October 1st, 2010 by Michael Sevilla, M.D. in Better Health Network, Health Tips, News
Tags: American Medical News, Cell Phone Elbow, Cell Phone Use, Cellphones While Driving, Doctor Anonymous, Dr. Michael Sevilla, Electronic Handheld Devices, Family Practice, General Medicine, Health Impact of Tech Devices, Internal Medicine, Medicine and Technology, New Personal Technology Ailments, Overuse Injuries, Personal Technology and Health, Primary Care, Prolonged Use, Technitis, Technology-Related Injuries, Tendonitis-Related Injuries, Texting While Driving, Too Much Personal Technology, Using Handheld Devices While Driving, Wii-itis
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It’s not surprising to people that I’m a “techy” type of guy. Reading tech stories about the latest gadgets is a nice occasional escape from work. One of the ways that medicine and tech intersect is in some “overuse injuries” that I’ve seen and talked with people about. When the Nintendo Wii first came out, there were many stories of “Wii-itis” and tendonitis-related injuries.
Last week American Medical News interviewed me for a story posted on their site [on September 27th] called “New Personal Technology Creating New Ailments.” The article opens like this:
When Mike Sevilla, MD, sees young patients at his Salem, Ohio, family practice, he often finds them text messaging or listening to music on portable media players. These tech-savvy patients may not realize it, but they could be on the way to developing health problems related to overuse of personal technology. That’s why Dr. Sevilla uses such exam room encounters as a springboard to talk about the potential health impact of today’s tech devices.
“I talk about listening to loud music and being distracted while driving. … I bring up those examples of people who were hurt or killed because they could not disconnect themselves from their cell phone,” he said. Dr. Sevilla and other physicians across the nation are adding questions about cell phone use and computer habits to the office visit at a time when dependence on electronic devices has reached unprecedented levels.
The article goes on to say that the most common physical problems that are seen include problems with vision, elbow, thumb, and wrist. These are due to prolonged use of computers and mobile devices like cell phones and electronic handheld devices. Read more »
*This blog post was originally published at Doctor Anonymous*
September 30th, 2010 by Happy Hospitalist in Better Health Network, Medblogger Shout Outs, Opinion, True Stories
Tags: Doctor Shortage, General Medicine, Happy Hospitalist, Hospital Medicine Lead Doctor, Recruiting Doctors, Society of Hospital Medicine, Trying To Hire A Hospital Medicine Physician Leader
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How can you find a hospitalist director with enough experience to lead a team of hospitalists? Recruitment can be tough. A reader recently asked for my opinion:
I am searching for a Hospitalist to lead a department in the state of XXX and I’m not finding any leads. On a good day, I can find a new graduate interested in moving to XXX, but I have not been able to find an experienced Hospitalist who has the supervisory experience to lead a department. …and this is an opportunity (full time & permanent) for good pay with an excellent work/life balance. Where would you suggest I look for my Lead Hospitalist?
My first thought is for you to purchase a booth at the Society of Hospital Medicine’s yearly conference and then bombard all the hospitalists with pens and squeezy balls while trying to pocket an email and home address or two. Read more »
*This blog post was originally published at The Happy Hospitalist*
September 30th, 2010 by RamonaBatesMD in Better Health Network, Health Policy, Opinion, True Stories
Tags: Dr. Ramona Bates, Drop Medicare, Fellow Healthcare Providers, General Medicine, Medicare Boycott, Medicare Non-Participation, Medicare Opt-Out, Medicare Reimbursement, Medicare's Provider Enrollment Chain and Ownership System, Opting Out Of Medicare, PECOS, Senator Blanche Lincoln, Suture For A Living
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I opted out of Medicare several years ago. This means I don’t see Medicare patients other than in the emergency room when I’m on unassigned call. I don’t submit bills to Medicare or to those patients. I just let it slide.
Last Wednesday I received the following letter from a large radiology group in my home town:
September 2010
RE: PECOS Enrollment
To our referring physicians and their office managers:
At __________we have begun a project to identify ordering physicians who are not enrolled in Medicare’s Provider Enrollment, Chain and Ownership System (PECOS). Our purpose is to remind physicians of the importance of enrollment to them and to us.
Beginning in January, 2011 those providers filing Medicare claims listing an NPI number on the claim of an unenrolled provider will have their claims denied. This would apply to any claim you send in and to any claim we submit for services provided to your patients because we are required to list your NPI number on our claims. This applies both to patients referred to our private offices and the hospitals where we provide radiology professional interpretations or services.
So, you can see our effort is not purely altruistic. We have a financial interest in reminding you of the importance of PECOS enrollment. In trying to ascertain whether you are enrolled, we are using an online program you can find at www.oandp.com/pecos. Simply enter your NPI number in the entry block and press enter. If you enter a valid NPI number, your name will appear and beside it will be a symbol indicating where Medicare recognizes your PECOS enrollment.
Since Medicare is continually updating the files, we may have accessed the system before your enrollment was completed. We will continue to monitor the situation in hopes you will enroll if you intend to continue seeing Medicare patients. If you have already enrolled or have no plans to enroll, please excuse our intrusion.
Sincerely,
This bothers me. It is not likely that I will be sending them any patients from my office, but that doesn’t mean there won’t be the occasional patient with my name on their chart in the ER. If I need to take a Medicare patient to the operating room from the ER, will the hospital not get paid? Will the anesthesiologist not get paid?
Will my non-participation in Medicare affect my fellow healthcare providers receiving payment? If so, that is just not right. I voiced this concern to Senator Blanche Lincoln shortly after receiving this letter. She agrees with me. Read more »
*This blog post was originally published at Suture for a Living*
September 30th, 2010 by Steve Novella, M.D. in Better Health Network, Health Tips, Opinion, Quackery Exposed, Research
Tags: Anecdotal Evidence, Artificial Sweetener, Aspartame, Caloric Intake, Calorie Consumption, Cancer-Causing Chemicals In Food, Carcinogen, Carcinogenic Potential, Dietetics, Dr. Janet Starr Hull, Dr. Steve Novella, Evidence Based Nutrition, FDA, Fear Mongering, Food Additives, Food and Drug Administration, Food and Nutrition, Food Chemicals, Food Safety, Internet Conspiracy, Internet Urban Legend, Non-Evidence-Based Social Media, Nutrition and Health, Oncology, Pseudoscience, Pseudoscientific Cult, SBM, Science Based Medicine, Science-Based Evidence, Scientifically Implausible Claims, Unverified Speculation, Weight Loss
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If you believe everything you read on the Internet, then is seems that a chemical found in thousands of products is causing an epidemic of severe neurological and systemic diseases, like multiple sclerosis and lupus. The FDA, the companies that make the product, and the “medical industrial complex” all know about the dangers of this chemical, but are hiding the truth from the public in order to protect corporate profits and avoid the pesky paper work that would accompany the truth being revealed.
The only glimmer of hope is a dedicated band of bloggers and anonymous email chain letter authors who aren’t afraid to speak the truth. Armed with the latest anecdotal evidence, unverified speculation, and scientifically implausible claims, they have been tirelessly ranting about the evils of this chemical for years. Undeterred by the countless published studies manufactured by the food cartel that show this chemical is safe, they continue to protect the public by spreading baseless fear and hysteria.
Hopefully, you don’t believe everything you read on the Internet, and you don’t get your science news from email SPAM, where the above scenario is a common theme. While there are many manifestations of this type of urban legend, I am speaking specifically about aspartame — an artificial sweetener used since the early 1980s. The notion that aspartame is unsafe has been circulating almost since it first appeared, and like rumors and misinformation have a tendency to do, fears surrounding aspartame have taken on a life of their own. Read more »
*This blog post was originally published at Science-Based Medicine*
September 30th, 2010 by RyanDuBosar in Better Health Network, Health Policy, News, Opinion
Tags: Accountable Care Organizations, ACP Internist, Bureaucratic Obstacles, Decreasing Reimbursement for Doctors, Doctor-Patient Communication, Dr. Jay Parkinson, Family Practice, Federal Government, Fee-For-Service Reimbursement System, General Medicine, Government Control, Government-run Healthcare, Healthcare Politics, Healthcare reform, Internal Medicine, Medicare, New Practice Models, New Primary Care Models, Patient-Centered Medical Home, Patient-Doctor Relationship, Primary Care, U.S. Healthcare System
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Government healthcare reform efforts are picking up the pace to roll out new reimbursement and practice models for primary care.
Medicare is giving out $10 billion for pilot projects encouraging new models of primary care, including the patient-centered medical home. New Jersey just passed legislation to explore the patient-centered medical home. Now, Massachusetts, the early adopter of mandatory health insurance, is now ambitiously planning how to take on the fee-for-service reimbursement system and moving toward accountable care organizations. Under discussion are the scope of power for state regulators, what rules will apply to accountable care organizations, and how to get rid of the existing fee-for-service system.
Blogger and pediatrician Jay Parkinson, MD, MPH, comments about the “bureaucrats in Washington” that, “they’ve decided for doctors that we’ll get paid for strictly office visits and procedures when, in fact, being a good doctor is much, much more about good communication and solid relationships than the maximum volume of patients you can see in a given day.”
Now, it’s those same bureaucrats who are changing the system, trying to find a model that will accomplish just those goals. (CMS Web site, NJ Today, Boston Globe, KevinMD)

*This blog post was originally published at ACP Internist*