Thanks for all your help with my #allergies, but I have a bone to pick with you. A few minutes into my visit and you’re talking about “rhinitis” and “IgE” and “desensitization”. By the time my brain catches up with you, our visit is over and I don’t feel like I really understand what condition I have. Could you slow down and explain what you mean by all that medical riff-raff?
I see enough patients with #hives that I sometimes get frustrated with our current treatment options and it doesn’t help when patients have the wrong idea or views about how hives behave. Vicki Lawrence to the rescue! I applaud her commitment to the truth about “idiopathic hives” and encourage you to listen to her video below (then learn how to avoid frustration with your own hives).
I was in my doctor’s office today (yes, I go to the doctor as well) and she asked me if I was taking my #medications. Of course, I said “yes, the ones that are in my chart”, not really having that photogenic list in my head. As we talked, I realized my confession of what my doctor wanted to hear got the priority over what I was really doing. Busted for lying, but not intentional.
I wish it wasn’t so difficult to take care of our bodies. I always overestimate how much I #exercise and how little I eat. Scales don’t lie, so I just don’t weigh myself. Isn’t it a good thing I only see my dentist every 6 months? I only have to lie about flossing twice a year!
#Asthma, however, is no laughing matter. Your asthma control and cost of keeping you out of the hospital depends on how often you take the medications prescribed to CONTROL your asthma not just treat it. The solution is simple, yet very difficult to actually perform correctly. Here’s the issue with asthma–which inhaler do I use when it’s prescribed by my asthma doctor? I’ll bet you confuse the use of controller medications with reliever medications and now that more new inhalers are on the market it’s even more difficult to do the right thing.
#Oklahoma boasts a low cost of living, and #physicians responding to the Medscape survey also reported high incomes: an average of $304,000. At 8.5%, the average state and local tax burden is well below the national average of 9.8%.
I know you’ve been there before….waiting in the doctor’s office for your appointment and some smartly dressed man or woman barely has to say hello to the receptionist and walks right by your seat, straight to the doctor’s office. “Hey, that’s not fair,” you say to yourself as you dig your nose into that outdated magazine trying to mask the irritation. “My time is just as valuable as theirs is, put me to the front of the line!” As a patient, my frustration with the #health care system only percolates at the injustice. Isn’t the cost of #medication so high in America because of all the drug companies? If there were no drug reps, wouldn’t my doctor have a better and certainly more unbiased selection of medications? Granted, the goal of any #pharmaceutical company (employer of drug reps) is to make profit, but they can’t do that unless a product (medication) works well and is taken as directed. In the end, drug companies want you to be adherent to medications prescribed so they’ll work, you get better, all of which is good for the bottom line. Almost sounds too good to be true when everybody wins, but hang on and I’ll show you how this is possible. Continue reading Drug Reps Will Give You Asthma→
I don’t normally stray from the trail of #allergy topics, but this issue is so important for doctors and ultimately patients that it’s worth investigating. If the doctor shortage becomes severe based on a dwindling supply of physicians, and increased utilization with the Affordable Care Act (ObamaCare), where will you get care when you need it? As #Tulsa County Medical Society (TCMS) president, I am privileged to write about our initiatives in the community and this one is of great importance not only now but for future generations. Here’s the President’s letter from the most recent newsletter:
I had just finished my training in allergy and was ready to conquer the world. Setting up a practice was no big deal; I just didn’t know what I didn’t know! Small town hospital to the rescue. If my practice didn’t succeed or if my revenue didn’t cover my expenses, I would have the local hospital guarantee my salary for the first 3 years of practice. How comforting and reassuring is that? What I didn’t know is if I was more successful than I anticipated (which most of us are), I had to share the profits with a hospital that literally did nothing to earn the cut. Rookie mistake, but very costly and could have been avoided with a few well-placed stories from my mentor….oh yeah, I didn’t have one either.
So here at TCMS, we tell you we’re more than just a political organization looking out for the practice of medicine. We are involved in watching out for your backside, to be sure, but the summer months allow an opportunity to reach out to our #medical students and residents to let them know about life after residency. You mean there is life after residency? In the grand scheme of life, most of the time you spend practicing medicine will be outside of your time as a resident or medical student.
Think about your importance as a physician mentor knowing that #doctors of the next generation will be ill prepared for what lies ahead in their practice careers. Now before you jump up and down in protest at having to attend one of the resident/medical student events, consider the following: Continue reading The Future of Medicine→
Tulsa is the #allergy capital of the nation. You wouldn’t believe how many times in a day I hear that! and it makes sense…countless numbers of patients return to Tulsa and find their #allergies are now out of control. But is this really true? Does anyone even keep track of which city in America has the highest pollen counts and can thus claim to be the most miserable #pollen city in America? Continue reading Tulsa is the Allergy Capital of the Nation→
It’s difficult to find good material on the internet related to the practice of #allergy. Here is one such blog site: http://blogs.medscape.com/garystadtmauer.This blog originates from New York and the practice website is http://www.cityallergy.com. I will periodically post comments & articles from Dr. Stadtmauer’s blog and I’ve included one below about the coexistence of systemic allergy (that’s a positive skin or blood test) and LOCAL allergic rhinitis which has all the signs & symptoms of allergy, but guess what–skin & blood testing is all negative. Very frustrating for #patients to experience allergy symptoms, but go in to their local allergist and find nothing. I wish treatment would be more satisfactory, but as you can imagine, it’s unknown what allergens to mix up for your allergy recipe if all testing is negative. Continue reading What Else About Allergy is Out There?→
This article appeared in KevinMD’s blog and has a very interesting chain of comments. From just reading the article you would think that certain #vaccines prevent #cancer. I would like to think that’s true, but nothing is so simple in medicine. The “cause and effect” relationship to what we do is always the elusive holy grail. This is somewhat of a brainiac article, so buyer beware!
An apple a day might keep the doctor away, but what is modern hospital medicine really like? Follow Dr. Benjamin Kirkland - a Doctor working in Australia - through the pinnacles and pitfalls of everyday hospital medicine!