November 8th, 2009 by Edwin Leap, M.D. in Better Health Network, True Stories
Tags: Against Medical Advice, AMA, Emergency Medicine, Labyrinth, On-Call, Physicians, schedule
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The call schedule is hidden somewhere inside!
Dictation:
‘The patient was seen in the emergency department by Dr. Niemans, who is the acting hospitalist on call for Dr. Whitman’s group, who usually admit for the patient’s actual primary care provider, Emily Knight, PA, who works for Dr. Robelo, who no longer takes call, but admits his patients to the hospitalist.
Because the patient has COPD and an acute left-lower-lobe pneumonia, pulmonology was consulted. However, no pulmonologist is available this weekend. Pulmonary is being covered by Dr. Albertson, pulmonologist in the neighboring city. I spoke with Dr. Albertson about this and he told me he wasn’t taking call for our patients, and why did people keep bothering him.
The patient’s cardiologist, Dr. Rease, is being covered by Dr. James. I spoke to Edgar, PA for Dr. James who said that as of 7am, Dr. James was trading call with Dr. Housefield while Dr. James went to his son’s soccer game, but if I had any questions I should call Dr. Housefield’s Nurse Practitioner Michael, who would be rounding for Dr. Housefield, Dr. James and Dr. Josefson, at least until soccer was over or something bad happened. Read more »
*This blog post was originally published at edwinleap.com*
November 7th, 2009 by Toni Brayer, M.D. in Better Health Network, True Stories
Tags: Broken Thumb, Costs, Emergency Medicine, Finance, Healthcare reform, Hospital Bill, Orthopedics, Prices, Radiology
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I took my son to the ER for a broken thumb. It was a minor injury but the thumb is the most important digit on the hand. The ER care was just fine…a quick look, an Xray and a small splint. We didn’t have to wait long and everyone was courteous.
Imagine my surprise to receive the bill from the hospital. Yes, I have insurance. My out of pocket expense was minimal but here is what the insurance company was charged:
- Hospital Misc.- $56.00 (could this be the splint?)
- Diagnostic Xray – $342.00
- Emergency Care- $952.00
- Surgery – $570.00
- Total $1920.00
Take a look…surgery? There was so surgery, no procedure. There was no break in the skin. The doctor component of the visit was about 7 minutes (mainly because I knew the doc and we chatted about politics)
This bill is unreal and is comprised of unreal health care costs. Read more »
*This blog post was originally published at EverythingHealth*
November 7th, 2009 by MotherJonesRN in Better Health Network, True Stories
Tags: Dr. Hasan, Fort Hood, Nursing, Psychiatry, Shooter, Shooting
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My iPhone started ringing just as my nursing colleagues and I were getting ready to report off to the next shift at Undisclosed Government Hospital. The frantic caller was one of our nurses. She cried, “Are you on lockdown? Don’t leave the unit!” I signaled everyone in the room to cut the chatter. Then we heard the patients in the television room gearing up. I’m not going to replay everything that happened last night. I can’t do it. Suffice to say that things got tense at the nurses station when the name of the Fort Hood triggerman was released. We knew him. He was a former psychiatrist at UGH.
People are asking me what it was like to work with Dr. Hasan. They want to know if there were any signs that he was going off the deep end. No, he didn’t come across as a Unabomber in scrubs. He was just one of the guys, and that’s what made him so dangerous. He could make me laugh. I use to banter with him about his bachelorhood. He told me it was too bad that I was already married and then he would ask me if I could line up a nurse who wanted to marry a doctor. We never talked about religion or politics on the unit. He was always polite and respectful. He was an officer and a gentleman. Read more »
November 6th, 2009 by Emergiblog in Better Health Network, Opinion
Tags: Best Practices, Blogging, Emergency Medicine, Fired For Blogging, Nurse Expelled, Nursing
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The story of the nursing student who was expelled for blogging got me thinking.
(If you haven’t heard the story, check out What Can Nursing Students Blog About? at Code Blog, with an update at Kevin, MD)
Just what can you write about on your blog?
Well, you can write on just about any topic.
It’s not a case of what you say, it’s how you say it. Read more »
*This blog post was originally published at Emergiblog*
November 6th, 2009 by Jonathan Foulds, Ph.D. in Better Health Network, Health Tips
Tags: Addiction Medicine, Costs, Intervention, Pulmonology, quit, Quitting Smoking, Research, smoking, smoking cessation
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Every now and again I like to pick one of the classic research studies on smoking cessation in order to highlight some of the key findings. Today I’m going to focus on the part of the Lung Health Study.
The Lung Health Study is certainly one of the best smoking cessation studies ever carried out, partly because of the comprehensive nature of the assessment and follow-up of its 5,887 participants and partly because it was way ahead of its time in delivering a truly “state-of-the-art” intensive smoking cessation intervention which was compared in a randomized manner to the effects of “usual care”. The Lung Health Study (LHS) was a randomized clinical trial of smoking cessation and inhaled bronchodilator therapy in smokers 35 to 60 years of age who did not consider themselves ill but had evidence of mild to moderate airway obstruction. Read more »
This post, Classic Smoking Cessation Study Suggests You Can Save A Life For $2000, was originally published on
Healthine.com by Jonathan Foulds, Ph.D..
