Xarelto On Discharge for Pulmonary Embolism Decision Tree
Is Xarelto the right medication for you after a life threatening pulmonary embolism?  This medicine is a great option, but how do you know if it is the right medicine for you?  The Happy Hospitalist has provided a detailed flow chart decision tree for you to decide if Xarelto will work for your clotting disorder.  Years of dedicated clinical experience can be summed up in this one simple graph.  So, if you've got a big clot in your lungs and you want to know if you should take Xarelto, look no further.  You have found the answer you've been searching for.Tweet!function(d,s,id){var js,fjs=d.getEleme...
Source: The Happy Hospitalist - August 2, 2018 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs

LASIK vs Lasix. What's the Difference? Ophthalmologists Know and They are Cashing In On the Difference.
Bel-Aire, CA. Every year, hundreds of thousands of patients study the pros and cons of getting eye surgery to finally get rid of their glasses or contacts forever. They consider the costs and benefits before paying thousands of dollars to experience the freedom of Lasix. And that is exactly what some ophthalmologists are giving them. Lasix.Lasix is a diuretic used to make you pee. LASIK--Laser-Assisted In Situ Keratomileusis-- is an FDA approved eye surgery that permanently changes the shape of your cornea to try and say goodbye to contacts and glasses forever.Lasix costs several pennies per treatm...
Source: The Happy Hospitalist - October 15, 2016 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs

Nurse Creates The Mother Lode of All Advance Directives.
Albany, NY -- Adrian Fleming knew all about the horrors that went on at her hospital everyday.  As a seasoned floor nurse at SunnyView Hospital for over 20 years, she had a front seat view of the face palms that threatened patient safety everyday. She also knew someday she would be a patient in her own hospital and with that fear in mind, set out to create the mother lode of all advance directives.An advance directive is a written statement of a person's wishes regarding medical treatment created to ensure those wishes are carried out should the person be unable to communicate them to a doctor.Her advance directi...
Source: The Happy Hospitalist - July 20, 2016 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs

Top 10 Causes of DKA Hospitalization (ICD-10 Codes)
Most internists are taught the three most common causes of hospitalization for diabetic ketoacidosis (DKA) are infection, infection, infection.  In clinical reality, the three most likely causes of hospitalization for DKA are didn't take insulin, didn't take insulin and didn't take insulin.  With ICD-9, E15.1 could be used to code DKA Hospitalization Due to Noncompliance.  With ICD-10 coding rules, didn't take insulin is not specific enough to code the cause of DKA hospitalization.  The new ICD-10 codes provide a much more detailed look at the causes of DKA leading to hospitalization and will hopef...
Source: The Happy Hospitalist - July 19, 2016 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs

Top 10 Reasons Patients Skip Dialysis
The National Association of Noncompliant Dialysis Patients (NANDP), the largest noncompliant patient association in America, has released their 2016 Top 10 Reasons For Skipping Dialysis survey. Debuting in the top ten for the first time  in this annual survey  were Shopping on Amazon Prime Day and Playing Pokemon GO. "Amazon, Pokemon and Netflix are driving our chronic dialysis patients to an early grave,"  said Dr Stanley Cornsmith, M.D., Director of AMA Patient Satisfaction.  "I don't even want to think of what will happen once virtual reality goes mainstream.  We'll have hundreds of th...
Source: The Happy Hospitalist - July 15, 2016 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs

18 Awesome Pokemon GO Medical Memes for Doctors and Nurses and Patients!
Pokemon GO, the augmented reality smart phone game, has taken the world by storm.  Millions of addicted players are roaming the streets, day and night, hunting pikachus with gross disregard for everyone around them.  And what better way to discuss how Pokemon GO has affected doctors, nurses and patients alike than 18 perfectly described medical memes explaining the many ways life is now different in a post Pokemon world.  Please enjoy these 18 original Happy Hospitalist Pokemon medical memes and feel free to add your own in the comments below.  Now stop reading and GO Pokemoning!"Waiting for call light ...
Source: The Happy Hospitalist - July 13, 2016 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs

99306 CPT ® Code Description, Progress Notes, RVU, Distribution (Level 3 Initial Nursing Facility Care)
This 99306 CPT ® lecture reviews the procedure code definition, progress note examples, RVU values, national distribution data and explains when this code should be used in the nursing facility setting (nursing home). CPT stands for Current Procedural Terminology. This code is part of a family of medical billing codes described by the numbers 99304-99306. CPT ® 99306 represents the high (level 3) initial nursing facility care visit (whether you are the attending or a consultant) and is part of the Healthcare Common Procedure Coding System (HCPCS). This procedure code lecture for initial nursing facility ca...
Source: The Happy Hospitalist - May 7, 2016 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs

99306 CPT ® Code Description, Progress Notes, RVU, Distribution (Level 3 Initial Nursing Facility Care)
< div dir="ltr" style="text-align: left;" trbidi="on" > This 99306 CPT ® lecture reviews the procedure code definition, progress note examples, RVU values, national distribution data and explains when this code should be used in the nursing facility setting (nursing home). & nbsp;CPT stands for Current Procedural Terminology. This code is part of a family of medical billing codes described by the numbers 99304-99306. & nbsp;CPT ® 99306 represents the high (level 3) initial nursing facility care visit (whether you are the attending or a consultant) and is part of the Healthcare Common Procedure Coding System (HCPCS). & nb...
Source: The Happy Hospitalist - May 6, 2016 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs

99306 CPT® Code Description, Progress Notes, RVU, Distribution (Level 3 Initial Nursing Facility Care)
This 99306 CPT® lecture reviews the procedure code definition, progress note examples, RVU values, national distribution data and explains when this code should be used in the nursing facility setting (nursing home).  CPT stands for Current Procedural Terminology. This code is part of a family of medical billing codes described by the numbers 99304-99306.  CPT® 99306 represents the high (level 3) initial nursing facility care visit (whether you are the attending or a consultant) and is part of the Healthcare Common Procedure Coding System (HCPCS).  This procedure code lecture for initial nursing facility c...
Source: The Happy Hospitalist - May 6, 2016 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs

Whose Stethoscope is it? The View's Joy Behar Algorithm
Whose stethoscope is it?  The View's Joy Behar insulted 3 million nurses this week and the internet won. Meme's, meme's everywhere! But, we are a forgiving people here in America and we must believe she simply didn't have the education to understand what a stethoscope is and who uses it.  After hours of intense medical research, the Happy Hospitalist was able to create  a fail safe algorithm to help the world understand whose stethoscope your healthcare provider is wearing.  Had the world known about this algorithm before Joy spoke, we could have avoided all the hard feelings and just chalked up her ign...
Source: The Happy Hospitalist - September 17, 2015 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs

Memes Responding to The View's Joy Behar Nurse-Doctor Stethoscope Comment.
By now you've probably seen evidence of all three million American nurses expressing their outrage at The View on social media in defense of Miss Colorado contestant Kelley Johnson after co-host Joy Behar mocked her for delivering a monologue wearing a "doctor's stethoscope." Nurses swarmed Facebook and Twitter during their rare combined bathroom/lunch break to support the Miss America contestant and to defend their profession against the incredible remarks. What better way to support nurses in their rage than to honor their duty to service with a handful of memes.  Please enjoy this original collection of The View Jo...
Source: The Happy Hospitalist - September 14, 2015 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs

Cardiologist Arrested For Murder After Cathing Patient to Death.
Tallahassee, FL -- The Tallahassee medical community was stunned Friday after state prosecutors charged local Cardiologist Stan Wellington with first degree murder for the cathing death of James Binkmann.   Prosecutors claim the 79 year-old patient was killed by a four hour cathing rampage that ended with cardiac arrest just as a left pinky artery stent was being deployed.Prosecutors released a transcript of the frantic 911 call they received from a float nurse in the cath lab the morning of the patient's death.  "This is damning evidence," said State Prosecutor Denny Fleming.911:  911.  What is your em...
Source: The Happy Hospitalist - July 20, 2015 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs

Joint Commission Mandates Armband to Identify Patients With Too Many Armbands.
Oakbrook Terrace, IL --  Hospitals are up in arms again after The Joint Commission (TJC) on Monday started requiring all patients with too many armbands  to be flagged with an armband for having too many armbands. Mark Chassin, President and Chief Executive Officer of TJC, applauded his organization for taking  action against his organization's failed policies."I'm proud The Joint Commission is finally  taking a stand against The Joint Commission for continuing to ignore all the unintended consequences of their regulations," said Dr. Chassin.Doctors and nurses have been telling authorities for years tha...
Source: The Happy Hospitalist - May 25, 2015 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs

Memorial Day Also Remembers Veterans Who Lost Their Life In a VA Hospital.
VA Hospitals -  Memorial Day is a time to remember our service men and women who died while serving in the armed forces, but it's also a time to pay respect to the thousands of veterans who die every day in our VA hospitals all across the country.Billy Smith and his family are using today to remember World War II Veteran Granpa Jim, shot 17 times in war, who passed away three years ago at their local VA hospital after undergoing routine bunyan surgery and never making it out alive.  "We dropped him off for a routine surgery and we never heard from him again," said Billy, who says the VA still has no record of him...
Source: The Happy Hospitalist - May 24, 2015 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs