re: What is Healthcare's future?

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So, you want to play God and say who lives and who dies. FO.

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She isn't saying that at all.

Yes she is Nurse.

I know when someone is on their death bed. I had to deal with this with my Mom and yes, we pulled the plug.

3 1/2 years ago, two doctors came in and told me and my wife they wanted me to go on hospice care and they told us that I had less then 6 months to live.

Told them, not no but hell no. Get me back up on my feet and you're fired! Saw one of those doctors last month at the transplant center. She couldn't even look at me in the eyes. Bitch.

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Try working with any product made by McKesson

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Wait....that sounds familiar...what is their popular EHR product? CERNER? Cause yeah...CERNER sucks.


EPIC is better than other EHRs...I will give them that. I'm just aggravated at having issues accessing it on our computers. Once I'm able to log in...I'm fine and find the program very user friendly. I just don't think our hospital's IT dept considered just how many updates the program has and didn't factor that in with the ancient computers they have in our hospitals.

I have not. Will have to add it to the list.

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And psychiatry... In 1900.

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In nursing school we got to tour the forensics facility in Jackson, LA(one of my instructors used to work there). Part of that tour they took us to one of the original buildings. Saw the electroshock therapy machines they used back then. And the small dirt space underneath the building where they used to just chain crazy people up. Was very chilling seeing where the chains used to hang in the brick there.

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GPs already essentially don't exist anymore. You should search for "Primary Care Physician," "Internal Medicine," or "Family Medicine." I don't say this to correct you or point out the misnomer since most people confuse PCP and GP, but absolutely no board eligible/board certified physician will refer to/advertise their self as a "GP."

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You are correct. I was making this more laymen friendly until the HC people came in.

Most of the internal medicine guys I deal with in the ER are hospitalists or intensivists. They are over worked and it shows. Not somebody I want to see regularly.

I'm just curious as the population of post baby boomers ages, how concierge medicine holds up? They can strike me as dentists. Dentists only want to deal with you in cleanings and fillings. Once your teeth get fricked up, they send you off.

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Hospital IT doesn't understand that a 10 minute delay is often unacceptable.

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Tell me about it. Anytime I try calling IT their answer is for me to just turn off the computer and restart it.


Sorry but that isn't gonna work when a child is screaming in pain. How would you respond if your child's nurse told you "sorry I have to restart this computer first before I can give this med, it will only take 15 minutes or so"?

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This will be an unpopular opinion here but we need to find away to increase the MDs pay/reimbursements or we are all in trouble. Every year it seems the contracts decrease their pay. Would you take a pay cut yearly? Their school costs increase, their

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We wouldn't need to charge what we do if we weren't burdened with such high overhead from having to deal with the gov't and insurers. Streamline the payment system. Cut out all the middle men. There's too many administrative costs factored in. For me to make what I want or need to make, I have to collect at least 2-3x's that. Not to mention all the time I have to spend doing bullshite clerical work instead of seeing pt's.

I could accept at least 50-60% less and still come out the same if I didn't have to mess with insurers. The whole system has become bloated and inefficient. People can say what they want and hate on doctors, but ultimately the costs get passed onto consumers.

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Why are all of these guys charging an enrollment fee? Why not just charge a real world fee for an office visit? What is that number? It is not what insurance says it is on your statement, it is not what a doc says it is when you currently ask a cash price of a doctor who takes insurance.

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They do this to cut down on volume and offer better, more convenient care to those that can afford it. It's a retainer. Nurses and office staff have to be paid if you come in or not. And you have to have people to bill and file insurance. The costs are huge. People can't fathom how expensive a medical practice is to run. You have to make it in volume or people can pay. Can't have cheap, accessible and good.

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Were you misdiagnosed perhaps?

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He has severe (I believe Class IV) heart failure with reduced ejection fraction. The qualification for hospice is a disease which will lead to the death of the patient within 6 months if untreated and allowed to run its natural course.

It's very unlikely he was misdiagnosed. He and his doctors did a good job of treating him.

Well, class IV without treatment would have most likely resulted in death within 6 months. Offering it was the right thing to do. Not everyone wants to fight death kicking and screaming. Palliative care discussions should begin at diagnosis not at end stage. You can choose how to die with dignity and not forgo treatment. But again this is how the undereducated publics misconceptions translate into accusations of playing god or death squads.