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Can Marcus Welby Make A Comeback? by Dave Chase

The following was originally posted on KevinMD but I think that the information is so important that it needs to be shared again.   I find David’s thoughts very compelling and supportive of us grunts.   The insurance middleman has taken a toll on the family doctor. New practice models plan to change that. Physicians…

Perspective

“The practice of medicine will be very much as you make it – to one a worry, a care, a perpetual annoyance; to another, a daily job and a life of as much happiness and usefulness as can well fall to the lot of man, because it is a life of self-sacrifice and of countless…

It’s the Compliance Issue, Stupid

I found this in a WSJ article.  The article is here but this information should put to bed the argument that doctors be paid depending on how well their patients labs, blood pressure or weight is.  Granted, we can always build better systems to improve complaince but in the end it is a personal choice…

Still Need Tort Reform

The American Medical News did a nice piece on tort reform.  I highly recommend you take a look.  Here are the highlights: The good news: California’s $250,000 noneconomic damages cap  was upheld by an appellate court in September 2011. West Virginia’s cap of the same amount was declared constitutional by the state’s high court in…

A Doctor’s Note

I found this being passed around on Facebook.  Who knows if it is true?  If it is then there is something missing.  I finished it for the author: It was approximately 8.30 a.m. on a busy morning when an elderly gentleman in his eighties arrived to have stitches removed from his thumb. He stated that…

My Doctor by Ted Bacharach MD (retired)

  Once upon a time, as all old stories begin, people used to talk about “my doctor”. Recently one hears this remark far less frequently. Today people are more apt to mention my “primary care” or “the doctor they sent me to” or  the ER doc, and so forth. What happened to my  doctor  and what changed?  The…

The Smoking Thing

When patients take an active role in harming their own health it becomes a very controversial topic.   As physicians, we rarely ever turn away a patient.  We try, as consultants, to guide him or her but we try not to judge.  As we become stewards of the healthcare system, however, we need to understand…

Makes You Wonder

Can you look at this sign I stole from the internet and see it for what it is?  Honestly, without any political judgments, can you take a deep breath and go through each item and just ponder it for a second?   Forget poor versus rich.  Forget entitlements.  Forget liberal versus conservative or Republican versus…

Cholesterol and Older Adults

Higher total cholesterol was associated with a lower risk of noncardiovascular mortality in older adults. This association varied across the late-life span and was stronger in older age groups.  This was from a study in the Journal of American Geriatrics in October of this year.  So should we be treating these patients with statins?  Probably…

A Higher Purpose of Leadership

I was reading a book called Leading At A Higher Level by Ken Blanchard and I was really intrigued about how he redefined what leadership really is.  Here is an excerpt: We believed that anytime you tried to influence the thoughts and actions of others toward goal accomplishment in either your personal or professional life…