Improve patient satisfaction from the eyes of the consumer

Posted on 31. Jan, 2015 by in Hospital, patient, Pediatrics

Although the Affordable Care Act’s second enrollment period is nearly over, politicians, medical professionals, and the public still debate its implications. According to David Houle and Jonathan Fleece, one-third of all hospitals in the United States will close or be reorganized into another kind of health care provider by 2020. What will differentiate the winners […]

Continue Reading →

Most doctors are financially illiterate

Posted on 31. Jan, 2015 by in Physician, Primary care

Many physicians I know are struggling to make ends meet while making several hundred thousand dollars per year. Despite growing incomes, their savings rates remain extremely low due to ever increasing expenses. What they do manage to save, they turn over to professional money managers. Continue reading … Your patients are rating you online: How […]

Continue Reading →

Physicians: How to gain insight into your tax situation

Posted on 31. Jan, 2015 by in Potpourri, Primary care

An excerpt from The Freedom Formula for Physicians. Get the last copy of your pay stub. What is your year-to-date compensation? What is your annualized compensation? Hint: Take your current compensation and multiple it by 12, divided by the number of months already compensated. For example, using an end-of-the-month May check, multiply the amount by 12 […]

Continue Reading →

Learning from physician burnout: Which pill will you choose?

Posted on 31. Jan, 2015 by in Physician, Primary care

There is a scene in the movie, The Matrix, in which the main character Neo is offered a choice between the red pill and the blue pill. This is your last chance. After this, there is no turning back. You take the blue pill — the story ends, you wake up in your bed and […]

Continue Reading →

Pathology plays a central role in the era of personalized medicine

Posted on 31. Jan, 2015 by in Cancer, conditions

As a pathologist, I recognize the importance of every diagnosis. Behind each slide is a patient, a family, a network of family and friends. A string of dominoes that is set into motion with my diagnosis. All treatment begins with a diagnosis. Each day I make these diagnoses, but on holidays, it takes on even […]

Continue Reading →

Success in Ipswich

Posted on 31. Jan, 2015 by in Uncategorized

Back in 2012, my colleague and I ran some workshops for senior management and clinical leaders introducing the Lean philosophy and some of its practices at Ipswich Hospital NHS Trust.  As noted at the time:We started with an introduction based on …

Continue Reading →

How patients can be medical educators

Posted on 30. Jan, 2015 by in Patients, Physician

Recently the Mayo Clinic named a patient as a visiting professor for 2015. The patient, Dave deBronkart (otherwise known as “e-Patient Dave”) was chosen by the internal medicine chief residents to fulfill this unique role, where he would have the opportunity to lead grand rounds, give educational talks to medical students, residents and faculty, and […]

Continue Reading →

Lead Exposure May Be Bigger Threat to Boys Than Girls

Posted on 30. Jan, 2015 by in Neurology, Pediatrics, Preventive Medicine, News,

Hormones may offer young females some protection from toxic effects, study says

Continue Reading →

Children with developmental disabilities and the guilt parents feel

Posted on 30. Jan, 2015 by in conditions, Pediatrics

Recently, at a holiday meal with my extended family, it came to light that neither of my typically developing teenage children really knows how to tie his or her shoes. It seems that for the past decade or so, both have been using the “bunny ears” technique introduced to preschoolers for tying their shoes. My […]

Continue Reading →

Early Exposure to English May Help Spanish-Speaking Kids in School

Posted on 30. Jan, 2015 by in Family Medicine, Pediatrics, News,

Hearing it at home can bolster success in classroom, researcher says

Continue Reading →

The best doctors expect the unexpected

Posted on 30. Jan, 2015 by in Physician, Surgery

The following is based on an actual case that occurred a long time ago in a galaxy far, far away. A 65-year-old man arrived in the emergency department by ambulance after being found unresponsive. His respiratory rate was 40 per minute, heart rate was 170 per minute, and temperature was 102.2°. He did not respond […]

Continue Reading →

Breast Reconstruction Complications Similar for Older, Younger Women

Posted on 30. Jan, 2015 by in Family Medicine, Oncology, Surgery, News,

But risk of blood clots higher with use of seniors’ own tissue instead of implants

Continue Reading →

Some With Kidney Stones Might Have Calcium Buildup in Blood Vessels: Study

Posted on 30. Jan, 2015 by in Cardiology, Nephrology, Urology, News,

These patients might need closer monitoring for further signs of pending heart trouble, researcher says

Continue Reading →

Researchers Learning More About Deadly Pancreatic Cancer

Posted on 30. Jan, 2015 by in Oncology, Research, News,

FDA hopes targeted drug research will lead to ‘big break’

Continue Reading →

Girls Outperform Boys Academically Around the Globe, Study Says

Posted on 30. Jan, 2015 by in Family Medicine, Pediatrics, News,

Even in countries with gender inequality, female students often have better grades

Continue Reading →

Obama to Announce Major Personalized Medicine Initiative

Posted on 30. Jan, 2015 by in Family Medicine, Oncology, Research, News,

He will ask Congress for $215 million to compile genetic data of 1 million Americans for scientific study

Continue Reading →

Flame Retardants May Raise Risk of Preterm Births, Study Finds

Posted on 30. Jan, 2015 by in Family Medicine, Pediatrics, Obstetrics, Preventive Medicine, News,

Women with higher blood levels of common chemicals were more likely to deliver early

Continue Reading →

The day the music died and how a hospital lost its joy

Posted on 30. Jan, 2015 by in Physician, Psychiatry

There’s a great song by Don McLean called “American Pie.” The chorus talks about “the day the music died.” I thought about that song in my hospital a couple years ago, when the music died there, too. I’ve noticed that our physician burnout and nurse frustration have increased in the years since the music died. […]

Continue Reading →

As the destroy fee for service movment ramps up just remember there is no perfect compensation mechanism

Posted on 30. Jan, 2015 by in Uncategorized

 The Obama administration is ramping  up the campaign against medical  fee for service and claiming they want to pay for quality not quantity of care. See. Dr.Paul Hsieh (of the blog We Stand Firm)  remarks about that issue here. It…

Continue Reading →

Colon Cancer Rates Rising Among Americans Under 50

Posted on 30. Jan, 2015 by in Family Medicine, Oncology, Preventive Medicine, News,

Still, only 10 percent of cases occur in younger group, study finds

Continue Reading →

Want to practice primary care and be debt free? Here’s how.

Posted on 30. Jan, 2015 by in Physician, Primary care

A medical student asked to speak to me about a month ago at the Philadelphia College of Osteopathic Medicine, where I am an Instructor of family medicine. He has been very active in our school’s Primary Care Scholars program and community health outreach activities. “Dr. Chan,” he said, “I am so torn. I really love […]

Continue Reading →

Health Tip: Prepare Your Child for College

Posted on 30. Jan, 2015 by in Pediatrics, FYI,

Address any health issues

Continue Reading →

Kids need more sleep and later school start times

Posted on 30. Jan, 2015 by in conditions, Pediatrics

Last August, the American Academy of Pediatrics (AAP) issued a statement regarding school start times, really a plea to all middle and high schools to start the school day no earlier than 8:30 a.m. The statement emerged as a result of accumulating evidence showing that earlier school start times effectively restrict an adolescent’s ability to get regular healthful […]

Continue Reading →

The power of the specialist physician — and stewardship

Posted on 30. Jan, 2015 by in Doctoring, Hospice/Palliative Care, ICD/Pacemaker

My latest column over at theHeart.org discusses the disordered balance of power in the doctor-patient relationship. As most of you know, I harbor strong biases about the quality of medical decisions, especially in the elderly. Attached. Yes, I am attached to the issue of decision quality. Nearly all of electrophysiology, and much of cardiology, involves […]

Continue Reading →

Top stories in health and medicine, January 30, 2015

Posted on 30. Jan, 2015 by in Infectious disease, Neurology, News

From MedPage Today: Long-Term Danger for Kids’ Tackle Football? Cognitive impairments in retired professional football players with behavioral or mental complaints were more pronounced in those who had played tackle football prior to age 12. Skipping Doses to Save $$$. Nearly 8% of adults in the U.S. did not take their medications as prescribed in order […]

Continue Reading →

The judge saw through the lie

Posted on 29. Jan, 2015 by in Uncategorized

In a Boston Globe story, here’s how Priyanka Dayal McCluskey reports on how the outgoing CEO of Partners Healthcare System described the deal that was turned down today by Suffolk Superior Court Judge Janet L. Sanders:“The judge has said ‘no’ to …

Continue Reading →

Inactivity kills more than obesity: Let’s go beyond the headline

Posted on 29. Jan, 2015 by in conditions, obesity

A new study about physical activity, obesity, and mortality has been propagating so many headlines and so much commentary, it’s pretty much a given that if you are seeing this, you have seen something like: “Inactivity kills more than obesity.” As is generally true in such cases, few of the people opining about the study seem to […]

Continue Reading →

We forget to ask patients what their goals are

Posted on 29. Jan, 2015 by in Palliative care, Physician

Mr. Dwyer isn’t my patient, but today I’m covering for my partner in our family practice office, so he’s been slipped into my schedule. Reading his chart, I have an ominous feeling that this visit won’t be simple. A tall, lanky man with an air of quiet dignity, Mr. Dwyer is eighty-eight. His legs are […]

Continue Reading →

Stop with the curbside consultations. They don’t help anyone.

Posted on 29. Jan, 2015 by in Cancer, conditions

Recently a friend of my husband’s in San Diego had a mammogram that showed some suspicious microcalcifications in her right breast.  She underwent a stereotactic biopsy which revealed ductal carcinoma in situ, the earliest form of breast cancer also known as stage 0 breast cancer.  This type of cancer is non-invasive and does not metastasize, […]

Continue Reading →

Marching, but where? Moscow, I fear.

Posted on 29. Jan, 2015 by in Uncategorized

Melanie Evans and Bob Herman at Modern Healthcare report that “a new task force made up of providers, insurers and employers has committed to shift 75% of its members’ business into contracts with incentives for health outcomes, quality and cost manag…

Continue Reading →