Can you really off the cuff answer what is good in healthcare today? I can now: Doctor’s Kids. As I sit here on yet another flight, this time coming back to USA from visiting my kiddos in Philippines, I ponder what to write about next. Blogging has been a good release and therapeutic tool I…
The study found that patients seen early in the morning were more likely to be referred for cancer screenings than patients who saw their primary care physician later in the afternoon.1 The study also found that patients who saw their physician later in the day were less likely to complete screening after receiving a referra.1…
“With growing evidence that the quality of care delivered by the professions is similar, this wide range in implementation of roles likely reflects organizational goals and cultures rather than the capacities of each profession. The results of this study suggest that physicians, PAs, and NPs can perform a variety of roles that can reflect the…
“An understanding of the basic function of the immune system is useful in order to understand both how vaccines work and the basis of recommendations for their use.”1(CDC) So what do measles, mumps, and pneumococcal pneumonia have in common in 2019? Well, after having spent 6 months on my last medical school rotations in a border…
So lots of social media about negative aspects of having to have clinical supervision and/or collaboration from individuals in states where nurse practitioners (NPs) are seeking full practice authority (FPA). I will state up front, there is no valid argument against those will lesser training to have clinical oversight and/or supervision and/or collaboration from those…
The following is a satire. Or is it? So here I sit on my way back from Hong Kong and that dreaded announcement came overhead: “Is there a doctor on board.” As I pondered my fate and whether or not I should get up and identify myself as a physician (MD), 5 people jumped up…
Let’s have a little fun and compare The Cost of Satisfaction: A National Study of Patient Satisfaction, Health Care Utilization, Expenditures, and Mortality vs. A National Survey of Nurse Practitioners’ Patient Satisfaction Outcomes Look at these results: “Findings from a new research study led by Thomas Kippenbrock, a nursing professor at the University of Arkansas,…
“Retail health clinics like CVS Health aim to provide patients with acute care services at a lower cost, eliminating the need to visit the typical hospital for primary care, Ms. Buckley said. The shift in care delivery has caused traditional hospitals and health systems to re-evaluate how they use PCPs and has led many systems…
BACKGROUND Major depressive disorder (MDD) is a significant worldwide health problem, and often seen in primary care with comorbid medical problems such as hypertension, chronic pain, cardiovascular disease, diabetes, asthma, and others. There is a high instance of patients seen in primary care to where depression is either contributing to the physical health ailments, sequela…
First came Spice1, then Bathsalts,2then Krokodil,3and now Kratom.4 All considered designer drugs by the National Institute of Drug Abuse (NIDA) and all with significant risk factors that today’s physicians need to be aware. Emergency room physicians and psychiatrists especially, but all physicians need to be aware as with the earlier designer drugs Spice and Bathsalts, Kratom…