Ridiculous Study of the Week: Diabetes Risk

Well, they have gone and done it.  Researchers have discovered that “severe childhood obesity is tied to higher type 2 diabetes risk”.  I know, right?  You’re shocked.  As one author states: “The rising incidence of diabetes in young adults is related to the epidemic of childhood obesity and is largely driven by the increase in…

American Board of Family Medicine

No one thinks that doctors shouldn’t initially sit for a board certification.  We just think the MOC or Maintenance of Certification is a sham and a money grab.  The American Board of Internal Medicine has been getting hit hard by its members to stop this travesty but to my knowledge no one has really pushed…

Not Really An Emergency by Pat Conrad MD

It still surprises me when the lay public expresses shock at how much non-emergent, piddly BS shows up to the ER.  All of us in the ER wish we could make the casual, no-pay non-emergents (usually Medicaid) pony up at least $10 or $20 before demanding to be seen for a runny nose or menstrual…

Quote of the Week: Roy Larner

“F%ck you, I’m Millwall!” From Roy Larner, London attack victim, and what he yelled to the killers who burst into the restaurant shouting “Islam, Islam” and “This is for Allah”.  Instead of running he went at them and fought all three of them.  Larner lived, though he was hospitalized for 8 stab wounds.   Millwall is a local…

Quality Metrics and Hb A1C

This NY Times articles clearly points out, without knowing it, the problem with grading doctors on bogus metrics.  I have been pounding my chest about this issue on this blog for years.  It is unethical to pay a doctor on the lab test results of his or her patients. The article in questions describes the…

Lower the Hurdles and You Get….

We have pointed out the ridiculous ways to become an NP and DNP.   We have pointed out the monstrous differences in training between a doctor and NP or DNP.  We have even pointed out how our governing bodies are too afraid to resist this overreach. (make sure you sign up for our weekly newsletter for…

Docs Gone Wild #4 by Pat Conrad MD

Pamela Williamson, a “62-year-old Van Buren County woman died after more than two gallons of liquid was removed from her body, according to the suit.” And that is how you know it’s going to be fun.  Before you get offended at me laughing at a patient’s death, understand, I think it’s funny when people die in…

Faking Meaningful Use Data

Recently, eClinicalWorks agreed to pay $155 million to settle a lawsuit it faked meaningful use certification. The DOJ alleges that eClinicalWorks opted to added the 16 drug codes necessary for certification into its software rather than enable the product to access those from a complete database, failed to accurately record user actions with audit log functionality,…