October 28th, 2009 by DrRob in Better Health Network, Opinion
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They say that breaking up is hard to do
Now I know, I know that it’s true
Don’t say that this is the end
Instead of breaking up I wish that we were making up again
There are times that relationships need to end. Usually something happens to undermine trust; it’s hard to build trust, but it’s very easy to destroy it.
I had a discussion today with the other physicians in my practice as to when patients should be “discharged” from our practice. I have always found it somewhat ironic that we use the term “discharge” when we are basically telling patients we don’t want them to be our patients anymore. Doctors deal with discharges of various sorts – most of which are not pleasant. Here is a dictionary definition of discharge: the emission of pus, mucus, or other liquid from an orifice or from diseased tissue. True, there are other definitions of discharge that don’t cary that connotation (we discharge patients from the hospital), but if I see an appointment on my schedule with the word discharge as part of the reason for visit, I am not excited. I am praying for a no-show. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
October 23rd, 2009 by DrRob in Better Health Network, Opinion
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It was a legitimate challenge.
When I mentioned to a fellow blogger that I was appearing on NPR, and he raised a very important question: ”Is that really a good thing? I thought that the point of blogging was to pose a challenge to the mainstream media, but it seems like bloggers feel like they have made it when that same media pays attention to them.”
This hits at the core of what I do as a blogger (and a podcaster). Why do I spend so much of my time doing something on that takes a bunch of time and energy, when I already have a very busy life? Why blog? Why podcast? Why do interviews? Why llamas? Why spend a weekend in Las Vegas? OK, the last question has any of a number of answers, and I have no idea about the llamas. But you get my drift: given the busyness of my life, why should I do all of this? Read more »
*This blog post was originally published at Musings of a Distractible Mind*
October 17th, 2009 by DrRob in Announcements, True Stories
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I am sitting now in the medical blogger track at the Blogworld Expo.
As is generally the case, I got here too late to bum around with the med bloggers last night. It happened when I went the the “Putting Patients First” summit in DC as well. I just seem to have that kind of luck.
Anyway, the medical bloggers are forgiving and did not think I was being snooty. They also didn’t mind it when I missed breakfast with them. Why did I miss breakfast? I was being interviewed by Ira Glass from NPR. For some reason, this little ol’ blog got the attention of the producer from This American Life, the show that Ira hosts. They are doing a series on health care costs being out of control, and read the post I did in January about the insanity of medical codes. She felt that I would be a good person to discuss the reality of medical codes in the daily life of a doctor. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
October 14th, 2009 by DrRob in Better Health Network, Opinion
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There’s a big buzz about primary care being a great thing; and there are a lot of people touting it as a lynchpin of financial reform. I believe this is true. But there is a condition that must be met for any of this true. It must be primary care done well.
The idea of good primary care is an assumption that may not be valid for many PCPs. There are many good PCPs out there, and I believe they constitute the majority, but there are also those who have frustrated and discouraged patients. I think this is mostly due to a payment system that has discouraged everything that primary care should be, but as the discussion goes on there needs to be more than just warm bodies labeled as PCPs.
Here is what I see as the essentials for good primary care: Read more »
*This blog post was originally published at Musings of a Distractible Mind*
October 7th, 2009 by DrRob in Better Health Network, Health Policy, Opinion
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Dear Mr. Obama and all of you congress folks:
I know you have been arguing about how to fix our system (and it really does need fixing). I know there is not much you can all agree on. I know it wasn’t all that much fun to face those yelling people at the town hall meetings. The press hasn’t been nice, and the polls aren’t good either. You guys are having a rough go of it.
So I am going to do you a big favor.
What you need right now are some quick wins – some things you can do that will make people happy quickly, and things that can be done without much cost. This is low-hanging fruit that can be picked without a high ladder; it is fruit that will sweeten things and make swallowing the more bitter pills a little easier. Here is what you need to do first:
1. Allow Medicare Patients to Use Drug Discounts
Read more »
*This blog post was originally published at Musings of a Distractible Mind*
