Doug Farrago

Scoping for Dollars

This article in the NY Times is just another example of humans seeing what they want to see.  The title is The $2.7 Trillion Medical Bill: Colonoscopies Explain Why U.S. Leads the World in Health Expenditures and the author rips our system for being so expensive.  Agreed. In many other developed countries, a basic colonoscopy costs just…

And Then There is This…

I feel this is devaluing to me as a doctor.  My four years of medical school and three years of residency, where I did thousands of hours of training, is being confused for this.  Tell my why I should not be upset at this attempt to belittle what I do as well as confuse patients?…

Diary of a Drug Rep

Many of you who read the Authentic Medicine Blog/Gazette followed me from my days doing the Placebo Journal. It was the only medical journal that used to make doctors laugh (on purpose). We lasted ten years and it was awesome. We ripped on everyone. What you see in Gomerblog or ZDoggMD are ripple effects from…

Happy Doctor’s Day

Every year I try to make a point to wish every physician Happy Doctor’s Day! You may think this is a bogus holiday or occasion but it isn’t. While nurses get a week and other groups may get a month, we only get a day. One freaking day! And even then most hospital employers will…

Exposing the AMA Secret Payment Panel

The Washington Post did a nice piece showing how the AMA has helped specialists for so long and how they do it in secret.  By over exaggerating the time to do a procedure, sometimes by as much as 100 percent, it enable certain specialists to be be paid more.  Much more.  This from the article: To…

Losing Altitude by Pat Conrad MD

The popular phrase “behind the power curve” comes from aviation. It typically describes the situation where there is so much drag – parasitic and induced – that the available power for the aircraft cannot arrest the increasing loss of altitude. Nose high, low and slow, with the throttles firewalled and if you are too low…

Doctor Wait Times Soar 30%

Patients are waiting an average of 24 days to schedule an appointment with a doctor in 15 major U.S. cities. That’s ridiculous.  They say this is due to a shortage of physicians but is it really?  If the doctor is spending half of his or her time on bogus metrics, ridiculous EMR work and documentation…