An Argument With No Clear Winner
“You’re going to the hospital.” “I’m NOT going to the hospital. There’s nothing they’d do and it would cost us thousands of dollars for nothing. Besides … we have to leave. We’re already late.” A...
View ArticleHealthcare Update Satellite — 12-01-2014
More health related news from around the web on my other blog at DrWhitecoat.com. This edition begins with another installment of the Ebola Chronicles … perhaps the last in the short-lived series now...
View ArticleHealthcare Update Satellite — 12-16-2014
Answering the important questions … why does the flu vaccine suck this year? Keep a lookout for next month’s issue of EP Monthly which will tell you everything you need to know about influenza...
View ArticleHow Can You Be Sure?
“How can you be sure?” That question stopped our discussion for a second. During some down time, several nurses and I were talking about childhood coughs. Her 6 month old child had just started daycare...
View ArticleHealthcare Update Satellite — 01-19-2015
Penicillin allergy? It’s associated with increased bad outcomes, but not for the reasons you think. The allergies themselves are mostly not allergies. And no, “my mother said I had a rash when I was a...
View ArticleHealthcare Update Satellite — 02-03-2015
Thanks for the patience in putting up with my lack of regular posting. Life has been challenging lately. Still working on it. When government pays for your care, government may try to force its values...
View ArticleHealthcare Update Satellite — 02-10-2015
Home remedy for lice kills a 1 year old child. Headline is a little misleading, though. Family members put mayonnaise all over the child’s scalp to suffocate the lice. No the child didn’t die from...
View ArticleHealthcare Update Satellite — 03-04-2015
Homeless North Carolina VA patient comes into the ED to be evaluated for the sores on his feet. His shoes are falling apart. Nurse Chuck Maulden bandages up the patient’s feet and then gives the...
View ArticleSemantics and the $28 Million Unnecessary Test
There’s been an awful lot of Internet hullabaloo about “unnecessary testing” lately. The Choosing Wisely program keeps trying to assert that we should not perform any “unnecessary” tests. Recently, a...
View ArticleHealthcare Update Satellite – 04-15-2015
You’ve heard of a CAT scan? Get ready for the dog sniff. Dogs can identify bladder and prostate cancer with a 98% accuracy rate when smelling male urine samples. Not into the whole dog sniffing thing...
View ArticleHealthcare Update Satellite — 04-26-2015
Both an unusual case and a great attitude. Woman with cerebral palsy for 33 years seeks care for a physician who questions the diagnosis. Considers that the patient may have rare type of dystonia and...
View ArticleHealthcare Update Satellite — 05-14-2015
Morally corrupt and illegal at any other hospital, but the VA system will sweep it under the rug and absolutely nothing will happen about it. Patient in car just a few feet outside the emergency...
View ArticleMemories …
A sweet little lady was brought to the emergency department by her caregiver after having difficulty breathing at home. She got a few breathing treatments and some steroids and was doing much better an...
View ArticleRodent Control
A crotchety old fellow from the nursing home gets brought in for trouble breathing. After looking at the swelling in his legs and listening to the crackles in his lungs, it’s pretty obvious that he’s...
View ArticleSurvey
Quick request … If you haven’t taken this short survey, it would be much appreciated. Looking to publish the results in a future journal article. Many thanks for your help....
View ArticleHealthcare Update Satellite – 06-08-2015
To increase access to medical for our nation’s veterans, the Veteran’s Choice Act authorized the VA to pay for more medical provided to veterans from community health providers. How did the VA save...
View Article14 Ways To Know Whether You Are Failing As A Hospital Administrator
I’ve been an administrator. I’ve seen hospitals in which a strong leadership team has improved the hospital’s market share and I’ve seen hospitals that have closed and that are struggling to stay open...
View ArticleHealthcare Update Satellite – 07-13-2015
Boy bitten by a mouse, mother brings boy and mouse to emergency department, wants rabies testing done. Nurse brings the mouse outside and lets it go. Mom fumes because no one recommended that her son...
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