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Intricacies of Antidepressant Interactions Print E-mail
Written by FHI's Week in Review   
Monday, 30 May 2016 00:00

 
Once upon a time there were jokes circulating about putting Prozac (fluoxetine) in the drinking water.
 
The idea was that the modern antidepressants were indicated for most people living in today's society, and that these drugs were completely safe to use.
 
Now, these same drugs have so many warnings that they have become increasingly difficult to use in treating the common maladies of depression and anxiety.

Read more in  the current issue of Week in Review>> http://conta.cc/25tMQw7

Last Updated on Friday, 17 June 2016 12:03
 
EMRs, PCMH and OCD are Limiting Access to Care Print E-mail
Written by A Country Doctor Writes   
Thursday, 19 May 2016 00:00

We have a problem in our clinic.

Between our EMR implementation a few years ago and our PCMH recognition shortly after that, our office visit documentation has become bloated and our cycle time has almost doubled.

There are no brief visits anymore, since every visit entails screening for multiple psychosocial conditions and consideration of various immunization and health maintenance reminders.

Nobody sees over thirty patients a day anymore; we're lucky to exceed twenty.

Read More>>
 
Fearing Exodus: American Board of Medical Specialties Issues Statement on Oklahoma Print E-mail
Written by Dr. Wes   
Monday, 02 May 2016 00:00

Fearing a mass exodus of physicians from the lucrative Accreditation Council for Graduate Medical Education (ACGME) mandated Maintenance of Certification (MOC) program, two member organizations of the ACGME, the American Board of Medical Specialties (ABMS) and the American Osteopathic Association (AOA), recently issued statements of "disappointment" or "promising to innovate."

The ABMS stated they were "disappointed" on the passage of the Oklahoma law outlawing the use of the ABMS MOC program for board certification, physician hospital credentialing, or insurance company payments and were "committed to improving their programs for physician certification and assuring that participation in MOC provides physicians with meaningful improvement opportunities." No mention of how they might cut the cost of their "commitment" to physicians was made.

The AOA's statement, issued just after the National Board of Physicians and Surgeons open its credentialing process to osteopaths, "promised to innovate" so they could reach their "Rooftop Goals." Too bad the AOA still doesn't seem to understand that their statement promotes just what physicians don't need: another bureaucratic building project.

Read More>>

Last Updated on Tuesday, 03 May 2016 18:00
 
PPIs Linked to Kidney Failure Print E-mail
Written by FHI's Week in Review   
Tuesday, 19 April 2016 00:00

Proton pump inhibitors (PPIs) -- might dramatically increase a person's risk for kidney failure and kidney disease, new research suggests. The study was released Thursday <4.14.16> in the Journal of the American Society of Nephrology

Add PPIs to a long list of "totally safe" pharmaceutical products that later have proven to be dangerous. PPIs are one of the most prescribed drugs in the U.S. today. OTC versions are prevalent as well. 

Read more in the current issue of Week in Review>> http://conta.cc/1Vx5Iru

Last Updated on Wednesday, 20 April 2016 08:40
 
Calling the Doctor After Hours Print E-mail
Written by MD Whistleblower   
Tuesday, 12 April 2016 00:00

Of course, patients are entitled to medical care around the clock. You would not expect to show up at 2:00 a.m. at an emergency room to find a 'Closed' sign. If you are having chest pain on a weekend, and you call your doctor's office, you should expect a prompt response from a living and breathing medical doctor. Patients are aware that when they call the doctor at night, that they are unlikely to reach their own doctor. Similarly, when a patient is admitted to the hospital, they will likely be attended to by a hospitalist, not the primary care physician. Such is the reality of medical practice today.
 
Here are 3 types of after hour calls that merit mentioning...
 
Read More>>
 
Don't Squeeze, Tie, Slap or Bite the Hand that Feeds You Print E-mail
Written by A Country Doctor Writes   
Wednesday, 30 March 2016 00:00

Dear Health Care Business Leader,

I am writing to you in a spirit of cooperation, because the way health care works today, it is too complex a business to manage "on the side" while also taking care of patients. And I hope you don't have any illusions about medicine being so simple that non-physicians like yourself can manage patients' health care without trained professionals who understand medical science and can adapt the science and "guidelines" of medicine to individual patients with multiple interwoven problems with disease presentations that seldom match their textbook descriptions.

We need each other, at least under the current "system". So I ask you to view us as allies, because we actually do the work that ultimately pays your wage or your profit, and is the basis for your own performance metrics.

Read More>>
 
From Learned Professionals to Skilled Workers: The Dangerous De-professionalization of Medicine Print E-mail
Written by A Country Doctor Writes   
Thursday, 17 March 2016 00:00

Physicians today are increasingly viewed and treated as skilled workers instead of professionals. The difference is fundamental, and lies at the root of today's epidemic of physician burnout.
 
Historically, there have been three Learned Professions: Law, Medicine and Theology. These were occupations associated with extensive learning, regulation by associations of their peers, and adherence to strong ethical principles, providing objective counsel and service for others.
 
Learned Professionals have, over many centuries, worked independently in applying their knowledge of Law, Theology or Medicine to the unique situations presented by those who seek their services.

Read More>>
 
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