When Doctors Don’t Talk to Each Other

I lived with the illusion for many years, that doctors communicated with each other.    After all, every time I call any provider, the automated voice tells me, if you are a physician press #1.  Presto! the conversation begins. Recently, I had a situation where the lack of communication between physicians put a client of…

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Medical Billing Offices:Swimming with Sharks

I would like start by stating, that I understand medical billing offices have a job to do.  What I am writing about is how the billing offices go about the business of recouping their money since the economic downturn.  With insurance raising premiums and the least expensive policies having higher deductibles and larger coinsurance, patients…

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The POWER in emPOWERed Patient

It is often hard to feel as if you have any power or say when visiting the doctor or lying in a bed in the hospital.  Most people are not medical and don’t understand much of the jargon being bantered around.  We struggle to make sense of what has happened to our body.  We don’t…

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Doctor To Patient: It’s Not My Area

I get calls to review records for people.  They want a neutral set of eyes to evaluate the information.  Usually, the person asking, has seen multiple specialists and doesn’t have a diagnosis.  They are asking me for direction.  Recently, I had a case that stunned me because the client had seen multiple specialists over a…

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Why Am I A New Patient When I am Already In The System?

My client was inpatient for an infection.  The service that was following her decided to get a consult from Infectious Disease to assess what may be causing the infection. A biopsy was taken and we waited for results. For one of the potential microbe, penicillin was the drug of choice and it had to be taken…

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Nurse practitioners vs Doctors: The Same Old Story

Recently, there has been a flurry of blog entries on the role of nurse practitioners (NP) in healthcare.  The American Academy of Family Practitioners (AAFP), came out very strongly against nurse practitioners as being designated as primary care providers.  The argument is NPs don’t have the same amount of schooling as doctors and don’t understand…

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A Primary Care Vision

Healthcare is changing again.  There is a movement away from fee for service to global payments for care.  This means that the insurance companies give a provider or practice, a set fee annually to cover an individual.  It is the responsibility of the provider to manage medically and keep costs down.  If a practice goes…

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Why I Disagree With Dr Murray Feingold’s Medical Minute of April 2

I was listening to the WBZ 1030 Boston radio and the medical minute came on.  Dr Murray Feingold was doing a piece called “Understanding Your Doctor.” http://boston.cbslocal.com/medical-minutes/#.  Usually I like his segments but I was surprised and annoyed by his comments. In this minute, he discussed a study that examined communication between a doctor and patient.…

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