October 26th, 2011 by RamonaBatesMD in Health Policy, Opinion
No Comments »
I have now completed three weeks at my new job with the Disability Determination Services office. I sort of knew there were two types of disability payments under SSI: Title II and Title XVI. Now I understand the differences much clearer.
I would urge everyone who can afford it to purchase disability insurance. As the person training me put it, “If you are disabled, you are still ‘costing’ your family in addition to not contributing to the family income.”
The big difference between the two (II and XVI) is that Read more »
*This blog post was originally published at Suture for a Living*
October 17th, 2011 by DrWes in Opinion
No Comments »
There they were, little maroon flags outside three patient exam room doors. You could almost hear the game show host ask the question:
Will it be Door #1, Door #2, or Door #3?”
So I asked the medical assistant, “Who’s next?” and she pointed me to Door #2.
It was a new patient with a familiar problem, one I’ve seen probably a thousand times before. Another day, another case. Bada bing, bada boom. Nothing to it. You would think that all cases, and all people are the same in some ways. Certainly, those managing our health care system of the future would like us to believe it’s so simple: just another case of heart failure (what can go wrong?) or supraventricular tachycardia (love that one, there’s NOTHING hard about that!) or maybe a few PVC’s (Check). Read more »
*This blog post was originally published at Dr. Wes*
October 6th, 2011 by Elaine Schattner, M.D. in Opinion
No Comments »
Monday’s New Yorker has a story, Personal Best, by Atul Gawande. It’s about coaching, and the seemingly novel idea that doctors might engage coaches – individuals with relevant expertise and experience — to help them improve their usual work, i.e. how they practice medicine.
Dr. Gawande is a surgeon, now of eight years according to his article. His specialty is endocrine surgery – when he operates it’s most often on problematic glands like the thyroid, parathyroid or appendix. Results, and complications, are tracked. For a while after he completed his training he got better and better, in comparison to nation stats, by his accounting. And then things leveled off.
The surgeon-writer considered how coaches can help individuals get better at whatever they do, like playing a sport or singing. He writes:
The coaching model is different from the traditional conception of pedagogy, where there’s a presumption that, after a certain point, the student no longer needs instruction. You graduate. You’re done. You can go the rest of the way yourself…
He wonders about how this might apply in medicine: Read more »
*This blog post was originally published at Medical Lessons*
March 1st, 2010 by DrWes in Better Health Network, Opinion
No Comments »
It’s out there. It makes a cool picture, but I wonder how many medical students realize how unimportant apps like this have become to today’s cardiovascular care. Don’t get me wrong, it’s good to hear the difference between a systolic and diastolic murmur, or for the really talented, a diastolic rumble on physical exam. Recognizing the difference between mild and severe aortic stenosis is also very helpful. After all, the physical exam remains the most cost-effective instrument in medicine. Read more »
*This blog post was originally published at Dr. Wes*
