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How Much Does A Heart Attack Cost?

Money HeartHow much would a heart attack cost you? Quite a bit, according to CBS MoneyWatch.com:

According to an article from the National Business Group on Health, the average total [editor’s note: lifetime] cost of a severe heart attack -– including direct and indirect costs -– is about $1 million. Direct [lifetime] costs include charges for hospitals, doctors and prescription drugs, while indirect costs include lost productivity and time away from work. The average [lifetime] cost of a less-severe heart attack is about $760,000. Amortized over 20 years, that’s $50,000 per year for a severe heart attack and $38,000 per year for a less-severe heart attack.

I’m all for maintaining a healthy lifestyle, but before we get all hot and bothered about performing more testing to “prevent” a heart attack as a means to save healthcare costs going forward, remember the lessons we learned from the Tim Russert fallout. Read more »

*This blog post was originally published at Dr. Wes*

A New Heart And A New Mission

Mr. Ron Murray, a tranplant heart recipient, tells his story:

From the video:

“If the transplant issue ever comes up for anyone listening, that’s almost the first thing they would think, too. If I had time to think about it over that year, I would have realized ‘Oh, my God.’ I would have apprehension all built up about how I would react to…I mean is it going to change my way of thinking? Is it going to alter my own thoughts? None of that holds up, ultimately.

When I realized that there was going to be forever an emotional component, and maybe a spiritual component to this thing that I hadn’t thought about, is when I became –- God, I don’t even know if I can tell you about it –- that I began to grieve for the donor, that brought me to tears several of those nights. Read more »

*This blog post was originally published at Dr. Wes*

Physician-Owned Hospitals: Preventive Medicine Instead?

With the new healthcare reform bill signed into law, the fate of physician-owned hospitals was sealed:

The bill Congress passed in March includes a ban on new physician-owned hospitals and freezes those already in business at their present size. Doctors hold a one-third interest in Avera Heart, which opened in 2001, so the bill President Obama signed would prevent that facility from ever growing.

The law change, in effect, leaves expansion of treatment of cardiovascular disease open for Sanford to dominate locally in coming years — if in fact that field of medicine grows. Avera Heart says such growth is not a given, because people are living healthier and have less need for emergency care. (Argus Leader)

While it’s easy to point to the potential conflict of interest inherent to physician-owned medical facilities, it’s not so easy to demonstrate that non-physician-owned hospitals don’t have similar conflicts with generating profits. After all, continuing to build large $78 million expansions requires hospitals of any kind to achieve a return on their investment in order to continue operations. Read more »

*This blog post was originally published at Dr. Wes*

A New “Message” From Your Doctor’s Answering Service

Proof that cutting costs might affect quality of care — when a new, cheaper answering service at a doctor’s office answers the phone after hours:

“Cardiac electro-psychology. How may I help you?”

Sad, but true. (At least it was worth a chuckle.) 

-WesMusings of a cardiologist and cardiac electrophysiologist.

*This blog post was originally published at Dr. Wes*

When Patient Consent Goes High-Tech

What would you rather know when undergoing a surgical procedure: What are your most likely complications during the proposed surgery based on your own personal characteristics, or all of the potential complications that could arise with your upcoming surgical procedure?

Several major medical centers are betting you’d like to know your tailored personal risks. Read more »

*This blog post was originally published at Dr. Wes*

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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