June 14th, 2010 by KevinMD in Better Health Network, Health Policy, Health Tips, News, Opinion
No Comments »
Just when I’ve lost hope that mainstream media will stop perpetuating the myth the more medicine equals better care, the Associated Press came up with this excellent piece. The article states, rightly, that “anywhere from one-fifth to nearly one-third of the tests and treatments we get are estimated to be unnecessary,” and that, “it may lead to dangerous side effects.”
Regular readers of this blog should be familiar with those concepts. I wrote recently that patients often reject evidence-based medicine. One reason is that there aren’t enough clinical guidelines available for patients to make an informed decision. Read more »
*This blog post was originally published at KevinMD.com*
June 14th, 2010 by Shadowfax in Health Policy, Opinion
No Comments »
This is something I haven’t seen reported on elsewhere, but according to the ACEP 911 Legislative Network Weekly Update, there was an interesting twist in the Democrats’ proposed SGR fix:
The latest plan increases physician payments by 1.3% for the remainder of this year and by an additional 1% in 2011. In 2012 and 2013, physician services would be separated into two categories, or “buckets.” One bucket would be for E&M services (including emergency department, primary and preventive care) and the other group would include all other services. The E&M bucket would increase at the same rate as the U.S. gross domestic product (GDP) plus 2%, while the other group would receive a payment increase of GDP plus 1%.After 2013, the payment formula would revert back to the current SGR formula, which means physicians would face cuts in the range of 30-35% unless Congress intervenes.
So it’s another temporary fix, kicking the can past the next presidential election. But it’s the first one I have seen that attempts to address the gross disparity in reimbursement for procedural services compared to the cognitive services. It bypasses the RUC and almost every other existing mechanism for determining reimbursement under the MPFS.
I’m not sure what happened with this proposal. I don’t think it was in the version of legislation the House passed, so I think it might be dead. But the situation is so in flux that who really knows? If nothing else, it’s an encouraging sign that policymakers know the problem exists and are willing to throw out possible solutions. This one may be dead, but it’s a good start.
*This blog post was originally published at Movin' Meat*
June 13th, 2010 by Gwenn Schurgin O'Keeffe, M.D. in Audio, Better Health Network, Health Tips, Opinion
No Comments »
When should small kids get online? Is there a magic age? Is there a “best” way to start? What websites should small kids begin their online life with? And, most importantly, is it safe for small kids to be online?
Tune in as Dr. Gwenn talks about helping your youngest kids begin their online safely and smartly with you there as their earliest online guides. Listen to the show on BlogTalkRadio here.
*This blog post was originally published at Dr. Gwenn Is In*
June 13th, 2010 by Berci in Better Health Network, Health Tips
No Comments »
Here’s Buzzy, a reusable pain relief device developed by a pediatrician. It works based on the gate control theory of pain:
Buzzy is a newly developed reusable pain relief device that children can bring to the doctor’s office with them to help dull the pain of shots! As the brainchild of Pediatrician Amy Baxter, Buzzy rapidly reduces pain when pressed onto the skin. Buzzy is especially helpful for children who receive shots often, like those suffering from diabetes. Buzzy can also be used for the small things, like taking splinters out! Not only is Buzzy a kid-favorite, but it’s safe, effective immediately on contact, FDA compliant, and environmentally friendly, too.
*This blog post was originally published at ScienceRoll*
June 12th, 2010 by John Mandrola, M.D. in Better Health Network, Health Tips, Opinion, True Stories
No Comments »
Life sometimes gets in the way of daily posting. Specifically, the treadmill of life sometimes roars too fast.
But as I strolled through the hospital this morning, there was a plain piece of white paper taped to the wall around the nurses station. Although I’m not overly religious (and even highly conflicted about which rituals are the right ones), these words from a pastor/celebrity stopped me for a moment:
Attitude
The longer I live, the more I realize the impact of attitude on life. Attitude, to me, is more important than facts. It is more important than the past, than education, than money, than circumstances, than failures, than success, than what other people think or say or do. It is more important than appearance, giftedness or skill.
It will make or break a company, a church, or a home. The remarkable thing is that we have a choice every day regarding the attitude we will embrace for that day.
We cannot change the past, we cannot change the fact that people will act in a certain way. We cannot change the inevitable. The only thing we can do is plan on the one thing that we have, and that is our attitude.
I am convinced that life is 10 percent what happens to me and 90 percent how I react to it. And so it is with you. We are in charge of our attitudes.
As a cardiologist programmed to “alert” most of the time, words such as these help me. I haven’t seen the studies yet, but I’m guessing that positive attitudes reduce inflammation, which is good for our atria, and our arteries.
JMM
*This blog post was originally published at Dr John M*
