covertrationingblog.com

drdialogue.com

DrDialogue: October 2012

http://www.drdialogue.com/2012_10_01_archive.html

Monday, October 8, 2012. Have Electronic Health Records Led to Fraudulent Upcoding by Physicians? Over the past several decades medical costs in the United States have escalated rapidly, exceeding the pace of inflation and threatening bankrupt to Medicare. As we heard in last week’s presidential debate, different solutions have been proposed on how to slow Medicare’s growth and reduce cost. I have discussed this in a previous blog: " When is Unneeded Care Criminal? As reported by the New York Times.

drdialogue.com

DrDialogue: July 2012

http://www.drdialogue.com/2012_07_01_archive.html

Thursday, July 12, 2012. Are Annual Physical Exams Necessary. Recently a physician reporter for the New York Times, Elisabeth Rosenthal, argued in the cover article of the Sunday Review that routine physicals are in many ways pointless, and perhaps even dangerous. In the article, entitled “ Let’s Not Get Physicals. After years of criticism by proponents of prevention Medicare recently started to cover an annual exam, which is referred to as a “ Wellness Exam. By health plans requiring that plans provide ...

drdialogue.com

DrDialogue: August 2013

http://www.drdialogue.com/2013_08_01_archive.html

Thursday, August 22, 2013. Should a Doctor Prescribe Drugs that are Unapproved by the FDA? Here’s an interesting clinical dilemma brought to my attention by another physician. Discuss it as an option for women who have trouble with lactation. The questions: Is it legal, ethical or good medical practice for a physician in the United States to write a prescription for domperidone for a patient who has been using it for lactation with good results? How about for gastroparesis? Where does one get the drug?

drdialogue.com

DrDialogue: July 2013

http://www.drdialogue.com/2013_07_01_archive.html

Wednesday, July 3, 2013. What foods are in the Mediterranean Diet? The Mediterranean Diet is fresh on my mind, having recently returned from a trip to Turkey. During my travels I also enjoyed a variety of grilled fresh fish served with lemon, seaweed salad, pomegranate juice, freshly pressed at the side of road, and roasted chestnuts, also sold by street vendors. I was elated to hear that a new study published in the New England Journal of Medicine. In April of this year. I was after I read these results.

medrants.com

db's Medical Rants » Politics

http://www.medrants.com/category/politics

Db's Medical Rants. Internal medicine, American health care, and especially medical education. In these days of political correctness and diversity training, some bigotry remains. Too many Americans have a prejudice against International Medical Graduates. But they one I cannot understand is the open prejudice against the South (and by extension Southerners). The review –. Think of an ethnic group. Can you imagine a description similar to that in the first paragraph? Can you imagine the outrage? Why do w...

medrants.com

db's Medical Rants » Liver tests

http://www.medrants.com/category/liver-tests

Db's Medical Rants. Internal medicine, American health care, and especially medical education. In which I reveal what caused the pancreatitis. Category : Attending Rounds. MRCP suggested cholecystitis. We consulted surgery – laporoscopic cholectystectomy the next day with confirmation of cholecystitis. H/t to David whose first post he spot on. What caused the pancreatitis? Category : Attending Rounds. He had type II diabetes mellitus, hypertension, coronary artery disease (stent), and a known right kidne...

drdialogue.com

DrDialogue: Maintaining Adequate Hydration

http://www.drdialogue.com/2014/06/maintaining-adequate-hydration.html

Sunday, June 15, 2014. Looking around one might think that there is an epidemic of dehydration plaguing Americans, who tote drinks with them to all locales- cars and strollers armed with cups holders, hydration stations every mile of a running race, exercise belts studded with water bottles marketed to the recreational runner. It seems we might all shrivel up and dehydrate without this. We all know that drinking sugary soda is bad for us and has helped lead to the current obesity epidemic. Should consume...

drdialogue.com

DrDialogue: Doctor, Patient, Friend: Blurring the Boundaries

http://www.drdialogue.com/2010/02/doctor-patient-friend-blurring.html

Thursday, February 18, 2010. Doctor, Patient, Friend: Blurring the Boundaries. Clearly the doctor-patient relationship is a highly privileged one, in which private and confidential information is exchanged. The communication that occurs within this context is subject to unique rules, ethical, and legal boundaries, as described by the Health Insurance Portability and Accountability Act ( HIPAA. Online social networking has introduced new aspects to this old question. Dr. Sachin Jain. 1 Have an offline dis...

drdialogue.com

DrDialogue: Should a Doctor Prescribe Drugs that are Unapproved by the FDA ?

http://www.drdialogue.com/2013/08/should-doctor-prescribe-drugs-that-are.html

Thursday, August 22, 2013. Should a Doctor Prescribe Drugs that are Unapproved by the FDA? Here’s an interesting clinical dilemma brought to my attention by another physician. Discuss it as an option for women who have trouble with lactation. The questions: Is it legal, ethical or good medical practice for a physician in the United States to write a prescription for domperidone for a patient who has been using it for lactation with good results? How about for gastroparesis? Where does one get the drug?