May 2007

Be careful what you read. Sandy at Junfood Science is one of my blogging heroes. She writes eloquently and loves to bash the whole "obesity epidemic" bandwagon. Her website is a very worthwhile daily read. However, I find that I disagree with the overall slant of her recent post on Pay for Performance (P4P). Some [...]

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Sam of Blog, MD fame has tagged me. I must confess, it is not often that I get tagged by someone who has been quoted on the front page of the Boston Herald. I feel compelled to comply with such a tag. What’s next, Queen Elizabeth commenting on my blog?? Now, the first thing you [...]

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I am really frustrated. I have a patient with significant chronic pain for whom I am trying to prescribe long-acting narcotic pain medications.  The reason you prescribe longer acting pain medications (like Fentanyl patches, MS Contin, or OxyContin) is to decrease addiction.  These medicines are to be used on a scheduled basis to help prevent [...]

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Feeling Flush

by Rob on May 6, 2007

in Humor

I apologize to my readers who wait anxiously for my analysis of the news. I have been distracted (what do you expect??). But I would like to again share some notable stories that have come my way over the past few months. One subject that has been both number 1 and number 2 on the [...]

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Wonking Good

by Rob on May 3, 2007

in Just Stuff Kind of Thingies

From Wikipedia: Wonk is a slang term with several meanings: Wonk (colloquial American English) was originally a 1960s slang word applied to an excessively studious person (equivalent to "grind" or "nerd").[1] [2] The origins of the term are obscure. It has been described as a simple reversal of "know," linked to an obscure Old English [...]

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I have written much about what is wrong with the American healthcare system.  Many of the problems, I believe, are systemic.  Change the system, and there are many problems that will go away.  Today, however, I encountered a problem for which there are no solutions. Human nature. Our practice has been very involved in working [...]

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