In a recent edition of the New Yorker, the magazine published a story by Dashiell Hammett and one of the paragraphs in that wonderful story nicely captures the way that waiting for something bad to happen can be worse than experiencing that bad thing. In the scene, a group of people stand on the sidewalk…
Ten years ago, my tennis partner suffered a stroke. He was a sixty-year-old at the time, working to move up into the top ten players in his age group. In the country! You could not have found a healthier sixty-year-old. He played tennis three-plus hours a day, scampering across the court like a hyperactive adolescent. …
In a recent post, I pointed you towards a very nice article by Jason deBruyn about controversies over the role of nurse practitioners in providing primary care. A recent study in the journal Health Affairs showed that when states loosen up their regulations over what nurse practitioners can do, the percent of people receiving primary…
In a recent Forbes post, I wrote about geographical variation in healthcare expenses, and pointed out that a lot of this variation occurs after people leave hospitals. That’s when people end up in nursing homes, rehabilitation facilities and the like. Well it turns out, not only is there great variation in these expenses, but these…
I have been writing quite a bit about healthcare price transparency lately. And so have a lot of other people. Many of us have been pointing to insane variation in how much hospitals charge for their services. Walk across the street, and you might see the price of a routine healthcare service rise two or threefold. But…
I’m back to blogging again, and thought I’d return to a topic I have blogged about recently: expanding the role of non-physicians in primary care. A very talented journalist in North Carolina, Jason deBruyn, wrote a nice piece which I am indenting below, laying out some of the controversies. Debate settles in on costs versus…
I am not going to be posting any new blogs for a while, because I will be traveling – a nice mixture of vacation and writing, mostly out of reach of desktop computers and laptops. I expect to return in August, refreshed and reinvigorated. I hope all of you find some summer relaxation time too….
The video below is not super high quality, but it captures a talk I gave in Lima Peru recently, a very personal talk that also reveals some of the dangers of assuming that medical decision making will go swimmingly well as long as patients are informed and empowered. Check it out. (Click here to view…
I am very fortunate to have never been sued. That is not necessarily because of my amazing ability as a physician. I always practiced in Veterans Affairs medical centers, where my status as a federal employee meant I would not get sued by my patients. I also had an incredibly appreciative patient population. But I…
The importance of sleep is perhaps most realized when we become sick. When we are hospitalized and most in need of every ounce of health, though, hospital care practically guarantees that we won’t get good sleep. Fortunately, two approaches hold promise to improve sleep for patients: one organizational, and the other a common trick of…