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Here are the stories you missed on KevinMD.  Thank you for your continuing readership.
 

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Secure communications in health care: Do you know all your options? Good security is important when it comes to personal health information, along with the imperative for easy, constant, and mobile communication among health care professionals and organizations. Read the eBrief now.
 
Is your hospital communication system trapped in the dark ages? Just like a medieval page boy, pagers are annoying and inefficient. This leads to delayed patient care, frustrated providers, and potential HIPAA breaches. Learn why you need to ditch your Page Boy today.

"The most important patient safety program in 15 years": How the CANDOR Toolkit helps doctors and hospitals do the right thing in the right way -- and why disclosure after adverse events can reduce physician liability.

Video: See how your staff can protect sensitive information with a variety of devices that offer flexibility, convenience and security, including smartphones, tablets, and pagers. Watch the video.

 

 
KevinMD Today: Sep. 5, 2016

Physicians are the emotional punching bags of society

The Washington Post featured an article by Dr. Michael Stein, “We all want doctors to be kind. But does kindness actually help us get better?” He presented intriguing but inconclusive data regarding the benefits of a “kind” doctor on control of diabetes or on perceived duration of colds for instances. In the end, Dr. Stein […]
 
The maker of EpiPen sticks it to patients

Recently, friends of ours had a frightening experience: They were on vacation, and ordered takeout from an unfamiliar restaurant. They specifically asked about peanuts: “Are the egg rolls fried in peanut oil? Our daughter has an allergy.” The server replied: “No, no peanut oil.” And so they ordered the egg rolls. Awhile after eating an […]
 
Mylan Pharmaceuticals made these 2 critical mistakes

Pharmaceutical companies are brilliant. They make profit off of chemicals that can be potentially life-saving. The list is quite impressive: antibiotics for somebody who would otherwise succumb to sepsis, insulin for someone whose pancreas loses the ability to function, antivirals for chronic viral suppression, antineoplastic agents for somebody whose cells have lost their regulatory mechanisms, […]
 
Vaccine hesitancy: It’s time to go on offense

The term “vaccine hesitancy” is a relatively recent term in medicine, a term used to describe patients who are worried about the safety, efficacy, or necessity of receiving immunizations. Vaccines are safe and have a proven track record of saving lives. As a result, doctors been caught somewhat off guard by the notion that anyone […]
 
This is what my ideal EHR looks like

Give me technology which improves my life and that of my patients, or give me death. Medical records must be informative, efficient, and flexible; like the physicians they serve. For me, a medical record does not contain just a collection of problem lists, prescribed medications, and immunizations; it is a noteworthy account of the health […]


Why psychiatrists should stop diagnosing presidential candidates

The New York Times and NPR recently published articles related to the Goldwater Rule. In short, a magazine sent a survey to over 12,000 psychiatrists in the U.S. with the single question of whether they thought presidential nominee Mr. Barry Goldwater was fit to serve as president. Few psychiatrists responded. Of those that did, more […]
 
Keep hierarchical condition categories in mind when you code

A guest column by the American College of Physicians, exclusive to KevinMD.com. This will not be another article focused on the Medicare Access and CHIP Reauthorization Act (MACRA) and its Merit-Based Incentive Payment System (MIPS). Everyone else is writing about that. (But I can’t promise that I won’t mention MIPS at all.) Hopefully, by now, […]
 


This spring, the California Board of Optometry shut down the only optometrist providing services to homebound patients in the San Francisco Bay Area. I learned about this because affected patients included several referred from our UC San Francisco Housecalls program, one of a few non-profit, non-concierge home-based practices in the state providing geriatrics care to […]
 
Inside every presidential candidate is a medical student

Ten male students crowded around a clean-shaven instructor who asked a series of questions.  The students had meticulously prepared and would maintain close proximity to well-rehearsed answers. “Hopefully, the questions are simple,” they thought. One by one, they answered, at times stumbling through their responses. This was expected. The students were learning and the incorrect […]
 
Direct primary care physicians are trying to rescue other doctors

In a recent interview, Dr. Farzad Mostashari (former national coordinator for health IT and current CEO, Aledade ACO) gave some advice to physicians on how to avoid burnout and “restore their role as caregivers”: The key is two things. One, if you’re in a kayak in the rapids, you have to lean in and dig […]
 
What physicians can do about EpiPen

When I found out my daughter was allergic to peanuts, she was a year old. She couldn’t have cared less. She was smiling and happy, sitting on my lap in the allergist’s office, blissfully unaware of the big red mark on the side of her face. And I was crying and sad, crushed for that moment that the […]
 
MKSAP: 74-year-old woman with peripheral arterial disease

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 74-year-old woman is evaluated during a routine examination. Her medical history is significant for hypertension and obesity. She is a former smoker, stopping 5 years ago. Medications are amlodipine, lisinopril, and aspirin. On physical examination, she is afebrile, blood pressure […]
 
An open letter to Heather Bresch: What is legal is not always ethical

Dear Ms. Bresch, I couldn’t help but notice the barrage of negative press you’ve received lately regarding the significant price increases in EpiPens. A 461 percent increase since 2007, to be exact. People who require this medication for themselves or their children are up in arms about spending over $600 for a twin pack of […]
 
A medicine for poor people

Last week I had an appointment with one of my well-controlled diabetics.  She has been in my care for the last six years.   Our usual cheery interaction turned sour when she stated in an accusing tone, “My husband is diabetic, and I talked to his doctor about the medication you have me on.  He says […]
 


I recently was speaking to two doctors about newspapers. Neither of them subscribed anymore. “Who has time to read the paper?” they agreed. “And any news you need is free online anyway.” No big news there, right? Plenty of people — in medicine and otherwise — have made similar decisions since the rise of the […]
 
The cure for a poor historian? A good medical record

Think keeping your life organized is hard? Try keeping your doctors organized. In this era of fragmented health care, patients find themselves in the impossible position of having to coordinate their care themselves — a task that many can’t meet. Having multiple chronic medical conditions often means being subjected to a dizzying assortment of specialists, […]
 
 
 


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