“I recognize that finding time for staff training and making sure the training is effectively practiced are challenges in a busy clinical setting. But taking care of patients means that both goals must be met to ensure safety, quality, and best possible clinical outcomes. As one who speaks and writes …
I will keep my advocacy sword polished and ready [PODCAST]
Anyone can make a mistake — even your health care provider. And sometimes, those mistakes end up in your medical records. That can cause a variety of issues, including misdiagnosis, medication interactions, missed follow-up testing and care, duplicate testing and billing errors. Fortunately, HIPAA gives you the right to request a copy of your medical records from any health care provider who has treated you so that you can review …
Beware of errors in your medical record
It began with a seemingly innocuous text from a friend of the family.
“Hi, Richard. I hope you’re well. I need to speak with you. Can I call you?”
The last time we spoke was at my brother’s long-postponed “celebration of life,” which we were able to hold a year after his passing finally. Our friend attended the wake, so feeling a sense of appreciation for his support during that time, I …
The COVID vaccine is a life raft. I’m not your life raft to get out of it.
It’s well known that coding changes drive provider behavior, and billing behavior drives provider decisions.
For the last 30 years, little has changed in health insurance billing, which is why the standard of care within the payer system has remained, well, standard.
Then the pandemic hit, and suddenly everything was turned on its head. Patient demands increased sharply, office visits became impossible or prohibited across most of the country, and with telemedicine, …
CPT coding changes: 5 proven methods of how to do more with less
“If you want to be happy in a million ways, for the holidays, you can’t beat home, sweet home.” The late Perry Como’s observations reflect a bittersweet truth about an unattainable goal — not just during the holiday season, but each day of the year — for the 1.4 million Americans age 65 and over who reside in long-term care facilities. Older Americans who might prefer to age in place …
Health care guest workers could make “home, sweet home” a reality for America’s seniors
“Confidence and humility are strongly related, but one arises when we focus on self, and the other arises when we focus on others. However, each attribute can become unhealthy when it becomes too extreme, or when we lose the perspective of the other attribute. In the case of confidence, we …
You are what you click: Transform your social media experience [PODCAST]
My respected neurosurgery colleague just ended his career inauspiciously — having had an affair with a resident.
While I don’t know the details, I do know that many a male leader, like my friend, has fallen from his perch due to “zipper malfunction.” Had they stronger zippers, maybe they would have kept their sensitive parts in their proper homes and carried on to fulfill their important jobs.
Disappointed, but not terribly surprised, …
Men in power seem to have a serious zipper malfunction problem
Reflect and earn 1.0 AMA PRA Category 1 CME for this article.
You used to come to us struggling to breathe and begging for our help, and while we stood over you preparing for intubation, we would feel all the feels while looking into eyes that we knew might never open again. We would break down and cry while telling your family that you didn’t make it or …
My grandfather passed in the early hours of December 11 and was buried the next day. It all happened very quickly. The last time I saw him was eight years ago. And that was the final time because I couldn’t make it to his funeral. Hopefully, when I look back at this, I’ll always remember to cherish my time with family, no matter how busy medical school or residency gets.
My …
My grandfather’s death: What I’ve learned about life
“Physicians can find — or start — writing workshops at medical conferences, or just about anywhere else, at any time. These workshops can become part of wellness or burnout-prevention events. To interact with other writers, all you need is a champion―someone to organize a time and space for you …
How writing fiction can free physicians [PODCAST]
Despite a national nursing shortage in the United States, over 80,000 qualified applications were not accepted at U.S. nursing schools in 2020, according to the American Association of Colleges of Nursing.
This was due primarily to a shortage of nursing professors and a limited number of clinical placements where nursing students get practical job training. Additional constraints include a …
The U.S. doesn’t have enough faculty to train the next generation of nurses
I was still a resident in May 2013. My new long-distance girlfriend gave me directions to take the train from the airport to the opposite side of her massive metroplex. As is likely common for a hayseed like me, I got lost finding the correct rail station and instead walked through the city’s large academic medical center by accident. With luggage in tow, I walked past a 900-bed county hospital …
Inequity contributes to burnout among new academic physicians
Doing side gigs is in vogue now. I want to tell you my story. It has to do with how one of the leading telemedicine companies ruined my career. I hope that my story will help many of you navigate this tough economy, especially those who are coming out of residency.
I started working as an independent contractor about ten years ago when it first came to the forefront. I worked …
How telemedicine ruined a physician’s career
“The worst part of the climate crisis is that our kids, my kids, may never get to witness the most beautiful parts of our world because they may, and will, cease to exist without our action and power. As I watch my own kids looking out over the ocean on …
Climate change through the lens of an emergency physician [PODCAST]
A recent headline in my neighborhood newspaper read, “A Dentist Became a Top Opioid Buyer in W. Va. Now a Drug Firm Faces Penalty for Ignoring Red Flags.” The drug firm sent 25,400 hydrocodone pills and 3,600 Xanax to one Huntington, WV area dentist. The DEA raided the dentist’s office and shut it down. The dentist admitted to ordering the pills for personal use.
This summer, also right …
How drug distributors contributed to the opioid crisis
At this point in the COVID vaccination campaign, nearly all American adults who want the vaccine have gotten it, and are gratefully snapping up their boosters. Those who decline vaccination are largely impervious to public service announcements, community pressure, and case counts turbocharged by the Omicron variant.
Public health experts emphasize that primary care doctors and nurses are the key to this last mile of the vaccination effort. …
Emotional epidemiology of disease is as critical as clinical epidemiology
The following article is satire.
“These are the times that try men’s souls. The summer soldier and the sunshine patriot will, in this crisis, shrink from the service of their country; but he that stands by it now, deserves the love and thanks of man and woman.”
– Thomas Paine
Happy holidays as we continue our long walk with COVID. A unique walk where each new step is only half as long as …
Don’t be anti-vax in name only
“In 2010, a landmark study from Princeton was published “proving” that money just doesn’t buy happiness. Study participants were asked to compare their emotional well-being from yesterday to today, and it appeared that making more than $75,000 a year didn’t lead to concurrent increases in well-being. Since then, Americans have been flooded with the …
Don’t pay off your student loans early [PODCAST]
A satirical response to “An open letter to radiologists from a jilted orthopedic surgeon.”
“I feel as though there is a deepening rift between our two specialties.”
You ask why the chasm has widened between our specialties. Well, maybe if you paid attention to me, you’d know. I’m an introverted radiologist, you’re a domineering surgeon, and neither of us specializes in communication. Our marriage – like an arthroplasty – …
A satirical response to an orthopedic surgeon’s letter to radiologists
Third in a series. Please read part 1 and part 2.
We expect that most readers have noticed the differences in health care delivery compared to other industries that we discussed in part 1 and part 2. Those differences relate to board governance, health care leadership, infrastructure, and operations. Readers probably also noticed that these differences …
Why health care delivery is an exceptionally different industry: Why does it matter?
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