Primum Non Nocere and Patient Satisfaction Surveys

No doctor that I know likes to be graded via “physician satisfaction surveys”.   The reason is that it magnifies the differences between doctors and administrators.  Administrators think we should be run like a fast food restaurant or American Eagle store.  Doctors understand that saying “no” to demands of antibiotics, narcotics, and expensive procedure requests…

GARY CARTER – RIP

I grew up in NY and was a fan of the 1986 Mets team that won it all. When I invented the Knee Saver a few years later it was really tough to get any traction with pro baseball players. Living in Houston at the time (right before medical school) I was able to get in touch…

Access to the Healthcare Dollar by Ted Bacharach MD (retired)

Every encounter with a physician suggests that doctors are not the recipients of any government largess. Monthly changes and increased requirements for documentation have placed the physician in a position where he or she must spend more time filling out forms and documentation, leaving little time for the consideration of the poor patient who is…

Zen and the Art of Health Maintenance

In one of my favorite books, Zen and the Art of Motorcycle Maintenance, Robert Pirsig wrote: “Quality is a characteristic of thought and statement that is recognized by a nonthinking process.  Because definitions are a product of rigid, formal thinking, quality cannot be defined.” If you are a patient or doctor then close your eyes…

Back Surgery Marketing

The Wall Street Journal did a nice piece about how a small California hospital is cranking out the back surgeries for profit.  It is such a black eye for doctors but it needs to be exposed. Tri-City Regional Medical Center billed workers’ compensation insurers $65 million in 2010, up from less than $3 million three years earlier.…

HIPAA-Potamus

  A Very Large, Bloated, Governmental Agency MASCOT,  Dedicated to Keeping Your Personal Medical Information out of the Hands of Those who Need It. (from the Placebo Journal – sorry, do not remember the creator) Tweet0

What Really Is Private?

We think everything in our medical records is private, but is it?  Why do health insurers and life insurers get to peruse it at will?  I think about that before I click that stupid EMR button with a CPT code that drags along side someone for life.    A recent USA Today article reveals that…

The Depressed Texter

Researchers at Northwestern University are developing an app that would monitor the frequency of a depressed person’s phone calls, texts and emails. They feel that people with depression may feel better with more cell phone interruptions when they are in the midst of a low day. The app called Mobilyze!, would tap into the phone’s GPS and…

The Battle of Vermont

I was sent this interesting article about Vermont’s attempt to start a “single payer” health insurance system.   It was written by Wendell Potter, former head of PR for CIGNA for twenty years.   Here are some interesting tidbits about the behind-the-scenes propaganda that goes on at these big time insurance companies: “Part of the strategy is to…