Doug Farrago

Why ER Visits Need To Be Appropriate

Here is an example sent in by a reader.   If patients don’t understand or abuse our healthcare system then these types of visits happen.  EMERGENCY DEPARTMENT CLINICAL COURSE AND DECISION MAKING: This is an 18-year-old female who presents to the emergency department with headache. After I have spoke to her for a while, she says…

New Labels

Researchers at Johns Hopkins’s Bloomberg School of Public are recommending that junk food and sodas be packaged with “exercise labels” to let consumers know exactly how much exercise is required to burn off the calorie and fat content within the products.   In a study published in the American Journal of Public Health they found for…

Medical Gag Orders

A New York dentist who required patients to sign a contract NOT to disparage her online has fined a patient thousands of dollars for doing just that.  Now he is suing her.  The patient also wants the contract, which which gags patient reviews, to be deemed unethical, invalid and illegal.   This was all helped out…

Australia Diabetes Project Dropped

A $200 million program in Australia  designed to prevent diabetes was dropped by the federal government.  This was done in spite of this disease costing the country billions of dollars each year.  The article is located here and I just love the way they use the term “scheme”.    The program was one that worked on…

Patient Satisfaction Scores

For the past fifteen years that I have been an employed physician the subject of patient satisfaction scores have been a very sore subject amongst doctors.   No one ever buys into it.  The reasons are probably many.  The biggest objection is having your payments affected it by it.  I understand that.  The companies that…

More Stupid Joint Commission Tricks (sent in by a reader)

I am an anesthesiologist, and JCAHO makes us label our propofol syringes, ‘propofol’. Like there are any other milky white liquids on an anesthesiologist’s cart? We are also supposed to write the date, our initials, and the name of the drug and the concentration of each drug in each syringe. In cardiac anesthesia I have…

Readmissions

Hospital readmissions are a huge problem because many of them can be prevented.   This is why the government and insurance companies are squeezing hospitals and holding their feet to the fire by penalizing them if those readmissions do occur.   Call it a carrot or a stick but the result is the same.  “Readmission…

Tag Lines for Authentic Medicine

One of my oldest and dearest patients congratulated me on my story in the AP.   She is in her late eighties and is really a sweet old lady. We love her at the office.  She didn’t understand what the story was about, however.  “Are you fighting for doctors?”, she asked.   Not exactly.  What…