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Doctors In Cubicles: A Barrier To Patient Care

I present interesting cases to colleagues often because it’s educational and good for patient care and because I like to. But it has been many years since I was mandated to present a case.

It seems that I’m not the only doctor exasperated by a pesky new barrier to patient care: Doctors in cubicles.

An old friend and mentor, Dr. Richard Kovacs, now chair of the American College of Cardiology’s Board of Governors (and IU guy), has written about these same pre-certification barriers. Dr. Kovacs, being a professor and distinguished ACC official, kindly terms these obstructionists “radiology benefit managers” (RBMs). Read more »

*This blog post was originally published at Dr John M*

Healthcare Advice For College-Bound Kids

Sending a child off to college? Call your lawyer first. From the Weekend Wall Street Journal:

After a few clients ran into difficulty getting information about adult children who were ill, Sheila Benninger, an attorney in Chapel Hill, N.C., began recommending that clients’ children designate a health-care power of attorney after they turn 18 to identify who can speak for them if they can’t.

She also includes a Health Insurance Portability and Accountability Act, or HIPAA, release form that allows patients to determine who can receive information about their medical care and whether information about treatment for substance abuse, mental health or sexually transmitted diseases can be disclosed.

You don’t have to use a lawyer. Generic health-care power-of-attorney forms can be found online. If the school has a HIPAA release online, it’s best to use that more-tailored document.

Parents should keep a copy in an email folder, where it can be easily accessed in an emergency. And students should designate a general power of attorney so someone can pay bills or handle other issues if they go abroad.

It’s good advice for those of us shipping one more child back to college this week.

-WesMusings of a cardiologist and cardiac electrophysiologist.

Hat tip: Instapundit

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

What It’s Like To Be In Medical School

Ever wonder what a day in the life of a medical student is like? A father of two, a husband of one, and a medical student and soon-to-be doctor of many describes his daily routine in one day in his life as a second-year medical student.

I heard one of my partners describing a friend of hers recent exit as an intensive care unit nurse and into the life of a medical student. How did the RN describe his experience?

“Man, this is hard.”

Yes, it is. No matter how many years you spend as a nurse, there is no replacement for a medical school education.

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

Water Safety: A Drowning Child Doesn’t Scream

This summer I learned a couple of very important lessons. Drowning kids don’t scream. Mothers have a sixth sense even when it’s not their own child.

On a beautiful warm sunny day in San Diego, my family and our good friends were enjoying a well-deserved vacation. My five-year-old daughter was splashing around with her friends as their father and I observed them from the pool. Though he had to watch three kids, one was already on a swim team and the two younger children had followed their big sister in swim class. He also had some help. His wife was watching the kids from her chair.  The scene was certainly picturesque, serene, and unassuming. Children playing happily in the pool. Adults relaxing and talking. It was a great day to be away from home and work.

Who would realize that nearby a little boy would be in serious trouble? Read more »

*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*

Patients Are Avoiding Healthcare Because Of Costs

One in five Americans didn’t seek medical care for a recent illness or injury, often because of the cost, according to a survey of adults polled by a healthcare consulting firm, and the number of people who saw a doctor fell as well.

Four out of 10 adults said the cost was the main reason not to seek care, a trend that be driven by unemployment and health insurance costs, said a survey by the Deloitte Center for Health Solutions. They surveyed more than 4,000 adults. Also, 79 percent of respondents sought medical attention from a doctor or other health care professional in 2010, down from 85 percent in 2009. Read more »

*This blog post was originally published at ACP Internist*

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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