Monthly Archives: June 2013

Doctor-Patient Relationship Breakdown Leads to Physician Dissatisfaction

The following statistics are from the 2013 Physician Outlook and Practice Trends, a report published by Jackson Healthcare. Physician discontent appears to be creating a void in the healthcare field. Physicians are preparing to leave medicine early either through retirement … Continue reading

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Moral Hazard Anyone?

This article is a response to a story in this Weekend’s Wall Street Journal (June 15-16, 2013) which explains that Detroit is quickly heading to bankruptcy. http://online.wsj.com/article/SB10001424127887324688404578545373282545626.html?mod=WSJ_hp_LEFTWhatsNewsCollection The information in the article highlights how making promises to employees in unions can create … Continue reading

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Gastric Bypass Surgery and Cardiovascular Risk

Medical obesity is defined as a body mass index greater than or equal to 30. This index is calculated based upon a person’s height and weight. In my office this index is listed in the patient’s vital signs section of … Continue reading

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Can Hospital-Owned Practices Survive in The Long Run?

The following is a very well written and very relevant article by Arthur Gale, MD.  After the article, I have included my own brief commentary on the issue.  Please read on.

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Face Down Positioning is Effective For Acute Respiratory Distress Syndrome

This article from the New England Journal of Medicine demonstrates that placing patients face-down while intubated for a condition known as acute respiratory distress syndrome (ARDS) significantly improves survival. Roughly 230 patients were divided into different treatment groups. In one … Continue reading

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When It Comes To The ICU, Less is Better

A recent New England Journal of Medicine article suggests perhaps less is better in the Intensive Care Unit (ICU). This came from the June 6, 2013  publication. The article analyzes the effectiveness of having a night-time ICU specialist in attendance … Continue reading

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