Pain No Longer a Fifth Vital Sign

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The AMA has removed pain as a “fifth vital sign” and it is pissing some people off.  This from some pain website: The AMA’s main “solution” to the opioid problem is to stop asking patients about their pain. In fact, reading their site shows how everyone has their own perspective and how doctors are caught in the…

Revisiting the Super Utilizer

Donald Meade, 52, at his apartment in Fullerton, Calif., on February 13, 2016. Meade, a recipient of the Illumination Foundation’s housing-first program, has battled addiction, cancer and chronic heart problems that fueled recurring visits to the emergency room. (Heidi de Marco/KHN)

You know those people who make up 90% of the patients that go to the ER?  They are called frequent flyers by the staff but are called “super utilizers” for the euphemistically challenged.  Anyway, here is what I recommended to fix this issue three years ago in this blog : Buying a small building or park…

Obamacare Saving Us Money?

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The title of article is US could spend $2.6 trillion less on health than original Obamacare estimates and it sounds like an incredible success story….until you read the details.  So, why is there less money being spent? Spending on Medicaid — the joint federal-state health program for the poor — will be $1.05 trillion lower than…

British Health Takes a Walk? by Pat Conrad MD

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After the big “Brexit” vote last week, I wondered how leaving the European Union would affect British health care. Of course the opinions and prognostications on this have been just as hysterical and hyperventilated as the larger discussion, not to mention confusing as hell. One leading “Leave” advocate worried that remaining in the EU would…

PCMH Congress Looks Awesome

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Save the dates for the ultimate bullsh@tathon.  It is billed as the “Sessions to Help Optimize Your Patient-Centered Medical Home” and it looks ever so powerful: The Role of the PCMH Under MACRA Using Panel Stratification in the Medical Home Inside Tips to Tackling the Finance Barrier Making Good Neighbors: How PCMHs and PCSPs Can…

AMA, ABMS and the MOC

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If you haven’t heard, the AMA came out opposing the whole process of the MOC.  Amazing, right?  Well, let me direct you this site where it described how the AMA attempted to gut the resolution as seen in the image above.  The wussies were trying to win but: Between testimony in Reference Committee C on Sunday,…