Home 2018-05-23T16:08:18+00:00
By  | May 14, 2018 |  0
Harper’s Magazine dates back to 1850, and their monthly list of statistics started in 1984. After attending SHM’s annual conference last month, I thought I’d present a few of my favorite pearls similar to the Harper’s Index each month in their magazine. % of Medicare patients discharged with an opiate prescription: 14% % of those […]

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By  | May 11, 2018 |  0
There have certainly been numerous articles, periodicals, missives, messages, courses and LinkedIn articles about the importance of strong leadership. I myself have blogged that most “challenges” in hospital medicine could likely be solved with strong leadership and adequate staffing. But recently I gave a talk with Sarah Apgar from UCSF on differences in supervision and […]
By  | May 1, 2018 |  0
Prices from a chargemaster are “what a drunken billionaire would pay a hospital if his wife were not around to control the bastard.” — Uwe Reinhardt You might be asking why such an outlandish quote? Last week CMS proposed* to change the way patients see the costs of hospital bills.  So what you might utter. […]
By  | April 23, 2018 |  0
“You can teach a canary in a coal mine to meditate, but it is still going to die.” I have seen this canary sentiment as a metaphor for health care and burnout pop up a few times on Twitter recently, attributed to a couple different thoughtful doctors, including Dr. Jenny Ramsey (at Hospital Medicine 2018), […]
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By  | September 29, 2008 |  7
Last week’s New York Times front-page piece on colored wristbands highlighted an issue I’ve been fretting about for years. We can achieve consensus on a $700B bailout in 3 days (well, perhaps not), but can’t agree on what color a DNR wristband should be? Wow. My interest in this subject began with a remarkable case […]
By  | May 13, 2013 |  1
A quick post on something we do not think about often. We look at the world through our own professional lens.  If you toil at a big urban hospital, your sphere of interest encompasses GME, training, research, and safety net care.  Conversely, if you work at a small, rural hospital, you concentrate on ER and […]
By  | June 4, 2014 |  2
“Where do we come from?” My 5-year-old asks us that regularly, usually in the quiet time of a car ride. My wife answers by saying, “Great question.” And then, “Oh, look at the bright yellow school bus.” Crisis averted. If I’m asked, I’ll start talking about monkeys, throw out something about Tiktaalik and they will […]