By  | January 7, 2019 |  0
Like you, I am focused on care transitions these days. Inpatient providers have gotten closer to mastering the hospital side of things (disease-specific care), but we still have a long way to go on broad-based QI with items such as hand washing, nosocomial infections, and patient communication. Additionally, the patient’s passage back from the wards […]
By  | December 10, 2018 |  6
Seen the State of Hospital Medicine report for 2018? I have, and there is erudition galore. Here is one that has me contemplating. I was surprised to see the breakdown below. Not so long ago, I would say less than ten years, the scatter for adults was more balanced. By that I mean, the 99222 codes were […]
By  | November 5, 2018 |  1
Suppose I told you one of your patients: –Didn’t vote in the last five elections –Bought a 24 pack of Snickers bars and 12 pack of Cheetos on Amazon every three months –Participates in a  Burger King Whopper loyalty discount program –Owns a Harley Davidson What conclusions would you draw as they relate to future […]
By  | September 20, 2018 |  0
Have you ever wondered if there’s a correlation between Gore-Tex® (Think: rain jacket material) and Social Media? No!? Well, I have… It turns out there may be more commonality between these topics than what one might imagine. You see, Bill Gore (the company’s founder and CEO) recognized a particular number in his manufacturing plants: 150. […]
By  | September 12, 2018 |  2
I just heard. A colleague, a man of integrity and warmth, a hard-working physician with ideals, ethics and many valued contributions, has taken his own life. His perspectives may have differed from mine at times, but every interaction was infused with respect. He was a good man. Much has been written about the rate of […]
By  | June 4, 2018 |  4
The question of appropriate ward garb is a problem for the ages. Compared to photo stills and films from the 1960s, the doctors of today appear like vagabonds. No ties, no lab coats, and scrub tops have become the norm for a number (a majority ?) of hospital-based docs—and even more so on the surgical […]