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Game Changer-Evidence Supporting Treating Acute Venous Thromboembolism As An Outpatient

In the September 17, 2014 JAMA journal, a well documented evidenced-based review on the management of acute venous thromboembolism shows that in the majority of clinical cases the most recent guideline management strategy for this condition needs revision. What I am saying is...
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Reminiscing About PPACA -Obamacare Has Got To Go

    The Media has been awash this past two weeks with mostly bad news regarding PPACA (Patient Protection and Affordable Care Act).  That was the original acronym but it got punted after President Obama’s reelection to ACA (Affordable Care Act).  This was...
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Why You Need Supplements

Find out why you may not be getting the optimal levels of essential nutrients. Today’s diets are depleted of vitamins, minerals, essential fatty acids and other nutrients due to the decreasing quality of our food supply and busy lifestyles. Combining a healthy diet and...
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Maryland Experiments With Capping Hospital Spending

The Centers for Medicare and Medicaid recently offered a waiver to Maryland in order to try to pursue their hospital payment model as a possible scenario for the rest of the nation.  It is based upon their current model which has been in place since the 70’s. Reportedly in...
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Doctor-Patient Relationship Breakdown Leads to Physician Dissatisfaction

The following statistics are from the 2013 Physician Outlook and Practice Trends, a report published by Jackson Healthcare. Physician discontent appears to be creating a void in the healthcare field. Physicians are preparing to leave medicine early either through retirement or a...
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How The Supreme Court Doomed PPACA To Failure

In this excerpt from Regulation: The Cato Review of Business and GovernmentThomas Lambert of the Cato Institute perfectly sums up why we have such expensive healthcare in the United States.  When third party payers (Medicare and Insurance companies) pay for nearly all of the...
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ACO’s vs. HMO’s and the coming failure of ‘Accountable Care’

The ACO (Accountable Care Organization) concept is the already failed model of the HMO (Health Maintenance Organization)- same pig, different lipstick.  If this gets sold nationally the public really doesn’t understand economics. You don’t meet a rising demand in consumption with...
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We Didn’t Mean Us!

In this weekend’s January 19-20, 2013 Wall Street Journal page A3 is a piece titled “Health Law Pinches Colleges”.  This article poignantly demonstrates the law of unforeseen consequences.  It further vindicates my prior warnings that America can’t afford the Patient Protection...
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How Should Doctors Respond to Medicare Pay Cuts?

Are we ready to deal with the outcome of a 26+% Medicare payment cut to doctors?  This most recent article indicates we are heading for this cut again after the New Year. http://www.medpagetoday.com/Washington-Watch/Washington-Watch/36644  Internal Medicine of Southwest Florida...
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What is an Internist?

Speaking to patients as well as personal friends, I have become aware that many people do not understand what an Internal Medicine physician is or does. We are the broadest specialty that diagnoses and manages adult health problems. Surgery is another example of a broad specialty...
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B12 Deficiency – A Common Issue

Article adapted from my bi-monthly newsletter B12 deficiency is important to avoid as humans cannot naturally make the essential nutrient and it is necessary for proper blood and nerve function.  B12 can be found in calf’s liver, sardines, shrimp, scallops and other anima...
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