July 21st, 2010 by Toni Brayer, M.D. in Better Health Network, Health Policy, Opinion, True Stories
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Most doctors have a love/hate (and mainly hate) relationship with health insurance companies. We struggle with their confusing and complex coding rules in an effort to be reimbursed for our care of patients. When patients leave the office, they may think that a bill is sent to their insurance company and payment follows. More often than not it rarely happens that way.
I am staring at an explanation of benefits (EOB) from Blue Shield of California for a patient I saw for a physical exam and Pap test. This patient had recently been hospitalized with a life threatening throat infection and abscess and saw me for needed follow up. I spent about 45 minutes with the patient, reviewing the events leading to hospitalization, coordinating the medications, as well as addressing the routine screening and examination of a middle aged woman with some chronic health problems. Read more »
*This blog post was originally published at ACP Internist*
July 18th, 2010 by Toni Brayer, M.D. in Better Health Network, Humor, Medical Art, Opinion, Quackery Exposed
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I really want to know what the treatment is that this “regular practicing physician” sent to the patient to reduce the surplus flesh. “Eat as much and as often as you please” and “no bandaging nor tightlacing.” Bring it on!
*This blog post was originally published at EverythingHealth*
July 14th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Tips, News, Research
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The medical journal Mayo Clinic Proceedings recently contained some clinical pearls that I wanted to pass on to my men readers who take medication for erectile dysfunction (ED). They reported on a healthy 67-year-old male who took two 25mg doses of Viagra (sildenafil) but still did not get erections. He was frustrated and inquired about other treatments for ED.
The article reported that patients often take Viagra and other phosphodiesterase type 5 inhibitors (Cialis, Levitra) incorrectly. To be effective, Viagra must be taken on an empty stomach at least one hour before intercourse. Research has shown that approximately half of patients who don’t respond to Viagra will have success when they take it properly. The dose can go up to 100mg, but there is no need to increase the medication until the patient learns how to take it.
So there you have it. Take it on an empty stomach at least one hour before sex.
*This blog post was originally published at EverythingHealth*
July 7th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Policy, News, Opinion, True Stories
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I must say I think Dr. Kimberly Henry, cosmetic surgeon, has made a big professional mistake. She has filed a lawsuit to stop online reviewers from badmouthing her on the Internet. She is seeking injunctions against at least 12 reviewers from sites such as Yelp.com and DoctorScorecard.com. Dr. Henry claims libel and defamation, invasion of privacy and interference with prospective economic advantage and is seeking $1million in general damages and $1million in special damages, etc.
Now I don’t know Dr. Henry nor do I know of her plastic surgery technique. I don’t know who the disgruntled patients are or if they are unfairly targeting her. What I do know is that the Internet is here to stay and there’s no place to hide if you don’t provide excellent customer service. Read more »
*This blog post was originally published at EverythingHealth*
July 3rd, 2010 by Toni Brayer, M.D. in Better Health Network, Health Tips
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I like to pass on good tips, and these ways to simplify your life make a lot of sense. The constant stress we feel because life is so complicated isn’t good for our health. Here are six tips to have a simpler lifestyle:
1. De-Clutter Your Home
Look around. If you have piles of paper, too many “things” and nic-nacs laying around, it’s hard to think clearly and function. An open, clear space allows our minds to feel open and more peaceful. Tackle one room at a time. Be ruthless and donate or toss everything that isn’t useful, beautiful, or has special memories.
2. Limit Family Activities
Try to force family members to choose only those activities that are most important. Many of us are over-scheduled and have no time to “just see where the day will take us.” Thirty years ago no stores were open on Sundays and there wasn’t much to do except go on picnics or just hang out with friends and family. It’s okay to “veg out” and may even be good for your family’s health. Read more »
*This blog post was originally published at EverythingHealth*
