Musings of a Distractible Mind
Thoughts of a moderately strange (yet not harmful) primary care physician.
From the category archives:
(+3 rating, 3 votes)
Loading ...Chicken – noun – A game in which the first person to lose nerve and withdraw from a dangerous situation is the loser. This definition is wrong. As of June 18, 2010, the definition is as follows: Chicken – noun – A game in which members of congress put Americans in a dangerous situation, with the healthcare system being the loser. In my lament about losing [...]
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(No Ratings Yet) Loading ...Credit My wife has become a coupon maven recently. This is a good thing, as we are saving quite a bit of money and I have always wanted to be married to a maven. One of the unexpected consequences has been the regular appearance of packages in the mail. We get free samples of everything [...]
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(+2 rating, 2 votes) Loading ...Credit My recent post about Medicare allowing patients to use drug vouchers was met by a rousing reception. By crickets. It seems that some saw me as one who (gasp) trusted the pharmaceutical companies to do something good. Has Dr. Rob lost (what’s left of) his mind?? Drug companies do everything with themselves in mind, [...]
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(+4 rating, 4 votes) Loading ...I love being a doctor. I like my patients (most of them), and have had a pretty good career. One of the things I say to my older patients is that I want to keep them well enough so I can see them at my retirement party. I just turned 48, so that would be [...]
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(+1 rating, 1 votes) Loading ...It’s just plain stupid. Why does the government not allow patients with Medicare part D to use pharmaceutical discount cards? What is the ethical rule broken by making the government pay less? What is the legal reason that the elderly should be prevented from saving money? I know there are probably reasons having to do [...]
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(+1 rating, 1 votes) Loading ...My recent post on the patient who thought I wasn’t worth paying caused a lot of discussion. Most of it focused on the financial stresses of a patient in our system – something I am all too well aware of. But some commenters (one in particular) felt that I was being excessive in my requirements [...]
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(No Ratings Yet) Loading ...Things have been busy in my absence. A recent post on Kevin MD by Joseph Biundo, a rheumatologist, challenged my assertion that primary care doctors can save money: (In reference to my claim) That may be true in theory, but I see patients in my rheumatology office every day who have been “worked up” by primary [...]
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(+16 rating, 16 votes) Loading ...I have been asked by patients, readers, family members, and by fellow bloggers what I think about the bill passed by the House of Regurgitants Representatives yesterday. I resent this. I have tried hard to remain neutral as possible, finding equal cause to point and sneer at both conservatives and liberals. It’s much more fun [...]
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(+3 rating, 3 votes) Loading ...Here’s some advice I have given teenage boys who are going toe-to-toe with their mothers about a health issue: Don’t go toe-to-toe with your mother; it’s a no-win situation. Either you are right, and you are looked at as a “smarty-pants” or you are wrong, and have given her a huge “I told you so.” [...]
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(+3 rating, 3 votes) Loading ...I saw a patient today and looked back at a previous note, which said the following: “stressed out due to insurance.” It didn’t surprise me, and I didn’t find it funny; I see a lot of this. Too much. This kind of thing could be written on a lot of patients’ charts. I suspect the [...]
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