Medical Mispronunciations and Misspelled Words: The Definitive List.
Hearing medical mispronunciations and seeing misspelled words are an under appreciated joy of working in healthcare. Physicians often forget just how alien the language of medicine is to people who don't live it everyday. The best part about being a physician is not helping people recover from critical illness. The best part is not about listening and understanding with compassion and empathy. Nope, the best part about being a physician is hearing patients and other healthcare providers butcher the language of medicine and experiencing great entertainment in the process. Doctors c...
Source: The Happy Hospitalist - October 2, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
99215 CPT® Code Description, Progress Notes, RVU, Distribution.
This 99215 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 hospital setting. CPT stands for Current
Procedural Terminology. This code is part of a family of medical
billing codes described by the numbers 99211-99215. CPT® 99215
represents the high (level 5) office or other outpatient established
office patient visit and is part of the Healthcare Common Procedure
Coding System (HCPCS). This procedure code lecture for established
office patient visits is part of a complete series of...
Source: The Happy Hospitalist - September 10, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
99215 CPT ® Code Description, Progress Notes, RVU, Distribution.
This 99215 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 hospital setting. CPT stands for Current Procedural Terminology. This code is part of a family of medical billing codes described by the numbers 99211-99215. CPT ® 99215 represents the high (level 5) office or other outpatientestablished office patient visit and is part of the Healthcare Common Procedure Coding System (HCPCS). This procedure code lecture for established office patient visits is part of a complete series of CPT ® le...
Source: The Happy Hospitalist - September 10, 2013 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs
99214 CPT® Code Description, Progress Notes, RVU, Distribution.
This 99214 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 hospital setting. CPT stands for Current Procedural Terminology. This code is part of a family of medical billing codes described by the numbers 99211-99215. CPT® 99214 represents the mid-high (level 4) office or other outpatient established office patient visit and is part of the Healthcare Common Procedure Coding System (HCPCS). This procedure code lecture for established office patient visits is part of a complete series of CPT...
Source: The Happy Hospitalist - September 2, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
99214 CPT ® Code Description, Progress Notes, RVU, Distribution.
This 99214 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 hospital setting. CPT stands for Current Procedural Terminology. This code is part of a family of medical billing codes described by the numbers 99211-99215. CPT ® 99214 represents the mid-high (level 4) office or other outpatientestablished office patient visit and is part of the Healthcare Common Procedure Coding System (HCPCS). This procedure code lecture for established office patient visits is part of a complete series of CPT Â...
Source: The Happy Hospitalist - September 2, 2013 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs
MKSAP: 78-year-old man with worsening heart failure
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 78-year-old man was admitted to the hospital 5 days ago for worsening heart failure.
On physical examination at admission, temperature was normal, blood pressure was 150/88 mm Hg, pulse rate was 108/min, and respiration rate was 22/min. There were bibasilar crackles and dullness to percussion at both posterior lung bases. Jugular venous distention, an S3, and lower extremity edema were present. Chest radiograph revealed cardiomegaly, vascular congestion, and moderate-sized bilateral pleural effusions. He was ma...
Source: Kevin, M.D. - Medical Weblog - June 29, 2013 Category: Family Physicians Tags: Conditions Heart Source Type: blogs
Why Having A Pet Tends to Improve Your Heart Health
There is a correlation between having a pet such as a dog or cat and an improved health status. Exactly how this works was the subject of a recent article (See: American Heart Association: Pets, especially dogs, are good for the heart). Below is an excerpt from it:
An animal companion may not just warm your heart, but also help you maintain a healthy heart....Pet ownership, particularly dog ownership, is probably associated with a decreased risk of heart disease," [said the] director of the cardiac care unit at Baylor College of Medicine....[T]here are 78.2 million owned dogs and 86.4 million owned cats in...
Source: Lab Soft News - May 20, 2013 Category: Pathologists Authors: Bruce Friedman Tags: Healthcare Delivery Medical Consumerism Source Type: blogs
Pulmonary Edema, Hypertension, and ST Elevation 2 Days After Stenting for Inferior STEMI
A male in his 40's who had been discharged 6 hours prior after stenting of an inferoposterior STEMI had sudden severe SOB at home 2 hours prior to calling 911. He had no chest pain. Medications were aspirin, clopidogrel, metoprolol, and simvastatin. He was in acute distress from pulmonary edema, with a BP of 180/110, pulse 110. Here is his prehosptial ECG:There are inferior Q-waves with ST elevation T-wave inversion. There is reciprocal ST depression in aVL and I. There is ST depression in V2 and V3, with biphasic T-waves (down-up). The computer read is: *****Acute MI*****The...
Source: Dr. Smith's ECG Blog - April 12, 2013 Category: Cardiology Authors: Steve Smith Source Type: blogs
Congestive Heart Failure
Pathophysiology of Congestive Heart Failure
Congestive heart failure is:
1) inability of heart to deliver sufficient cardiac output to meet physiologic needs
2) both diastolic and systolic phases are abnormal
3) initially, compensatory mechanisms occur(increased catecholamines, increased atrial natriuretic factor, myocardial hypertrophy), but eventual failure of these ensues causing congestive heart failure
4) result is increase in venous pressure with congestion of liver, spleen, and kidney (“backward failure”) and sodium retention, peripheral edema, and pulmonary sequelae (“forward” failure”...
Source: Inside Surgery - March 20, 2013 Category: Surgeons Authors: Editor Tags: Cardiology backward failure enlarged heart foward failure myocardial hypertrophy nutmeg liver peripheral edema Source Type: blogs
Valuing health outcomes
Recent discussion here has raised one of the most contentious issues in health economics and health policy -- one that happens to be largely ignored in the political discourse. That is how we put a value on people's states of health (once we have even figured out how to define them). That we must do so in order to make any sense out of arguments about the cost of health care and how we pay for it, to the extent that it comes up at all, is generally treated as a morally outrageous assertion.For the present I won't even get into the valuation of other kinds of programs and policies, which may have a much greater impact...
Source: Stayin' Alive - March 11, 2013 Category: Health Medicine and Bioethics Commentators Source Type: blogs
