When a physician prescribes medication I always ask if there is a generic and I watch carefully when a brand name drug becomes available generically, often changing a $50+ co-pay to $5 or less. But if we fill prescriptions on cruise control that is without asking the right questions, we can wind up with much
A few weeks ago I met a physician who said he was an interventional gastroenterologist. I didn’t know what that meant. Back in the day vascular procedures were the domain of vascular surgeons. So I started Googling and found that besides cardiology, stenting has expanded to GI, neurology, oncology, radiology, urology, nephrology, pulmonology, and pain
“William Osler, often called the father of modern medicine, famously advised his students: “Just listen to your patient; he is telling you the diagnosis.” A century later, clinicians and health system leaders started tuning out the patient’s voice, turning instead to electronic health records and the latest care protocols to manage their most complicated and
Over fifteen years ago a general surgeon at one of our community hospitals left the OR to operate at a competing hospital, and told a nurse to close the incision. He claimed OR nurses could train and be certified as “closers”. Problem was the nurse hadn’t been certified and did not have hospital privileges for
“Gov. Chris Christie’s presidential opioid commission went out of business Wednesday with 56 recommendations on how to address the crisis and an admonition to Congress to spend the money needed…. Among the new recommendations: providing states with more flexibility to use federal funds to address opioid abuse, launching a media campaign to warn about the
So like me, you pay into Medicare for 40+ years, only to find once enrolled that an increasing number of physicians have “opted out” of Medicare. And more and more often Medicare beneficiaries are finding that their long time physicians don’t accept Medicare and either have to switch doctors or pay their trusted doctors out-of-pocket.
In 2012 “The hospitals in Hudson County were the hardest hit by the superstorm, with Hoboken University Medical Center and Palisades Medical Center temporarily closed. While Jersey City Medical Center’s first floor was inundated, it moved patients to the second floor and remained open. “Fortunately for us, we were able to maintain our generator,” Scott