Are we looking at the future of hospitalist medicine?
The Refugee posts his concerns over at Hospitalist With A View. It's an excellent read on how the economics of medicine drive the medicine itself. You get what you pay for. If you
value pay well for high cost procedural/surgical medicine, you will get systems in place to deliver high cost procedural/surgical medicine with excellent efficiency. If you paid cognitive medicine well, you would get systems in place to deliver highly efficient cognitive medicine with excellent efficiency. Here's a clip below. Go
read the rest.
Why not? The preprocedure consult is 95% done by the PA anyway. If Dr.Doolittle can collect for someone else doing the the preop, why not collect for someone else doing the postop?
ReplyDeleteAfter all, the MNB fraud squad is too busy downgrading my 99213 charts to notice Dr. Doolittle.
happy where'd u go?
ReplyDeleteYeah, what's the future of Happy? Flat-ass disappeared. . .
ReplyDeleteDid something happen to happy?
ReplyDeleteHey Haps, you OK?
ReplyDeleteFrom the Happy profile:
ReplyDelete"Since this blog takes up a bunch of time, I risk my lovely wife cutting my internet connection at anytime with the garden clippers. If one day I stop posting, don't worry, I've been banned in favor of quality time and snuggle sessions. So I guess I win either way."
So, absent a differential diagnosis to the contrary, I am thinking the lovely and talented Mrs. Happy took the garden clippers to the Internet connection.
Oh.
ReplyDeleteOk.
Carry on, Doctor.
absent a differential diagnosis to the contrary
ReplyDeleteThere could be a hundred other things; I just don't think "Mrs. Happy took the garden clippers to the Internet connection" fits the data.
But let's hope you are right.
Anyone seen a comment by him on any other blog? Email from him?
Strange, got a quick little sinking feeling about Happy while talking to a doc today. Weird. Totally out of the blue.
ReplyDeleteHappy, once you untangle yourself from the weeds, please surface so we know you are OK.
-SCNS
We're both fine. I'll be back online soon. I didn't think anyone would miss my absence.
ReplyDeleteStrange, got a quick little sinking feeling about Happy while talking to a doc today. Weird.
ReplyDeleteIt wouldn't be from a guilty conscience, would it?
It's all OK, Big Guy. Post when you feel so inclined.
ReplyDeleteGlad you are still alive.Post when you are feeling like it..there are def.people who love your posts!
ReplyDelete"I didn't think anyone would miss my absence."
ReplyDeleteI do if you ever stop post please send a good bye post, we were worried that something was wrong with you. its good to know you are ok.
Anon said:
ReplyDelete"There could be a hundred other things; I just don't think "Mrs. Happy took the garden clippers to the Internet connection" fits the data.
But let's hope you are right."
I take it you a fan of neither Occam's Razor or the old medical saw about horses and zebras (g).
.....ummmm, so are we supposed to think zebras? i hope not... :(
ReplyDeleteI take it you a fan of neither Occam's Razor or the old medical saw about horses and zebras (g).
ReplyDeleteActually, yes I am. I see that you are not, however. Occam's Razor does not permit explanations that are more simple than the data will allow. There are two ways to err with Occam's Razor. You erred on the side you apparently do not understand.