If you’re looking for the front door of a hospital and assume it’s under the grand awning, straddled by ornate Corinthian columns and under a brightly lit sign reading “St. Elsewhere,” you’d be wrong. Most hospital administrators might not like to admit it, but the front door is really through the emergency room. By far, […]
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Tag Archives: Physician
EMR and the Falling Patient
January 19, 2011 
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Is Mom at risk of falling? Electronic medical records (EMR) efficiently capture physician’s keystrokes—yes or no—to this question and tuck it along side other data about our so–called medical lives. The physician’s judgment has to take into account many factors: is the patient elderly and ‘frail,’ do they have an orthopedic or neurological problem causing […]
Continue readingThe Neverending Story
January 2, 2011 1 Comment
We’re hearing a lot about the use of electronic medical records (EMR) in medicine. The government is all for it—providing financial incentives for those with EMRs and disincentives for those still relying on paper charts to make their way through the world. Most health professionals, especially new physicians in training, simply can’t imagine a world […]
Continue readingHow the Grinch Stole Medicine
December 22, 2010 0 Comments
When I was young, I often heard my elders say, ‘there ain’t no free lunch.’ It wasn’t until becoming a medical intern and resident that I discovered not only are some lunches free, but also dinners, books, bags, shirts and even trips to wonderful resorts and hotels. That is if you didn’t mind having them […]
Continue readingWhen I’m 64
December 5, 2010 0 Comments
“Will you still see me next year?” Her question threw me, as I thought the visit had gone well. She’s been my patient for the past four years. She originally came to me when her earlier physician decided to join a concierge practice. His new medical practice doesn’t take insurance and patients pay cash if they […]
Continue readingUnintended Consequences
November 21, 2010 1 Comment
Joe is a guy that never really cared about his health. He is overweight, according to any objective standard, and always attributes this to “bigger muscles” (it isn’t). He dutifully comes in once a year, but admittedly only because of his wife’s insistence. She worries about his lack of exercise, his growing abdominal midsection (“muscle”) […]
Continue readingThe Gift*
October 14, 2010 0 Comments
We can still remember that first anatomy class in medical school. Everything up to that point was abstract—on paper, or PowerPoint, or plastic laminate “mnemonic” cards—all intended to plug gaps in our medical knowledge. Professors stood in front and tried to help us connect the dots of Krebs’s cycles, Korotkoff’s sounds, or how to classify […]
Continue readingThe Fix is In
September 22, 2010 0 Comments
“Five minutes a day keeps the doctor away”
Continue readingJumping to Conclusions
September 8, 2010 1 Comment
“When receiving care is not the whole story”
Continue readingDoctor, Doctor Give Me the News
August 29, 2010 1 Comment
“Where power to the patient becomes possible”
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