Category Archives: medicine

airplane hospitals versus car crash hospitals

Whenever a plane crashes, whether by mechanical failure or operator air, airlines and regulatory bodies immediately assume something went wrong — something that needs to be fixed on every plane that will ever fly again. The reaction to fatal plane … Continue reading

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Bundled payments – for hip and knee replacements

Hip and knee replacements are among the most common operations performed in the United States.  In 2013, there were over 400k performed, and the inpatient stays alone cost Medicare $7 billion.  The Medicare payout for each procedure – including surgery, … Continue reading

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Mandatory childhood vaccinations… in California

Back in December, a measles outbreak occurred in Southern California after 40 people contracted the disease after visiting or working in Disneyland.  The outbreak ultimately spread to six other states. Like many states, California allowed for exemptions for vaccines – … Continue reading

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A farewell to Boston

This has been an incredibly challenging post to write.  Nobody does goodbyes well. Some of you may have noticed that this past Monday did not feature a regularly scheduled someecard post.  You may also have noticed that the header on … Continue reading

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During orientation for EPIC regarding certain orders in the medical record: At ILH, we never expect anything to be normal

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Should we be keeping patients happy?

I posted an article to Facebook yesterday regarding patient satisfaction, and to be honest, I was somewhat surprised at just how many people – both medical and non-medical – responded to it.  The article was about the “Cost of Satisfaction” … Continue reading

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Evidence Based HIV Treatment

Anti-retroviral therapy became the standard treatment for HIV in the late 1980’s, not long after the discovery of the virus.  Ever since they busted onto the scene, the timing of when to give a patient anti-retroviral drugs has always perplexed … Continue reading

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