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Latest Posts

The New Healthcare Law: So Sad It’s Funny

Thanks to Scott Hensley over at Shots, NPR’s Health Blog, for highlighting this sad but funny video on where we’re going with healthcare. Scary what happens when theory meets reality:

-WesMusings of a cardiologist and cardiac electrophysiologist.

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

Hospital(ist) Food Service, Too?

What is a hospitalist and what kind of care does a hospitalist provide? It’s funny to read what people are writing these days about my professional role in patient care. It now appears hospitalists don’t manage medical issues anymore, but rather go through seven years of medical training to discuss the efficiency of the cafeteria food with their patients.

I read one article where the reader (obviously not a hospitalist) suggests that a hospitalist is a medical doctor who can do all the things normal doctors can, but instead of seeing patients all day, he makes rounds through the hospital, talking to patients to find out what can make their hospital stay better. And what kind of issues does the hospitalist deal with on their rounds? Why, the efficiency of the cafeteria food, of course.

I guess I was sleeping the day I was supposed to learn about the efficiency of hospital food in medical school. Maybe that means, after reviewing the SHM/MGMA 2010 hospitalist salary compensation report, I should request a pay cut because of my failure to provide cafeteria support. Or better yet, maybe I could make it up by asking security if I could provide takedown support on some code assists. Okay, I feel better about my role as a hospitalist.

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

A Family Doctor’s “Footnotes”

Regular readers have heard me rant about the fragmentation of medical care in this country. Each body part not only has its own medical specialist, but in some cases its own allied health profession. Such is the case with the feet.

Doctors of podiatric medicine have to complete a four-year course of study after college, followed by a three-year podiatry residency. At the end of all that, I grant, they are expert in the care and management of complex disorders and conditions of the foot, ankle, and lower leg. I refer to them regularly, especially for stubborn ingrown toenails. (I did indeed learn how to remove offending portions of nail bed, but over the years I’ve gotten away from it.) They fail, though, when they try to extend their reach beyond their grasp, which is the case of the podiatrist above the knees. Read more »

*This blog post was originally published at Musings of a Dinosaur*

A 3-Point Solution To Long Waits At The Doctor’s Office

I have an easy solution to a vexing problem in today’s healthcare crisis. A problem so widespread that it’s worth hundreds of words in the Wall Street Journal: Long wait times at the doctor’s office.

But first, before I give my simple, pragmatic, master-of-the-obvious solution, let me say something truthful: I try. I try really hard — to run on time, that is.

I’ve been there myself — a patient in a gown, in a cold room with only big pharma-sponsored propaganda on the walls to stare at.

At the risk of a sounding like a…blogger, let it be said that practicing quality medicine in the current luxury of technology is much more complicated than it used to be. Such complexity devours our most precious treasure: Time with the patient. Read more »

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

Another ER Animation

In a better setting than the animation of the ER patient faking a seizure (which was inexplicably set in what appeared to be a convenience store), this one at least looks medical. But I’m a little concerned about the red blood infusion just hanging in the background, not connected to anything. I’m pretty sure the Joint Commission wouldn’t approve of that.

*This blog post was originally published at Movin' Meat*

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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