September 1st, 2010 by Davis Liu, M.D. in Better Health Network, Health Policy, Opinion
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Everyone understands the need for a robust primary care workforce in making healthcare more affordable and accessible while keeping those in our care healthy. With the aging of America and healthcare reform, even more Americans will need primary care doctors at precisely the same time doctors are leaving the specialty in droves and medical students shun the career choice.
As a practicing primary care doctor, I’ve watched with great interest the solutions for the primary care crisis. And I’ve been utterly disappointed.
Patients so far don’t like the patient-centered medical home (PCMH) as noted in Dr. Pauline Chen’s New York Times column. The changes recommended won’t inspire the next generation of doctors to become internists and family doctors. Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
August 21st, 2010 by Davis Liu, M.D. in Better Health Network, Health Tips, News, Opinion, Research
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I’ll be honest — I’d never heard of Dr. Frank Ryan, a Hollywood plastic surgeon, until his tragic motor vehicle accident recently. Clients included actress Heidi Montag and boxer Oscar De La Hoya.
Although the California Highway Patrol investigation isn’t complete, rumors have suggested that Dr. Ryan may have been text messaging when driving. If this is true and an intelligent, well-trained doctor can fall prey to the allure of technology, then what does it mean for the rest of us?
First, realize that we can’t multitask. You have one brain. You can focus at one task at a time. Though laws allow hands-free cellphone calls, the issue isn’t trying to dial the phone but rather that the mind is engaged in the conversation and not on the road. Yes, we are all increasingly busy, but we can’t multitask. In fact, researchers have found that it takes more time and effort to refocus when we are distracted from one task to the other. Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
August 17th, 2010 by Davis Liu, M.D. in Better Health Network, Health Tips, True Stories
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This summer I learned a couple of very important lessons. Drowning kids don’t scream. Mothers have a sixth sense even when it’s not their own child.
On a beautiful warm sunny day in San Diego, my family and our good friends were enjoying a well-deserved vacation. My five-year-old daughter was splashing around with her friends as their father and I observed them from the pool. Though he had to watch three kids, one was already on a swim team and the two younger children had followed their big sister in swim class. He also had some help. His wife was watching the kids from her chair. The scene was certainly picturesque, serene, and unassuming. Children playing happily in the pool. Adults relaxing and talking. It was a great day to be away from home and work.
Who would realize that nearby a little boy would be in serious trouble? Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
August 11th, 2010 by Davis Liu, M.D. in Better Health Network, Health Tips
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As a practicing primary care doctor, I continue to work incredibly hard on making my bedside manner even better so that patients feel heard. The other reason is because as most doctors learned in medical school 90 percent of getting the right diagnosis comes from taking a good history from a patient.
Unfortunately with shorter doctor office visits and doctors interrupting patients within 23 seconds of starting, you need to know how to get your concerns across. While I don’t believe this is the responsibility of patients, the reality is not everyone has access to doctors with great bedside manner.
How to talk to your doctor is quite easy if you follow three simple steps. Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
August 2nd, 2010 by Davis Liu, M.D. in Better Health Network, Health Policy, News, Opinion, Research
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The Wall Street Journal reported that overall medical use fell as patients had fewer doctor office visits, lab testing, and maintenance medications possibly due to the recession or as a result of consumer-driven healthcare in the way of higher deductibles and copays. This is very worrisome.
Certainly patients should have some financial responsibility for their care, but skimping on care will only result in Americans not becoming healthier, but sicker. Though the article cited some examples of patients saving money by not seeing their allergist for a refill of medication and simply calling for one and getting an athletic physical at a local urgent care clinic for $40 rather than $90 at the doctor’s office, these tiny behavior changes aren’t going to bend the cost curve in medical care. Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*