The way doctors receive their radiographic results recently went automated at Happy’s hospital. What happens if I order a scan and I have a critical radiology finding that needs to be reported to me quickly? Do I get a phone call and verbal notification? Nope. Apparently, none of my patients [...]

The credentialing process just keeps on getting crazier. Physicians now pay hundreds of dollars a year in government regulatory licensure fees. Doctors pay thousands of dollars to take the test. The test is a board exam documenting the physician’s expertise in a field of medicine so they can hang a certificate on their [...]

I often get asked the question, “What is a hospitalist?” when patients and families have no idea who I am. Sometimes I introduce myself as an internist who specializes in hospital based medicine. Which then forces some people to ask me about being an internist.As an internist, I have chosen a field that has failed [...]

It’s now been seven years. Seven exciting years of continuous hospitalist enjoyment with the same hospitalist program. Hospitalist programs are a dime a dozen. Every hospital on this earth is trying to incorporate the benefits of a hospitalist service into their long term business plan. Why? Because we are the [...]

What are you going to do when there’s no money left to pay you? That’s what you had better be thinking about as the as our health care finance reform trap continues its destined pursuit of bankrupting America. The only possible outcome to all this mess is the biggest man made [...]

More unhealthy people are being herded into our health care system and more doctors are exiting. That’s the perfect formula for chaos. I’d like to welcome the nursing profession here to save the day. Nurses have taken up the call for providing that missing link of access as doctors disappear. The expansion of [...]

When a patient leaves the hospital, the physician dictates a synopsis of the hospital stay. This process is lesson in systemic chaos. For hospitalist medicine, other than direct physician to physician discussion on the day the patient leaves, this synopsis is the most important tool available to relay the events of the hospital [...]

Well, it’s official. Again. The big Medicare slash continues. Today is April Fools Day. It’s also the day that grandma’s insurance payments to physicians got cut over 20%. Again. That’s in addition to the greater than 20% cut physicians have already experienced in the last decade of [...]

From the super morbid obesity files comes this unbelievable death wish. According to Fox News, Donna Simpson from Old Bridge, NJ has one incredible goal in life. Already topping the scales at 602 pounds, her desire is to be the best at what she does, eating. Her goal [...]