February 10th, 2010 by Happy Hospitalist in Better Health Network, Opinion
Tags: B12, bureaucracy, CMS, medicaid, Preauthorization, Vitamins
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So know I hear that Medicaid preauthorization is required to administer vitamins in an outpatient setting. One of the greatest things about hospitalist medicine is I can give just about any medication I think is clinically justified to my patients in the hospital. I don’t have any doctor, Dr Nurse, or other third party insurance bureaucrat telling me I have to get preauthorization before my patient can receive care. I have at my disposal a 24 hour all you can eat pharmacy. Sometimes they don’t know what I’m ordering, and my Green Goddess doesn’t get filled. But generally speaking, I get what I ask for.
That’s not the way it works in the frustrating outpatient world of clinical medicine. Read more »
*This blog post was originally published at The Happy Hospitalist Blog*
February 9th, 2010 by Paul Auerbach, M.D. in Better Health Network, Health Tips, Research
Tags: Broken Bones, Ibuprofen, Narcotics, Orthopedic Surgery, Pain Management, Pediatrics, Side Effects
1 Comment »
Pain management is a hot topic in medicine in general and certainly in medicine for the outdoors. Injuries in particular, and many illnesses, cause pain, which in turn causes the victim to suffer. To a great extent, pain is subjective, but regardless of whether your pain is a “1” or a “10,” it can be disabling and even dangerous, particularly if it causes you to be distracted in a situation of risk (e.g., climbing, swimming, walking along a ridgeline).
Broken bones usually hurt a great deal. It’s commonly believed that the pain is always of a severity to require the administration of “strong” pain medicine, notably, something containing a narcotic compound. This may not be true. Read more »
This post, Broken Arm? Try Some Ibuprofen, was originally published on
Healthine.com by Paul Auerbach, M.D..
February 9th, 2010 by KerriSparling in Better Health Network, Opinion
Tags: Diabetes, Dr. Oz, Endocrinology, Mehmet Oz, Misinformation, Oprah, Ratings, Type 1 Diabetes, Type 2 Diabetes
2 Comments »
Dear Oprah and Dr. Oz,
Diabetes is very expensive to manage and to treat the complications of, but what comes at an even higher cost is the damage of statements from a doctor, claiming that diabetes is reversible. I was diagnosed as a child, and my type 1 diabetes is not the result of any controllable factors. However, I have many friends who have type 2 diabetes who can make the same claim.
I can’t lie – I had a lot of hope about your episode regarding diabetes. Even though it was billed as “the silent killer” and even though I knew you’d show the darkest side of diabetes-related complications possible to “sensationalize” this disease, I was holding out because I wanted this episode to be accurate. Read more »
*This blog post was originally published at Six Until Me.*
February 9th, 2010 by DrRob in Better Health Network, Health Policy, Opinion
Tags: Congress, Dieting, Healthcare reform, Self-Control, Short-Term Thinking, Weight Loss
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I am mad at congress.
I don’t care if they are Democrats or Republicans, I am sick of healthcare being treated as a political football. How much more of a crisis do we need before we actually start working on a solution? Why does each party have to sit on its side of the aisle shooting spitballs at the other? Each side has its pet issues that are tied to contributors, supporters, and lobbyists. Each side will work to see the other side fail even if the other side is right. Each side seems unable to do anything unless there is political value in it. Power is more important than service, and power is a short-term project. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
February 9th, 2010 by BarbaraFicarraRN in Better Health Network, Health Tips
Tags: 15 minutes, Doctor Visit, Family Medicine, Internal Medicine, Make The Most Of, Nursing, Primary Care, Questions To Ask Your Doctor
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Kevin Pho, MD, primary care physician in Nashua, N.H., blogs at KevinMD.com, member of USA TODAY’S board of contributors and a guest to the Health in 30® Radio Show, writes about the importance of doctors engaging in social media to communicate with patients.
He writes in an op-ed in USA TODAY “Doctors ignore Internet at their own peril” on January 27, 2010:
“Raise your hand if you’ve ever left a physician’s office without fully understanding what the doctor just told you. According to The New England Journal of Medicine, half of patients admit to not understanding what their doctor told them during an office visit.
As a primary care physician, being unable to clearly communicate with patients is frustrating. The typical, 15-minute office visit often is not sufficient for a thorough discussion. A better way to connect with patients is needed.”
Read more »
*This blog post was originally published at Health in 30*
