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In The News


Ultrasound Breaks Bubbles Releasing Clot Busting Medication05/24/13
Gizz
Sonographer
In another novel study, ultrasound has been proven to release clot busting agents in blood clots potentially reducing or eliminating the effects of the clots on the brain, or other organs.


More Pain, Please?05/24/13
Paul Levy
Former Hospital CEO
Have we gone overboard in hospitals in our desire to minimize pain?


WHAT IS THE REFERRAL PATTERN OF THE UPPER TRAPEZIUS?05/17/13
Harrison Vaughan, PT, DPT, Cert. SMT
Physical Therapist
A patient sought medical assistance of her primary care physician due to constant right lateral 5th digit numbness.


The Real Risk of Healthcare Reform05/17/13
Douglas Cassel M.D.
Co–founder and Chief Compliance Officer of Vericle Medical Billing Network
Many advocates of healthcare reformers were shocked by a recent study demonstrating that obtaining health insurance did not improve overall health.


Accountable Care's in Watch Mode05/17/13
Jeffrey G. Kaplan, M.D., M.S.
Sr. Pediatrician, Retired Physician Executive
Who's not anxious to excel at cost-cutting, care coordination and quality, lest they be left out?


MAPS COURSE: MY ANALYSIS05/10/13
Harrison Vaughan, PT, DPT, Cert. SMT
Physical Therapist
I had the pleasure of taking the first MAPS (Maitland-Australian Physiotherapy Seminars) course last weekend.


Useless noise from CMS05/10/13
Paul Levy
Former Hospital CEO
What on earth did CMS have in mind when it released the FY2011 chargemasters for America's hospitals?


Fast Scan Gets a Boost With New Software05/10/13
Gizz
Sonographer
ow they have a graphics program to guide the health care provider on how to perform a FAST exam.


Patent Genes? That is the Question05/03/13
The Redheaded Pharmacist
Retail Pharmacist
To patent or not to patent, that is the question. More accurately, is patenting specific human genenic material something that should be legal?


THE POWER OF MANIPULATION05/03/13
Harrison Vaughan, PT, DPT, Cert. SMT
Physical Therapist
I am not speaking of the force a practitioner needs to provide in order to manipulate a joint, but, the commanding value of manipulation on patients. Let me explain further.


This Story was not from The Onion05/03/13
Paul Levy
Former Hospital CEO
It was not my plan to publish another post on this topic for some time, but you'll soon see why I felt compelled to.


An Important New Proposal from the Brookings Institute05/03/13
Douglas Cassel M.D.
Co–founder and Chief Compliance Officer of Vericle Medical Billing Network
Fools ignore complexity. Pragmatists suffer it. Some can avoid it. Geniuses remove it. Alan Perlis


Greedy Insurers05/03/13
Jeffrey G. Kaplan, M.D., M.S.
Sr. Pediatrician, Retired Physician Executive
A predictable result of the absence of a Public Option is the veritable shell game we are about to see perpetrated by private insurers.


Human Labor Conundrum05/03/13
The Pharmacy Chick
Retail Pharmacist
I think humans are the master of their own demise.


The Boston Marathon Bombing04/24/13
The Redheaded Pharmacist
Retail Pharmacist
A horrible act happened recently at the prestigious Boston Marathon in Boston, MA. But in the aftermath, there were signs of hope and strength.


ARE PHYSICAL THERAPY PATIENTS HARDER TO TREAT?04/24/13
Harrison Vaughan, PT, DPT, Cert. SMT
Physical Therapist
"Patients consulting chiropractors alone report fewer comorbidities and are less limited in their activities than those consulting medical doctors"


Giving Voice04/24/13
Paul Levy
Former Hospital CEO
Speech and language therapists are often unrecognized champions of healing in hospitals and rehabilitation facilities.


Getting Ready for the Voyage of Healthcare Reform04/24/13
Douglas Cassel M.D.
Co–founder and Chief Compliance Officer of Vericle Medical Billing Network
Remember that a lone amateur built the Ark. A large group of professionals built the Titanic. ― Dave Barry


Smart Patients helps organize smart patients04/19/13
Paul Levy
Former Hospital CEO
In 1995, Gilles Frydman, founded the Association of Cancer Online Resources (ACOR), which evolved into the world’s largest collection of online cancer communities.


The Quality of Determining Medical Quality04/19/13
Douglas Cassel M.D.
Co–founder and Chief Compliance Officer of Vericle Medical Billing Network
This is not because Quality is so mysterious but because Quality is so simple, immediate and direct. -ROBERT M. PIRSIG, Zen and the Art of Motorcycle Maintenance


Shocking The Heart To Recovery?04/19/13
Gizz
Sonographer
An interesting article I pulled up from the Google monster this morning which discusses a method of repairing the heart in patients who suffer from chronic heart failure due to death of the myocytes.


The Art of Patient Engagement04/19/13
Gregory Park
Director of Healthcare Solutions at dbtech
This is serious bad news for healthcare providers who MUST achieve a certain level of patient usage in order to obtain year 2 Meaningful use funds.


Recommendations and Doubts04/12/13
The Redheaded Pharmacist
Retail Pharmacist
Back in the day, I grew up with aspirations of becoming a medical doctor. My interest in science and medicine with a healthy fascination of just how the human body worked steered me towards medicine.


The Analgesic Effect Of Deep Cervical Flexor Strengthening: Part 104/12/13
Harrison Vaughan, PT, DPT, Cert. SMT
Physical Therapist
As manual therapists, our major goal of treatment is to provide a pain modulating effect for our neck pain patients.


Applying resilience engineering to health care04/12/13
Paul Levy
Former Hospital CEO
"Ideas to Innovation: Simulating Collaborations in the Application of Resilience Engineering to Healthcare."


This is the Winter of Doctor Discontent04/12/13
Douglas Cassel M.D.
Co–founder and Chief Compliance Officer of Vericle Medical Billing Network
Tomorrow’s doctors will be more like carpenters or electricians, applying their tradesman-like skills to blueprints laid down by others - Jim Barksdale, former Netscape CEO


Is "Big Data" the Next Big Thing in Medicine? Maybe04/05/13
Douglas Cassel M.D.
Co–founder and Chief Compliance Officer of Vericle Medical Billing Network
If we have data, let’s look at data. If all we have are opinions, let’s go with mine. - Jim Barksdale, former Netscape CEO


"All change begins with one small test."04/05/13
Paul Levy
Former Hospital CEO
The fellows were chosen by an executive leader who assumed the role of their sponsor and general support throughout the fellowship year.


HIFU Update04/05/13
Gizz
Sonographer
Every once in a while, a technology comes along that revolutionizes medicine.


WHAT IS YOUR CLINICAL REASONING BEHIND USING CERVICAL TRACTION?04/05/13
Harrison Vaughan, PT, DPT, Cert. SMT
Physical Therapist
Cervical traction (over the door, pneumatic, etc) is a modality and just like all modalities and other treatment interventions as a whole, work best if the patient is subgrouped into it for maximal effectiveness.


Discouraging Care04/05/13
Jeffrey G. Kaplan, M.D., M.S.
Sr. Pediatrician, Retired Physician Executive
Clearly, FFS is history–been there; done that!


At the Table or On the Menu?04/05/13
The Redheaded Pharmacist
Retail Pharmacist
We need to assert ourselves more as pharmacists into the decision-making processes affecting our professional lives. If we don’t, we may find that our profession has become obsolete.


Medical Costs Going up 32%, and More to Come.03/29/13
Douglas Cassel M.D.
Co–founder and Chief Compliance Officer of Vericle Medical Billing Network
The Society of Actuaries has predicted that the Affordable Care Act will increase insurance costs 32% nationwide, and more in some states.


Let's explore "consumer-driven" health care03/29/13
Paul Levy
Former Hospital CEO
I bet that if you were to look at the trends in medical insurance premium growth for companies in the US, you would find a bimodal distribution. Some will have experienced a rate of premium growth lower than the average, and others will have experienced a rate above the average. What might account for this?


Times Are Changing (Editorial)03/29/13
Gizz
Sonographer
I realized we are facing a shortage of trained sonographers.


Just another Monday03/29/13
The Pharmacy Chick
Retail Pharmacist
Its amusing how Pharmacy Chick attracts morons like a light attracts flies.


Two New Sites For Updated PT Material03/22/13
Harrison Vaughan, PT, DPT, Cert. SMT
Physical Therapist
Dr. Erson Religioso III has been busy this week with new websites to facilitate pushing the physical therapy profession. He is definitely making things happen and must have a spring in his step as the weather changes!


Ultrasound Useful In Line Placement in Children03/22/13
Gizz
Sonographer
Kids are precious. When they get sick; really sick we need access for intravenous medications.


Trends in Healthcare-CVS and the Wellness Program03/22/13
The Redheaded Pharmacist
Retail Pharmacist
Times are changing in the world of healthcare. Nothing demonstrates that more than recent news from CVS.


Waste Less; Add Value03/22/13
Jeffrey G. Kaplan, M.D., M.S.
Sr. Pediatrician, Retired Physician Executive
To make health care reasonably profitable for private payers and more affordable for patients, those who manage health care must focus on reducing cost, which is far easier than increasing the health benefit or medical loss ratio.


Medical School Tuition. A Case of Hypocrisy, and Mixed Metaphors03/22/13
Douglas Cassel M.D.
Co–founder and Chief Compliance Officer of Vericle Medical Billing Network
People who live in glass houses shouldn't throw stones, or walk around naked


More robots, more questions03/22/13
Paul Levy
Former Hospital CEO
Partial knee replacement surgery removes damaged tissue and bone in the knee joint and replaces the area with a man-made implant. The procedure is known as unicompartmental knee arthroscopy (UKA).


Social media sites, online job boards become crucial tools for job hunt03/18/13
HealthJobsNationwide.com
In a recent interview in CIO, Susan Vitale - the CMO of a talent acquisition company - said that job seekers would be mistaken to ignore other popular social media sites in favor of LinkedIn.


The Time has Come to Ban Football. It's not about Concussions.03/14/13
Douglas Cassel M.D.
Co–founder and Chief Compliance Officer of Vericle Medical Billing Network
Many football players who never suffered a concussion still have evidence for brain damage, according to a recent study.


Scoping out colonoscopies03/14/13
Paul Levy
Former Hospital CEO
Colonoscopy is the most accurate test for cancer of the colon and rectum, proven to detect the disease early and save lives.


Palmaris Longus - It Can Still Have a Purpose03/12/13
Harrison Vaughan, PT, DPT, Cert. SMT
Physical Therapist
The palmaris longus, even though absent in many people, can still serve a purpose.


The Neglected Dimension of Healthcare Reform. The Waiting is the Hardest Part.03/12/13
Douglas Cassel M.D.
Co–founder and Chief Compliance Officer of Vericle Medical Billing Network
Prevention, diagnosis, and treatment are the three dimensions that dominate healthcare reform.


Opportunity for Real Reform: Our inequitable, inefficient, oftentimes uncaring health care 03/12/13
Jeffrey G. Kaplan, M.D., M.S.
Sr. Pediatrician, Retired Physician Executive
Simultaneously improving health care coverage, the affordability of health care and its quality will be difficult.


Merger fever today. Fever tomorrow.03/12/13
Paul Levy
Former Hospital CEO
The cyclic fads of health care are leading hospital boards and CEOs back into the merger game.


Residency work hours revisited03/04/13
Paul Levy
Former Hospital CEO
What do residency program directors and residents think about the restricted work hours that were put into effect in 2011? They don't like them. Should we care what they think?


Primary Care or Specialist--Piecework Pays Better; Cost More03/04/13
Jeffrey G. Kaplan, M.D., M.S.
Sr. Pediatrician, Retired Physician Executive
Specialists fractionalize care; that's costly; In the medical home, primary care treats the whole patient.


Micro Bubbles To The Rescue For Myocardial Infarcts03/01/13
Gizz
Sonographer
Interesting article published recently suggests ultrasound contrast agents may improve re-vascularization of stunned, or injured myocardium after an ischemic episode, such as a heart attack.


In The News03/01/13
Harrison Vaughan, PT, DPT, Cert. SMT
Physical Therapist
Just saw a new fad of exercising in high heels on GMA this morning. Pretty sure exercising in high heels is not a good thing!


“Why do they hate us?”: Flying the Coop in Retail03/01/13
The Pharmacy Chick
Retail Pharmacist
My best technician told me she was going to quit because she couldn’t work the late hours.


Guarantee?: Rants and Musings of a Retail Pharmacist03/01/13
The Redheaded Pharmacist
Retail Pharmacist
Pharmacists should be recognized as healthcare providers for the purposes of billing Medicare.


Tips for a strong healthcare resume02/25/13
HealthJobsNationwide.com
Being able to stand out from the competition is crucial. Not surprisingly, it all starts with the resume.


Social Engineering by the University of Pennsylvania02/25/13
Gregory Park
Director of Healthcare Solutions at dbtech
I don’t like that an employer can pick and choose employees based on life-style choices.


How Big Data's Fueling Complacency: Musings in the life of an internist, cardiologist and cardiac electrophysiologist02/25/13
Westby G. Fisher, MD, FACC
Internist, Cardiologist & Cardiac Electrophysiologist
Why learn something if you're always spoon-fed it?


Addicted: to BEVERAGES?: Flying the Coop in Retail02/25/13
The Pharmacy Chick
Retail Pharmacist
It seems everywhere I go, somebody has some kind of beverage container in their hands.


Badge of Honor: Rants and Musings of a Retail Pharmacist02/25/13
The Redheaded Pharmacist
Retail Pharmacist
Having the word Pharmacist behind my name or the letters RPH attached means something to me.


Time Magazine Writes about Healthcare, and Demonstrates Why their Tabloid is Doomed02/25/13
Douglas Cassel M.D.
Co–founder and Chief Compliance Officer of Vericle Medical Billing Network
Time magazine decided to enter the healthcare fray with a major article about healthcare costs.


Accountable Care-Coordinate/Collaborate: Our inequitable, inefficient, oftentimes uncaring health care 02/25/13
Jeffrey G. Kaplan, M.D., M.S.
Sr. Pediatrician, Retired Physician Executive
Who's not anxious to excel at cost-cutting, care coordination and quality?


Accountabliity in medical education02/25/13
Paul Levy
Former Hospital CEO
Medstar's David Mayer, who has been one of the nation's leaders in medical education, sets forth an interesting proposition.


Pharmacist Labor Outlook: Rants and Musings of a Retail Pharmacist02/19/13
The Redheaded Pharmacist
Retail Pharmacist
The United States Department of Labor thinks that pharmacist jobs are going to grow at a faster pace than the average occupation over the next several years.


Mutual and Westward? I am calling you out!: Flying the Coop in Retail02/19/13
The Pharmacy Chick
Retail Pharmacist
If you are involved in the world of pharmacy you know that drug shortages and back orders are more commonplace than they used to be.


Government Mandated Endovaginal Ultrasound?: The ruminations and musing of a Diagnostic Medical Sonographer02/19/13
Gizz
Sonographer
Wisconsin law makers are debating a bill which would force pregnant women considering an elective first trimester abortion to undergo an endovaginal ultrasound.


Physician Burnout, Meet Patient Safety: Musings in the life of an internist, cardiologist and cardiac electrophysiologist.02/19/13
Westby G. Fisher, MD, FACC
Internist, Cardiologist & Cardiac Electrophysiologist
After ten years of trying to make healthcare safer for patients, what we ended up with was more physician burnout.


The Next Medical Breakthrough? Maybe It's Your Cellphone02/19/13
Douglas Cassel M.D.
Co–founder and Chief Compliance Officer of Vericle Medical Billing Network
Combined with simple skin monitors, these ubiquitous gadgets could collect, process and transmit physiological data.


The best year since 194502/19/13
Paul Levy
Former Hospital CEO
A new report reveals that 2012 was the safest year in air travel since 1945. What about healthcare?


Prescribing Habits: Rants and Musings of a Retail Pharmacist02/11/13
The Redheaded Pharmacist
Retail Pharmacist
Do we have an over-prescribing problem in modern medicine?


The Exodus Begins: Musings in the life of an internist, cardiologist and cardiac electrophysiologist.02/11/13
Westby G. Fisher, MD, FACC
Internist, Cardiologist & Cardiac Electrophysiologist
Big, important doctors are leaving medicine.


Do You Really Want Economists Making Your Medical Decisions?02/11/13
Douglas Cassel M.D.
Co–founder and Chief Compliance Officer of Vericle Medical Billing Network
Despite a rather spotty record of managing the actual economy, economists have decided that they are also experts on healthcare.


Coordination/Collaboration In Accountable Care: Our inequitable, inefficient, oftentimes uncaring health care 02/11/13
Jeffrey G. Kaplan, M.D., M.S.
Sr. Pediatrician, Retired Physician Executive
Doctors, hospitals, insurance companies, health care workers and drug and medical device manufacturers are anxious to discuss cost-cutting proposals with the White House.


Networking, targeted job search and social media02/04/13
HealthJobsNationwide.com
Using social media effectively could help widen one's search.


Healthcare sector added more jobs in January02/04/13
HealthJobsNationwide.com
The healthcare industry added a number of positions last month and those applying for nurse jobs, physical therapy jobs or medical technologist jobs are in strong standing when it comes to finding employment.


Update on the Boston scene02/04/13
Paul Levy
Former Hospital CEO
It's been a while since I prepared a summary of the hospital industry in the Boston area.


Ignorance is Bliss: Our inequitable, inefficient, oftentimes uncaring health care 02/04/13
Jeffrey G. Kaplan, M.D., M.S.
Sr. Pediatrician, Retired Physician Executive
To get the most out of EMR technology, doctors actually have to, you know, use it.


PCMA Report Promises Big Savings: Rants and Musings of a Retail Pharmacist02/04/13
The Redheaded Pharmacist
Retail Pharmacist
I wouldn’t want to be the Pharmaceutical Care Management Association.


Not feeling the LOVE: Flying the Coop in Retail02/04/13
The Pharmacy Chick
Retail Pharmacist
I think everybody in their job has this happen to them at some point in their career.


Marketing Obamacare: Musings in the life of an internist, cardiologist and cardiac electrophysiologist.02/04/13
Westby G. Fisher, MD, FACC
Internist, Cardiologist & Cardiac Electrophysiologist
The Affordable Care Act is proving anything but affordable to Americans.


This Is Research: The ruminations and musing of a Diagnostic Medical Sonographer02/04/13
Gizz
Sonographer
I salute Dr. Peter Burns for his research into the wonderful world of contrast ultrasound.


Have things changed? Would you force them to?01/30/13
Paul Levy
Former Hospital CEO
I want to provide a description of a hospital and ask you whether it might apply to a place in which you work.


Really Poor Performance, U.S.A.!: Our inequitable, inefficient, oftentimes uncaring health care 01/30/13
Jeffrey G. Kaplan, M.D., M.S.
Sr. Pediatrician, Retired Physician Executive
In a recent study, American men ranked last in life expectancy and American women ranked second to last.


What if We All Lived to 100?01/30/13
Douglas Cassel M.D.
Co–founder and Chief Compliance Officer of Vericle Medical Billing Network
No one lives forever, or really wants to.


Ultrasound, Pregnancy And DVT: The ruminations and musing of a Diagnostic Medical Sonographer01/30/13
Gizz
Sonographer
A fairly rare complication of pregnancy is DVT of the iliac veins, or lower extremity.


Looking The Part: Rants and Musings of a Retail Pharmacist01/30/13
The Redheaded Pharmacist
Retail Pharmacist
What does it mean to “look like a pharmacist?"


Empathy sought from medical professionals01/28/13
HealthJobsNationwide.com
Dr. Paul Katz, founding Dean of Rowan University's Cooper Medical School, has incorporated a new model into the curriculum that teaches medical students how to best handle patient care and incorporate a more loving attitude, according to the New Jersey Spotlight publication.


Video interviews infiltrate staffing industry01/28/13
HealthJobsNationwide.com
CBS News provided a number of recommendations for succeeding at a Skype interview.


Starting job search early is beneficial for soon-to-be graduates01/21/13
HealthJobsNationwide.com
Many experts advise starting the job search as much as 18 months before graduation or training is over.


Human Nature: Rants and Musings of a Retail Pharmacist01/21/13
The Redheaded Pharmacist
Retail Pharmacist
Just when I think I’ve figured out the human condition, I am thrown yet another curveball in life.


Patient Safety and the Ethics of EMR Implementation: Musings in the life of an internist, cardiologist and cardiac electrophysiologist.01/21/13
Westby G. Fisher, MD, FACC
Internist, Cardiologist & Cardiac Electrophysiologist
The implementation of the EMR in American medicine gained a powerful foothold in medical care with the passage of the American Reinvestment and Recovery Act in 2009.


Meaningless Use of the EHR: Our inequitable, inefficient, oftentimes uncaring health care system, revealed01/21/13
Jeffrey G. Kaplan, M.D., M.S.
Sr. Pediatrician, Retired Physician Executive
Physicians may consider the EHR to simply be a better version of the paper chart--not true.


Do You Use the Internet to Answer Medical Questions?01/21/13
Douglas Cassel M.D.
Co–founder and Chief Compliance Officer of Vericle Medical Billing Network
According to a recent Pew study, 59% of Americans go online to get health information


Interview tips for healthcare workers 01/14/13
HealthJobsNationwide.com
Another tip for those looking to be hired is to prepare for the questions asked at interviews - quizzing oneself could go a long way to making a favorable impression on the interviewer.


Education and healthcare training should be emphasized in a resume 01/14/13
HealthJobsNationwide.com
The education section should be at the top of a resume and should stand out from the rest,and specific information about certificates and degrees should be outlined clearly.


Leaning at Mt. Scopus01/14/13
Paul Levy
Former Hospital CEO
I am in Jerusalem and joined with a colleague to conduct a couple of workshops for senior managers and physicians on the basics of Lean process improvement.


Cost is the Big Item in the Value Equation of Health Care and Here's Why: Our inequitable, inefficient, oftentimes uncaring health care 01/14/13
Jeffrey G. Kaplan, M.D., M.S.
Sr. Pediatrician, Retired Physician Executive
The unrelenting rise in medical expenditures has nearly broken the back of so many consumers.


Influenza Preparedness- “Descending Into a Culture of Scarcity”01/14/13
James M. Rush
COO JVR Health Readiness
This year’s Influenza outbreak looks to be a widespread event with widespread shortages of critical medical supplies.


Mississippi Pharmacists Taking On Insurance Companies: Rants and Musings of a Retail Pharmacist01/14/13
The Redheaded Pharmacist
Retail Pharmacist
Nothing is more frustrating to me that trying to process a prescription claim for a patient only to find out their insurance plan wants them to use a mail-order pharmacy.


Choosy Beggar!: Flying the Coop in Retail01/14/13
The Pharmacy Chick
Retail Pharmacist
It appears that lots of people have taken my advice and have received their flu shots.


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