Italian Greyhound Crying With Baby (Sweet and Sad Video).
Our 21 month old baby Zachary is in a diaper crying phase.  He doesn't like wearing it and he lets us know with his sad cry.  Cooper, our eight year old Italian greyhound loves his baby brother.  He yelps out with sympathy cries when his little buddy is sad.  I think pets are amazing.  They can sense happy and sad.  Clearly, Cooper is distraught over his Zachy's sadness.  God Bless pregnant Mrs Happy.  She's got a sad Zachary screaming at the top of his lungs, a Cooper Iggy letting out screatching yelps and a husband who's video taping the whole thing.  Remember honey, were goin...
Source: The Happy Hospitalist - January 27, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Hospitalist Wingman Response: GOMERology as a New Subspecialty.
I have been a practicing hospitalist now since 2003.  In that ten years, hospitalist medicine has been the fasting growing medical specialty in America.  Our tentacles run deep and they run far.  We offer incredible value, directly and indirectly,  in the delivery of hospital based medicine.  We are maturing as a field and we shall continue to define our role in the constantly changing Medicare landscape. Hospitalist medicine even has its own focused maintenance of certification board exam.  I believe this vindicates the field as a stand alone specialty.  However, just as it took a decad...
Source: The Happy Hospitalist - January 24, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

GOMERology As a Subspecialty of Hospitalist and Emergency Medicine.
I have been a practicing hospitalist now since 2003.  In that ten years, hospitalist medicine has been the fasting growing medical specialty in America.  Our tentacles run deep and they run far.  We offer incredible value, directly and indirectly,  in the delivery of hospital based medicine.  We are maturing as a field and we shall continue to define our role in the constantly changing Medicare landscape. Hospitalist medicine even has its own focused maintenance of certification board exam.  I believe this vindicates the field as a stand alone specialty.  However, just as it took a decad...
Source: The Happy Hospitalist - January 24, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Incidentalomas Explained With Case History and someecard Humor.
Turn on the television these days and it's impossible to escape news stories describing breakthroughs in cancer diagnosis and treatment.  Excluding squamous cell and basal cell cancers of the skin, over 1.6 million Americans were diagnosed with cancer last year.  This cancer.org file has some great graphics and up-to-date data on America's cancer statistics from 2012.  Unfortunately, I believe  our cancer societies have failed to properly recognize the biggest threat to public safety since the invention of the doctor.  What might that be, you ask?  Incidentalomas.    I searched the &...
Source: The Happy Hospitalist - January 21, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Hospitalist Charge Capture Daily Rounding Cards (With PQRS).
I've been a hospitalist now for ten years.  In those ten years I have continued to use a manual process for capturing patient billing information during daily rounds.  These cards contain all the information necessary to generate payment claims from Medicare and other third party insurance companies.  Over the years the cards have changed to add or remove elements required to receive payments and stay in compliance with third party payers.  These cards fit nicely into our scrubs or white coat pockets. I know many organizations have moved to real time submission of daily rounding charges to their billin...
Source: The Happy Hospitalist - January 15, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Wong-Baker Faces Vs Pain In My Ass Rating Scale Reviewed.
Neither medicine nor nursing is practiced at the bedside anymore.  Charting has consumed our professions.  Charting is the act of writing and documenting patient care details. Do you want to know where your doctor or nurse is?  More than likely, they have their heads buried in a computer somewhere far away from your every need. You're having pain, you say?  Your call light is going unaswered, you say?  Don't worry, your nurse is probably at the computer down the hall charting your Wong-Baker Faces Pain Rating Scale.  If you've ever been admitted to a hospital, I'm sure you've seen these ca...
Source: The Happy Hospitalist - January 15, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Daily Rounding Charge Capture Card Example For Hospitalists Reviewed
I've been a hospitalist now for ten years.  In those ten years I have continued to use a manual process for capturing patient billing information during daily rounds.  These cards contain all the information necessary to generate payment claims from Medicare and other third party insurance companies.  Over the years the cards have changed to add or remove elements required to receive payments and stay in compliance with third party payers.  These cards fit nicely into our scrubs or white coat pockets. I know many organizations have moved to real time submission of daily rounding charges to their billin...
Source: The Happy Hospitalist - January 15, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Pain In My Ass Scale Charting For Nurses Explained
Neither medicine nor nursing is practiced at the bedside anymore.  Charting has consumed our professions.  Charting is the act of writing and documenting patient care details. Do you want to know where your doctor or nurse is?  More than likely, they have their heads buried in a computer somewhere far away from your every need. You're having pain, you say?  Your call light is going unaswered, you say?  Don't worry, your nurse is probably at the computer down the hall charting your Wong-Baker Faces Pain Rating Scale.  If you've ever been admitted to a hospital, I'm sure you've seen these ca...
Source: The Happy Hospitalist - January 15, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Hospital Pet Policy? Yes, You Can Bring Your Dog To The Hospital.
Over the last few years as a hospitalist I have had the honor of meeting some mighty fine service dogs in the hospital.  These amazing animals bring an incredible sense of happiness and independence to their chronically debilitated masters.  It's not only trained service dogs that bring such joy.   I've seen some amazing family pets, mostly dogs, brought to the bedside of the healing patient as well. I'm a dog lover.  We call our Italian greyhounds, Marty and Cooper,  our little angels!  If I ever found myself sick enough to be in the hospital, I would hope my little pups would be allowed to ...
Source: The Happy Hospitalist - January 9, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Got Sick From Flu Shot? No You Didn't.
The 2012-2013 flu season is turning out to be one of the worst seasons I've seen in the last ten years.  I started my professional hospitalist career in 2003.  I remember the West Nile outbreak shortly after that.  Everyone with a headache was getting a spinal tap to evaluate for viral meningitis.  And then there was the 2009  H1N1 scare a few years ago that turned out to be a bunch of nothing in my neck of the woods. I've seen a few cases of the flu during the winter flu season in years past, but nothing compared to what I'm seeing the last few weeks.  Hospitals have been aggressively asking...
Source: The Happy Hospitalist - January 8, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

I Got Sick From My Flu Shot. No You Didn't.
The 2012-2013 flu season is turning out to be one of the worst seasons I've seen in the last ten years.  I started my professional hospitalist career in 2003.  I remember the West Nile outbreak shortly after that.  Everyone with a headache was getting a spinal tap to evaluate for viral meningitis.  And then there was the 2009  H1N1 scare a few years ago that turned out to be a bunch of nothing in my neck of the woods. I've seen a few cases of the flu during the winter flu season in years past, but nothing compared to what I'm seeing the last few weeks.  Hospitals have been aggressively asking...
Source: The Happy Hospitalist - January 8, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Physician vs Nurse: Who's Smarter? Funny Answer Revealed!
Welcome to the  the time honored tradition of physician vs nurse.  I've been a hospitalist now for ten years.  I've seen the good, the bad and the ugly of American medicine. Put  highly educated medical professionals into the same building, create an environment  filled with conflict and time constraints and top it off with a complex assortment of  Type A personality disorders.  Welcome to the Beautiful Hospital On the Hill.  How can we help you today? I've seen doctors talk trash about other doctors.  I've even seen nurses talk trash about doctors.  They say some  do...
Source: The Happy Hospitalist - January 6, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Who's Smarter, Doctors or Nurses?
I've been a hospitalist now for ten years.  I've seen the good, the bad and the ugly of American medicine. Put  highly educated medical professionals into the same building, create an environment  filled with conflict and time constraints and top it off with a complex assortment of  Type A personality disorders.  Welcome to the Beautiful Hospital On the Hill.  How can we help you today? I've seen doctors talk trash about other doctors.  I've even seen nurses talk trash about doctors.  They say some  doctors are too conservative while other doctors are too aggressive.  They...
Source: The Happy Hospitalist - January 6, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Vangina and Fibromyangia as Common Atypical Causes of Chest Pain.
Chest pain is one of the most common and often concerning symptoms for physicians of all training.  Tell a dermatologist you've got chest pain and they're calling an ambulance before they remove the maximum number of moles they'll get paid for in one visit.   Want to come to the emergency department (ED) to get checked for a pregnancy test?   Call an ambulance and tell them you've got chest pain when you take a deep breath in and that your mother just died of a pulmonary embolism.  You get a free ride through triage to the front of the line. The ED will always order a pregnancy test before they order ...
Source: The Happy Hospitalist - January 2, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Vangina as a Common Atypical Cause of Chest Pain.
Chest pain is one of the most common and often concerning symptoms for physicians of all training.  Tell a dermatologist you've got chest pain and they're calling an ambulance before they remove the maximum number of moles they'll get paid for in one visit.   Want to come to the emergency department (ED) to get checked for a pregnancy test?   Call an ambulance and tell them you've got chest pain when you take a deep breath in and that your mother just died of a pulmonary embolism.  You get a free ride through triage to the front of the line. The ED will always order a pregnancy test before they order ...
Source: The Happy Hospitalist - January 2, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs