tag:blogger.com,1999:blog-18943510.post4257475357079720124..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: What If Obamacare Were Found Unconstitutional?DrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger15125tag:blogger.com,1999:blog-18943510.post-79577576057047274702011-06-22T20:57:23.961-05:002011-06-22T20:57:23.961-05:00"As I read it, 89% of all Medicare patients i..."As I read it, 89% of all Medicare patients in this particular Michigan hospital that had chest scans in 2008 had 2 scans done on the same day."<br />Obtaining studies with and without contrast (dye injected that shows up on xray) can sometimes give you more information. I don't cocnsider that double scanning. I don't know of studies comparing the efficacy of a single scan Timnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-71964073116955753902011-06-18T23:16:11.064-05:002011-06-18T23:16:11.064-05:00Tim,
http://www.nytimes.com/2011/06/18/health/18...Tim, <br /><br />http://www.nytimes.com/2011/06/18/health/18radiation.html <br /><br /><br />Sorry. I was sloppy. There's the link. As I read it, 89% of all Medicare patients in this particular Michigan hospital that had chest scans in 2008 had 2 scans done on the same day. And it is a wide-spread problem. I'm just a consumer so I don't know how new protocols are implemented but Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-44163156092290371412011-06-18T19:43:21.906-05:002011-06-18T19:43:21.906-05:00" And I guess that three month CATH gap worke..." And I guess that three month CATH gap worked out pretty well."<br />Not knowing your symptoms at the time or by whom you were treated, your decision not to have a cath may have been perfectly appropriate. At any rate, it was your decision, right or wrong. What I said was, "This isn't Stalinist Russia," even with a socialist for a president.<br />"Community hospital Timnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-4814394621651565392011-06-18T13:35:04.159-05:002011-06-18T13:35:04.159-05:00NYT has a report of double chest scans done to pat...NYT has a report of double chest scans done to patients in a single day. Community hospital in Michigan 2008 record: 89% get double scans. After those "pesky" protocols and practices were revised the 2010 figure was 42.4% and first part of 2011 the figure is 3%.<br /><br />Tim, you're a scientist. What are your thougts? Me? I'm cheering those committees that revise the Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-14216022670009560002011-06-17T21:22:16.230-05:002011-06-17T21:22:16.230-05:00Tim
Stalinist Russia?
Give me a REAL example. W...Tim<br /><br />Stalinist Russia?<br /><br />Give me a REAL example. Where are the show trials? Where are the executed millions, the collective farms? Didn't we just have elections? We have a Congress. They are doing a pretty good job of thwarting the "dictator". Is Britain suffering under the same Stalinist government? Cameron might dispute that. Canada, perhaps?<br /><br />IAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-3435823818202718772011-06-17T18:31:26.251-05:002011-06-17T18:31:26.251-05:00JustADoc,
Ok. So what is the window? You're...JustADoc,<br /><br />Ok. So what is the window? You're not happy with the three months. "Shortly" won't always work. <br /><br />Sounds like this test has definite limitations. You and your patient need to talk it over. Me? I wouldn't re-do @ three months...absolutely not at an even smaller window. And if I'm without insurance, I sure as hell am going to take my Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-63748527676923612562011-06-17T15:37:34.980-05:002011-06-17T15:37:34.980-05:00"It was an angiogram - test showed all clear ..."It was an angiogram - test showed all clear - not likely to become occuluded in three months."<br />It might shock you to know that a previously non-occlusive placque can rupture and cause an acute occlusion. Maybe some patients don't know everything there is to know about coronary occlusive disease! It was only about 40 years ago that the charge nurse in the ER could tell a Timnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-21531104685103080632011-06-17T13:06:19.520-05:002011-06-17T13:06:19.520-05:00I, and every other doctor that treats patients wit...I, and every other doctor that treats patients with chest pain/CAD, have had patients die of MIs shortly after 'clean' CATHs.<br /><br />JustADocAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-56708014566130119752011-06-16T15:27:55.856-05:002011-06-16T15:27:55.856-05:00@ Tim,
Pretty tall order for getting rid of all t...@ Tim,<br /><br />Pretty tall order for getting rid of all those constraits that make it difficult to cut the fat. Experts, government, regs, insurance companies, and best practices have been around for...oh, I give up, you tell me how long they've been around. And yes, they are still going to be around if reform stays or is found unconstitutional. So what I'm thinking is that you WON&#Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-50183327547103442522011-06-16T12:34:05.097-05:002011-06-16T12:34:05.097-05:00"@ Tim,
So what have those doctors been wait..."@ Tim,<br /><br />So what have those doctors been waiting for - the fat that is."<br /><br />We've been waiting to be unconstrained by "practice parameters," "best practices," and medical malpractice! Best practices, as written by the "experts" don't always turn out to be correct and aren't always applicable at every level of care. If I see a Timnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-17771488733921822362011-06-16T02:39:26.790-05:002011-06-16T02:39:26.790-05:00@ Tim,
So what have those doctors been waiting fo...@ Tim,<br /><br />So what have those doctors been waiting for - the fat that is.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-15960558911400318612011-06-15T21:30:35.363-05:002011-06-15T21:30:35.363-05:00So the only way to fix the Medicare entitlement pr...So the only way to fix the Medicare entitlement program is to make it larger with Obamacare!? The entire healthcare in our country will be an entitlement program. This is a disaster waiting to happen. Costs will spiral.<br /><br />Finally, don't refer to the bill as a hospital bill. It is a doctor bill as in poor people are filling for BK from the avarice of those doctors.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-76120133174709092012011-06-15T19:21:02.558-05:002011-06-15T19:21:02.558-05:00If Obamacare were found unconstitutional, it would...If Obamacare were found unconstitutional, it would at least be a slap in the face to the socialists and those who say, "What we've got isn't working, so let's try something different." Health care will only cost less when less health care in administered. What we don't want is the government making that decision! Physicians using their judgment without duress can trim Timnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-47314429038124900052011-06-15T11:07:58.022-05:002011-06-15T11:07:58.022-05:00Indeed. The fatal flaw of the Obama Health Care i...Indeed. The fatal flaw of the Obama Health Care initiative was making full access the goal rather than affordability. Oh, and cutting a back room deal with the very industry robber barons that would make affordability impossible in exchange for their not "going to the mattresses" in opposition. <br />Fortunately there is an enormous amount of fat in our health care system (and not Tacitushttps://www.blogger.com/profile/17007086196578740689noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-82372531851099700602011-06-15T10:30:51.369-05:002011-06-15T10:30:51.369-05:00Touché, Dr.Wes. Physicians have become an incident...Touché, Dr.Wes. Physicians have become an incidental cag in the healthcare wheel, taking the blunt of beurocratic avalanches, villification by legislators and the press, with 15 minute time slots to discuss sudden death prevention when they present with an ingrown toenail. Only technology can save the system. But that will leave us without personal contact at all. Society sill have to pic its rhythm dochttps://www.blogger.com/profile/18099786609315457194noreply@blogger.com