April 1st, 2010 by David Kroll, Ph.D. in Better Health Network, News, Opinion, Research, True Stories
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Have you ever taken an over-the-counter heartburn relief remedy such as Tagamet, Zantac, or Pepcid? How about the beta-blocker atenolol (Tenormin) or metoprolol (Lopressor) for antihypertensive therapy, or the original less-selective beta-blocker propranolol (Inderal) for migraines, presentation anxiety, or stage fright?
If you answered “yes” to either question, you owe a debt of gratitude to Sir James Black, the Scottish physician who left us earlier this week at age 85. The best obituary I have seen memorializing Sir James comes from the UK Telegraph.
Black was called the father of analytical pharmacology and was said to have relieved more human suffering than thousands of doctors could have done in careers spent at the bedside. Certainly, no man on earth earned more for the international pharmaceutical industry. Read more »
*This blog post was originally published at Terra Sigillata*
March 22nd, 2010 by Shadowfax in Better Health Network, Health Policy
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We use a little company called Assurant to administer the employee health insurance plan for our business. We have about 50 employees, not all of whom are on our insurance (some get theirs through a spouse), so we are in a particularly undesirable segment of the small-business market. Ironically, we have had a fair amount of difficulty in getting coverage which was affordable and sustainable. A lot of insurers wouldn’t even bid on us. Funny, right? The doctors can’t get health care insurance! Hysterical! So we wound up with an unusual sort of self-funded plan administered by Assurant, which was working OK.
Recently, however, a couple of our doctors wound up taking family members to the ER for various reasons — nothing serious, but common and reasonable presentations for an ER. And Assurant denied payment for the claims. They didn’t deny it outright, actually, just imposed a $500 “penalty for non-emergent use of the Emergency Room” on top of the usual co-pays and deductibles. Read more »
*This blog post was originally published at Movin' Meat*
March 17th, 2010 by KevinMD in Better Health Network, Health Policy, Opinion
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I’ve often given doctors too little credit when it comes to business decisions.
But, in an op-ed published at Reuters, physician Ford Vox argues otherwise.
He notes that doctors, indeed, have tremendous business sense:
How can anybody say that doctors don’t have business sense, when not only do most American physicians forge their way in small private practices, but new doctors lay their cards on the table every year? The competitiveness of residencies, where doctors train to become a pediatrician or a cardiologist, correlates strongly with the field’s earnings potential. Read more »
*This blog post was originally published at KevinMD.com*
February 26th, 2010 by DrRob in Better Health Network, True Stories
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“He gave me the look,” the patient said to my nurse as he walked out of the exam room.
My nurse laughed and said, “I had a feeling you’d get it today.”
What were they talking about? ”What look? I didn’t know I had a look!” I asked my nurse.
The patient tipped his chin down and looked at me over his glasses. My nurse laughed, pointing at the patient, “That one! Exactly! You give that look to me too!”
I was mystified. I don’t like lecturing people or acting like their parent. Patients do no harm to me when they gain weight, don’t take their medications, or eat a lot of Little Debbies. My job is not to get them to do everything I say, it is to give them enough information and motivation to do it for themself. I am the coach; they are the ones who have to go out on the field and play. I may be disappointed when they mess up, but it’s not my job to patronize them and wag my finger. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
December 30th, 2009 by Bryan Vartabedian, M.D. in Better Health Network, Opinion
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I used to get lots of gifts from patients during the holidays. Not so much anymore.
I’m more patient-centered than ever. And the older I get the more relaxed I get with my patients. I’d like to think
that I’m more likeable. But still fewer gifts than ten or fifteen years ago.
So what gives?
Times have changed.
Doctors nowadays are dispensable. If a patient doesn’t like what they’ve got they can move on. But this is probably a good thing. Read more »
*This blog post was originally published at 33 Charts*
