Just when news in medicine seems all bad there comes some gratification in the lab… The patient calls and says her heart rate has been 120 beats per minute for a couple of weeks. There is progressive shortness of breath, increased fatigue and now some swelling. Similar symptoms that were present four years ago when […]
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What can an interesting case of a simple infection which nearly led to sudden cardiac death teach us about health care, health care reform and our ways of knowing? Dr Wes’ blog recently described a post from a geriatrics (specialist in the care of the elderly) doctor that highlighted the challenges of caring for the […]
Why would referring a patient directly to a specialist save money, time and patient outcomes? Exhibit A: A 75 year old male presents to his family doctor with a heart rate of 120. Just some palpitations and a little “funny feeling in my chest.” No pain, no shortness of breath, no dizziness. Examination shows a […]
This week marked my third root canal this year. Ouch! 2009 also included a dental implant and subsequent crown. Who pays for this professional service? See figure 1… 950 dollars is indeed the going rate. Notice the guarantor is yours truly, not Anthem, Humana, GE, General Motors, UPS or anyone else. A regular Discover card […]
Patients are asking me about the H1N1 vaccine. Usually, as a “one more thing” question at the tail end of a visit. This question churns the angst machine. The face twists in unknowing. It doesn’t have to be so bad. Could just give the party line and say, “get the shot.” Have a nice day […]