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Don't Call Me a Health Care Provider - I'm a Doctor 25 Aug 2013 | 03:00 pm

One thing doctors like to do is to use fancy language.  Patients, however, want physicians to use simple terms.   Perhaps, using highfalutin language makes physicians feel more scholarly and important...

Does Your Doctor Know Advanced Cardiac Life Support (ACLS)? 18 Aug 2013 | 11:42 pm

Folks must think than all doctors know all things medical.  I know this is true by the questions that I have been asked over the years.  While my expertise spans hemorrhoids to heartburn, I am routine...

The Sunshine Act Exposes Physician Payments: New App Suggested 11 Aug 2013 | 03:00 pm

A few weeks back, a drug rep, aka a pharmaceutical representative, came to the office hawking a new constipation medicine.  These guys are in a tough racket.  They need to sell products that we physic...

A Tale of Divine Healing: Faith and Reason 4 Aug 2013 | 03:00 pm

I’ve posted a piece on this blog on the issue of faith and reason in healing. Indeed, the protagonist of that post is an inspirational figure, a selfless man who exudes grace and humility. I was honor...

Physician No Show Appointments Demoralize Doctors 28 Jul 2013 | 03:00 pm

I’ve had two jobs since I completed a fellowship is gastroenterology over 20 years ago. For the first decade, I was a salaried physician. Afterwards, I promoted myself to private practice. Each model ...

Electronic Medical Records Save Money! (Never Mind) 22 Jul 2013 | 01:56 am

Electronic medical records (EMR) were supposed to rewire the medical grid.  It would increase efficiency, reduce redundancy, improve quality and reduce costs.  On  these measures I offer a grade of 0 ...

A U.S. Marine's Gift to a Doctor 14 Jul 2013 | 09:00 pm

I saw an elderly patient a few months back for a gastrointestinal issue that fortunately led to a benign outcome.  He was a modest man who spoke softly and used few words.  As has been my custom for a...

The Cost of Colonoscopy: A New Payment Model 7 Jul 2013 | 06:15 pm

There is a steady push to change the way that physicians are paid.  No compensation model is ideal.  The fee-for-service (FFS) model has become Public Enemy #1 as it is felt to be responsible for over...

The Cost of Treating Uninsured Care - The Whistleblower Weighs In 1 Jul 2013 | 12:00 am

Last week, I posted on whether physicians should modify their medical advice in response to patients who cannot afford the recommended care.  A hypothetical patient was presented who had no medical in...

The Cost of Treating Uninsured Patients 23 Jun 2013 | 10:30 pm

I treat uninsured patients and insured folks who face high deductibles who are under financial strain because of the sagging economy and other personal pressures.  These folks need care that may be un...

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