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Walk Away From The Table | Authentic Medicine

Walk Away From The Table | Authentic Medicine | the treating physician | Scoop.it
The single most powerful tool for winning a negotiation is the ability to walk away from the table without a deal. Harvey Mackay in Swim With The Sharks...

 

Having just written a lengthy post on the draconian reimbursement policies of insurance companies and Medicaid and Medicare, I couldn't resist adding this assist from Authentic Medicine.

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Gentle medicine could radically transform medical practice | Aeon Ideas

Gentle medicine could radically transform medical practice | Aeon Ideas | the treating physician | Scoop.it
How the ‘gentle medicine’ approach could transform clinical practice, the research agenda and the pharmaceutical industry
Diane Haugens insight:
A bit like Direct Primary Care...
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Dr. Lindemann's Podcast on Maternal Deaths in U.S.

Dr. Lindemann's Podcast on Maternal Deaths in U.S. | the treating physician | Scoop.it
Dr. Lindemann’s course on “How to Avoid Losing Your Life in Childbirth” will be available soon, but when Hamza Davis read about the upcoming video, he asked Dr. Lindemann to talk to his listeners about maternal death and comment on what we know about pregnancy and COVID-19. The You Tube podcast is now available!
Diane Haugens insight:
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Healthcare Has Left the Building

Healthcare Has Left the Building | the treating physician | Scoop.it
It used to be that when you got sick, your doctor would come to you. But as medical equipment, expertise and knowledge, and the entire modern healthcare system evolved, we created grand institutions to make granting healthcare to the masses more efficient. That system did us much good—but also comes with much cost. Today, healthcare is dramatically changing once again to embrace new equipment, expertise, and knowledge. In short, it's leaving the building. a16z General Partner Jorge Conde argues in this talk (first given at the 2019 Oliver Wyman Health Innovation Summit) that the healthcare system is getting unbundled—and everything from where we get our care to what our medicines will look like to even how we experience symptoms will look very different in the future. The same trends that created the modern healthcare system are now pushing us to a future that might look a lot more like our past.
Diane Haugens insight:
Amazing to see venture capitalists considering the deconstruction of big business medicine as we know it. A return to a form of Marcus Welby, MD, looking much like Direct Primary Care.
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Diagnosing and Treating Vitamin B12 Deficiency

Vitamin B12 deficiency can sneak up on you, and can lead to a myriad of diseases and disorders.

 

Know the signs and symptoms.

 

You could be deficient yet still test in the so-called range of "normal B12" on a blood test, especially if you have taken an oral B12 supplement of uncertain quality, or you have been under-treating the deficiency.

 

Oral B12 supplements do not work for all patients; patients with digestive/absorption problems benefit from B12 injections, as do patients with nerve damage.


Via Sepp Hasslberger
Sepp Hasslberger's curator insight, December 18, 2017 7:01 AM

It seems so strange that in this day and age there could still be something like a widespread vitamin deficiency that is very pernicious, very dangerous, and yet often not recognized...

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How 10 leading health systems pay their doctors

Available online 16 December 2014 Note to users: Corrected proofs are Articles in Press that contain the authors' corrections. Final citation details, e.g., volume and/or issue number, publication year and page numbers, still need to be added and…
Diane Haugens insight:

There's a common notion that physicians respond to offers of money.  Money drives them.  But when administrators try to devise ways to pay extra for "performance," that is, rushing patients through the encounter to show how "efficient" they are, and at the same time somehow tack on to this notion that quality of care improves, most physicians can see the emperor has no clothes.  The big question is why those regulating health care can't see this.

 

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Dear hospital information technology staff… | EdwinLeap.com

Diane Haugens insight:


ERs run 24/7. Any EMR should have 24/7 tech support to be called an EMR, much less installed in a hospital.

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I’m feeling like a broken record on pay for performance | The Incidental Economist

I’m feeling like a broken record on pay for performance | The Incidental Economist | the treating physician | Scoop.it
UPDATE: Edited cause I totally misread an indicator! This time it's obstetric quality metrics. "Association Between Hospital-Level Obstetric Quality
Diane Haugens insight:

Once again Aaron Carroll of the incidental economist notes the need for relevant quality measures in those rewards for good outcomes.

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The Illusion of Control

Politicians really don't represent their constitutents when they sink into the practice of gatherieng their votes with single issue legislation.

Diane Haugens insight:

 http://www.thetreatingphysician.com/2013/04/21/the-illusion-of-control/

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Comedy From The North Dakota Capitol Building

Comedy From The North Dakota Capitol Building | the treating physician | Scoop.it
North Dakota's top politics and media website.
North Dakota's most influential political blog.
Diane Haugens insight:

North Dakotans can't touch the state's oil fund, only investment counsellors.

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Again, Justice William O. Douglas Said it Best

I raised the issue in my first post quoting Justice William O.
Diane Haugens insight:

Discrimination in granting unemployment benefits in North Dakota.

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Playing Chicken with the Supreme Court

Playing Chicken with the Supreme Court | the treating physician | Scoop.it
I can't claim the title here of playing chicken with the Supreme Court. This is Joanna Grossman's phrase in her post "What's the Matter with North Dakota and Arkansas?" but I thought it well worth repeating.
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The Legislative Can-Can

Dr. Jen Gunter\'s comment noting the irony of North Dakota\'s stance on abortion and smoking is well taken...I have never seen the amount of smoking in a general population that I see every day in North Dakota.  Especially among young...
Diane Haugens insight:

Perhaps it's too much to look for consistency in legislative decisions, but reasonableness might be a goal worth emulating.

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You’re Not Like Them | Authentic Medicine

You’re Not Like Them | Authentic Medicine | the treating physician | Scoop.it

Dear Doug,

I just wanted to write to you about the medical profession from the viewpoint of an outsider. True, I have an MD degree and have worked for years mostly in urgent care, but I admit that I don’t fit. I have officially been told that.

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Podcast on Maternal Mortality

Podcast on Maternal Mortality | the treating physician | Scoop.it
The United States has the highest maternal mortality rate of any developed country, but few people know this. Until 1996, maternal death rates were gradually de
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Reasonableness, Aristotle Style

Reasonableness, Aristotle Style | the treating physician | Scoop.it
I have spent a lot of time contemplating what has turned our culture from one in which topics could be discussed, acknowledgment could be made for parts of the
Diane Haugens insight:
Still pondering why there's so much animosity between people who simply disagree.
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A lone FDA scientist could end the autism epidemic – J.B. Handley, Jr. – Medium

In a brand new published study, the only science vouching for the “safety” of injected aluminum adjuvant has come under extreme criticism by heavyweight scientists. Dr. Robert J. Mitkus — author of the misleading aluminum safety study from 2011 — could change the autism debate forever by telling the truth.


Via Sepp Hasslberger
Sepp Hasslberger's curator insight, January 7, 2018 6:17 PM

We are destroying the future health of our children by vaccination ... directly injecting neurotoxic aluminium into their little bodies. Let's stop that insanity, shall we?

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Why Would Any Doctor Accept Medicaid? - Better Health

Why Would Any Doctor Accept Medicaid? - Better Health | the treating physician | Scoop.it
Better Health is a network of healthcare professional blogs, offering commentary on news, research, health policy, healthcare reform, true stories, disease management and expert interviews.
Diane Haugens insight:

As this article so plainly demonstrates, Medicaid reimbursement for physicians is less than minimum wage.

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Fixing our broken health care system: Sometimes David wins

Fixing our broken health care system: Sometimes David wins | the treating physician | Scoop.it
You couldn't invent a worse health care system than the nightmare we have created in the U.S.
Diane Haugens insight:

We've long known the combined political clout of the medical-industrial complex has destroyed rational health care.  Dr. Allen Frances provides nice overview of the problems unholy alliances bring to the U.S. health care system.

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Dr John M

Dr John M | the treating physician | Scoop.it
cardiac electrophysiologist, cyclist, learner
Diane Haugens insight:

O.K., O.K., you may be tired of hearing my chant that check list medicine can't measure value.  It's always nice to find who someone agrees with you.

Dr. John Mandrola: "There is a lot of talk about rewarding value in US healthcare. Don't believe any of it. It's not happening. Not even close. This is a post about the real world–where I practice medicine...."

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Letter From One Of Our Readers | Authentic Medicine

The above picture is of Dr. Grady Snyder.   I saw this article and knew it was something you'd be sure to be interested in. Primary care is highly ...
Diane Haugens insight:

Where has the care in "healthcare" has gone.

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Delusional Thinking

Jurist reports that the North Dakota House of Representatives passed SB 2368, the so-called "fetal pain" bill and it is expected that the governor will sign it.
Diane Haugens insight:

Legislators practicing medicine without a license.

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Ex-Practitioner | Authentic Medicine

Ex-Practitioner | Authentic Medicine | the treating physician | Scoop.it
Here is a nice piece from the Wall Street Journal.   For those that can't read the link, here are some highlights: But never have I seen so many good ...
Diane Haugens insight:

The many reasons your friendly family practice physician is now raising Christmas trees.

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Blaming Physicians for High Cost of Health Care

Blaming Physicians for High Cost of Health Care | the treating physician | Scoop.it
I've written before on this blog about the propensity to blame physicians for the never-ending spiral of our health care costs.
Diane Haugens insight:

Douglas Farrago, M.D., on his Authentic Medicine blog suggests a number of reasons it is so easy to blame physicians for the high cost of health care.

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ACOG on North Dakota’s Legislation | The Treating Physician

Diane Haugens insight:

Remove the physician from medicine and what you get is...

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The only religion that my patients see me practice is medicine

The only religion that my patients see me practice is medicine | the treating physician | Scoop.it

It came to my attention that a medical student was refusing to have anything to do with contraception as it was against her religion.

 

 

 

 

 

 

 

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