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Ten Ways to Annoy Your Doctor

Top 10 lists are back!

I forgot about this kind of post, and a reminder by a reader is bringing them back.  They are really a fun and easy kind of post to write, so you may see a fair number of them (read: Rob is getting lazy).  I thought I’d start back with some suggestions for disgruntled patients (or gruntled ones, for that matter) to make their doctor’s day much worse.

1.  Require the doctor to keep things secret from your child or your elderly parent. Insist that they can’t know about their cancer, depression, ADD, or foot fungus.  Call the medication the doctor prescribes “vitamins.”  Alternatively, you can threaten your child by saying that if they don’t behave better, the doctor will give them a shot. Read more »

*This blog post was originally published at Musings of a Distractible Mind*

What’s In Your Genes: Do You Really Want To Know?

IMG_2137 A little over two years ago, I confessed that I was “just a little scared of genetic testing.” I have two young children and almost every day I see traits in them that I’m pretty sure they inherited from me whether via genes or behavior. If you’re a parent, I’m sure you can imagine that there’s a lot of self-blame going on in our house.

So when it comes to genetic testing, I should want to know but I don’t. At least not right this minute. Haven’t I got enough to worry about?

From Middletown Journal’s month-long series on the battle against cancer – Many with cancer gene don’t want to know. Read more »

*This blog post was originally published at Eye on DNA*

Family Receives Medical Bill And Form Letter After Son Dies In ER

Wow. Just wow:

Hospital bill stuns slain student’s parents
By Sam Stanton

“It was just devastating and insulting,” Gerald Hawkins said Monday. “It’s just hard to grasp for words. My wife and I were near collapse.”

On Saturday, 10 days after Scott Hawkins was beaten to death inside his dormitory at California State University, Sacramento, his parents got a letter in the mail.

It contained a bill from the UC Davis Medical Center for $29,186.50 along with a form letter addressed “Dear Patient” that implied they were indigent and stated that the hospital no longer could provide them services.

“UC Davis can no longer provide follow-up care or any other non-emergency care to you,” it read. “Please go to a County clinic for all non-emergency care or to get a referral to another doctor.”

For Gerald and Elizabeth Hawkins, it was just too much to bear.

Read more »

*This blog post was originally published at GruntDoc*

Electronic Medical Records: An Analogy For Meaningful Use

Fricking Brilliant.via Neil Versel

*This blog post was originally published at Movin' Meat*

Does Poverty Help To Explain Medical Practice Variation?

MilwaukeeIs poverty the major factor underlying geographic variation in health care? It assuredly is. There is abundant evidence that poverty is strongly associated with poor health status, greater per capita health care spending, more hospital readmissions and poorer outcomes. It is the single strongest factor in variation in health care and the single greatest contributor to “excess” health care spending. It should be the focus of health care reform but, sadly, many provisions in the current bills will worsen the problem.

Much of this is discussed elsewhere on this blog and in our recent “Report to The President and The Congress.” In this posting, I would simply like to tap into your common sense. We all know that poverty is geographic. There are wealthy neighborhoods and impoverished ones, rich states and poor ones, developed countries and developing ones.  Sometimes poverty is regional, as in Mississippi, but sometimes it’s confined to “poverty ghettos,”  as in the South Bronx. Read more »

*This blog post was originally published at PHYSICIANS and HEALTH CARE REFORM Commentaries and Controversies*

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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