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Health Affairs’ Susan Dentzer On The Prospect Of Healthcare Reform

This week I’m attending the co-located National Medical Home Summit, National Retail Clinic Summit, and Population Health and Disease Management Colloquium here in Philly. (If only they had invited the transitions of care folks, they could have covered every hot-button issue in medical practice.)

The opening lecture, by Health Affairs editor Susan Dentzer, was meant to be an overview of health system change, but not surprisingly, the focus was on one obvious potential source of change–pending health care reform legislation. She saw the major accomplishment of last week’s summit as convincing the “three or four people who might have believed in a bipartisan solution” that it wasn’t going to happen. Read more »

*This blog post was originally published at ACP Internist*

Patient Safety And Diagnostic Radiology Controls

MITA Executive Director Dave Fischer spoke with HealthBlawg last week about industry efforts to control radiation dose in diagnostic radiology modalities such as CT.

A congressional hearing on radiation dose control took place the day after we spoke, and the FDA will be holding a hearing on diagnostic radiology issues in late March.  Earlier last week, timed in part perhaps because of the upcomng congressional committee hearing, MITA kicked off the dose check initiative, a tool for manufacturers and providers to use in better regulating diagnostic imaging radiation dose, which Dave Fischer describes in our interview.  He also referred to the CMS demonstration project on appropriateness of imaging services now underway, authorized by MIPPA.   Read more »

*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*

Trapped in Family Medicine Can this Marriage Be Saved? Act V–The Unhealthy Triangle: Patient, Doctor and Insurance.

Introduction: Here’s a recap of the scenario to date: Mrs. Doctor, a primary care physician is in marriage counseling to determine the fate of her marriage with Mr. Insurance. While she loves her career (medicine), dealing with Mr. Insurance’s increasingly abusive financial and administrative demands are crushing her soul. Yet leaving preferred provider protection guaranteed through the marriage would be devastating too. And Mrs. Doctor doesn’t want to lose her kids (the patients); decades of historical indicators show that 95% of kids (patients) stay with Mr. Insurance and refuse to see Mrs. Doctor ever again.

Last time, the therapist performed a therapeutic technique on Mrs. Doctor akin to psychological judo. When she claimed she was helpless under the power of Mr. Insurance’ ability to pay the bills, the therapist pointed out that Mrs. Doctor has many more powers than he does, including education and training as a doctor, the ability to order labs and meds, and the understanding and trust of each patient. Why, then, would she abandon the kids without a battle? Mr. Insurance wants nothing to do with the kids, and creates hundreds of games to reduce or eliminate his financial obligation to them.

Read more »

How To Make Your Own Sugar-Free Gummy Worms

OK, so this is not a medically brilliant post, but I thought I would share! For a low sugar snack, you can try making your own gummy worms! Thank you to whomever developed this fun treat!

Ingredients

  • 2 packages sugar free Jell-O
  • 2 packages plain gelatin
  • 1 cup boiling water
  • (optional) If you like sour gummies, you can add a packet of Kool-Aid to the ingredients

Directions Read more »

This post, How To Make Your Own Sugar-Free Gummy Worms, was originally published on Healthine.com by Nancy Brown, Ph.D..

Good Health Doesn’t Come From Good Insurance

The CDC has put out an interactive map of heart disease and stroke so you can compare your state or even county with the rest of the country.  It offers data on mortality, hospitalizations and  even penetration of  generalist and subspecialist availability.

What I found interesting was the lack of definitive association between access to generalists or subspecialists and mortality.  While rural areas with a low penetration of physicians generally had a higher mortality than urban centers,  many urban centers with a high penetration of generalists and subspecialist also had a high mortality as well. One could presume that rural America has many factors separate and independent of health care that affects their mortality rate.  The same could be said for urban America. Read more »

*This blog post was originally published at The Happy Hospitalist*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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