Primary Care and Pain

Here is an article that basically summarizes a recent lecture done in Palm Springs, California about chronic pain.   Usually I blow by these things when I get the journal in the mail but a few things struck me about the piece.   I always find it laughable when pain specialists complain about their referrals.…

PBMs Combining

Express Scripts will pay $29.1 billion for Medco Health Solution and the merged company will handle pharmacy benefits for about 155 million people and hold an estimated 40% of the PBM (pharmacy benefit managers) market.  Oh, man, life is going to get rougher.  These pains-in-the-asses will make it even harder to prescribe a medication that…

The Buffett Medical Rule

  You may have heard that Warren Buffett was recently diagnosed with prostate cancer.   You may have heard that he has elected to get radiation treatment.   I don’t know if Warren has his own insurance or is using Medicare but someone is paying for it.  What is interesting is that the United States…

The Mandate Makes the IRS Stronger

The nonpartisan Congressional Budget Office has warned that the IRS could need up to $10 billion to implement the Patient Protection and Affordable Care Act over  the next decade.  Wow.  The government has already started to divert this money now so that the IRS can verify that everyone has acceptable health care coverage and then penalizing those…

Quote of the Week

“Throw away all ambition beyond that of doing the day’s work well. The travelers on the road to success live in the present, heedless of taking thought for the morrow. Live neither in the past nor in the future, but let each day’s work absorb your entire energies, and satisfy your wildest ambition.” Sir William…

For My Lawyer Friends

It has been announced that more than 20 mobile home manufacturers have agreed to pay $14.8 million to thousands of U.S. hurricane victims who said they were harmed by formaldehyde in the trailers.   Why there would be defect in not one but all twenty manufacturers’ products is beyond me but let’s just say it…

Tattoos and Alcohol

You are not going to believe this but a new study just came out  in the journal Alcoholism: Clinical & Experimental Research  and it found that people with tattoos consume more alcohol than those without tattoos.  This is not a joke.  Someone is funding these things.  No kidding they drink more.  Maybe, just maybe, that is…

Alert Fatigue

There is a new term going around in medicine.  It is called “alert fatigue”.   I had blogged before about nurses having alarm alert fatigue in Boston.  With so many monitors on so many patients the nurses were constantly dashing to see patients for overly sensitive warnings.  This led them to start missing or ignoring some…

The New and Kinder MCAT

Everybody knows that the MCATs is the biggest entrance exam to get into medical school.   What people may not know is that the people behind the test are also trying to ride the trends to fit the times.   In trying to be more politically correct they decided that “nearly half of the new…