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Reducing Hospital Infections: A Stethoscope Strategy

When a patient comes in with an infection related diagnoses, efforts are often undertaken to keep that pathogen from spreading to other patient rooms.  In British hospitals they’ve banned ties and long sleeves.  At Happy’s hospital we place a dedicated stethoscope in the patient’s room which is then shared by all health care workers caring for the patient.  And that stethoscope shall remain forever in that patient’s room.

At Happy’s hospital, the dedicated stethoscopes look like they were made in a Chinese toy factory.  Read more »

*This blog post was originally published at A Happy Hospitalist*

Banning Kids From Hospitals To Reduce Spread Of H1N1 Flu: Where’s The Evidence?

I learned recently that Happy’s hospital was one of a growing number of hospitals nationwide banning children from entry during the pandemic H1N1 flu to protect their patients.  But where is the science that says it works?

Hospitals nationwide are making up their policies as they go along.

The result? Huge variation. The large Stanford University Hospital in California on Monday barred anyone under 16 from visiting, while the small Central Vermont Hospital turned away the under-12 crowd. Other hospitals have settled on 14 or 18.

Read more »

*This blog post was originally published at A Happy Hospitalist*

You Can Save Our Healthcare System

What we need is health reform, not health insurance reform.  If we do nothing about health care inflation, we are all doomed.  Every last one of us.  Taking care of sick people is expensive. The only way to get rid of health care inflation is to stop spending money.  At some point we will either have to

  1. decrease illness
  2. decrease treatment and/or
  3. decrease the cost of treatment

There are no alternatives.  As an American which action plan would you rather see take hold?  Realize that every cost action has a reaction.  You can decrease disease by prevention.  You can decrease treatment by bundling.  And you can decrease the cost of treatment by making it more efficient or simply paying less until access becomes an issue.    I am certain that  keeping the financial stability of America will require all three.  But the only one you as a patient have control over is #1.  As a country, we can prevent 80% of diabetes, heart disease, stroke and cancer by taking care of ourselves with lifestyle modification. Read more »

*This blog post was originally published at A Happy Hospitalist*

Should Halloween Contact Lenses Be Prescription-Only?

That depends on if you can afford to get them.  Costume lenses are all the rage for Halloween by adding an exciting dimension to the costume wearer.   But did you know it’s illegal to market them as over the counter?

Many consumers do not realize that they are FDA- regulated medical devices, and that recent legislation has made it illegal to market them as over-the-counter products. Still, they are commonly available in costume shops, beauty shops, convenience stores, novelty shops, and other places that people shop for Halloween items, as well as over the Internet.

Read more »

*This blog post was originally published at A Happy Hospitalist*

Pharmacists Face Consumer Rage Over Insurance Denials

I was at the pharmacy today picking up some goods.  We indicated to the pharmacy tech our cash paying status.  The nice lady behind the counter explained that the drug company had a discount plan for cash paying customers that do not submit a claim to their insurance company.  We had to promise not to submit the claim and not to sell the medication on the internet for which we obliged.  Then we had a seat and waited.

In the next 30 minutes I had the opportunity to listen to several customers blow up in a fit of rage about why their insurance company wasn’t covering this or that.  Read more »

*This blog post was originally published at A Happy Hospitalist*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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