Last month, a baby in the commonwealth of Pennsylvania died of pertussis (whooping cough). I suppose death from pertussis (or any other vaccine-preventable illness) is preferable to the speculated possibility of life with autism for vaccine nay-sayers. Thank goodness I’m not a pediatrician because I don’t think I would last long trying to convince parents […]
ICD Codes: You Will be the Death of Me.
This is a continuation of my earlier rant on Medicare/Medicaid. …Earlier this week, it was another patient. Also with osteomyelitis (a bone infection). Doing well however. I still had this patient on antibiotics and wanted to get bloodwork to monitor for potential adverse effects of the antibiotics. Knowing that bloodwork requires an ICD-code for billing […]
Medicaid/Medicare, this is not how it is supposed to be
I’ve been pushed towards my boiling point. Colleagues saw that I could raise my voice. Luckily I did not have one of my famous temper flares. What has gotten me worked up? Medicaid! I saw a consult in the hospital recently. A 50 something year old poorly controlled insulin dependent diabetic with dialysis dependent kidney […]
It’s Official – I Have an American Accent
For the third time since moving to “the real America” patients have confided in me their distaste, distrust, and disapproval of “foreign doctors”. Each time I wonder if they are secretly talking about me but no these are patients who have no qualms putting their doctor in her or his place. Like the man who […]
Patient Obituaries
For as long as I remember I have enjoyed reading obituaries. Reading about the lives of those who once shared this world makes me more aware of my humanity as well as of my mortality. With the exception of famous people of whom I know some things, most of the obituaries I read are of […]
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