“To say the things he truly feels; and not the words of one who kneels. The record shows I took the blows – and did it my way.” My way would involve fewer bureaucrats making significant healthcare decisions that impact the entire country and its population at large. Both patients and physicians are taking blows from those in charge of the system who know nothing about the world of primary care.
I recently contacted her mother to inquire if she wanted her daughters’ medical chart. She said it was a gift to see her daughter through the eyes of her physician, who was there every step of the way. Medical records are more than metadata on a computer screen; they are a sacred chronicle of our enduring connection with our patients in life, and even in death. When an EMR can do that, I will be thrilled to embark on a digital journey. Until then, give me paper or give me death.
Reviewing the anti-spanking literature revealed no randomized clinical trials exist proving spanking is ineffective or harmful. Many challenges were identified when drawing conclusions from Dr. Gershoff’s review study. Spanking is defined loosely, making the definition subjective. The research tends to be correlational; therefore, cannot support causation for spanking being beneficial or detrimental.
Ultimately, the developmental outcome of child-rearing is primarily determined by the overall quality of a parent-child relationship. Non abusive spanking by loving parents who use correct methods were able to achieve effective behavioral management and a rapid re-establishment of affection between parent and child following interventions.
The bottom-line is this: The question as to whether or not spanking is beneficial or detrimental has not definitively been answered by science. The one thing expert psychologists on both sides of the debate agree upon is the data is not conclusive.
Estimates suggest that a primary care physician would spend 21.7 hours per day to provide all recommended acute, chronic, and preventive care for a panel of 2,500 patients. An average workday of 8 hours extrapolates to an ideal panel of 909 patients; let us make it an even 1000 to simplify. A primary care physician could easily meet acute, chronic, and preventative needs of 1000 patients, thereby improving access.
When did we physicians give up our freedom and basic right to earn a living?
Government and insurance companies should stop wasting dollars and cents chasing visions of value, rather use common sense and give physician outcomes the attention they deserve. Healthcare will be on better footing now and into the future.
“My eyes are burning, oh my eyes. Mommy, help me.” My daughter was upset and screaming in pain. I went tearing out of my room and ran into the bathroom. “Ow, my eyes are stinging.” It was hard to decipher exactly what she was saying besides having pain in her eyes. “What happened?” I asked, thinking to myself, how did you damage yourself unattended in less than 60 seconds? “It sprayed me.”
The No Child Left Behind (NCLB) Act is to the education system what MACRA is to healthcare. Why must we keep repeating history?