Monday, April 18, 2011

Outrage on the Health Train Express

Let us all pause for a moment on this Passover Seder Night and ask “why is this night different from all other nights"?”

Listen up. We are in the midst of a budgetary crisis. Standard & Poor's is about to downgrade the U.S. Government as a reliable debtor, health care reform threatens to bankrupt  the  Government, and we are told if we do not make the changes we will go bankrupt anyway.

In  the midst of EMR arguments pro and con, transparency issues, outcome studies, and plans for ACOs from  out of Michigan comes this late breaking story from the American College of Surgeons.  I somehow or other know now why I never went after that  FACS title, FAAO was enough.

The New York Times ran this story by Tara Parker-Pope who must have laughed all the way to wherever she goes at the end of a day.

I know I and several other well known bloggers thought this was hilarious, although admittedly none (at least me) would admit to being an academic

(evil looking, discredited surgeon, tongue-in-cheek)

image(picture at least 20 years old, maybe 30)

Dr. Greenfield, 78, was the editor in chief of Surgery News when the editorial was published but resigned that position in the wake of the controversy; and not only was the article retracted, but all existence and reference to that issue were expunged from the scientific literature.  The entire issue of the newspaper was withdrawn.

Lazar Greenfield is one of the truly pre-eminent, almost legendary figures in modern general surgery.

Dr Greenfield is a Professor-Emeritus of General Surgery at the University of Michigan. In ordinary lay language that means ‘retired’.

The Valentine’s Day Massacre

 Forget chocolate on Valentine’s Day, try semen, says Surgery News editor. Retraction, resignation  follow.

IMHO, the only ones discredited is the ACS for electing him and for the General Surgery Journal for printing the article in the first place.The position is obviously one of honor given in reward for a long and dignified and respected career.  Perhaps the position should go to a younger surgeon still actively engaged in practice. The position is also obviously a ‘political appointment’, and much like political appointments, the appointee goes down in disgrace.

I hope that Dr. Lazar Greenfield (retired) is enjoying retirement, away from controversy and high risk adventure, as well as sperm counts.

I pray he is laughing out  loud  each month when he draws his pension from the bank.

And now he is truly a LEGEND, among great and famous surgeons.  All who trained with him will have an unforgettable story to tell their residents !

Saturday, April 16, 2011

EYE MD A New Blogspot

 

Just what is needed in bloggerville, another medical blog. This one is on a topic very near to my heart, after 30 years of eye surgery, treatment of glaucoma, diabetic retinopathy, plastic surgery of the eyes, and my favorite area….pediatric ophthalmology…here’s a sample…Buzz on Over to Eye MD. You will find it at http://eyeinfo4you.blogspot.com 

Here’s a “Trailer”

Eye MD

Friday, April 15, 2011

A New Blog Spot

Get ready, this blog is going to have some really cool, interesting and accurate information about the science of the visual system, clinical practice, sources for eye care, innovative treatments, and what can we  expect in the next ten years. How will Health Reform impact your Eye Health?

Warning !  Some of the  images may be disturbing. Not intended for the faint of heart.

Here is the first one !

Leave a comment:  What are these??

GML

Posted by Eye MD at 7:21 AM 1 comments

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Wednesday, April 13, 2011

So, What’s the Problem, Duh !

 

INDIANAPOLIS -- Health insurer UnitedHealth Group's earnings rose 21 percent last year and so did the compensation it gave CEO Stephen Hemsley .

The 58-year-old executive received a pay package totaling $10.8 million from the Minnetonka, Minn., managed care company. That includes a salary and performance-related bonus amounting to $4.7 million and stock and options valued at $6 million.

UnitedHealth is the largest health insurer based on revenue. Its net income climbed 21 percent last year to $4.6 billion, and its share price rose 18 percent. That's higher than the increase recorded by the Standard & Poor's 500 index in 2010.

ENUFF SAID !!!

The Billion Dollar Soap Dispenser

Kathleen Sibelius promises $ 1 billion for fighting hospital infections?  This is insane… She doesn’t even work there anymore and is a lame duck

A billion dollars, for what? Soap & Water. Sounds like the $100,000 dollar toilet (or was it a wrench?)

 

Deficit spending in the middle of political outrage….

 

Saturday, April 9, 2011

Social Media and Medicine II

 

In my continuing series on medicine and social media, Healthcare IT News has weighed in with a survey and a colorful pie chart.

What spectacular timing…..must be a resonance in the dark matter of the universe. 

Vladimir’s Blog lists the Top Social Media Sites (about a year old)

vladimir prelovac"I would love to change the world, I just don't have the source code yet."

The poll was conducted by Health IT News of it’s readers. The results:

Nearly half of the respondents think doctors should use social media as a way to foster a healthcare community.

Out of those who think that doctors should embrace social media, only 16% believe that doctors should use such platforms to connect with their patients.

Only 13% of participants think that doctors should not be using social media at all.

Many people may prefer traditional modes of communication when conferring with their doctors about medical issues. But social media is a viable method of allowing hospitals and health organizations to engage not only with patients but also with a wider community.

Making social media simple for docs

Social media sites help patients make healthcare decisions

During the next several weeks Health Train  will devote several columns for docs who want to learn more and participate in social media.

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Friday, April 8, 2011

Social Media and Physicians

 

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Most physicians are now aware of Social Media. The game is still out if it will be incorporated into medical practice or hospitals. It has it's serious flaws in regard to privacy and HIPAA regulations. Apart from that restriction Social Media offers many choices and possible applications for a medical practice (clinic) or hospital setting,

Social media is a highly fluid niche. What began as a recreational hobby has evolved into a digital medium which has caught the eye of venture capital and others in the internet space.

Billions of dollars are being poured into startup ventures and some established media sites that have piddling cash flow at the moment. Their forecasted value is based upon world wide exposure and the attendant potential for advertising revenues. Most of the social media sites remain private equity companies and some are looking at IPOs. (Facebook).

Several social media sites have become lightening rods attracting companies building on APIs (application programming interface). (that is another story)

How are most practices dealing with this new phenomenon? It is a far cry from AOL's “You've Got Mail !!”

Many are dabbling with building their own Facebook pages, Twitter identities, and Blogs. Few physicians are either expert enough or have enough disposable time to dedicate to the medium personally.

There are several 'big time' medical bloggers such as KevinMD who are a presence enough to be interviewed by TV media, or published in the Wall Street Journal and other classical newsprint media. His blog has attracted enough industry attention and is monetized to deliver cash flow. His posts are repeated across other blogging venues and ranks very high in Google's search algorithm, and without SEO. (search engine optimization)

Physicians are a curious lot, especially when it comes to technology. Others are more intent on patient care and have little time to devote to this area. Personally I have enjoyed exploring and using social media, but then I am retired from clinical practice.

Some familiarity in order to plan if and when your practice should enter social media, and how you will use it.

Social media challenges medicine in it's use of arcane acronyms (abbreviations) as a 'secret' insider code. There are glossaries for Twitter acronyms and other social media sites. 1 2 3 .

Sage advice would be to have an 'expert' build your site. One of your children probably is expert at this, if not there, are many teenagers or young adults who are willing to do this for very little money or just the 'resume builder” Elance.com  is a freelancer writer web job board where many aspiring social media designers congregate.

Daily posting should be relegated to a knowledgeable ghost writer. Most are willing to work for about $5.00/ day (one post) It is as easy as dictating into your PC or laptop and sending the post as an mp3 file via an attachment email or an Instant messaging file. If you don't know how to do that, ask one of your kids, or younger employees.

Facebook vs. Twitter . They each have their own unique attributes and application.. Why not use both? Facebook can act much like an interactive web page with fields for comments, likes, photos, friends lists and more. Twitter is much more brief, short, to the point and readers can configure their site to follow you, much like a mini RSS feed.

A brief guide to social media, by Brian Solis also elaborates on the many other social media sites available.

Hope to see some of you at my twitter feed  @glevin1 or on Facebook,  facebook.com/garylevin

 

Thursday, April 7, 2011

ACO ? Unintelligible Idea..makes no sense.

 

A Mid-Week Review with Sheryl Skolnick, Ph.D.

ACO makes no sense: Listen to this expert opinion. “We must be missing something”.  Please excuse the opening advertisement

Listen to internet radio with ACOwatch on Blog Talk Radio