March 24th, 2010 by DrWes in Better Health Network, Health Tips, News
No Comments »
Concierge medicine isn’t just for internal medicine or primary care anymore. It seems the concept is starting to take hold in cardiology, too:
Starting April 1, patients at Pacific Heart Institute can choose one of four plans for care. In the first option, they pay no “participation fee.” In the second option, called “Select,” they pay $500 a year for priority appointments, warfarin adjustments, defibrillator and pacemaker follow-up, notification of non-urgent lab, and test results, according to Pacific Heart Institute.
In the third option, called “Premier,” they pay $1,800, for everything in “Select,” plus e-mail communication with their doctor, same-day visits during regular office hours, priority lab testing and scheduling of diagnostics, free attendance at speaker seminars on cardiovascular issues, and a dedicated phone line to reach an institute nurse.
In the fourth option, “Concierge,” they pay $7,500 for everything in “Premier,” plus direct 24-hour access to a cardiologist via pager, e-mail, text message, plus the patient’s PHI cardiologist’s personal cell phone, annual personalized cardiovascular wellness screening, night and weekend access to a PHI cardiologist for hospital or emergency services, (regardless of whether he or she is on call) same-day visits with the cardiologist, evening and weekend office appointments and personal calls from the cardiologist.
-WesMusings of a cardiologist and cardiac electrophysiologist.
*This blog post was originally published at Dr. Wes*
March 22nd, 2010 by DrWes in Better Health Network, Health Policy, Opinion, True Stories
No Comments »
Being at the American College of Cardiology Scientific Sessions in Atlanta, Georgia, USA, I had a unique opportunity to meet with an interventional cardiologist from “across the pond” in England: Sarah Clarke, MD.
Sarah is a Consultant Interventional Cardiologist at Papworth Hospital, Cambridge UK. Her undergraduate years were spent at the University of Cambridge, UK and postgraduate training was undertaken in the region. She attained an MD from the Univeristy of Cambridge. She was awarded a Fellowship in Interventional Cardiology at the Massachusetts General Hospital in Boston, and returned to take up her Consultant post in the UK in 2002. In 2006 Dr Clarke was appointed the Clinical Director of Cardiac Services at Papworth. Papworth Hospital is a 240ish-bed hospital that performs about 2,000 interventional cardiology procedures per year.
We thought it would be interesting to compare and contrast two heart patients — one with insurance and one without insurance — from our two health care systems, to illustrate how these patients obtain health coverage, might be managed, and how things look from the patient’s perspective. Read more »
*This blog post was originally published at Dr. Wes*
March 16th, 2010 by DrWes in Better Health Network, Health Tips
No Comments »
With the explosion of social media, I am amazed at how many cardiologists I encounter who know little to nothing about blogs, Twitter, Facebook, Google Buzz and the like. “I’m too busy.” “Who has time for that stuff?” “I wouldn’t have time for anything else.” “How can I possibly keep up?”
And yet today, as more and more patients reach out to the web to find medical information or, more importantly, their doctor, physician specialists of all types should probably be asking, “Can I afford to not be connected with social media in one way or another?”
Google yourself. Read more »
*This blog post was originally published at Dr. Wes*
March 9th, 2010 by DrWes in Better Health Network, Health Tips, Research
No Comments »
This week, coffee seems to be good for the heart:
“People who are moderate coffee drinkers can be reassured that they are not doing harm because of their coffee drinking,” said Arthur Klatsky, the study’s lead investigator and a cardiologist at Kaiser’s Division of Research.
These “surprising” data are to be presented at the AHA meeting March 5th. (You’ll have to wait until then to get the REAL scoop, it seems.)
But a quick Google search on Dr. Klatsky’s earlier studies using the same questionaire database shows the problems with using questionaire data to make such sweeping conclusions. Take, for instance, these findings from 1973: Read more »
*This blog post was originally published at Dr. Wes*
March 1st, 2010 by DrWes in Better Health Network, Opinion
No Comments »
It’s out there. It makes a cool picture, but I wonder how many medical students realize how unimportant apps like this have become to today’s cardiovascular care. Don’t get me wrong, it’s good to hear the difference between a systolic and diastolic murmur, or for the really talented, a diastolic rumble on physical exam. Recognizing the difference between mild and severe aortic stenosis is also very helpful. After all, the physical exam remains the most cost-effective instrument in medicine. Read more »
*This blog post was originally published at Dr. Wes*
