Doug Farrago

Physician Burnout

I truly believe that the public doesn’t understand what physicians do every day.    We never had a reason to educate them before.   All patients ever see is their doctors come into that small room, listen to their stories, hopefully give them some help, and then leave.   Unfortunately, outside of that sterile box…

Drug Reps Now Hospital Reps

I do not hate drug reps.   That being said, I understand that Maine is a whole different animal and maybe the reps are different here.  I have been around long enough to remember the heyday of golf tournaments, expensive dinners, etc.  Heck, I wrote the parody called Diary of a New Pharmaceutical Rep all…

Stupid Questions (sent in by one of our readers)

Ok, I’m used to hearing the preop nurses ask my epidural steroid injection patients if it’s ok to give a blood transfusion if needed. However, the new question I heard yesterday was mind-blowing for its sheer stupidity: “Do you mind if Dr. Greywater has technical assistance during the procedure?” In other words, do they mind…

Activism and Dialogue

Welcome.  Many of you have come to this site because your local paper put out an Associated Press article about me.  I want to thank them and writer David Sharp for his great piece.   I never had thought of myself as an activist before but WTF, let’s do this. I am a family doc…

Half of Schools Fail

Once again there is more evidence that the No Child Left Behind plan is a travesty.   Education secretary, Arne Duncan, calls it “broken”.  Nearly half of the nation’s public schools didn’t reach the standards or “adequate yearly progress” needed to fulfill what the law intended!  Many ideas seemed brilliant at the time and their…

Affordable Care Act Murkier or Better?

The Obama administration said that it now will allow each state to specify the benefits provided by insurers.  In other words, the federal government will not define a single uniform set of “essential health benefits”.    This is summarized quite well in this NYT article but I will give you the high points here.  Both supporters and critics…

Dr. Berwick and Quality

Here is an interview with the former head of the CMS, Dr. Don Berwick.   He  is the guru of quality. He seems like a nice man.  He is a great interviewee and is very intelligent. Much of what he says is right. Unfortunately, some or all of that  is only good in theory. Quality…

The AMA and the ICD-10

Finally, the AMA did something right!  They have adopted a resolution to try and stop of the implementation of ICD-10, which would be used in place of the current ICD-9.  For those that don’t know, doctors bill for services using CPT codes but use the ICD codes to record patient diagnoses.  The idiots in charge…