Home 2018-05-24T15:44:59+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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Featured Posts

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  | March 26, 2008 |  22
Do you get as annoyed as I do about being pressured on your “Time of Discharge?” I just received my monthly report, and we’re in The Doghouse again: our average TOD – 3:28 pm – is hours after “check-out time.” But when did we turn into the Holiday Inn? Let’s start by appreciating where this […]