January 29th, 2010 by Edwin Leap, M.D. in Better Health Network, Humor
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Classic presentation of the perfect patient
“What’s the problem? You’re the doctor,
why don’t you tell me!
I’m suffering an awful lot it must
be plain to see;
I’ve got back pain from that car wreck
back in nineteen sixty-five.
If I’d have worn my seat belt
there’s no way I’d be alive!
I’m out of my prescription and I
need help, I’m afraid.
I ain’t worried ‘bout the price, you see
I got my Medicaid. Read more »
*This blog post was originally published at edwinleap.com*
January 18th, 2010 by Edwin Leap, M.D. in Better Health Network, Health Tips, Opinion
1 Comment »
‘Let’s get us some of that REform!’
I must admit I’m a little weary of the entire debate on health-care reform. But something still haunts me. And that something is accountability. Of course, over the almost twenty years that I have borne the title ‘MD,’ I’ve learned a few things about accountability.
I understand that, almost without fail, the buck stops with me. The nursing home director knows the elderly lady wasn’t seriously hurt in that fall, but he sends her to the ER ‘just to check things out.’ That is, just to make sure that if a problem does crop up, someone else is accountable for finding it. Read more »
*This blog post was originally published at edwinleap.com*
January 13th, 2010 by Edwin Leap, M.D. in Better Health Network, Opinion
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This is my column in EM News for the month of January. Sometimes, being a physician means saying no and being disliked. It’s not a popularity contest! It’s about doing the right thing.
Most of us went into medicine because, in addition to being good students, we wanted to help people. How many oceans of ink and forests of paper have been used explaining that point to admissions committees we’ll never know. Suffice it to say, it felt very good when our professors wrote us glowing letters of recommendation. Of course, we were also saying, “I want to feel good about helping people. I want the recognition associated with the act of helping!” Premedical students, medical students, and physicians tend to be those people who desire accolades and who are naturally well-suited to attaining them. Read more »
*This blog post was originally published at edwinleap.com*
January 5th, 2010 by Edwin Leap, M.D. in Better Health Network, Humor, True Stories
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My genius partner, RKM, was lately confronted by a patient seeking pain medication. Due to a very nice system instituted by the state of SC, providers can search for their patients’ prescription histories. Turns out this individual had received multiple narcotic prescriptions from multiple providers all over the state, and had done it using at least three separate addresses.
Ever the resourceful doc, my partner confronted this patient with the following information:
‘Sir, it appears that you have been the victim of identity theft! Fortunately, we were able to discover that someone has used your information to obtain narcotics under false pretense! But rest assured, we have contacted the authorities and we’ll catch the SOB who did this to you!’
He was met, I am told, by wide-eyed, open-mouthed silence.
No prescriptions were dispensed. Though it is entirely possible the patient will be needing a big bottle of Jim Beam for his nerves, and adult diapers for irritable bowel, for the next several weeks.
Bless you, RKM, for the theatrical, perfectly passive-aggressive genius you are!
Edwin
*This blog post was originally published at edwinleap.com*
December 28th, 2009 by Edwin Leap, M.D. in Better Health Network, Health Policy, True Stories
1 Comment »
We have a new EMR system. I like it because I type well. I’m facile at using a keyboard and touch-screen. Not everyone in my group is so blessed, and we’ve had some difficulties using the voice-transcription software. Nevertheless, my gut tells me that in a month or two more, we’ll be getting along with our new system swimmingly. It’s the sort of thing I have wanted for a while, since I truly hate to dictate; and especially hated dictating the information the nurses had already entered into the computer!
However, I have an issue. Not so much with our EMR, but with all EMRs. I have an issue with the deeply-held delusion that computerization will automatically improve charting and patient care.
Some time ago, the inimitable, world famous blogger Dr. Wes (who can be found at http://drwes.blogspot.com/ ) told me that his facility’s conversion to EMR caused him to spend far more time at the computer than with the patient. And true to his great wisdom and insight, that’s where I find myself. It isn’t the location of the computers. We have portable ‘tough-books’ that can go to the bedside. Read more »
*This blog post was originally published at edwinleap.com*
