April 7th, 2010 by KevinMD in Better Health Network, Health Policy, Opinion, Primary Care Wednesdays
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Overuse of the emergency department is commonly discussed during the healthcare conversation, especially with the lack of primary care access shunting patients with seemingly routine symptoms to the ER. But is this a myth? That’s what two emergency physicians contend in a piece from Slate.
The emergency department is functioning just fine, they say: “Just 12 percent of ER visits are not urgent. People also tend to think ER visits cost far more than primary care, but even this is disputable. In fact, the marginal cost of treating less acute patients in the ER is lower than paying off-hours primary care doctors, as ERs are already open 24/7 to handle life-threatening emergencies.” Read more »
*This blog post was originally published at KevinMD.com*
April 7th, 2010 by RyanDuBosar in Better Health Network, Health Policy, News, Opinion, Primary Care Wednesdays
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With the prospect of 32 million new patients clamoring for care comes sorting out who will see them all. New medical schools are opening and students say they relish the idea of entering a market that will demand their services. American College of Physicians member Manoj Jain, M.D., offers a more tempered view of how the fallout might affect primary care. (AP, American Medical News, Fort Worth Star-Telegram, Memphis Commercial Appeal)
Even Hawaii has a shortage, especially in primary care, but also cardiology and orthopedic surgery. It’s hard to believe recruiters couldn’t sell Hawaii as a destination. (Honolulu Advertiser)
*This blog post was originally published at ACP Internist*
April 7th, 2010 by DrRob in Better Health Network, Opinion, Primary Care Wednesdays, True Stories
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If there is a central theme to this blog, it is this: Medicine is a human thing.
On the Facebook page of my podcast, I recently asked for readers to tell me some of the “war stories” they have from the doctor’s office. What are some of the bad things doctors do wrong? I quickly followed this with the flip side, asking readers to comment on the best interactions that they’ve had with their doctors.
The response was overwhelming, and equally quick to both rant and rave. They told stories about doctors who didn’t listen, explain, or even talk with them. They told about arrogance and disconnectedness from the people from whom they were seeking help. They also told about doctors who took extra effort to listen and to reach out in communication. They talked about doctors who genuinely seemed to value them as humans. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
April 7th, 2010 by Bryan Vartabedian, M.D. in Better Health Network, Book Reviews, Health Policy, Opinion, Primary Care Wednesdays
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I just finished Seth Godin’s Linchpin. Seth makes the case that in a hypercompetitive world the stakes are higher than ever to make an indispensible contribution to something you care about. The linchpin is the essential element, the piece of a wheel or organization that is absolutely irreplaceable.
Seth references business, but he might as well have been talking about obstetricians or internists. We need more linchpin doctors.
Modern patient care is progressively marginalizing physicians. Care that is increasingly “managed” and dependent upon automated diagnostics is leaving physicians as powerless cogs in a system of mechanical patient care. Patients have become naturally detached as they search for solutions of their own.
Physicians have to be remarkable to remain relevant. Physicians have to offer something not available anywhere else. Physicians need to make a difference and in their own way and serve as real leaders and innovators in their relationships with patients and their communities. Physicians have to be linchpins. Read more »
*This blog post was originally published at 33 Charts*
April 6th, 2010 by Toni Brayer, M.D. in Better Health Network, Opinion, Research
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Tiger Woods, Jessie James, Michael Douglas, and Wilt Chamberlain (remember him?) are just a few of the celebs who admit to being plagued with “sexual addiction.” With rehab centers springing up all over, it would appear this condition is on the rise. But is there really a disorder called “sexual addiction,” or is it just bad behavior that finally gets caught? Is sexual addiction equivalent to alcohol dependency?
Experts who treat sexual addiction say it is a compulsive need to seek out and follow a certain type of sexual behavior. Acting out sexually is something the person does to avoid dealing with something else — a coping mechanism that is out of control. It is not really about sex — it is driven by shame.
OK, stop right there. Is it really an addiction? Does the person experience physical withdrawal symptoms if he isn’t watching porn or bedding new women? I can understand that some may have an unhealthy obsession with sex, but I’m getting sick of the “medicalization” of it all. Read more »
*This blog post was originally published at EverythingHealth*
