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Thursday, November 27, 2003

Cookie Doctor 

There was a PCP that cared for a family.
They had no insurance so they paid with homemade cookies.
One day the PCP was making rounds in the hospital.
The PCP ran into the family and asked, "Why are you here"?
They said: "Mom's in the hospital".
PCP said: "I thought I was mom's doctor".

They said: "When mom is sick we see Dr. Specialist".
You're the cookie doctor.

Tell Me What I Can Quit Doing #1 

I can't open a medical tabloid without a headline like: PCP's Underdiagnose Insert Your Foundation's Pet Disease Here.

Yet, they never tell me which part of my day I can eliminate.

This is the first link bmj.com Del Mar and Glasziou 327 (7424): 1117 I've seen that acknowledges the phenomenon.

I've quit doing screening rectal exams. Unfortunately, it takes more time to tell the patient why we don't need to do it than just getting it over with.


Thursday, November 13, 2003

Feel My Pain 

While I'm glad I did not make the list at least the author The 10 most overpaid jobs in the U.S. pointed out the discrepancy: "Specialty surgeons may earn $1 million or more, but some young family-practice doctors are hard-pressed to pay off medical-school loans."

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