I just read a funny-not-funny post on the health care blog KevinMD: This doctor orders pregnancy tests on men. You’re probably doing it too
The author, a physician, laments that his hospital’s electronic health records system (EHR or EMR) makes it way too easy to make mistakes, such as ordering pregnancy tests on male patients.
Now this may sound funny to you, and I know the nurses love to read me the riot act when I do it, but truthfully this is no laughing matter.
As easy as it is to order a pregnancy test on a man, it is
… Continue reading
We’ve all heard the phrase “cancer kills.”
But guess what? So can the high cost of treatment.
I just read about a study that came out of the Fred Hutchison Cancer Research Center here in Seattle.
The results won’t surprise anyone familiar with how much cancer treatment costs (a lot!), but researchers found:
…cancer patients who go bankrupt are nearly 80 percent more likely to die than patients who don’t, and some cancers had significantly higher mortality rates. Prostate cancer patients who filed for bankruptcy were almost twice as likely to die; bankrupt colorectal cancer patients were 2.5 times more
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I read two articles yesterday that complemented each other:
In Kaiser Health News (KHN) Heavy Use Of CT Scans Raises Concerns About Patients’ Exposure To Radiation
And on KevinMD two radiologists posted The financial costs of treating CT-induced cancer
Each underscores the fact that CT scans are significantly overused in American healthcare.
Although CT scans are an essential diagnostic tool, the Food and Drug Administration reports that an estimated 30 to 50 percent of imaging tests are believed to be medically unnecessary.
Considering we spend tens of billions of dollars every year on diagnostic imaging, that’s a lot of wasted … Continue reading
I’ve spent most of the holiday weekend happily engaged in reading through a pile of health care books.
And the one I absolutely have to recommend to everyone is The Patient’s Playbook: How to Save Your Life and the Lives of Those You Love by Leslie D. Michelson.
Michelson is not a physician, but has worked in the health management field for more than 30 years, helping individuals and companies navigate our crazy health care system.
Based on his experience, he has organized his book into three sections. Each chapter ends with a helpful “Quick Guide” of the most crucial … Continue reading
This post if for any of my readers who are Medicare age or about to be Medicare age.
I think it’s important to understand what changes are in the pipeline that will affect your doctors and their ability to be able to treat you.
Some doctors already refuse to see Medicare patients because of government red tape and poor reimbursement.
But starting in 2017 it’s going to get worse, and many physicians are wondering if they should follow their colleagues and drop out of the Medicare game altogether.
I recently read two posts by physicians on the health care blog … Continue reading
A few months ago I posted about CYA—Cover Your Ass—medicine being one reason why too many diagnostic tests are ordered and health care costs are high.
CYA medicine is when the doctor or doctors are pretty sure what your problem is, but they order extra scans and x-rays and blood tests anyway because “failure to diagnose” is one of the leading causes of medical malpractice suits. They aren’t going to take any chances, and who can blame them?
Related story from KevinMD: This is why doctors practice cover your ass medicine
Besides, they don’t pay your resulting medical bill, so … Continue reading
I was invited to share this very interesting infographic on the looming shortage of nurses in this country.
The last of the baby boomers will reach retirement age in 2029. Although baby boomers can expect to live well into their 80s and 90s thanks to healthier lifestyles and modern medicine, they won’t be without chronic health conditions like heart disease, high blood pressure, diabetes, arthritis, and early dementia.
That will put a strain on the health care system, as there is already a growing shortage of doctors and nurses. And as more highly-trained nurses take on the role of primary … Continue reading
I’ve said it many times in this blog: Don’t go to the hospital alone! And don’t let your friends or family members go alone, either.
Having or being a patient advocate during a hospitalization can really improve communication among the patient, the patient’s family and the myriad of health care providers in modern hospitals.
Related story from KevinMD: There are too many cooks in the health care kitchen
Better communication is especially important at discharge time, when the doctor and nurses give you lots of instructions about your follow-up plan: Do you have new medications? Did you stop old medications? … Continue reading
I couldn’t help but laugh when I ran across this video from Costs of Care: What if Your Hotel Bill Was Like a Hospital Bill?
I swear I recently had a very similar conversation with a health insurance company regarding the cost of a new wheelchair for my elderly aunt!
Although insurance covered the bulk of the cost (well over $5,000) my aunt still owed close to $2,000. The bill had a list of about 20 items related to the wheelchair, but neither side admitted to knowing anything about exactly what each charge was … Continue reading
Apparently even health care providers don’t understand all the different end-of-life forms that might accompany a patient into the hospital.
I watched a parody video (to Green Day’s “Good Riddance”) on YouTube that seeks to educate and eliminate the misunderstandings.
These end-of-life forms, also known as advance directives or health care directives, are similar but differ slightly in scope and usage.
Certainly physicians and nurses should know the difference (and in my experience, most of them do), but it’s equally helpful for patients and family members to understand them so “medical mistakes” can be avoided.… Continue reading