Imagine That Game With Baby Zachary (Cute Video).
Our Zachary turns two years old next month. Imagine that! That also just happens to be a game Zachary likes to play. I've discovered playing imagine that with Zachary is a great way to interrupt periods of time where communication is difficult. Zachary loves to listen and to use sign language he's picked up over the last couple of years. In fact, I'm amazed every day at how much he's paying attention to everything around him. However, communication with a crying toddler can sometimes be difficult.
I've discovered a little art of diversion can be quite helpful in resetting our Zac...
Source: The Happy Hospitalist - March 13, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Billing Two E/M Codes Same Day, Same Specialty and Group Explained.
Is it possible to get paid for providing two separate and identifiable face-to-face evaluation and management (E/M) charges on the same calendar date that are provided by the same physician or physicians in the same speciality from the same group practice? The answer is yes, under certain circumstances. I just have to make sure my documentation meets certain criteria.
The Centers for Medicare and Medicaid Services reviewed a specific situation in an August 26th, 2011 claims processing transmittal titled Clarification of Evaluation and Management Payment Policy (change request 7405) that manda...
Source: The Happy Hospitalist - March 2, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Billing Two E/M Codes Same Day, Same Specialty and Group Explained.
Is it possible to get paid for providing two separate and identifiable face-to-face evaluation and management (E/M) charges on the same calendar date that are provided by the same physician or physicians in the same speciality from the same group practice? The answer is yes, under certain circumstances. Just make sure the documentation meets certain criteria.The Centers for Medicare and Medicaid Services reviewed a specific situation in an August 26th, 2011 claims processingtransmittal titled Clarification of Evaluation and Management Payment Policy (change request 7405) that mandates Medicar...
Source: The Happy Hospitalist - March 2, 2013 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs
What Does Sequestration Mean To Physicians and Hospitals?
What does sequestration meant to physicians and hospitals? It means starting April 1st, 2013, The Centers For Medicare and Medicaid Services (CMS) will pay 2% less for Medicare services than they did on February 28th, 2013. Sequestration cuts are the result of a badly played political poker hand at the dysfunctional casino. On April 1st, 2013, will my post-sequestration medical opinion be worth 2% less than it was a month previously? Yes, it will.
For physicians and hospitals, the shot across the bow has been fired. What this cut says today is that no matter how p...
Source: The Happy Hospitalist - March 1, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
I Want To Be A Nurse Like Mama! (Cute Baby Video).
What do babies want to be when they grow up? Kids respond to what they know around them. Kids who see violence in their lives believe violence is normal. Kids raised in a loving and nurturing family grow up understanding no other way of communication. Many kids want to be just like their mommy or daddy. What does our 21 month old son want to de when he grows up? Zachary has made up his mind. He does not want to be a doctor like dada. He is quite confident he wants to be a nurse like mama, as he expresses here in his short and to-the-point ten second video! Even with nur...
Source: The Happy Hospitalist - February 22, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
I Want To Be A Nurse Like Mama! (Cute Baby Video)
Our 21 month old Zachary has made up his mind. He does not want to be a doctor like dada. He is quite confident he wants to be a nurse like mama, as he expresses here in his short and to-the-point ten second video! Even with nursing school like it is these days, I'm confident he would do great at anything he chooses. (Source: The Happy Hospitalist)
Source: The Happy Hospitalist - February 22, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
How To Dispose of Medical Waste? Take It Home and Frame It! (Picture)
I'm not sure what to think of this. A reader sent me a picture of their professionally framed gallbladder they saved after having it surgically removed for cholelithiasis. As far as I'm concerned, it's medical waste. Heck, it's wrapped in plastic and even has a biohazard danger sticker attached to it! We can't eat or drink at the nurses station, but patients can take their formaldehyde infested cancer causing medical waste home with their discharge papers? It says, "CAUTION, CONTAINS FORMALDEHYDE". That looks like a warning to me! I'm just waiting for the day a hospital gets ...
Source: The Happy Hospitalist - February 20, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
A Vote Here is A Vote To Help Homeless Pets! Thanks!
This post will remain at the top of my blog until March 10th, 2013. Make sure to scroll down to see new content as it's published. If you don't want to vote, please consider spreading the word by liking, tweeting or pinning the story to give other pet lovers the opportunity to save homeless animals. Thanks for your considerations!
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Source: The Happy Hospitalist - February 15, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Baby Lion Cubs Playing at Omaha Henry Doorly Zoo (Picture/Video)
Mrs Happy and I took a stroll through the Omaha Henry Doorly Zoo yesterday and had an opportunity to check out the five new baby lion cubs on exhibit in the Cat Complex. These newborn kitties were born December 29th, 2012. These six week old cubs were so fun to watch with their playful innocence. It's hard to imagine how ferocious they may be become when they're all grown up. Here's a YouTube video below I took of the five baby cubs running around and playing while two female adult lions look on. I'm not sure which is the mother or if these cubs will have a two mommy family. ...
Source: The Happy Hospitalist - February 14, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Give Me Some Knucks and High Fives! (Video Demonstration)
Every experience is a new experience for babies and toddlers. That means learning how to give high fives and knucks is like going to Disney World. As you can see in this video, Zachary is thrilled at the opportunity to share high fives and knucks with his daddy. Who knew something so simple could be so wonderful and cute? Good job on you high fives buddy. Give me some knucks!
If you don't want to watch it, that's OK. I'm pretty sure hundreds you my readers get a warm fuzzy from watching his cute videos. I'm pretty sure my YouTube counter is broken though, as this someecard helps explai...
Source: The Happy Hospitalist - February 12, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
I Need Your Help To Vote The Bitches (Dogs) In!
My sister and her husband have been selected as one of five finalists trying to win a $15,000 technology grant for their non profit thrift store in the Atlanta area called Second Life Thrift. They donate a significant portion of their revenue to a number of worthy animal causes. Their mission was inspired by their 16 year old foster turned twice adopted Dalmatian named Lucky. While Lucky has passed away, his spirit lives on. Despite the store being only two years old, they have generously donated over $40,000 of much needed money to animal charities in their community. They have traveled the ...
Source: The Happy Hospitalist - February 11, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Sterile Water Irrigation Denied By Insurance. Patient Not Sterile Enough.
I feel bad for our patients. Insurance economic algorithms are defining the patient and doctor experience regardless of situations unique to the patient experience. If our recommendations as physicians or your needs as a patient do not comply with your insurance company's economic algorithms, you and your physician will likely get denial of care letters. That means hours of headaches and delayed therapy for you and hours of headaches and uncompensated expenses for your physician's office in communication with your insurance company. It is no wonder many offices have started chargin...
Source: The Happy Hospitalist - February 8, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
External Condom Catheters For Men Reviewed: Girth and Length Analysis!
Placement of a urinary bladder catheter comes with the territory for many hospitalized patients. Indwelling Foley catheters are often inserted through the urethra and into the bladder of men and women. An internal ballon is then expanded to prevent the catheter from falling out. These catheters have an appropriate role in the management of some hospitalized patients. Bladder outlet obstruction and urinary retention require internal bladder catheters to manage the problem. Sometimes the catheter is the cause of the problem. Here is an example of bilateral hydronephrosis from a Fol...
Source: The Happy Hospitalist - February 3, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Gram Positive Cockeye vs Cocci Explained.
Here's a letter I wrote to the National Academy of Nursing Vocabulary last week regarding my concerns about an epidemic of gram positive cockeye sweeping our hospitals. You think the flu was bad this year? You think C diff is bad. You have no idea how aggressive the cockeye has been.
Dear Academy,
I have been a practicing hospitalist now for ten years. I want to commend your organization's mission to improve nursing vocabulary. Helping nurses achieve proficiency in medical terminology is important for doctor-nurse and nurse-nurse communication of critical patient information. Quite obvi...
Source: The Happy Hospitalist - February 1, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
