Tragedy

The death of a young person is always a tragedy. Recently in this little town, there was the death of a young person in her/his 20s of a chronic medical condition. It really doesn't matter what the cause is. But, for the sake of this story that was the cause.

One of the great things about primary care is at the same time one of the most painful things about primary care - namely the relationships that docs like me experience. I know I haven't done a good job of "disguising" things or "de-identifying" things from a personal standpoint. You could probably infer from my writing that this person was connected in some way with the office.

Sometimes there are incidents in life which really make you think of what is important in life. It's not really what's going in in other parts of the country, or other parts of the world. What matters is what is happening right here - things that will definitely not make the evening news, yet will impact me in ways that I don't even know about yet.

Life in a small town as a primary care doc gives me experiences - both good and bad - I would not get anywhere else in the world. Where am I going with this rambling post that doesn't make sense? Who knows? Maybe for the first time in a long time I'm really thinking of my mortality? Maybe I'm angry that, yes, sometimes bad things happen to the nicest people. Maybe it just comes down to asking myself - What is really important to me in my life right now? Hmmmmm.....

California to Regulate Doctor Wait Times

Ok, here's an idea, have government mandate how long it takes for you to see a doctor. Don't believe it? Well, California, in their infinite wisdom, is doing just that. I read this story and it just made my skin crawl. It is from The Los Angeles Times and it is entitled, "California Limits HMO Wait Times."

The regulations by the California Department of Managed Health Care, in the works for much of the last decade, will require that patients be treated by HMO doctors within 10 business days of requesting an appointment, and by specialists within 15. Patients seeking urgent care that does not require prior authorization must be seen within 48 hours.

Telephone calls to doctors' offices will have to be returned within 30 minutes, and physicians or other health professionals will have to be available 24 hours a day. California says it is the first state to set time standards for HMOs, which serve nearly 21 million of its residents.

Now, the only people who think this is a good idea are politicians. I can just hear the meetings in the back rooms at the state house - "Well really stick it to those doctors with this one." Here's the simple question - Why does it take so long to see the doctor? The answer is simple - Government and Red Tape. The government created most of this mess - really.

Now, I don't practice in California, but I know where I live, there is form after form after form to be completed associated with patient care. Much of it is trying to keep with government regulations from the state capitol and from Washington. Plus, if anyone utters the words "Pre-Authorization" - they know how much time this takes from an office staff point of view. This useless time on the phone or on a computer could be better spent - Uh, taking care of patients.

So, here is a little tip to my friends at state legislative houses across the country, and in Washington. The best way to improve wait times and overall patient care, is not to increase government regulation, but to DE-REGULATE government control over health care. Not to mention, with this additional layer of government oversight, who is going to pay for this additional oversight with a bankrupt California budget? Did anyone ask that question? Probably not....

Social Media Suicide?

Ok, I admit that I got the following article after logging into twitter. This is from Time.com and the title is "How to Disappear from Facebook and Twitter." This kind of goes along with my previous post. But, then again, it does not. The article makes reference to a "suicide machine" which, in essence, scrubs your online identity from social media networks.

Since its Dec. 19 launch, Suicide Machine has assisted more than 1,000 virtual deaths, severing more than 80,500 friendships on Facebook and removing some 276,000 tweets from Twitter.

Once you hand over your log-in details and click Commit, the program will methodically delete your info — Twitter tweets, MySpace contacts, Facebook friends, LinkedIn connections — much like users could do manually. What remains is a brittle cyberskeleton: a profile with no data.

Now, don't worry. I'm not going anywhere (I think). I just thought it was kind of funny that I was talking about (trying) to take a little break from facebook and twitter, and then, this article comes along. Long Live Social Media!

Experiment

So, for the last three days, I've been doing this silly experiment with myself (no not anything like that people - hehe). I have tried to unplug from twitter and facebook for a few days. Well, I have failed in one aspect in that I have been continuing to log into FB and twitter. And, I have commented on FB.

However, I have not placed an update or tweet for the past few days. And, let me tell you, it has been very difficult NOT to do that. I had been kind of weird, though, in that I have found myself getting back to this blog to write thoughts down - and it's been a good thing. (BTW, thanks for all the feedback as I have tried to get back into blogging).

I'm continuing to hold true and not do my live internet radio show for these two weeks. And, I'm doing ok (for now) in not posting any updates. It's silly, but getting out of one mind set, has shifted be into another mindset as far as "What am I going to blog about today?" The experiment continues.....

Students

"Dr. A, your student is here," the front desk squawks through the intercom. "Sheesh," I say to myself as I look at my full schedule of patients. Now, don't get me wrong. I really enjoy teaching. Something I do know is that I could not do teaching full time. I thought about possibly joining a residency program or exploring the possibility of teaching full time at the med school. But, at this point in my career, patient care is still my passion.

What docs never say (in public) but always think is that students definitely slow down the productivity and efficiency of office hours. I mean, teaching does take a long time - at least being a good teacher or student "mentor." But, we all know that at one point in our medical career, we were that student who didn't know that much and were afraid to ask a "dumb" question.

My patients and my office staff are great in that they take things in stride. When I tell the same story for the 20th time to a new student in the office, they understand. I mean, hey, primary care is as much about the patient's story as it is about their medical conditions.

I don't think I influenced the student in choosing primary care as a career (not sure if that is even possible these days). But, at least I hope that I conveyed to this student that despite all the roadblocks in the way of doing my job (state/federal regulations, insurance companies, fear of frivolous lawsuits), I still love what I do (really) and I would choose this career path again....

Update: Greetings to those of you who clicked over from Better Health. If you enjoyed this post, I encourage you to check out other posts over here. Thanks for stopping by!

Struggling

It's been months since I have written any kind of significant blog post. I'm not really sure why. I could use the excuse that work is getting in the way, or life is getting in the way. But, I know that those are just poor excuses. I also know that if you don't write anything, no one reads the blog. I have seen my readership slowly dwindle over the past few months. Frankly speaking, I'm embarrassed to call my self a "blogger" these days.

The only way to get back writing - is to just write. So, that is what this post is about. What I hope to do is to try to find my blogging voice again. I have put so many road blocks in front of me and I have made so many excuses. It's time for me to stop making excuses and just writing something again. The funny thing is that I used to enjoy writing. It used to be a unique way for me to express myself.

So, I hope this post is a way for me to start over. A way for me to restart and jump start this blog again. I know where I want to go with this blog, and the direction that I want to take this. But, the only way to get there is to just start writing again. Thanks for your patience as I try to get back to where I was before on the blogging front....

Show 140 Wrap-up: Chronicles of EMS

Thanks to Ted Setla from EMS Media for talking on Doctor Anonymous Show 140 about the new reality web series called "Chronicles of EMS." Our discussion started with us talking about Ted's background as a paramedic AND a filmmaker. We then went into the origins of the CoEMS project which started with a bunch of passionate people who wanted to share a point of view which has never been covered like this before.

According to their promo material, CoEMS is "a reality web series that travels the world exploring EMS systems, how they operate and the personalities behind them." If you haven't checked out the trailer/preview of the first show, you can check it out here. Our interview also covered how they are getting sponsorship for episodes and how a community really has come together around this show. They have masterfully used both social media solutions along with in-person meetups.

As always, you can listen to the show right here on the player above. You can also download the show and listen anytime by clicking here. Don't forget to check out my video post above. There were a few new listeners who checked out the show, and I just wanted to say thanks for stopping by!

Good luck to CoEMS on their premiere which will be Feb 12, 2010 at 5pm pacific time at their website. I wish I could be there for the in-person meetup. My next show will be Saturday, January 16, 2010 at 9pm ET. Hope you can be there!

Dr. A Show 140 Preview: Chronicles of EMS

Let me tell you about the power of social media. So, I was just listening to the live podcast called MedicCastLive and one of the panelists mentioned a new reality web series called Chronicles of EMS. Their promo based material calls CoEMS Chronicles "a reality web series that travels the world exploring EMS systems, how they operate and the personalities behind them."

This sounds very exciting! Our guest will be Thaddeus Setla from EMSMedia.TV to talk about the new series which will be premiering on Feburary 12, 2010 on EMSMedia.TV. You can see the trailer/preview of the first episode below. Let me tell you, the production value of the preview is top notch (as you'll see below). So, I'm looking forward to checking out this show.

I hope that you can join me on Thursday, January 14, 2010 at 9pm ET/6pm PT for Doctor Anonymous Show 140. In case you didn't know, in addition to the live podcast, there is a chat room, a webcam of me, and your ability to call into the show to say hello. Hope you can join us this week for the show!

The Weight Loss Resolution

With the long holiday weekend coming to a close (at least for me), I'm looking at the prospect of returning to work tomorrow. Being four days into the new year tomorrow, probably one of the most common questions I get asked is the "magic" of losing weight fast. In addition, it's probably no coincidence that the reality show "The Biggest Loser" is making it's premiere for its latest season in the US on the January 5th, 2010.

I had the privilege of being asked by our local TV station here to talk about the dreaded "Weight Loss New Year's Resolution" that many people make but few people actually stick to (including myself - yeesh). I admit that I don't give the magic solution in either of these videos (above video link & below video link). However, I hope to give people at least some things to think about as they start the beginning of this year on the road to better health...

Show 138 Wrap-up

Had a great time with Doctor Anonymous Show 138 tonight! I talked about some news stories (including Ohio State's win at the 2010 Rose Bowl) and midway through the show, our good friend Ben called in to chat. In addition, THE Burl checked in. And, to my pleasant surprise, BTR personality Dr. Blogstein called into the show to say hello - that is until his cell phone battery died (or so he said). All in all, not a bad show tonight. (also check out the video above which is the opening 5 minutes to the show)

As always, you can listen to the show right here on the player above. Or, if you like, you can download the show and listen anytime by clicking here. There will be no Thursday show next week. So, my next show will be Saturday, January 9th, 2010 at 9pm Eastern Time. Happy New Year everybody!