Monthly Archives: August 2016

Practicing Medicine My Way.

“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.

2020-05-03T22:23:22+00:00August 29, 2016|Categories: Physician, Practice|Tags: , , |

My Ideal Electronic Health Record

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.

2020-05-03T22:25:19+00:00August 26, 2016|Categories: Policy, Practice|Tags: , , , , |

Spanking and Science Part 3: Medical Literature Opposing Spanking

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.

2020-05-03T22:26:35+00:00August 23, 2016|Categories: Patient|Tags: , , |

Spanking and Science: Part II

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.

2020-05-03T22:28:03+00:00August 18, 2016|Categories: Patient|Tags: , , |

Building Better Metrics: Invest in “Good” Primary Care and Get What You Pay For

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.

Love and Hate with Formula 409

“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.”

2020-05-03T22:40:44+00:00August 9, 2016|Categories: Patient|Tags: , , , |