Doug Farrago

Role Reversal

Creating an effective and efficient healthcare system is not easy.  What is interesting to me is that as we try to “socialize” medicine here, the Brits are trying to “privatize” medicine across the pond.   I know Michael Moore liked to think that the NHS in England is free and no one pays for it…

Quote of the Week

“We have to ask ourselves whether medicine is to remain a humanitarian and respected profession or a new but depersonalized science in the service of prolonging life rather than diminishing human suffering” Elisabeth Kubler-Ross, Swiss-American psychiatrist and author   It seems she was on the money in predicting the latter. Tweet0

You Can’t Pretend Defensive Medicine Doesn’t Exist

A survey of 202 fourth-year medical students and third-year residents at Northwestern University Feinberg School of Medicine in Chicago found that 94% of students and 96% of residents have seen examples of defensive medicine in their clinical training.  Somehow this comes as a surprise to American Medical News reporter but the bottom line is that…

Having Balls

For those not keeping up with the times, there is a major drug shortage crisis especially with some cancer or anesthetic medications.   Here is the best part.  Government rules for storage and safety have forced some pharmacists to throw away these lifesaving meds.   Here is what one wimp, er, pharmacist said: “I’d never want to…

Primum Non Nocere and Patient Satisfaction Surveys

No doctor that I know likes to be graded via “physician satisfaction surveys”.   The reason is that it magnifies the differences between doctors and administrators.  Administrators think we should be run like a fast food restaurant or American Eagle store.  Doctors understand that saying “no” to demands of antibiotics, narcotics, and expensive procedure requests…

GARY CARTER – RIP

I grew up in NY and was a fan of the 1986 Mets team that won it all. When I invented the Knee Saver a few years later it was really tough to get any traction with pro baseball players. Living in Houston at the time (right before medical school) I was able to get in touch…

Access to the Healthcare Dollar by Ted Bacharach MD (retired)

Every encounter with a physician suggests that doctors are not the recipients of any government largess. Monthly changes and increased requirements for documentation have placed the physician in a position where he or she must spend more time filling out forms and documentation, leaving little time for the consideration of the poor patient who is…

Zen and the Art of Health Maintenance

In one of my favorite books, Zen and the Art of Motorcycle Maintenance, Robert Pirsig wrote: “Quality is a characteristic of thought and statement that is recognized by a nonthinking process.  Because definitions are a product of rigid, formal thinking, quality cannot be defined.” If you are a patient or doctor then close your eyes…