Prior authorizations (PAs) have become increasingly burdensome for providers — they contribute to 92 percent of care delays and an estimated 77 million are submitted manually each year. In fact, the process has become so burdensome that many physicians get fed up with the process end up writing for less-effective prescriptions because they know the preferred drug will require a prior ...

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Despite meticulous time management and delegation as a doctor, there were times when I found cobwebs on the laundry left on the clothesline too long, or a moldy school lunch or squashed banana forgotten at the bottom of a school bag at home. I would ensure all the important school dates were in my diary, but I was often tripped up by the curriculum day when school was suddenly off ...

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As I sat in a frozen yogurt store a couple of years back, I watched as two young men pulled up in an expensive vehicle. They were wearing athletic attire from a private faith-affiliated university in the neighborhood. Both grabbed sample cups and cup-by-cup consumed about ten dollars-worth of yogurt each before jestfully yelling “Gracias” to the Latin store employee and walking out the door without paying for anything. Then ...

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I stuck myself with a hypodermic needle the other day. Intentionally. The first time in over 25 years of doctoring. More surprising, a six-year-old patient told me to do it, so I had to. The boy, who I’ll call Tyler, came to the office with his father and had a large ganglion cyst on the back of his wrist -- bigger than a jellybean. I told Tyler and his father all ...

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Does the flu shot cause the flu? Let me tell you, without a doubt, that the flu shot does not give you the flu. This is perhaps one of the most common misconceptions I hear as a physician. People absolutely swear by it. I’ve even had people tell me that family members got the flu shot and then died suddenly. I’m sympathetic, but how misguided! Before we talk more about the flu ...

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When you or a loved one is sick or injured, health care decisions are fundamentally a matter of trust.  You trust your physician will have the answers you need, because you know that, as a highly-trained medical professional, they’re qualified to make the best recommendation for each and every patient under their care. Physicians receive some of the most rigorous education and training of any profession. They spend the better part ...

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The beverage industry derailed the movement for soda taxes in California by convincing state elected officials to pre-empt local taxing authority in exchange for cancelling a ballot initiative that would have made all new taxes difficult to pass. But taxes are not the only way to reduce sugary beverage consumption in California or the U.S. as a whole. The beverage industry has come up with several ideas on how to ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 56-year-old man is evaluated for painless intermittent bloody urine of 6 weeks' duration. History is significant for granulomatosis with polyangiitis (formerly known as Wegener granulomatosis) diagnosed 10 years ago, which is now in remission; he was treated with prednisone for 3 years and oral cyclophosphamide for 1 year. ...

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The children of survivors are important to the Holocaust story.  The children are the future of the past.  For a time, it seemed that no one would be left to create a future.  That history has been so carefully, lovingly chronicled.  It must be preserved.  If it is preserved and told, the possibility exists that there will be no more war.  That is always the hope of the survivors. This is ...

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September 28, 2018 marks 90 years since Sir Alexander Fleming discovered penicillin as an effective antimicrobial which would soon save millions of lives. He warned soon afterwards that unless we used penicillin judiciously, we would see antibiotic resistance, and he was right. With decades of inappropriate antibiotic prescribing, we have dug ourselves a deep hole of antimicrobial resistance, and inaccurate penicillin allergies is but one shovel used to put us ...

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