May 15th, 2010 by DrWes in Better Health Network, Opinion, True Stories
No Comments »

2:30AM: The beeper sounds. “Please call the ER x2222.” Why are they calling me? I’m not on call. A flash then a clap of thunder outside. “Your patient from a few days ago is here in the ER.”
The mind races. You remember the case clearly. No problem at all. What could be going on? You ask 20 questions, you get 20 answers. All of the bases have been covered. “Doin’ better now,” you’re told. “We’ll just admit ’em and you can see ‘em in the morning.” Hesitantly you return to bed, mind racing. Read more »
*This blog post was originally published at Dr. Wes*
April 11th, 2010 by KevinMD in Better Health Network, News, Opinion
No Comments »

A version of this op-ed was published on March 15, 2010 in USA Today:
If you recently saw a doctor, you might subsequently receive a survey in the mail asking whether your physician was friendly, spent enough time with you, or showed the appropriate level of concern for your medical issues.
Read the rest of article here: Op-ed: Patient satisfaction doesn’t mean the best medical care
*This blog post was originally published at KevinMD.com*
April 1st, 2010 by David Kroll, Ph.D. in Better Health Network, News, Opinion, Research, True Stories
1 Comment »

Have you ever taken an over-the-counter heartburn relief remedy such as Tagamet, Zantac, or Pepcid? How about the beta-blocker atenolol (Tenormin) or metoprolol (Lopressor) for antihypertensive therapy, or the original less-selective beta-blocker propranolol (Inderal) for migraines, presentation anxiety, or stage fright?
If you answered “yes” to either question, you owe a debt of gratitude to Sir James Black, the Scottish physician who left us earlier this week at age 85. The best obituary I have seen memorializing Sir James comes from the UK Telegraph.
Black was called the father of analytical pharmacology and was said to have relieved more human suffering than thousands of doctors could have done in careers spent at the bedside. Certainly, no man on earth earned more for the international pharmaceutical industry. Read more »
*This blog post was originally published at Terra Sigillata*
March 22nd, 2010 by Shadowfax in Better Health Network, Health Policy
1 Comment »

We use a little company called Assurant to administer the employee health insurance plan for our business. We have about 50 employees, not all of whom are on our insurance (some get theirs through a spouse), so we are in a particularly undesirable segment of the small-business market. Ironically, we have had a fair amount of difficulty in getting coverage which was affordable and sustainable. A lot of insurers wouldn’t even bid on us. Funny, right? The doctors can’t get health care insurance! Hysterical! So we wound up with an unusual sort of self-funded plan administered by Assurant, which was working OK.
Recently, however, a couple of our doctors wound up taking family members to the ER for various reasons — nothing serious, but common and reasonable presentations for an ER. And Assurant denied payment for the claims. They didn’t deny it outright, actually, just imposed a $500 “penalty for non-emergent use of the Emergency Room” on top of the usual co-pays and deductibles. Read more »
*This blog post was originally published at Movin' Meat*
March 17th, 2010 by KevinMD in Better Health Network, Health Policy, Opinion
No Comments »

I’ve often given doctors too little credit when it comes to business decisions.
But, in an op-ed published at Reuters, physician Ford Vox argues otherwise.
He notes that doctors, indeed, have tremendous business sense:
How can anybody say that doctors don’t have business sense, when not only do most American physicians forge their way in small private practices, but new doctors lay their cards on the table every year? The competitiveness of residencies, where doctors train to become a pediatrician or a cardiologist, correlates strongly with the field’s earnings potential. Read more »
*This blog post was originally published at KevinMD.com*