How Doctors Think Outside of the Medical Box

It was a tough week in Pookieville.  I worked all week at one of my favorite hospitals.  I like working there because the specialists I work with are hypercompetent and always willing to help.  Furthermore, they like to chat. Well, they like to chat about interesting cases.
I was particularly challenged this week because I had to [...]

The Medicare No Pay, Never Ever List

The Centers for Medicare and Medicaid Services announced 10 hospital acquired conditions for which it will not reimburse.  The no pay rule has been in effect since October 1.  So, with out further ado: (drum roll):
“Stage III, IV pressure ulcers
Fall or trauma resulting in serious injury
Vascular catheter-associated infection
Catheter-associated urinary tract infection
Foreign object retained after surgery
Certain surgical site [...]

PookieMD Airlines: How aviation check lists apply to medicine

I am married to an electrical engineer that loves to fly around in a small airplane.  Because I hang out with him, I’ve been forced to observe the intricacies of not crashing into other planes and landing safely.  I’ve learned a lot.
Pilots have a check list for everything.  Plane manufacturers include an entire book of checklists [...]

Don’t Recoil: Marketing Your Practice

Yes, we will talk business today.  No more fluff on being efficient, knowing where the speculum is, and handing out tricolor business cards.  Let’s get to the meat of it: YOU CAN’T SEE PATIENTS IF THERE IS NO ONE TO SEE. 
Sadly, many practices have a dearth of patients.  How could this be?  Some are located [...]

How To Listen So Patients Will Talk

I wish that in medical school and residency we had spent more time learning how to communicate.  We finish training stuffed with knowledge (think a brat on a grill!) but are horrible at distilling that knowledge to help people.  As a hospitalist I have tried to hone my interviewing skills, but feel that I could [...]