I am Sam….. I am Doctor. I am Doctor. Doctor-I-Am. That PhD-I-Am! That DNP-I-Am! That PhamD-I-Am! That DPT-I-Am! That PsyD-I-Am! That DSW-I-Am! That DBA-I-Am! That DMS-I-Am! That DMD-I-Am! That DPM-I-Am! That ND-I-Am. That DCS-I-Am! I do not like that Doctor-I-Am! Do you like green eggs and ham? Do you like the medicine man (MD/DO)? I…
So to kick off this blog I thought it would be interesting to compare a few items relevant in my own life as it relates to the article (1). It’s open enrollment with my employer and I could choose plans of up to $13,500 a year for my share for the most expensive to include…
This is a challenging blog to write. On one hand we say to people to pay their bills. On the other hand we have the plight of the poor. This article references 5,700 lawsuits against patients by Ballad Health in its first fiscal year as a health system, which ended in June and 5,400 in the…
I understand I will take flack for the picture depicting a fake doctor with the title of the blog/article referencing Naturopathic doctors (1)? I write this blog because I care what is happening in health care today, and I’m proud to be an MD. I understand those earning a doctorate can use the title in academic settings,…
A lawsuit was brought by 2 former employees alleging ProScan of using lower-paid physician assistants to “ghost read” MRI images resulting in frequent misdiagnoses and missed diagnoses (1). The result were misreadings, misdiagnoses, and “grave concerns” by experts in the field. The article used the example of a misdiagnosis of a horse race jockey which originally resulted with…
GeneSight (1): A Brief Critical Read on the Impact of pharmacogenomics on clinical outcomes in major depressive disorder in the GUIDED trial: A large, patient- and rater-blinded, randomized, controlled study (2) (https://www.sciencedirect.com/science/article/pii/S0022395618310069) Gene Simmons, Gene&Tonic, GeneSight (1): What’s all the Hype? BLUF (bottom line up front): Study has limitations that limit the usefulness of the Genesight testing…
I’m disheartened by the dishonesty and rhetoric being put out there by my former profession. I wrote about the Race-Car-Model (2) previously whereby simply having a driver’s license doesn’t automatically qualify you to drive a racecar. Driving a car is the practice of nursing. Driving a racecar is the practice of medicine. Let me add to…
A counter argument on their use for PTSD (Interactive effects of PTSD and substance use on suicidal ideation and behavior in military personnel: Increased risk from marijuana use) “Results suggest marijuana, especially for military personnel experiencing elevated PTSD symptoms may negatively impact suicidal thoughts and behavior. These results are relevant to suggestions that medical marijuana…
“When all members can come together and agree – or agree to disagree – on the best way forward in a patient’s care, the population thrives. When voices and opinions are given respectfully – and respected – an effective healthcare team is made (1).” Within the Limbic System, a new receptor called the Emotional Reactionary Receptor…
“Last November, researchers completed recruitment of 76 subjects in a phase 2 clinical trial of medical marijuana for the treatment of post-traumatic stress disorder (PTSD) in military veterans. It was the first such study for PTSD approved by the US Food and Drug Administration (FDA), and it took almost a decade to enroll those patients…