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Latest Posts

Do EMRs Increase The Risk Of Being Sued?

Doctors are pushed to adopt electronic medical records harder than ever before.

However, costs are often the prohibitive obstacle, and whether the current generation of EMRs improve patient care remains in question.

But what about liability? Surely, more complete, legible medical records would reduce the risk of being sued. Right?

Well, it’s not that cut and dry. Read more »

*This blog post was originally published at KevinMD.com*

Insurance Rules And Overprescribing Expensive Drugs

I have yet another example of how third party insurance rules obstruct efficient patient care. I was asked to see a patient with fibromyalgia who was asking about about the drug Lyrica she heard about on television (one example of how direct to consumer marketing increases health care expenses).  Lyrica is about the only medication approved by the FDA to treat fibromyalgia.  I don’t know if it really works or if it’s just an expensive placebo effect.

Maybe fibromyalgia is all in the head, and that’s why this medication works.  I don’t really care.  I know it’s FDA approved, which means it has more going for it than most pharmaceuticals used for off label purposes.  At least doctors who prescribe Lyrica for fibromyalgia aren’t going to get charged with homicide for prescribing medications for unapproved reasons. Read more »

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

What’s The Most Dangerous Day Of The Year?

With 365 days a year, one would think the law of averages would win this battle.  And you would be wrong. Because there is a deadliest day of the year?  It’s none other than Christmas.  Who would have thought that?  Why would Christmas be the deadliest day of the year.

Researchers examined 53 million natural deaths between 1973 and 2001.  What they found was cardiac and non-cardiac deaths peaked during Christmas and New Year’s (between 4-5% higher than expected).  They also found that the proportion of holiday deaths was increasing with time. Read more »

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

How An iPod Touch Can Make You A Better MD

Originally posted in MedPage Today

by Iltifat Husain

There has been a great deal of commentary profiling medical applications that are useful for healthcare providers. However, there hasn’t been much talk about how mobile medical applications can enhance the doctor-patient experience and in turn help optimize your practice’s overall experience. In future posts, we’ll focus more on applications for medical providers, but this post will discuss applications centered around the physician-patient relationship.

We all know how busy clinic can be and this leads to increased waiting times for patients. Understandably, patients often complain that this is the most frustrating time for them, and no one likes walking in excessively late to an angry patient because you had to deal with another patient’s medical emergency. So how can this downtime be made more bearable and productive at the same time?

Here is where the iPod Touch comes in.   Read more »

*This blog post was originally published at KevinMD.com*

The Hypochondriac Hero

diceIt’s morning, and in the shower he reaches a trembling hand up towards his face and strokes his jugular lymph node chain, searching for any indications that the small lumps palpable within might have gotten larger. He feels the same familiar bumps, rolls them like jelly beans inside a package, and wonders if at least one lymph node is rotting with cancer.

As he dresses for work he follows the sinews of his neck down to his thyroid gland, a bowtie beneath his skin. The right side is larger than the left, and this asymmetry surely indicates a malignancy. He’s read that thyroid cancers are actually quite curable, unless he has one of the rare kinds, which he almost certainly does. Three years to go before death, full of surgeries and chemo, if he’s lucky. Read more »

*This blog post was originally published at The Examining Room of Dr. Charles*

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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