Thursday, April 12, 2018

Vol VI No. 698 Part 5a

Avoid these McDonald's practices in health care

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Here are the stories you missed on KevinMD.  Thank you for your continuing readership.
 

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Patient misidentification can lead to medical errors, patient harm, and costly inefficiencies for providers. Get the facts on patient misidentification, and learn how to avoid it from organizations that use biometrics to do so.
 

 
KevinMD Plus: Apr 12, 2018

These McDonald’s practices should be avoided in health care


Few people can argue that health care is a business these days. Medical services are attached a price tag and patients are now customers. However, intrinsic to health care is a very high ethical code that doesn’t exist in other sectors. For example, if a patient shows up in the ER, they cannot be denied […]
 
Physician suicide is also a problem in India. Here’s what you can do.

Today a physician told me she lost three colleagues to suicide in the last two months. Loma Linda Hospital just lost three young doctors to suicide in 6 months. Mount Sinai had 3 docs jump in less than 2 years — from the same building. An anesthesiologist recently told me he lost 8 of his colleagues […]
 
Find your why. It makes all the difference.

On my site, I spend a lot of time talking finances.  And I’ve yet to mention what is by far the best investment that I have ever taken part in.  It has provided my best return on investment and biggest annual interest growth.  It also requires the most work, but this investment is what keeps […]
 
Public vs. private medical school: Which should you choose?

It’s a question that reverberates in the minds of premeds around the country. If you have a choice between multiple medical schools, should you go to the cheapest medical school available, or should you go to the more prestigious, more expensive medical school? MD vs. DO vs. Caribbean I think it is worth the investment […]
 


Physician Speaking by KevinMDFind vetted, handpicked physician speakers that shine on stage. Your audience deserves the best.
 

Is compassion a two-way street?

I am an assistant professor of health communication. Since 2008, as a volunteer, educator and researcher, I have been active in hospice care. As many people know, hospice teams (nurses, social workers, doctors, chaplains, volunteers) help dying patients and their families live as fully as possible during their remaining days together. In November 2016, right […]
 
Want a resilient organization? Address physician burnout now.

Physician burnout rates hover around 50 percent, and the adverse consequences are serious. Burnout is associated with increased medical errors, suboptimal care, turnover and personal costs, including substance use, depression, and suicide. The financial cost to health care organizations is significant: replacing a physician is estimated to cost at least $500,000. Plus, physician turnover results […]
 
Why your physician wellness programs aren’t working

The other day a colleague and I were discussing a topic to be presented at an upcoming conference: “How much wellness is too much wellness?” This got us contemplating. What exactly is “wellness?” Can you ever spend too much time pursuing wellness? Or is “too much wellness” merely a surrogate for a much bigger problem […]
 
I experienced trauma working in Iraq. I see it now among America’s doctors.

I was on my honeymoon in Colombia when I first became aware of the true extent of my post-traumatic stress disorder. My husband and I were walking across a smooth, granite platform to take a closer look at a fountain in downtown Cartagena. As we neared the structure, mist from the fountain’s jets dampened the […]
 
Why cataract surgery is more complicated than it should be

Eye surgery is a delicate business. It involves operating within an orb the size of a large marble to remove a cataract or repair a retinal detachment. Not only is superb eye-hand coordination a must, but also an awareness of the myriad other medical issues in the elderly population most in need of eye surgery. […]
 
First date with a medical student

Her: “So what do you do?” Him: “Well, I’m applying to medical school. If I make it, I’ll spend the vast majority of my time studying for the next four years. You and I will be able to go on cheap dates occasionally, but even then I’ll feel guilty about not studying. I won’t have […]
 
“I had no idea”: the power of patient stories

A guest column by the American College of Physicians, exclusive to KevinMD.com. A number of years ago I had an older patient, John, who had just been diagnosed with acute myelogenous leukemia. In discussing his diagnosis, he asked me if I thought that his exposure to radiation in the past might be responsible for his […]
 
A case for climate activism: but where are the medical students?

Now that the children have shouldered their muskets and taken aim — figuratively speaking, of course — against the gun lobby, maybe we can interest them in another partisan conflict that’s even more sweepingly about their survival: climate change. Not to minimize the horrific consequences of school shootings, but there are many more lives at […]
 
Cutting the red tape with buprenorphine treatment for opioid use disorder

Tuesday morning. Sarah wakes up at 4 a.m., like every other morning, to go to clinic to get a medicine she cannot function without.  But it’s not as easy as that. She has to take her three small children with her because she is a single parent and has no one else to stay at home with them.  She […]
 
Take 2 broccoli and call me in the morning

We live in a pill-popping society.  The first line treatment for many of the medical problems that walk through our doors is a medication.  Have heartburn?  Forget about avoiding the foods that cause your symptoms — just take a pill.  New diagnosis of diabetes?  We give lip service to lifestyle modifications and then start patients […]
 
The follies of health insurance preauthorization

A few weeks ago, I saw a patient some gastro issues. So far, nothing newsworthy here since I am a gastroenterologist. I ordered a CT scan colonography, a special CT scan that is designed to view the colon in detail. It’s the CT scan version of a colonoscopy. Why didn’t I simply perform a colonoscopy, […]
 
The “problem” of dying with too much money

The fear of running out of money in retirement is very real. In fact, it’s the number one fear among older adults – even over declining health. According to the Transamerica Center for Retirement Studies, 43% of adults surveyed said their greatest fear about retirement was outliving their savings and investments. This very fear is what keeps […]
 
 
 


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