EHR State of Mind by ZDoggMD

Man, this dude works his ass off.  Please watch and realize how much effort there was to do this.  He also has a message and it includes the link  Check it all out.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected]

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5 Responses

  1. politovski says:

    too bad his link ends with an advertisement for athena (ie another ehr). i started with paper, moved to dictating, and i remember how efficient we were with dictations. now we are the $12/hr dictation transcriber. bummer

  2. Mamadoc says:


  3. George says:

    ZDoggMD’s concerns are echoed in this weeks New England Journal of Medicine lead commentary.
    Even the establishment is finding that as ZDoggMD said “all EHRs suck!” The whole point was interoperability, didn’t happen. Quality improvement, didn’t happen. Patient safety, big did not happen. Improved efficiency, yeah right! Bad handwriting problems, I will give it a sort of.
    Over the past 40 years I’ve seen the government, both Feds and state, mandate healthcare rationing. These steps didn’t last long due to public outcry. EHR is just another type of rationing by throttling at the level of the doctor. Meaningful use, safety, quality improvement all a cynical smoke screen to limit patient access.

  4. Steve O' says:

    The more I use ICD-10, the more I see it for what it is. It is a language for telling stories of death, not of chronicling medical care.
    V95.45XA-Spacecraft explosion injuring occupant, initial encounter. Yes, but I cannot define “soft-tissue abscess, dorsal proximal phalanx, right index finger.” That is because ICD-10 is prolific in descriptions of mortal injuries, but not so hot with the trivial stuff that leaves you alive. Try looking stuff up. Pseudomonas encephalitis from frontal sinus infection, yeah, it does that good. Sore throat, notso-hotso.

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