August 31st, 2011 by Bryan Vartabedian, M.D. in Opinion, True Stories
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Sometime around 1998 in the Texas Medical Center:
DrV: (enters exam room) Hey, How are you? I’m Bryan Vartabedian (extends hand).
Father: (arms crossed, smiling, leaning against wall) Oh I know who you are, Doc. And I know where you went to school, where you’ve lived, if you’ve been sued and a few other things. And I’m fine, by the way.
DrV: Um, Okay. (Shakes hands with father. Looking to child, scruffing his hair). And this must be Caleb.
An odd moment, for sure. When it happened I didn’t know what it was about. After similar encounters I understood. It was about where patients found themselves in the early days of the information revolution. And there was the father who wheeled into the exam room two large boxes of printouts perched on a dolly. Inkjet validation of his role in the decision about his son’s surgery.
These situations illustrate Read more »
*This blog post was originally published at 33 Charts*
August 31st, 2011 by PreparedPatient in Health Policy, Research
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It’s not just about money – Americans Face Barriers to Health Care Beyond Cost. A study released recently in Health Services Research found that while financial concerns prevent 18% of Americans from getting needed health care, more Americans – 21% – delay health care for nonfinancial reasons. These barriers include getting to the doctor, getting a timely appointment and taking time out of other responsibilities. Lead author Jeffrey Kullgren, M.D. adds what he believes is the crux of the issue: “We need to think about how to organize the existing resources we have in ways that are going to improve access to care.”
In Would You Lie to Your Own Doctor?, Connie Midey of The Arizona Republic reports on a common practice that can “compromise [doctors’] ability to diagnose and treat patients effectively.” The reason? Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
August 30th, 2011 by Dinah Miller, M.D. in Humor, Opinion
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If you haven’t seen Anderson Cooper catch a case of the giggles on live TV, you can still watch it on YouTube. I missed the first showing, but saw Mr. Cooper replayed it on his own Ridiculist List. But what’s this doing on Shrink Rap?
I watched the re-run, and I found myself laughing out loud. Only, it wasn’t a good, happy, hearty laugh, it was an embarrassed and uncomfortable laugh, and I realized I’d taken on the feelings of the newsman. If I were a psychiatrist (oops, I am, even in August), I might say that Anderson Cooper Read more »
*This blog post was originally published at Shrink Rap*
August 30th, 2011 by Lucy Hornstein, M.D. in Health Policy, Opinion
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Race is a medically meaningless concept.
Spare me the few tired cliches about prostate cancer, diabetes, and sarcoidosis being more common in blacks than whites, or even the slightly increased risk of ACEI cough in patients of Asian descent. We screen Jews of Ashkenazi descent for Tay Sachs without any racial labeling. All that information is readily accessible under the Family History section of the medical history. It is no more than custom which dictates the standard introductory format including age, race, and gender. It turns out I’ve blogged about this before at some length (pretty good post, actually). What is new is the advent of electronic medical records.
Much hullabaloo has been made about federal stimulus funds allocated to doctors as payments for adopting EMRs; “up to $44,000!” Here’s the problem with that figure, though, including how it breaks down (source here): Read more »
*This blog post was originally published at Musings of a Dinosaur*
August 30th, 2011 by RyanDuBosar in News, Research
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Although nearly 70% of medical specialties saw increases in compensation in 2010, increases were marginal, reports the American Medical Group Association’s 2011 Medical Group Compensation and Financial Survey.
Primary care specialties saw about a 2.6% increase in 2010, while other medical specialties averaged an increase of 2.4% and surgical specialties averaged around 3.8%. Specialties with the largest increases in compensation were allergy (6.38%), emergency medicine (6.37%), and hospitalist-internal medicine (6.29%).
In comparison, in 2009, primary care and surgical specialties saw about a Read more »
*This blog post was originally published at ACP Hospitalist*
