Family physician, author, blogger, speaker, physician leader.

Recent Articles

Will understanding work environment and organizational psychology help health care get better?

Our health care system is in crisis and needs significant change. So, I was excited to read Dr. Lisa Rosenbaum’s great February 2019 three part series in the New England Journal of Medicine and accompanied round table about teamwork in health care. Rosenbaum kicks off each piece with a story: how the Brigham’s and Women’s Hospital’s “shock team”, doctors of different specialties, worked seamlessly in a ‘remarkable interaction’, the failure of perfusionist to speak up during a heart transplant surgery when an error occurred and ultimately results in a preventable death of a young man, and a patient who was hospitalized 5 to 6 days longer because the different medical teams were “caught in an endless loop of passing the buck.” Each article then highlights classic research and findings by organizational psychologists and the social sciences to illustrate how we can learn and improve to make the care we provide […] Read More »

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Millennials Are Dropping Primary Care Because Want Convenience. Not a Bad Thing.

The Kaiser Health News article Spurred By Convenience, Millennials Often Spurn The ‘Family Doctor’ Model caught my eye. Millennial patients want “convenience, fast service, connectivity and price transparency” while doctors and health experts worry about “fragmented or unnecessary care, including the misuse of antibiotics” and loss of  “care that is coordinated and longitudinal”. It’s as if the needs of the patients and the concerns of doctors are mutually exclusive. They are not. The challenge is the current health care system does not provide for both. What Do Patients Want? In November 2005, a survey published by the Employee Benefit Research Institute found then when judging quality of care, respondents found these traits to be very important: 90% the provider’s ability to communicate well 89% getting timely care 85% the ability to easily get care and treatment 81% found the coordination of care, ability of doctor or hospital to access complete […] Read More »

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The Joy of Watching Intellectual Sparring – Adam Grant, Malcolm Gladwell, Robert Pearl, Shannon Brownlee, Ezekiel Emanuel, David Feinberg

So much fun watching smart experts accurately debate disparate points of view. My recent favorites worth watching more than once!   Courtesy of IntelligenceSquared Debates. Topic – The U.S. Health Care System Is Terminally Broken Robert Pearl, Shannon Brownlee, Ezekiel Emanuel, David Feinberg     Malcolm Gladwell and Adam Grant In a special live taping at the 92nd Street Y in New York, Adam talks with Revisionist History’s Malcolm Gladwell about how to avoid doing highly undesirable tasks, what makes an idea interesting, and why Malcolm thinks we shouldn’t root for the underdog. This episode is brought to you by Accenture, Bonobos, JPMorgan Chase & Co., and Warby Parker. We’re doing a listener survey about WorkLife with Adam Grant! We’d really appreciate a few minutes of your time to help us improve the show: surveynerds.com/worklife   Also Gladwell and Grant

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Michael B Jordan, Black Panther, Broken Retainer, HIPAA Violation?

After an orthodontist blogged about an emergency visit where his patient broke her retainer after watching Michael B Jordan in the blockbuster hit, the Black Panther, the young woman identified herself as the anonymous patient after learning about the story via twitter. Though she was initially quite embarrassed, she was ultimately good-natured about all of the unexpected publicity. The natural question for many health care providers was whether there was a violation of patient privacy or HIPAA? If there was, was there any harm? If there was a violation of patient privacy or HIPAA, what should the consequences be if any? HIPAA Violation? Protecting PHI Alone May Not Be Enough What we know is that the orthodontist in question feels that this blog post was not a HIPAA violation. This much is clear on his tumblr blog. He might be correct on first glance. Classically, health care providers and other […] Read More »

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Cold Sores Treatment – Acyclovir (Zovirax), Valacyclovir (Valtrex), Famciclovir (Famvir)

Cold sores are a pain. Prescription cold sores treatment is available. Our doctors can help. We just added our 14th service – COLD SORE TREATMENT to our growing list of services for Lemonaid Health! If safe and appropriate, we can prescribe either as needed treatment or daily preventive treatment for recurrent cold sores. The COLD SORE TREATMENT service is now available for patients in the following 17 states: AZ, CA, CT, FL, GA, IL, MD, MI, MO, NY, OH, OR, PA, RI, SC, VA, and WA. Other states coming soon. So long as this isn’t your first cold sore, our doctors can give you a prescription for an effective anti-viral cold sore treatment. With our 2-hour turnaround during business hours you can pick up your medicines at the pharmacy before you know it.     There are 2 different reasons to take cold sores prescription treatment medicines, an immediate outbreak […] Read More »

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