opportunity to sit at the table with some of the nation’s top thought leaders. We convened at the Newseum in Washington, DC, for the Healthcare Leadership Council’s National Dialogue for Healthcare Innovation; it was like a health policy nerd red carpet. Center for Medicare Director Sean Cavanaugh was there. Leapfrog Group CEO Leah Binder was there. America’s favorite bioethicist–oncologist–provocateur Zeke Emanuel was there. The chief executives ...

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Experiment 1. Stop five random people on your way to work and ask them to name the top public advocates of health and wellness that come to mind. Do I dare speculate that more than a few would mention Dr. Oz. Or Jenny McCarthy? Experiment 2. Stop five medical colleagues and ask them to list their top physician writers and journalists. Do I dare speculate that more than a few would only have ...

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March30-copy-640x480 I’m in a room full of doctors at my mom’s 50th medical school reunion when I announce, “It’s almost March 30th!” I pause. “Doesn’t anyone know what March 30th is?” Nobody has a clue. March 30th is National Doctors’ Day! Who knew? I never heard of it -- until a friend told me last week. Veterans know about Veterans Day. Mothers know about ...

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EverythingIsAwesome Recently, I was asked to fill a questionnaire during check-out at a hotel in India. I was very pleased with my stay, so I agreed to provide feedback. It is worth pointing out that if I was only mildly satisfied I would not have agreed. If I was disappointed with my stay, I would have filled the form more enthusiastically. When I ...

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One of the most revolting pleasures in life is to read learned opinions and in-depth analyses of consumers’ behavior written by beautiful people clad in designer clothing, dining at eclectic chic trattorias or enjoying the occasional canapé under crystal candelabra at their favorite charity gala. These wondrous creatures, having pored over a few disjointed numbers selectively allowed to escape from our struggle with health care, are informing us that there ...

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As the Affordable Care Act continues to impact millions of Americans through its second year of implementation, many things have become clear to both patients and health care providers alike: nothing is as it seems. While the ACA has provided health care to millions of previously uninsured Americans, it has also robbed many patients of their doctors and has forced others into higher premium, lower service plans.  Even those with ...

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shutterstock_175876592 It came out of nowhere. One of those life lessons that I didn’t know I needed to learn. Until I did. There I was, at a weekend business retreat, hobnobbing with a group of women executives. Feeling only slightly out of my element. Trying to blend in. There was a break in the meeting. And what happened next made me rethink how ...

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