Managing Managed Care

Our inequitable, inefficient, oftentimes uncaring health care "system," revealed. -- Jeffrey G. Kaplan, M.D., M.S.

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All Contents

The EHR—on the Road Where a Cottage Industry Lived

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Improving doctors' effectiveness and cost-benefit To cure health care's ills, there's an obvious remedy that is difficult, but not impossible to implement—make cogent information* available at the point of contact with the patient, regardless of setting and within HIPAA constraints. 

Medical Community: Stop Your Whining!

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A New York Times article portrays physicians' frustration stemming from having to deal with the underpayment of primary care. "There is no doubt that the system for providing medical care in the country is in need of major reformation, and that the system of training the providers of that care is in need of major transformation, but the medical community needs to get a grip on their whining." Remember, the primary care physician is an advocate and not insensitive to the costs of care.

Eczema, The Common Rash

Eczema is, briefly, the "itch that rashes." It is also called "Atopic Dermatitis." And, it has other names as well. Online eczema support & information community --   Thank you very much doctor My son slept true the night for the first time in a long time; the cream* works wonders Joel * Unfortunately, this was a short course steroid cream, mid-potency  

Rethink Breast/Prostate Cancer Screening

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With 20 years' experience screening for breast or prostate cancer, I say "uh-oh"! These cancers seemed to be more prevalent.  Relatively speaking the cancers are presenting at an earlier stage. 

Antibiotic Harm - MRSA, the Super Bug

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What's the Relationship Between Using Antibiotics and Then Getting MRSA? RE: Community-acquired methicillin-resistant Staphylococcus aureus (MRSA) such as in an abscess or cellulitis–- the more the antibiotic exposure prior to getting MRSA, the more likely it was you would get MRSA. Setting and Study Design  A population-based case-control study in children, 1 to 19 years of age using a primary care, General Practice Research Database, United Kingdom, 1994-2007.

Obesity/Overweight Prevention/Treatment

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Obesity is a contributor to or a cause of chronic medical and/or surgical conditions including diabetes, hypertension, hyperlipidemia, heart disease, stroke, certain cancers, recurrent trauma and arthritis. Here are a few of the more ponderous facts: The apparent rise in the incidence of hypertension and diabetes worldwide is concerning.  Certain populations, non-Hispanic blacks, for instance are at higher risk, but it is getting scary for all of society!

Delaying Shots ⇔ No Benefit; Much Risk

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In faith there is enough light for those who want to believe\enough shadows for those who don't [modified quote: Blaise Pascal]  I'm so tired of the excuses some parents make for not giving or wanting to delay vaccinations.  So, here's evidence; take or fight it on faith or consider the recommendation to immunize on time to be scientifically validated, 'best medical advice (BMA).

Really Poor Performance, U.S.A.!

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Beyond our obvious quality problems.... Yearly, approximately 100,000 patients die of health care–associated infections, about another 100,000 die from other preventable errors, and "tens of thousands more die of diagnostic errors or failure to receive recommended therapies."1-3 But, That’s Just the Obvious Quality Problems.  Possibly related Is the FACT That Our Mortality Rates Pale In Comparison to Other Industrialized Countries

Vitamin Insufficiency or Expensive Urine

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You want the best health and well-being for yourself and loved ones, but vitamins and supplements, are no panacea.  Furthermore, know that the law does not require proof they work. And, overdoses and conflicts with real medicines do occur (so they cannot be taken with impunity).  Nevertheless, well-designed studies do indicate a modest benefit.  Here's one, for instance, that states: