First off, this is the first time I have typed an official response to a blog post: "Dear health IT: Please understand our frustrations."  You might think, hey aren’t you a millennial, shouldn’t you be blogging non-stop?  Like doing everything from my taxes to baking with my smartphone?  No, not really; besides residency doesn’t make it very feasible either. Yet, the need to respond to Dr. Leap’s blog post was ...

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Self-Portrait-with-Dr

I recently went to Boston to see the Goya exhibit at the Boston Museum of Fine Arts and was thrilled to see one of my favorite paintings by this artist: Self Portrait with Dr. Arrias. The painting was on loan from the Minneapolis Institute of Arts -- a ...

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You should know that medical documentation has gone awry. But you really just have no idea. If you’ve been to the hospital or to the doctor’s office even once this year, I’m willing to bet that at least a portion of your medical information is now found somewhere within an electronic medical record (EMR). An EMR is really just some mega-computer that stores your health information. Lots of it.  And, I guarantee you that ...

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I'm no stranger to dealing with the medical world and its billing systems. I'm a triple cancer survivor, had knee surgery in 2012 and now have ulcerative colitis. All told, I've had eleven surgeries and fourteen colonoscopies. Paperwork is practically my middle name. But the last twenty-four hours have been ridiculous. In that time, I've had three different encounters with healthcare billing -- each absurd in its own way, and each more ...

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How many times each week do we hear the phrase, "If you're not completely satisfied, we'll refund the purchase price -- no questions asked." This is more often a marketing ploy than a true money-back guarantee.  I have a sense that trying to obtain a promised refund on an item that dissatisfied us is about as easy and carefree as changing an airline ticket reservation or reaching a live human when ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. Some think that it should be repealed and replaced. Others support it but feel that it needs to be improved. A few believe that it’s OK as is. I’m not writing about Obamacare -- I’m describing maintenance of certification (MOC). I will not use up my word count ...

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Of all the radical changes affecting health care that have sent providers reeling, we are about to experience the knockout punch: the effort to change health care reimbursement from a quantity-based to a quality-based system. Of all the changes to health care, I can't think of any other that has been based on more false assumptions. Given the fact that there is always low hanging fruit, supporters of the quality-based ...

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As much as I have given the "ologists" and other members of the dysfunctional U.S. health care system a hard time in previous posts, it’s only fair that I call out bad family medicine as well. I have a great example. I recently saw patient who is relatively new to the area who had seen another family physician in my community. He is 39-year-old male, and his only significant potential health ...

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Since leaving medicine, I’ve been an entrepreneur and an independent artist. They are similar pursuits, and both have taught me about the experience of living in creative rather than reactive mode. How do you know if you’re living in reactive mode? If you define and measure yourself based on external circumstances, and you believe you really are limited by what’s happening outside yourself, you are in reactive mode. Most of our ...

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medpagetodayFrom MedPage Today:

  1. Diabetes Patients on BP Meds at Lower Risk. Lowering blood pressure in patients with type 2 diabetes was associated with decreased mortality risk in a meta-analysis of 40 randomized trials.
  2. ACA: Beyond 'Repeal And Replace'. Repeal and replace" has been the rallying cry for Republicans since the Affordable Care ...

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