Sometimes a picture’s worth 1000 words. Poor kid. My sister-in-law snapped this photo today. Not a fun way to enter a new year… I think we’re all feeling a little bit like this, with the economy “messed up” and record unemployment levels. Let’s hope that 2010 brings some relief!
Whenever drugs are involved in a patient’s admission, the outcome is either craziness or comedy. Methamphetamines and cocaine seem to be the popular drugs of choice requiring admission. These people are usually angry and agitated. However, it seems like pot humor always adds a little touch of the unexpected to an otherwise boring admission.
Take for example the 27 year old truck driver who was brought in by his roommate for “acting weird’. What happens when you mix a little marijuana and a little alcohol? You get Happy’s pot humor post of the day. Read more »
*This blog post was originally published at The Happy Hospitalist Blog*
I have yet another example of how third party insurance rules obstruct efficient patient care. I was asked to see a patient with fibromyalgia who was asking about about the drug Lyrica she heard about on television (one example of how direct to consumer marketing increases health care expenses). Lyrica is about the only medication approved by the FDA to treat fibromyalgia. I don’t know if it really works or if it’s just an expensive placebo effect.
Maybe fibromyalgia is all in the head, and that’s why this medication works. I don’t really care. I know it’s FDA approved, which means it has more going for it than most pharmaceuticals used for off label purposes. At least doctors who prescribe Lyrica for fibromyalgia aren’t going to get charged with homicide for prescribing medications for unapproved reasons. Read more »
*This blog post was originally published at The Happy Hospitalist Blog*
We have a new EMR system. I like it because I type well. I’m facile at using a keyboard and touch-screen. Not everyone in my group is so blessed, and we’ve had some difficulties using the voice-transcription software. Nevertheless, my gut tells me that in a month or two more, we’ll be getting along with our new system swimmingly. It’s the sort of thing I have wanted for a while, since I truly hate to dictate; and especially hated dictating the information the nurses had already entered into the computer!
However, I have an issue. Not so much with our EMR, but with all EMRs. I have an issue with the deeply-held delusion that computerization will automatically improve charting and patient care.
Some time ago, the inimitable, world famous blogger Dr. Wes (who can be found at http://drwes.blogspot.com/ ) told me that his facility’s conversion to EMR caused him to spend far more time at the computer than with the patient. And true to his great wisdom and insight, that’s where I find myself. It isn’t the location of the computers. We have portable ‘tough-books’ that can go to the bedside. Read more »
*This blog post was originally published at edwinleap.com*
Last Friday, Chris and I (and BSparl) were at Joslin all day long. ALL DAY. But that’s what’s required with type 1 diabetes and pregnancy, so I wanted to recap these appointment for posterity, and for anyone else who is curious about what it takes to manage this whole party. It’s a long post, but with five different appointments to cover, I want to make sure I don’t miss a beat.
Grab some coffee. I’ll wait. 🙂
Eye Dilation: Read more »
*This blog post was originally published at Six Until Me.*
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