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Saturday, December 15, 2018


Kratom: innocent natural complement or harmful drug?

What's it? Kratom is a powdered natural complement derived from the leaves of a tropical evergreen tree that's native to Southeast Asia and is normally taken orally however may also be brewed into teas. It's generally utilized by shoppers instead drugs to self-treat opioid habit and power ache.  The leaves include two compounds, mitragynine and...

A doctor contemplates Medicare blended charges

I'm a horrible coder. I feel I'm a fairly good physician, however in the case of coding, the method of determining which billing code to select to assign to a invoice for an workplace go to, I'm hopeless. Irrespective of what number of instances I've had the foundations defined to me, or how...

Hospital mergers and the danger to affected person security

"Higher affected person care” is the rationale hospital and well being techniques often give once they merge or purchase each other. Our analysis means that mergers and affiliations would possibly, paradoxically, enhance the danger of hurt to sufferers within the quick run. Bettering the protection of affected person care is feasible throughout mergers...

four disturbing tendencies in well being care

It is easy to get enthusiastic about technological advances reminiscent of nanobots that swim in blood to ship medication or Three-D printers that print human tissues. Nevertheless, in our enthusiasm to seek out the subsequent repair, we're failing to note the bottom slipping beneath the well being care trade. Listed below are 4 tendencies...

Atul Gawande’s prescient 2012 TED discuss

Well being care is buzzing as Atul Gawande has been chosen as CEO of the Berkshire-Hathaway/Amazon/JP Morgan strategic enterprise. I used to be thrilled they picked a doctor, like myself, within the trenches to run their gig. After listening to the information, I remembered Gawande’s TED Discuss from 2012 and determined to compensate for it throughout...

Don’t throw the E&M child out with the bathtub water: the proposed CMS adjustments

By now everybody has heard that the Facilities for Medicare and Medicaid Companies (CMS) has proposed to dramatically change the way in which physicians receives a commission for analysis and administration (E&M) companies within the workplace as a part of the proposed 2019 Doctor Price Schedule Rule. In actual fact, as of the...

How our well being care system traumatizes sufferers

The well being care system has by no means been so complicated as it's at this time. As medical doctors, we’ve seen the struggles that occur simply making an attempt to assist sufferers get the medical care they want. Sufferers are actually ladened with excessive deductibles and infrequently are the victims of baseless...

Cease treating docs like college kids

As extra physician pay is being tied to affected person satisfaction and “outcomes,” a latest Forbes article argues that “It’s solely a matter of time earlier than physicians will see the majority of their compensation tied to high quality measures.” To arrange for this pay-for-performance apocalypse, the article cites Medical Group Administration Affiliation...

We should always all care when sufferers get too many Z-paks

Many individuals appear to consider that the Z-pak possesses magical qualities. Sufferers are available requesting it for the frequent chilly, as a result of it labored for them previously. Not solely do many consider it cures the frequent chilly, however they suppose it could possibly deal with any an infection. Have a urinary...

The issue with first-person reporting of unproven interventions

Houston Chronicle reporter Craig Hlavaty just lately handled readers to a first-person account of getting an intravenous (IV) vitamin infusion inside a van parked outdoors his home. The article, “Feeling the drip, drip, drip of the cellular IV craze,” associated how a needle was inserted into his arm, “simply the place a tattooed lightning bolt strikes.” Hlavaty...


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