Musings

To educate and stir the pot

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Technodysplasia

Technodysplasia

Jun 26 2018

My father tells a story about one visit to his doctor. He sat in the waiting room watching the appointment time come…

Price Opacity

Price Opacity

May 24 2018

A Pre-R patient just sent me a e-rant about her ER bill that came to $6000 for her kid’s ear infection, which…

Trick of the trade

Trick of the trade

Mar 08 2018

A friend’s dad was struggling with plugged ears. The VA wanted him to drive to LA to have them evaluated. Rather than…

Anthem Emergency

Anthem Emergency

Feb 12 2018

EMTALA swings the ER gates open on entry. “Give me your tired, your poor, your huddled masses… but preferably your insured.” On…

Follow Up

Follow Up

Jan 28 2018

To my ER friends past and present who also spent countless hours reading textbooks by Tintinalli and Rosen among others, can you…

Flu… A Martian’s View

Flu… A Martian’s View

Jan 03 2018

From the article Doctors in SLO County seeing an influx of patients with flu: “If you start to feel those flu-like symptoms, like…

Malls and Hospitals

Malls and Hospitals

Dec 15 2017

A recent “1A” podcast about malls, plus the article Why Major Hospitals Are Losing Money By The Millions, sent me into fortune…

AMA should be DBU … (Don’t Blame Us)

AMA should be DBU … (Don’t Blame Us)

Nov 15 2017

Nothing makes me appreciate my general luck so far more than walking into work each day. A sad case and situation at…

If the Affordable Care Act was a car…

If the Affordable Care Act was a car…

Oct 19 2017

If the Affordable Care Act was a car, I’d call it a rusty Pinto… maybe drives; possibly street legal; not particularly sexy…

Standing, Kneeling, and Snowballs

Standing, Kneeling, and Snowballs

Sep 26 2017

I try to steer from politics, but with all the noise on Facebook about the NFL and anthems, I thought I’d type…