March 10, 2014
I miss the sun! I miss seeing my neighbors out and about. I miss walking in the neighborhoods. I love spring! As a doctor, spring brings out the best in my patients. Spring is when my patients are most likely to work on getting healthier, eating better and exercising. Spring seems to be a great motivator.
This year, let’s all hit the ground running. Spring cleaning has always referred to your home; this year, let’s spring clean our bodies! Take a day to assess your physical, emotional, nutritional and spiritual being. In previous articles, I compared your house to your body. Your house shelters your body whereas your body shelters your soul. This year, make a commitment to get your body in the best shape possible.
In the past, I have often written about diet. Spring brings fresh vegetables and fruits to our homes. Enjoy lots of them. Eat lots ...<< MORE >>
March 6, 2014
The Federation of the United Insurers of America (FU America) has quietly but successfully instated itself as America’s first true dictatorship. FU America is so powerful that, by law, Americans must join at their own expense or face fines levied by FU America’s partner, the US Government. Actually, I’m no longer sure who is running our country. In many ways, it appears that the FU America is pulling all the strings.
Let me explain. FU America pervades every part of our lives. As doctors, FU America controls:
February 5, 2014
This is a must read. Yes, it is long and sounds like the ramblings of a paranoid individual. I assure you, she is not!<< MORE >>
March 2, 2014
I’m sweating. My heart’s racing and my legs and arms have no strength. Walking is possible but not easy. Lifting a glass of water causes my arms to quiver. This can’t be good, could it? Of course, it could!
It’s the effects of a great 20 minute workout at The Exercise Coach! It’s called sweat equity. You’ve got to sweat a little if you want to be healthy. You have to rev up your heart if you want to be cardiovascularly fit!
Yes, it sounds like torture. I actually told my trainer that he was a sadist. He laughed out loud. He’s not a sadist. He’s dedicated to getting me in better shape and I’m making progress. I assumed that my workouts would get easier as my muscle tone improves. They won’t! My trainer assures me that he will continue to encourage me to do more (within safe limits) and ...<< MORE >>
March 1, 2014
Here’s my excellent article of the day. Hope you enjoy it and take it to heart!
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February 28, 2014
The flowing article has been published several times over the past few years. It is even more appropriate today than it has been in the past.
Originally published on March 5, 2011, this article ranks in my all time top five viewed publications. As insurance and Medicare become more restrictive, medical luxuries become more important. With the recent move to brand many tests and interventions as unnecessary, what was once cutting edge and “necessary” now falls into the realm of luxury. The statisticians look at what is “enough lives saved” in their quest to define necessary. PSA screening is no longer “necessary” as not enough lives were saved for the cost of the test. If your life is saved by a test of intervention, doesn’t that qualify as “enough?” “Medical Luxuries” addresses the word “need.”
The word “need” means different things to different people. In an earlier article, I referred to ...<< MORE >>
February 27, 2014
I’m angry. I don’t like being angry. Being angry is unhealthy and counterproductive. Physicians are not supposed to get angry at their patients. I can’t help it! This week I’ve seen multiple patients for self-induced illnesses. Health is a precious commodity and watching patients piss away their health makes me angry.
I’m supposed to repair the damage my patients are creating. I’m supposed to perform that miracle without running all sorts of tests and without prescribing all kinds of expensive medications. After all, Docs are accused of running unnecessary tests and prescribing expensive medications. Aren’t they?
I’m also expected to deal with angry family members who, by law, aren’t privy to the facts of their loved one’s case. All they know is their family member’s health is failing and it must be the doc’s fault or the medication’s fault. They also complain about the cost of all the tests and treatments ...<< MORE >>
February 26, 2014
Ditto! Read "Don't blame doctors for going concierge." The cost of keeping a medical office open continues to rise at an alarming rate. New requirements for additional coding, certifications and laboratory compliance audits are staggering.
Reimbursements by insurers and Medicare continue to fall. Patients are caught in the middle with ever increasing deductibles and ever decreasing coverage. Something has to give!
The only people giving are the docs and their patients! I'm afraid that the insurers and Medicare will soon be feasting on our bones!... << MORE >>
February 25, 2014
I have written several articles on the importance of diagnosing sleep apnea appropriately. Sleep apnea effects every part of your life. Imagine what it would be like to have someone intermittently smother you with a pillow all night long. Yep, that's sleep apnea.
You can screen yourself using the following hyperlink:
The Mallampati Scale is a good tool for helping you and your doc make a timely diagnosis of this very treatable disorder.... << MORE >>