August 22nd, 2010 by DrWes in Better Health Network, Health Policy, News, Opinion
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With apologies to the Beatles:
“When I get older, losing my hair, many years from now,
Will you see need me, will you still feed me,
When I’m ninety four?”
From the New York Post:
Former NYPD chief cardiologist Dr. Irving Kroop retired in 1986 — when he was 70 — with a $64,364 disability pension awarded because of a bad heart, according to sources and city records.
All the while, he’s maintained a private practice in Brooklyn and moonlighted at NYCERS, the New York City Employees Retirement System, which paid him $14,479 last year to help determine whether other city workers should get disability pensions.
“Hats off to the man — he’s 94 years old but disabled? And still going strong?” said an incredulous Carol Kellerman, head of the Citizens Budget Commission.
Kroop, who gets $155 an hour as a private contractor for city’s civilian pension board, shuffles into examining rooms with a cane and oxygen tank, sources say.
This story presents an interesting dilemma in this era of shrinking retirement income for our seniors who want to continue to work. Should there be an age limit for practicing doctors? How do we assess if a doctor is “disabled” as they age? Should we care? Read more »
*This blog post was originally published at Dr. Wes*
August 17th, 2010 by DrWes in Better Health Network, Health Tips, News
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Sending a child off to college? Call your lawyer first. From the Weekend Wall Street Journal:
After a few clients ran into difficulty getting information about adult children who were ill, Sheila Benninger, an attorney in Chapel Hill, N.C., began recommending that clients’ children designate a health-care power of attorney after they turn 18 to identify who can speak for them if they can’t.
She also includes a Health Insurance Portability and Accountability Act, or HIPAA, release form that allows patients to determine who can receive information about their medical care and whether information about treatment for substance abuse, mental health or sexually transmitted diseases can be disclosed.
You don’t have to use a lawyer. Generic health-care power-of-attorney forms can be found online. If the school has a HIPAA release online, it’s best to use that more-tailored document.
Parents should keep a copy in an email folder, where it can be easily accessed in an emergency. And students should designate a general power of attorney so someone can pay bills or handle other issues if they go abroad.
It’s good advice for those of us shipping one more child back to college this week.
-WesMusings of a cardiologist and cardiac electrophysiologist.
Hat tip: Instapundit
*This blog post was originally published at Dr. Wes*
August 15th, 2010 by DrWes in Better Health Network, Health Policy, Opinion
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“Live the questions now. Perhaps then, without hardly noticing, you will live along some distant day into the answers.” – Rainer Maria Rilke
With the tectonic shifts underway in America’s healthcare delivery model, doctors influence in shaping the forces ahead seems to be dwindling.
It started with the entire healthcare bill drafted by a team of some undisclosed, very influential academics, lawyers and policy wonks adept at social security and tax laws and was morphed by corporate and hospital interests with huge political and financial influence. Before the legislation was even read, the American Medical Association had stamped their seal of approval, worried that “they’d be eaten if they weren’t at the table.” As a result, a significant number, no, I’ll stick my neck out here and say a majority of doctors, had little to do with shaping healthcare in America as we will come to know it.
But I would also bet that most of Americans want doctors with their best interests at heart to be integral participants in shaping our new healthcare system.
So now, as doctors align themselves with a single health system employer so they can beg for a portion of the government’s soon-to-be-implemented “bundled” (bungled?) payment scheme to healthcare systems for episodes of care, how will doctors have any meaningful voice at improving healthcare for our patients and ourselves? Enter social media. Read more »
*This blog post was originally published at Dr. Wes*
August 8th, 2010 by DrWes in Better Health Network, News, True Stories
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This occurred after a liver, heart, lung, and kidney transplant:
Allison John, 32, made medical history in 2006 after she received her fourth organ transplant — a kidney from her father, 61-year-old David John, to add to her previous heart, lung and liver transplants.
A life plagued by illness and frequent hospital visits has not deterred John from her dream of becoming a doctor, however. After 14 years of interrupted study, she finally received her medical degree from Cardiff University last month, according to the U.K. press.
Wow.
-WesMusings of a cardiologist and cardiac electrophysiologist.
*This blog post was originally published at Dr. Wes*
August 2nd, 2010 by DrWes in Better Health Network, Health Policy, Opinion, Research
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Every time an experiment on human subjects in proposed in our hospital (or any hospital in the United States for that matter), there is an exquisitely sensitive tuning fork that exists to protect human subjects: the investigational review board or “IRB.” Any researcher who has ever brought a research proposal before an IRB knows that any hint of potential harm to a human subject that exists in a research project will kill the proposal faster than you can say “boo.”
An IRB submission is required for all research projects using human subjects in accordance with the Federal Policy for the Protection of Human Rights 45 CFR 46, the Food and Drug Administration (FDA) regulations 21 CFR 50, 56 , and with the Federalwide Assurance granted by the H.H.S. Office of Human Research Protections (OHRP). Every doctor, nurse, hospital administrator, drug or device company involved in human research knows this. Read more »
*This blog post was originally published at Dr. Wes*
