Forced Expansion

Here is an article in the American Medical News talking about how Oklahoma is dealing with whether to expand Medicaid or not.    As you know, this was part of the ACA but left up to the states after the Supreme Court decision.  Here are some high points that I gleaned from the piece: With…

Doctors in the House

Patients over the years (and even still today) ask me why I don’t go into private practice.  They don’t understand that it is almost impossible to do it.   Other than concierge care, which is my dream, there are very few doctors who have been successful working with insurance companies.  How sad is that?  Even…

Quote of the Week

“Here’s to the crazy ones. The misfits. The rebels. The troublemakers. The round pegs in the square holes. The ones who see things differently. They’re not fond of rules. And they have no respect for the status quo. You can quote them, disagree with them, glorify or vilify them. About the only thing you can’t…

Time To Heal

I really don’t enjoy the election process.  I understand it has to be done.  I stood in line for an hour to vote and it was worth it for my young daughter to see that.  The divisiveness, however, that the preceding months cause is unhealthy.  The vitriol spewed from both sides is not good.  So,…

Never Too Late

At age 87, former dentist, Dr. Charles Eugster took up bodybuilding.  He is now 93 and is kicking ass. His reasons for picking up weights in his 80s are simple. “The idea is to turn the heads of the sexy young 70-year-old girls on the beach,” he says. He now works out three to four…

Another Ridiculous Study

It turns out that taking too many anti-hypertensive meds at once will….get this….make you feel faint. “Simply stated, the more antihypertensive pills a patient takes, the greater the likelihood of a possible fainting spell under certain circumstances,” explained one cardiologist, Dr. David Friedman, chief of Heart Failure Services at North Shore-LIJ’s Plainview Hospital in Plainview,…

Wanted: Physicians Who Will Submit

This is what it has come to.  Here is the article entitled Hospitals seeking to hire doctors who “play well with others”.   The subtitle goes on: As more health systems form accountable care organizations, they are putting a premium on the ability to work alongside physician assistants and nurse practitioners. So what are they…

You’re Not Like Them

Here is a nice letter letter from a reader who shares his soul.  He gave permission to put it out on the blog: Dear Doug, I just wanted to write to you about the medical profession from the viewpoint of an outsider. True, I have an MD degree and have worked for years mostly in…

Truth in Advertising

Maybe it was the billboard that had a picture of a woman in a white coat saying that this “doctor does house calls” (she had a doctorate in nursing)?  Maybe it was all those chiropractors offering services they are not qualified to give?  Who knows?   But finally the AMA is trying to fight back.…