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Archive for February, 2008

Introducing the WalMart Clinic

February 19, 2008 1 comment

http://blogs.wsj.com/health/2008/02/…cs-still-cool/

“The clinics are typically staffed by nurse practitioners or physicians assistants”

“Wal-Mart said it would be opening its own brand of retail clinics — and that they’d be affiliated with local hospitals and health systems.”

“Wal-Mart says it plans to open 400 clinics by 2010 under the truth-in-advertising brand name “The Clinic at Wal-Mart.”

Who is going to take responsibility when a patient complains of abdominal pain and is sent home being told it is a stomach virus when later that night their appendix ruptures leading to massive sepsis and death?  Who is going to take responsibility when a 16 year old presents with testicular pain and is prescribed an antibiotic for an infection when in fact he is having a torsion and loses a nut?  I can go on and on.  There is a reason a person is not allowed to practice medicine without going through four years of medical school and three years of residency.  Since WalMart has deep pockets it will be interesting to see how long these clinics last until they are bankrupted with lawsuits in our highly litiginous medical environment.

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More is Better

February 18, 2008 2 comments

        The above clip is from a segment of 60 minutes which aired over the weekend delving into the topic of what constitutes happiness. Living in a highly commercialized crap buying society, Americans are taught from a very young age that “More is Better”. Through the purchase of more “things” we can temporarily quell our unhappiness. However, just like a junkie shooting himself up with heroin, it feels really good only for a brief moment until we start craving the next hit. We are never satisfied and always want more, more, more! And since “More is Better” how do we get more? You have to work more!
        Is it no wonder why Americans work among the most hours on this planet? So in order to get more you have to work more or go into more debt. With physicians in this country working an average of 55 hours and up a week amidst declining compensation in the face of inflation, are those extra things really worth what one is putting in? As for myself, I am really start to think that I have a better chance of finding “happiness” by downshifting my life than continuing to run on this never ending medical hamster wheel.

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Suze Orman speaks to Culinary School grad about student loans

February 17, 2008 Leave a comment


This is a pretty scary clip from a recent episode of the Suze Orman Show where a culinary grad speaks about being saddled with six figure debt with little hope of ever getting out. Could med school grads in the foreseeable future see themselves in a similar predicament? With sky rocketing tuition costs and stagnant/declining salaries it does not take a genius to envision what could lie ahead.

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Breaking News: Psychologist Killed with Meat Cleaver In Upper East Side

February 13, 2008 Leave a comment
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Scammie Mae CEO Albert Lord drops the “F Bomb”

February 12, 2008 Leave a comment


Turn the volume up and listen to CEO Albert Lord drop the “f bomb” (0:22) during Scammie Mae’s most recent conference call this past December 2007.   With all the probing questions regarding Sallie Mae’s operations during this event, the kitchen was apparently getting a little too hot for Mr. Lord to handle.  This is the dirtbag who gets a cut of your check every month and is largely responsible for the rise of indentured servitude among today’s younger generation.

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I Love Lucy and the American Healthcare System

February 11, 2008 Leave a comment


Ever wonder what it’s like to work as a resident in today’s American healthcare system?  Here’s a small glimpse.

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Harvard Undergrads Defect from Sciences and The Berlin Wall

February 8, 2008 Leave a comment

http://www.theharvardcrimson.com/article.aspx?ref=521740

“In addition to the impersonal nature of many science courses, students also report that being a science concentrator is difficult because of the rigorous work required for the discipline and the competitive nature of other students.”

“I felt like no one really cared about actually learning—they were just focused on beating everyone else and were worried about what the curve was going to be,” Younger says of her experience in Life Sciences 1b last spring. “I was really turned off by the whole environment.”

“Younger, a sophomore who chose English over molecular and cellular biology, cites the difficulty of scheduling “huge chunks of lab time” while “trying to have a life” outside academics.”

        This article tells us nothing new but I actually like the author’s choice of the word “defect” to use in the title of this article.   Just as East Berliners risked their lives to “defect” to the west via the Berlin Wall, these Harvard students are escaping the harrows of the long pathway to entering the “highly esteemed” medical professions.  We all are aware of the competitive cut throats that populate these science classes.  If you confine yourselves to this warped circle of future physicians, you will hear the word “weeded out” used instead.  Supposedly, those who can’t hack it are “weeded out”.  But are they really?  Perhaps these drop out weeds are in fact the smartest of all…wise enough to foresee the dismal future that lies ahead.   So those of you having doubts out there (which are 100% warranted), don’t see yourself as being “weeded out” but rather as a “defector”.   Why live in some horribly oppressive regime, when you can live a way better life elsewhere?

 

        There is no Berlin Wall with guards posted on top of towers to shoot you if you choose to make an escape at this early stage.  There is a wide open green field that lies right before you and all you have to do is walk across it.

 

        However, choose to wait and the walls will start to build around you and the German guards( aka attendings, evil nurses, Sallie Mae, HMO’s, malpractice lawyer leeches) will be lurking making an exit most definitely difficult.  Run away while your balls are still free (if your a guy that is…..girls just run!).

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John Ritter’s family goes on sueing spree

February 5, 2008 Leave a comment

http://ap.google.com/article/ALeqM5gmv6HnJJPBee2gWgEYResT5m6YkAD8UJTVT00

“Ritter’s second wife, Amy Yasbeck, and his four children have already received a reported $14 million in settlements with nine other medical entities, including the hospital where he was treated.”

Geez lady, 14 million is still not enough???  Sucks for the ER doc and cardiologist getting sued….I’m sure they wished they just would’ve called in sick that day.  Just goes to show you how every patient that rolls through the door is a possible ticking time bomb that can blow at any moment unleashing fury on those within standing distance.

This story reminds me of Sweetie, the cute Cocker Spaniel that my family had when I was a young and gullible kid.  One morning before going off to school….I think I was like in the fifth grade….I was rolling around the kichen room floor playing joyfully (and intentionally delaying myself from going to the bus stop) with Sweetie when she was a little puppy.  All of a sudden I felt a sharp stabbing pain on the side of my head.   When I reached up I felt blood trickling from my ear and onto my hand.   When I wasn’t looking, my dear Sweetie lunged at my ear and bit it!!!  Though I still have my right ear, I have the scar to this day to prove it.  So why do I mention this story?  Because in today’s medical zoo like environment where the jackpot lotto abounds, the cutest grandma or the most cheerful teenie bopper can cut you down when you least expect it.  Though they say having good rapport reduces lawsuits, you can sure bet that when millions are on the table any sort of “great relationship” you had with your patient will quickly take second seat.  Motto of the story?  Beware of Sweetie!!!   She can hurt! 

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