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AF ablation Health Care Health Care Reform Healthy Living

If I was Surgeon General…

I would follow the lead of our country’s first Mom. This is serious folks. We, as an American society, need to solve the obesity crisis.  Not just for our physical health, but for our country’s financial stability. Reducing the spiraling costs of health care is wanted by all.  So far, prevention of the diseases which […]

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General Medicine Health Care Healthy Living

Medical innovation cannot cure fatness…

Possessing great intelligence is not a guarantee for being right. Judges and professors are surely smart, but the quagmire that is the obesity epidemic can fell the smartest of the smart.  So it is when a professor of public policy and a famous federal circuit judge, author and senior lecturer at the University of Chicago […]

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Doctoring Health Care

When in Rome…

In the quiet of the exam room, the patient’s cell phone obnoxiously chimes to life. “Hold on a minute Doc, I’ve been expecting this text.” You think, but dare not say, “you are kidding me, right?” This scenario is just one of technology’s canker sores. Undoubtedly, the new world of always-on communication has irreversibly redefined […]

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Exercise Health Care Healthy Living

Coaches, you have some new competition…

Have you decided to quit your day job and become a coach? A what? A burgeoning new advice industry has emerged.  Former, or even current, athletes are now designers of athletic–and sometimes even life–programs for the over-acheiving mind-set.  It is a good gig.  You can sleep late, and save your legs by working primarily at […]

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Doctoring Health Care Health Care Reform

Trying to figure out “patient-centered” care…

The first link from an email source of medical news reads, “better patient-centered care reduces mortality risk.” It made me think, exactly what do they mean with this new verbiage, “patient-centered care?” And so I learned.  Thank goodness, I think my care is indeed patient-centered, even though the terms patient- and family-centered are news to […]

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Health Care

Yes, your personal records are safe…

Losing your cell phone charger is one thing.  But 800,000 personal files is yet another. Oops. Not all that is electronic is best. The files may have included names, addresses, phone numbers, dates of birth, Social Security numbers, driver’s license numbers, medical record numbers, patient numbers, health plan information, dates of service, diagnoses, treatments relating […]

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Doctoring Health Care Health Care Reform inflammation

Barriers…

The man on the other line sits in a cubicle in a far-away city. He is a physician, another “provider,” as we are called on their website.  The accent is British (how ironic), and his voice suggests to a trained observer, he is older. All I wanted to do was a simple stress test with […]

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Doctoring Health Care ICD/Pacemaker

Prophylactic ICDs may not benefit women…

The heart of a woman may be much different than that of a man. The “Go Red” campaign would surely agree.  As would most masters of the obvious. But in the case of whether female hearts garner the same benefit from a prophylactic implantable defibrillator (ICD), women may be much different than men. As published […]

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Health Care Healthy Living

Wonder pill versus good choices…

I need help.  In dealing with obesity as a medical problem, that is. I am pretty solid at arrhythmia management, but as an obesity doctor, not so much.  If I was the teacher, and my obese patients were the students, I would surely be fired for poor student test performance. At least, if the core measure […]

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Health Care Reflection

At minimum, your parents should like your blog…

Today’s post on the scariness of Dr Berwick’s appointment to lead CMS brought an email response from my Dad.  His words are at least a single voice from real-world people, and it seems possible that his opinion may be a representative one at that. Dad is not a doctor, but he likes doctors. Hi John, […]

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Doctoring Health Care Health Care Reform

Where is something available for nothing? Cambridge, Mass. perhaps…

It happened.  Guilty.  I confess. Reading about Dr Berwick’s recess appointment to lead CMS induced me to watch a Fox news clip.  Gosh, I feel bad about it.  It felt good, though. Patients–that’s you and me–should know that CMS controls doctors, nurses and especially hospital/practice managers.  They are ten times more scary than the radar […]