Medical myths

Are you spreading these common myths to your patients?

An unwillingness to pay just a little bit is just one reason why health care costs are soaring:

There is a significant subset of the people who do not pay for their medical care who believe it is more cost effective to sit in an emergency department for several hours and to run up a bill of several hundred dollars than it is to drive to the Dollar Store ...

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College and leukemia

How a student tries to fit college life around a tragic diagnosis.

First, a racial disparity in heart attack care. Now in pain management?

Emergency room doctors are prescribing strong narcotics more often to patients who complain of pain, but minorities are less likely to get them than whites, a new study finds.

Even for the severe pain of kidney stones, minorities were prescribed narcotics such as oxycodone and morphine less frequently than whites.
WhiteCoat Rants rips the ...

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The ethics consult

When there are difficult decisions to be made, sometimes an ethics consult can help. This is especially true in end-of-life situations:

Many patients don't know that ethics consults even exist, much less that they are free (the hospital picks up the tab). But ethics consultation services are available in 81 percent of all US hospitals - and all US hospitals with more than 400 beds, according to a ...

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Happy New Year!

I hope everyone had a fantastic holiday season.

Thanks to Josh for keeping the blog warm during my absence. I'll be flying back to New Hampshire later today, and will be spending the next day or two catching up on what's been happening in the medical blogosphere.

Regular blogging will resume shortly, probably by the end of the week. Hang tight.

Keep your eye on this guy...

If you live in NYC, keep your eye on property in or around Union Square, Soho, the West Village, or the Flatiron District. Something revolutionary will begin to take shape. Think the Apple Store, FedEx, Toyota Lean, Eugene Debs, 1984, The Fountainhead, Experience Design, continuous quality improvement, iPhones, video chats on your mobile phone or computer,
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A group of intellectuals concluded that the most effective way to provide medical care to the worlds poor is to...
"If we train village health workers, and make sure they're compensated," he said, "then the resources intended for the world's poorest--from vaccines, to bed nets, to prenatal care, and to care for chronic diseases like AIDS and tuberculosis--would reach the intended beneficiaries."
Thats right,
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Near & Dear To My Heart

At Graham's request, I'll change subjects for a moment to something near and dear to my heart, Down Syndrome. If you're looking for a good cause to support, try buying a book for the young ones in your life.

When Stephen wrote this book he was 11 years old. William was 6 years old and the very best bro anyone could ever have. Stephen and ...

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No one spends your money quite as well as you do...

(hat tip: HCBS)

The Curse of Knowledge

Just how well do we physicians communicate with our patients? Are they understanding nearly as much as we think? Are we cursed with knowledge?

(hat tip: Jay Parkinson MD)

Death By A Thousand Cuts

Is a mass hospital closure crisis looming?
A recent HANYS analysis of hospital financial data found that more than half of the state's hospitals lost money or recorded margins of less than 1% in 2006.
(hat tip: More than Medicine)

Volume. Volume. Volume.

It's no secret why medical students avoid primary care like the plague...

Talk about a pain in the rear (bad pun intended)...

Unstoppable Market Forces

As long as traditional medical practices produce disgruntled, unsatisfied customers, retail clinics will continue to see explosive growth.

Dr. Reece blogs about his predictions for physicians in '08...
6. Physician Empowerment - Doctors are re-awakening to the reality they hold the key to effective, efficient, and safe healthcare. They're asserting themselves through legislative efforts to reduce malpractice costs, state medical societies curtailing health plan abuses, social online networking in sites like Sermo, and health care practices offering prompt same-day access and more efficient and friendly ...

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The snowball grows as more people begin to believe in direct medical practices...

Paying for Arnoldcare

The California Hospital Association is tightening their own noose as they support a 4% hospital tax to pay for Arnoldcare...
CHA leadership has apparently convinced itself that the same bureaucrats who crippled California hospitals by underfunding Medi-Cal are going to change their stripes under Arnoldcare. They actually seem to believe that all of the revenue generated by the tax (and federal matching funds as well) will be set ...

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Universal health care hits a speed bump in San Fransisco...
Judge White ruled that the employer assessment violates the federal ERISA law (Employee Retirement Income Security Act of 1974) which, among other things, prohibits state and local governments from mandating that employers must provide health insurance to their workers. ERISA was the federal law cited by Maryland and New York federal courts ...

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This is a fair question that is commonly asked and, on its face, makes perfect sense: more doctors seeing fewer patients = physician shortage. It is my opinion that the direct medical practices will not only avoid a worsening physician crisis, but drastically increase access to and affordability of health care.
  1. Retention of older physicians who no longer wish to participate in the hamster ...

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