Geeky Docs

I remember the disdain some of the EHR trainers had for their trainees back when our hospital system “went live” several years ago. Of course this disdain was tempered by their knowledge that if docs weren’t so computer illiterate, or the user interfaces of the EHR systems weren’t so awful, or if the EHR software… Continue reading Geeky Docs

I’m a Better Computer Than Any Doctor

[Ed note: I couldn’t resist writing the following after reading this post on by Dr. Keith Pochick. Please read it first. Apologies in advance.] I’m a Better Computer Than Any Doctor “I love you,” she said as she was leaving the room. “I, I um…” “Not you. Your computer.” She cast my computer, still… Continue reading I’m a Better Computer Than Any Doctor

Life Interrupted

I don’t mean to trivialize the plight of soldiers with the real thing, but I believe that after many years of carrying a pager (and later a smart phone qua pager) I have developed something akin to PTSD. I seem to have an excessive fright/flight response to the phone ringing, to sudden loud noises, and,… Continue reading Life Interrupted

1950s Prescription Drug Commercial

If annoying 21st century TV prescription drug ads were run as annoying 1950s TV ads (and taking into consideration 1950s morals and censorship). Here is a pdf version of this post formatted as a screenplay, if you’d prefer (it looks nicer).  ====== CUT TO: TITLE CARD. “The George Burns and Gracie Allen Show.” Theme music begins. HARRY… Continue reading 1950s Prescription Drug Commercial

Why Electronic Health Records Will Not Get Better

Today I read an article in Politico entitled “Doctors barred from discussing safety glitches in U.S.-funded software.”  The article states that, despite massive public funding of Electronic Health Records (EHR), the EHR corporations (including Epic Systems, Cerner, Siemens, Allscripts, eClinicalWorks and Meditech) routinely attach gag clauses to contracts with the hospitals and medical groups who… Continue reading Why Electronic Health Records Will Not Get Better

You Can’t Tell the Batters Without a Scorecard

If you want to know who the best surgeon in the hospital is, ask the surgical nursing staff. If you want to know who does the best job opening up coronary arteries using catheters, balloons, and stents, ask the cardiac catheterization lab nurses and technicians. Unfortunately these approaches to comparing physicians’ skills are only available to hospital… Continue reading You Can’t Tell the Batters Without a Scorecard

What If My CHA2DS2-VASc Score Is One?

There is nothing simple about atrial fibrillation; it is a complicated, often overwhelming disease, both for patient and physician. One question that invariably comes up early on is the question of prophylactic anticoagulation for prevention of stroke. Who should receive anticoagulation? Which anticoagulant? How should anticoagulation be handled around the time of surgical procedures, or… Continue reading What If My CHA2DS2-VASc Score Is One?

Introducing EP Calipers

Ever since the 1990s, when computer-based electrophysiology (EP) systems were introduced, HV intervals and ventricular tachycardia cycle lengths have been measured in the EP lab by electronic calipers — simple but accurate measurements accomplished on-screen using a track ball or a mouse. Despite this, physicians still often carry a physical pair of calipers, perhaps preserved… Continue reading Introducing EP Calipers