And now presenting . . . robotic lap choles!
As a non-medical person, I was so excited when I could say "laparoscopic cholecystectomy" without pausing or tripping over all the syllables. In English, this is a surgery to remove a gall bladder using laparoscopic instruments through holes in the abdomen instead of cutting it open. Lap choles, for short, are among the most routine and safest surgical procedures. The folks at USC note:Laparoscopic cholecystectomy is a very safe operation. The overall complication rate is less than 2%. The complication rate for laparoscopic gallbladder surgery is similar to the complication rate for trad...
Source: Running a hospital - May 9, 2013 Category: Health Managers Source Type: blogs
Medicaid Pay Increase For Hospitalists Confirmed For 2013-2014: ACA Rules We Are Qualified Primary Care Providers.
Are hospitalists going to get a Medicaid pay raise for 2013 and 2014? The answer is yes, hospitalists qualify for Medicaid parity (with Medicare) as required by the Affordable Care Act (ACA). For many states, Medicaid pays physicians and other providers a small fraction of Medicare rates. Legislation signed as part of the ACA mandates Medicaid rates to equal 100% of Part B Medicare rates in calendar year (CY) 2013 and 2014. That means if you haven't already seen increased rates, and you are a qualified physician providing qualfied primary care services, you will get increased Medicaid payments...
Source: The Happy Hospitalist - April 24, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Medicaid Pay Increase For Hospitalists Confirmed For 2013-2014.
Are hospitalists going to get a Medicaid pay raise for 2013 and 2014? The answer is yes, hospitalists qualify for Medicaid parity (with Medicare) as required by the Affordable Care Act (ACA). For many states, Medicaid pays physicians and other providers a fraction of Medicare rates. Legislation signed as part of the ACA mandates Medicaid rates to equal 100% of Part B Medicare rates in calendar year (CY) 2013 and 2014. That means if you haven't already seen increased rates, and you are a qualified physician providing qualfied primary care services, you will get increased Medicaid payments retro...
Source: The Happy Hospitalist - April 24, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Cardiac Outcomes
Alice Park reviews David Jones' counter intuitive new book on the history of cardiac surgery and coronary angioplasty in most recent issue of Harvard magazine. Jones, also a physician, is a professor of medical history at Harvard. His latest book explores the rise of interventional cardiology and cardiac surgery since the 60's and how much of the rationale for such a procedure-dominated treatment strategy is undergirded by some surprisingly shoddy data.
The first randomized clinical trial of bypass surgery’s efficacy, using data from a collaboration of Veterans Administration hospitals, was ...
Source: Buckeye Surgeon - March 13, 2013 Category: Surgeons Authors: Jeffrey Parks MD Source Type: blogs
Cardiac Outcomes
Alice Parkreviews David Jones' counter intuitive newbook on the history of cardiac surgery and coronary angioplasty in most recent issue of Harvard magazine. Jones, also a physician, is a professor of medical history at Harvard. His latest book explores the rise of interventional cardiology and cardiac surgery since the 60's and how much of the rationale for such a procedure-dominated treatment strategy is undergirded by some surprisingly shoddy data. The first randomized clinical trial of bypass surgery ’s efficacy, using data from a collaboration of Veterans Administration hospitals, was not ...
Source: Buckeye Surgeon - March 12, 2013 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
Dash 22
The consult came in around 3:30 on a Friday. The surgeon wasn't on call but his partner was tied up and he, the surgeon, felt obligated to see the new patient before it got too late. To do otherwise is known as a "dick move" in the world of small private surgical practice. The computer record outlined the picture of a man in his late seventies with an unremarkable medical history. He only took something for gout and various other over the counter vitamins. He took something called Life-X 3000. The consult request was "evaluate for gallbladder disease". The patient had been adm...
Source: Buckeye Surgeon - February 10, 2013 Category: Surgeons Authors: Jeffrey Parks MD Source Type: blogs
Interview: Phillip Hornbostle,MD Bariatric Surgeon
This is the first in a series of interviews I plan on publishing. Dr Phillip M. Hornbostel, M.D., FACS, FASMBS is an accomplished bariatric surgeon in Missouri who has performed thousands of weight loss procedures over the years. He is also the resident dean of the commentariat at the physician-only social media website Sermo. The following represents a series of email exchanges he and I had over the holidays:
Dr Hornbostel, tell me about your professional journey from general surgeon to an exclusively bariatric practice.
I finished general surgery residency in 1984 and immediately wen...
Source: Buckeye Surgeon - January 22, 2013 Category: Surgeons Authors: Jeffrey Parks MD 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
senior assistant
a good surgeon does not imply a good assistant. i personally don't like my assistant to be equally qualified with me. more qualified assistants can sometimes be a nightmare.
one of my role models in the department of surgery was my registrar when i started there. he was just a very nice guy. he was in fact such a decent guy most people wondered what the hell he was doing studying surgery at all. he just didn't seem like the type. but no matter how good an individual he was, he still had to learn how to operate.
the boss believed in teaching us to remove gallbladders the old fashioned way. therefore in his firm there was ...
Source: other things amanzi - November 1, 2011 Category: Surgeons Authors: Bongi Source Type: blogs
senior assistant
a good surgeon does not imply a good assistant. i personally don't like my assistant to be equally qualified with me. more qualified assistants can sometimes be a nightmare.one of my role models in the department of surgery was myregistrar when i started there. he was just a very nice guy. he was in fact such a decent guy most people wondered what the hell he was doing studying surgery at all. he just didn't seem like the type. but no matter how good an individual he was, he still had to learn how to operate.the boss believed in teaching us to remove gallbladders the old fashioned way. therefore in his firm there was no su...
Source: other things amanzi - November 1, 2011 Category: Surgery Authors: Bongi Source Type: blogs
