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How Good Medicine Has Become the Exception Print E-mail
Written by Jordan Grumet, MD   
Thursday, 18 February 2016 00:00

Joe had one of the best geriatricians in the city. So when he got a call from the pharmacist saying his new prescription was ready, he assumed that it had to do with his recent annual visit and blood draw. His suspicions were confirmed, a few minutes later, when he got through to the nurse at the office.
 
Joe was politely informed that he had high cholesterol and was being put on a statin. Although he hung up the phone satisfied and raced out to the pharmacy to pick up his new pills, a casual observer might find a few things concerning.
 
Neither the doctor nor the nurse actually talked to Joe about the significance of high cholesterol. No one bothered to discuss with him the risks and benefits of statin medications. There was no mention of side effects or complications. No joint decision making. And certainly no consideration of a trial of diet and exercise.

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A Legal Look at the Healthcare Landscape in '16 Print E-mail
Written by Jeff Cohen, JD   
Thursday, 04 February 2016 00:00

Physicians are subject to the brunt of changing healthcare marketplace dynamics. But they're in the absolute best position to take leadership and benefit from doing so!

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My father is no longer a practicing neurologist, but he is forever a doctor Print E-mail
Written by Shoshana Weiner | KevinMD   
Tuesday, 26 January 2016 18:54

Curiosity and apprehension. I experience this tension as a young man ushers me through large daunting doors with "Authorized Personnel Only" posted in bold red letters. Inside, a massive machine dominates the room, and yet my focus turns to the patient lying on the table, face covered in a white mask holding his head still while the technician targets the malignant brain tumor.

"All right in there?" the specialist asks, and the patient, mouth sealed by the mask, gives a thumbs up.

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Last Updated on Tuesday, 26 January 2016 19:01
 
Doctors, He Felt, Were No Longer Helping People Print E-mail
Written by Jordan Grumet, MD   
Saturday, 16 January 2016 13:37

It was never his intention that the name would stick. A decade ago, when he first began working in the restaurant, some of his fellow employees knew that he was formerly a practicing physician and started to call him "Doc". Although many of his coworkers had since moved on, taking the knowledge of his previous profession with them, his moniker persisted.

Doc liked the simplicity and tedium of his bartending job. He spent the majority of his nights doing what he liked most, interacting with fellow human beings. He remembered a time when medicine offered such enticing rewards.

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A short take of the big stories in cardiology in 2015 Print E-mail
Written by Dr. John M   
Friday, 01 January 2016 15:09

What follows below is a short-writing summary of my ten picks.  The hyperlinks go to earlier columns I wrote on the topic....

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Last Updated on Sunday, 10 January 2016 16:23
 
Pharmaceutical free speech is anything but free Print E-mail
Written by Kenneth Lin, MD | KevinMD   
Wednesday, 30 December 2015 00:00

The American Medical Association (AMA) recently called for a ban on direct-to-consumer (DTC) advertising of prescription drugs and medical devices, arguing that this type of advertising drives the nation's escalating drug bill by creating demand for new, expensive medications that are often no more effective than older ones. Since the first televised prescription drug ad aired in the U.S. in 1983, pharmaceutical companies have spent billions of dollars on DTC advertising, including $4.8 billion in 2014. The ads are worth every penny. According to Kantar Media, 76 percent of Americans have seen at least one DTC ad on television in the past 12 months, and 1 of 3 who viewed these ads took some action as a result.

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Last Updated on Friday, 01 January 2016 15:21
 
Was Granny Sent Home from the Hospital Too Soon? Print E-mail
Written by MD Whistleblower   
Tuesday, 15 December 2015 00:00

Over the years, I have heard families bemoan that their relative who was just readmitted to the hospital was sent home too early just a few days ago. Are they right?
 
First, let me say that in some instances they may be correct. It is certainly possible that the hospital, under increased pressure to kick folks out, may have pulled the discharge trigger too soon. The hospital is not always right even if their 'discharge check list' seemed to be in order. Of course, patients are not adequately represented by a check list any more than physicians' quality can be fairly measured in the check off, cookbook method that the government and insurance companies are now championing.

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