Archive for April, 2008
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Can I Get Prior-Authorization To Kick Your Ass?
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Whoever decided to put high-school dropouts in front of a computer with headsets on to speak with physicians or medical providers to discuss and approve or deny drugs or other therapies for patients was a real fucking genius.
Let me tell you how it usually goes when I try to get a wonderful, newer drug approved […]
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Sue Me
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Ethics be damned, I finally did it. I worked the overnight recently and one of our executive class frequent flier patients showed up in the waiting room at 2am. Dr. Deborah Peel (the patient) was, evidently, prepared for the fact that our ER cocktail lounge had been closed for a bit so she tanked up […]
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Follow the Money
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America, here’s what happens when you remove market forces from physician compensation. Seen above is a flier for a seminar where MDs can learn how to do botox injections and other cosmetic procedures for… drum roll please… money. Wonder where young Doc Jones went? He quit working under EMTALA and opened a botox clinic. I […]
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At Amy’s Request, 911doc’s CAM Garb (and the POOPSTRONG vs CAM challenge)
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I effectively use this “Complimentary and Alternative Medicine” costume to treat acute on chronic chronic fatigue syndrome, acute lancinating fibromyalgia, systemic candidiasis, universal allergic syndrome, non-specific overwhelmosis, and all Axis II disorders. It works just as well for these things as traditional “western” medicine.
One thing I have discovered with patients in sepsis who are hypotensive, […]
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Shalom
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Gonna be out of the country for a few weeks vacation in the promised land. No, not Hawaii, beautiful downtown Tel Aviv. I told my wife if she wanted to go to a hot city with a large jewish population Miami would be much more convenient, but shes the Boss. She might still be going […]
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Only Democrats Can Get Away With This Shit (and HAPPY EARTH DAY!)
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Okay, first of all, the names of the gay bars here are funny. I mean “Woody’s”?? And “Bump” for a lesbian bar is just classic. How about “Stinky Dick’s”? (I have copyrighted “Stinky Dick’s” so don’t steal it). How about “Lipstick Canyon”? But only a Democrat could get away with pinching Chelsea Clinton’s ass. […]
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Revenge, a Dish Best Served Cold [(or how i learned to stop worrying and love dr. deborah peel (with propofol)]
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A tri-malleolar ankle fracture is shown above. This is also a dislocation. The red dots are placed to show the track of the multiple fractures, the white arrow shows the tibia, the large, weight-bearing bone of the leg, translated forward on the talus bone of the foot. This is an orthopedic emergency as with a […]
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Corrollary to post below..
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Short version..Had a pt present today with a rash. Which, BTW, was 12 hours ago that was now GONE!!!!Left PO’d as in “shut this place down” because I couldn’t tell them what caused the rash that was GONE TWELVE HOURS AGO!!At same time I was taking care of a family who’s wife/mom had […]
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For "Dedicated Dad"
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I’ve been doing this a long time. And I humbly say if any ED doc or neurologist gave me or any of my family or friends thrombolytics for a stroke like symptoms, I WOULD SUE THEM!Does that make it easier for you?There is NO predictive test or scale that says when it is appropriate […]
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Why Do I Bother??
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I recently had a patient with chest pain. His story sounded very GI, probably reflux. But, the guy was 65, smoked, was overweight, and had elevated cholesterol. The clincher was that he had a positive stress test a week before.
I talked to the patient and numerous extended family members about the diagnosis […]
