Idiocy in Medicine

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Consults Circa EMTALA

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PHYSICIAN TO PHYSICIAN CONSULT PRIOR TO EMTALA

Dr. A: Hey Bill, I’ve got a patient down here that has a lung mass. She has no insurance and no job and is quite distressed. She needs a biopsy and maybe surgery and chemo. Can you help?
Dr. B: Well jeez doc, my schedule is full for the next […]


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The Bill of Rights

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All this talk about a right to free health care got me kind of mad because I didn’t believe it existed under our constitution. I also thought that patients should bear at least some of the burden for maintaining their own health and paying a reasonable fee either for insurance, or to physicians who treat […]


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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 […]