Since I’m sure all members of Congress will have the opportunity to read and comprehend the entirety of whatever is the current healthcare legislation the following small steps to improve the situation will be meaningless. I have 3 simple proposals that could fit on a single page. Heck, it fits in a single post.
Eliminate pre-existing […]
Nationalized/Universal healthcare will happen. Obama ran on it and he intends to deliver. What’s more, I can see a manner in which the country will flock to it under the current free market insurance system.
First, the federal government will expand Medicaid to cover the unemployed and uninsured. Second, the Congress will pass some law that […]
I had a very interesting case the other evening. First, for the uninitiated, it’s usually a bad sign when the surgeon says it was a very interesting case. Generally routine is best.
Anyway, nice 50ish year old female with few days of diffuse abdominal pain now localizing to RLQ. Nausea and vomiting. Anorexia. Acute peritoneal finding […]
So here I am in NYC at the American Society of General Surgeons clinical meeting. The program is correctly termed controversies as I’m quite certain many of the described treatment paths would cause you to fail your oral boards.
Of note is that it seems that most of the attendees have been in practice for […]
The California Supreme Court has just handed down a ruling. Discrimination is bad, I get it and it shouldn’t happen.
I’m not going to argue the merits of the case but I’m curious to know if anyone else thinks that this decision might be interpreted to mean that physicians no longer can say no to anyone […]
I’ve been getting to the point lately that the system needs to undergo some catastrophic collapse before it will get better.
As the Happy Hospitalist says:
Here’s my position. It’s time to let the cuts stand. Congress should not reverse the 10.6% cuts that began in July 1st 2008. And here’s […]
Boy I’d really like to try some of this QuickClot stuff in the OR. I think it would be great to use for a planned second look.
Yes Virginia, they really do exist.
So here’s the story. The family of a trauma victim, a motor vehicle collision, is met outside the ICU by a lawyer saying that the particular vehicle in which they were traveling has a defect and he and his firm would be happy to represent them. The family never contacted […]
In October, 2007 CMS (Medicare) proposed a list of eight preventable conditions that result in a prolongation and increase in cost of care to the hospitalized patient. These are what CMS terms never events. CMS is trying to couch this in terms of patient safety but if you look at the list, there are only […]
OK, first off this part of my practice is over and I’ve moved on. But let me relay a story of how CMS (that’s Medicare for the uninitiated) works.
I was asked by one of my local breast surgeons if I would see a patient for immediate breast reconstruction with implants. The patient was to undergo […]