April 7th, 2010 by DrRob in Better Health Network, Opinion, Primary Care Wednesdays, True Stories
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If there is a central theme to this blog, it is this: Medicine is a human thing.
On the Facebook page of my podcast, I recently asked for readers to tell me some of the “war stories” they have from the doctor’s office. What are some of the bad things doctors do wrong? I quickly followed this with the flip side, asking readers to comment on the best interactions that they’ve had with their doctors.
The response was overwhelming, and equally quick to both rant and rave. They told stories about doctors who didn’t listen, explain, or even talk with them. They told about arrogance and disconnectedness from the people from whom they were seeking help. They also told about doctors who took extra effort to listen and to reach out in communication. They talked about doctors who genuinely seemed to value them as humans. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
April 6th, 2010 by DrRob in Better Health Network, Health Tips, Opinion
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April is “Embarrassing Subject Month” for my podcast. I am covering the following problems:
- Hemorrhoids
- Digestive problems (constipation/diarrhea)
- Urinary incontinence
- “Male problems”
It should be fun, and it will be promoted on iTunes, so it should drum up more subscribers and downloads.
But it begs the question: Why are certain conditions embarrassing to people? Why can people open up to me about so many personal things, yet be embarrassed to discuss hemorrhoids? Why is it easier to talk about your marriage falling apart than your urinary “accidents?” Why is diarrhea more embarrassing than vomiting? Read more »
*This blog post was originally published at Musings of a Distractible Mind*
April 2nd, 2010 by DrRob in Better Health Network, Health Policy, Humor, Opinion
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Name: “21” (% to be cut from Medicare)
Protagonist: Dr. Rob and a cast of thousands of physicians (Kiefer Sutherland wouldn’t work for such small payment.)
Villain: Evil SGR (Sustainable Growth Rate) conspiracy to cut Medicare by 21% across the board.
Victim: The elderly population depending on Medicare for payment of their medical care.
Plot: A follow-up to the popular drama “Lost” where members of congress were stranded in Washington D.C. with the task of reforming healthcare without any contact or communication from doctors and patients. This new drama “21″ tells the tragic tale of an industry under siege and a population facing possible disaster.
Already stretched to the limit by the paltry reimbursement from Medicare for primary care office visits, Dr. Rob and his band of physicians is hit by the evil conspiracy of SGR, a secret society whose goal is to harm the elderly people in the country by driving away all people willing to give them care. The congress, tired out from haggling over the healthcare reform bill, allows evil SGR to exert its power in the name of “fiscal responsibility.” Read more »
*This blog post was originally published at Musings of a Distractible Mind*
March 24th, 2010 by DrRob in Better Health Network, Health Tips, Opinion, Research
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Here’s some advice I have given teenage boys who are going toe-to-toe with their mothers about a health issue:
Don’t go toe-to-toe with your mother; it’s a no-win situation. Either you are right, and you are looked at as a “smarty-pants” or you are wrong, and have given her a huge “I told you so.” If, on the other hand, you keep quiet and listen to what she’s saying, it’s a win-win: either she’s right and you learn something, or she’s wrong, and you have been vindicated.
Fathers often pipe in that this applies to wives as well. Mom’s don’t seem to disagree (for some mysterious reason).
While this may be sound relational advice, it also needs to be heeded by the medical community in its relationship to “complimentary and alternative medicine” or CAM. I am not saying we shouldn’t be angry and frustrated with the CAM purveyors who are harming and even killing people (such as the anti-vaccine movement). I am not saying that we should embrace CAM and put it at anywhere near equal footing with our profession. What I am saying is that in our enthusiasm to win the argument, we can undermine our own credibility. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
March 17th, 2010 by DrRob in Better Health Network, Health Policy, Opinion
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It’s interesting to see how different things are over at The Health Care Blog. First, it’s different to have to write “health care” instead of healthcare. I personally am all for not using up or resources by adding the space between the two words. Ihaveconsideredeliminatingspacesaltogether, but it gets confusing. Iwon’tdothat.
One of the big differences I see is the perspective of the readers and commenters. I write here for a group of people I largely consider friends, cohorts, or at least sympathetic to my cause. After all, people are coming here by their own volition (I assume nobody is getting this blog forced upon them as some sort of punishment, although that may be a bad assumption). But the readers at THCB (as we insiders call it) are much more argumentative and much more likely to be “experts” in the area of healthcare delivery. Certainly the other folks writing there are far more sophisticated than me (not that that’s a hard thing), and are much more well-read in the area of HC reform. The debates in the comments section are quite stimulating, although sometimes you have to wipe a little blood off of your screen. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
