November 30th, 2009 by DrWes in Better Health Network, True Stories
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Code Blue Then & Now…
Then:
11:30 pm – Cackling though the overhead intercom system:
“Code Blue, Three East, Room 236”
A thunderous herd of medical students, residents, anesthesiologists, cardiologists, social workers, security personnel descend on the scene. Arriving, the chief resident is in charge at the foot of the bed. IV’s have been started, some young well-muscled individual is bobbing up and down on the unseen’s chest, brow glistening with sweat, but focused. An anesthesiologist, noting the agonal rhythm, works to secure the airway, then a central line. Nurses administer drugs, bring line kits. Airway secured. “EKG? Where’s the EKG?” Electrode replaced. “Story? Who’s got the story?” Ten. Twenty. Thirty. The minutes pass. Finally, silence, as the monitors removed and the group departs. Like sound and fury, signifying nothing.
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*This blog post was originally published at Dr. Wes*
November 28th, 2009 by KerriSparling in Better Health Network, True Stories
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Last week, on Twitter, Elizabeth Arnold posted a link to a photo that made my whole body cringe and I instinctively said, “Oh crap, THAT thing?” (I’m stealing and reposting this photo here, but the original photo credit belongs to Cardinal Health.)
Behold – The Guillotine:
This photo made me shudder because I remember this lancing device clearly. It was the first one I ever used, outside of having my finger pricked by the nurses with the lancet alone, and I remember the shunk sound it made as it came careening towards my fingertip. It wasn’t the standard shunk we know now – this sucker would have to be cocked back like a rifle, and once it clicked loudly into place, you had to hit that button on the back to release the spring-loaded lancet. And it wasn’t just spring-loaded – The Guillotine had an agenda. It would come screaming over the top of the curve and embed itself into your fingertip, and it was all my mother could do to keep my hand pressed against that little plastic circle at the bottom there.
I hated it. It scared the crap out of me, and even though more humane lancing devices were introduced soon after my diagnosis, The Guillotine lived in our house much longer than I’d care to admit. Even the lancets looked like little harpoons. Read more »
*This blog post was originally published at Six Until Me.*
November 25th, 2009 by Happy Hospitalist in Health Policy, Opinion
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How widespread is Medicare fraud? The government is now reporting Medicare fraud rates almost three times higher than previously accounted for, at 47 billion dollars this year. How could Medicare Fraud triple in a year? The answer is simple.
In an effort to be more honest with data collecting, Obama ordered the new accounting into effect. All part of the hope and change we always hear about.
It’s not clear whether Medicare fraud is actually worsening. Much of the increase in the last year is attributed to a change in the Health and Human Services Department’s methodology that imposes stricter documentation requirements and includes more improper payments — part of a data-collection effort being ordered government-wide by President Barack Obama next week to promote “honest budgeting” and accurate statistics.
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*This blog post was originally published at The Happy Hospitalist*
November 24th, 2009 by DrRob in Better Health Network, True Stories
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It’s that part of the job that I’ve never gotten used to. I hope I never do.
I saw a man recently with an unexpected finding on his exam – a “lesion” that should not have been there. I was seeing him for his diabetes and blood pressure, and was doing my “ritual” physical exam, when the “lesion” blared into my vision.
I say “ritual” exam because the exam itself had little to do with his medical problems. It is just my practice to do a cursory exam of the head, neck, chest, and lungs of most everyone who comes to the office. I guess it’s the “laying on of hands” part of the practice of medicine that makes me do this; there is something about the human touch that makes a doctor’s visit different from a visit to the accountant. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
November 23rd, 2009 by DrWes in Better Health Network, Health Policy, News, Opinion
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Should there be a premium added to physician compensation for on-call coverage after hours, or are Medicare rates enough?
This appears to be the central question between two competing hospitals in Longview, Texas where a $300,000 stipend was paid to a cardiology group by one hospital and not the other for cardiology on-call coverage.
Guess which one the doctors are promoting now? Read more »
*This blog post was originally published at Dr. Wes*
