May 29th, 2010 by Edwin Leap, M.D. in Announcements, Better Health Network, True Stories
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To those who haven’t heard, an icon of emergency medicine has passed away.
Carol Rivers, M.D. died last week following a cardiac procedure. Carol was an outstanding clinician and educator, and one of the founders of modern emergency medicine as we’re fortunate to know it today.
Carol was perhaps best known for her board preparation guides, which helped many a terrified physician to navigate his or her emergency medicine board exams. I know her expertise helped me when I took my first American Board of Emergency Medicine (ABEM) exam. Read more »
*This blog post was originally published at edwinleap.com*
May 24th, 2010 by Shadowfax in Better Health Network, Health Policy, News, Opinion
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There’s just so much hidden and buried in the Affordable Care Act (ACA) that it’s like trying the find all the goodies in an Easter egg hunt. ACEP News pointed out one hidden goodie, nicely illustrated in this article from Kaiser Health News:
Under the new health law, insurance companies must extend several new protections to patients who receive emergency care. One of the biggest guarantees: Patients who need emergency treatment will have their costs covered at the same rate, regardless of whether they are treated at “in-network” or “out-of-network” hospitals.
The law also bars health plans from requiring prior authorization for emergency services. And it mandates that plans follow the “prudent layperson” rule. For example, if a person goes to the ER with chest pain, but ends up being diagnosed with indigestion, the claim has to be covered because going to the hospital under those circumstances made sense.
The provisions go into effect for every health plan issued after Sept. 23 – six months after the law was enacted — that offers emergency coverage.
This is potentially quite significant. As with so many things, the devil is in the details, and the implementation is not yet actualized. Read more »
*This blog post was originally published at Movin' Meat*
May 12th, 2010 by Edwin Leap, M.D. in Better Health Network, Health Policy, Opinion, True Stories
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There is discontent in the house of medicine. So many physicians struggle. They seem to wade through uncertainty every day — uncertain about diagnoses, about pain, about disposition. We find ourselves uncertain about our jobs, our futures, our finances.
The consultants we call are uncertain about their practices and whether they can remain viable in the coming years as medicine evolves into something we may find unrecognizable.
Some days, as I enter my 17th year of practice, I don’t know if I can bear to walk around our little department for 10 or 20 more years, like some gerbil on an exercise wheel. I am uncertain if I can bear the weight of more entitlements, more confabulated stories, more regulations, and manufactured drama. I wonder if I can endure decades more of circadian assaults on my brain. Read more »
*This blog post was originally published at edwinleap.com*
May 5th, 2010 by JessicaBerthold in Better Health Network, Health Policy, Opinion
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Some interesting points were raised at a recent Society of Hospital Medicine (SHM) session by Winthrop Whitcomb and Nancy Mihevc on patient satisfaction. To improve satisfaction scores:
1. Review the patient’s chart before you go in the room. It makes a big difference if the patient perceives you know what’s going on without having to bury your face in a chart.
2. Patients are often confused about who they are supposed to see after discharge. This, of course, is a safety issue as well as one that affects patient satisfaction.
3. Sit down when you are visiting a patient. Patients are happiest when they perceive you’ve spent enough time with them, and they are more likely to perceive this if you are sitting than standing with your hand on the doorknob. Read more »
*This blog post was originally published at ACP Hospitalist*
April 30th, 2010 by Shadowfax in Better Health Network, Health Tips, Humor, Opinion, True Stories
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A patient was brought in around midnight as a “possible stroke.” She was a 60-something woman who had suddenly become unresponsive.
She and her husband had been making love at the time, and he noticed that she was no longer conscious. Unable to revive her, he had called 911. She looked bad — but it was strange. Read more »
*This blog post was originally published at Movin' Meat*
